Rehabilitation technology for self-care: Customised foot and ankle exercise software for people with diabetes

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Citações na Scopus
14
Tipo de produção
article
Data de publicação
2019
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PUBLIC LIBRARY SCIENCE
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PLOS ONE, v.14, n.6, article ID e0218560, 15p, 2019
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Aims To develop and validate the content of a free web-based software (desktop and mobile applications) for the self-management of and customised foot-ankle exercises for people with diabetes and diabetic neuropathy. Methods The development of the programme was based on gamification principles and addressed three main areas: foot care recommendations; self-assessment of feet according to the main complications of diabetic neuropathy; and customised foot-ankle exercises to strengthen muscles, increase the range of motion and improve functionality. The content was validated using the Delphi methodology and a quantitative approach in two rounds with diabetes specialists (n = 9) and users with diabetes (n = 20). A 70% approval rate was considered sufficient in the second round for final validation purposes. The data analysis was conducted using descriptive statistics, absolute and relative frequencies and the content-validity index (CVI). Results Among specialists, the CVI was 0.812 after the first round, and final approval was 100% after the second round. Among users, the CVI was 0.902 in the first round, and the final approval was 97%. Conclusion This free access web software was developed based on the high agreement rating between specialists and users and has the potential to prevent complications arising from diabetic polyneuropathy. It allows for self-monitoring and promotes personalised exercises, following a preventive model that can be applied in primary and secondary care services as a complementary treatment for chronic complications. However, further steps to validate the software in a larger population are recommended.
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Referências
  1. Allet L, 2010, DIABETOLOGIA, V53, P458, DOI 10.1007/s00125-009-1592-4
  2. Amer Diabet Assoc, 2016, DIABETES CARE, V39, pS6, DOI 10.2337/dc16-S004
  3. Beck DFPCT., 2008, RES NURS HLTH, V31, P341, DOI [10.1002/nur.20270, DOI 10.1002/NUR.20270]
  4. Boyko EJ, 1999, DIABETES CARE, V22, P1036, DOI 10.2337/diacare.22.7.1036
  5. Bus SA, 2015, IWGDF GUIDANCE PREVE, DOI [10.1002/dmrr.2696, DOI 10.1002/DMRR.2696]
  6. Caetano LCG, 2017, BRAZ J PHYS THER, V21, P336, DOI 10.1016/j.bjpt.2016.08.001
  7. Cerrahoglu L, 2016, J AM PODIAT MED ASSN, V106, P189, DOI 10.7547/14-095
  8. Chaudhry B, 2006, ANN INTERN MED, V144, P742, DOI 10.7326/0003-4819-144-10-200605160-00125
  9. Cheuy VA, 2013, CLIN BIOMECH, V28, P1055, DOI 10.1016/j.clinbiomech.2013.10.006
  10. Alexandre NMC, 2011, CIENC SAUDE COLETIVA, V16, P3061, DOI 10.1590/S1413-81232011000800006
  11. Deterding S, 2011, P 15 INT AC MINDTREK, V15, P9, DOI [10.1145/2181037.2181040, DOI 10.1145/2181037.2181040]
  12. Diabetes atlas, 2017, IDF DIABETES ATLAS, V8
  13. Dijs HM, 2000, J AM PODIAT MED ASSN, V90, P126, DOI 10.7547/87507315-90-3-126
  14. FEBNMSHS A, 2016, INT J PHARMTECH RES, V9, P151
  15. FEHRING RJ, 1987, HEART LUNG, V16, P625
  16. Ferreira AFB, 2008, CLINICS, V63, P595, DOI 10.1590/S1807-59322008000500005
  17. Goldsmith JR, 2002, J AM PODIAT MED ASSN, V92, P483, DOI 10.7547/87507315-92-9-483
  18. Grant JS, 1997, RES NURS HEALTH, V20, P269, DOI 10.1002/(SICI)1098-240X(199706)20:3<269::AID-NUR9>3.3.CO;2-3
  19. Hunt CW, 2015, WORLD J DIABETES, V6, P225, DOI 10.4239/wjd.v6.i2.225
  20. Kanchanasamut W, 2017, DIABET FOOT ANKLE, V8, DOI 10.1080/2000625X.2017.1287239
  21. Kruse RL, 2010, PHYS THER, V90, P1568, DOI 10.2522/ptj.20090362
  22. Moghtaderi A, 2006, CLIN NEUROL NEUROSUR, V108, P477, DOI 10.1016/j.clineuro.2005.08.003
  23. Monteiro-Soares M, 2014, DIABETES-METAB RES, V30, P610, DOI 10.1002/dmrr.2535
  24. Osheim DE, 2013, THIS COULD BE GAME D, P117
  25. Pratskevich M. A, GAMIFICATION PROBLEM
  26. Rodriguez DD, 2013, DIABETES-METAB RES, V29, P139, DOI 10.1002/dmrr.2366
  27. Rossaneis MA, 2016, REV LAT-AM ENFERM, V24, DOI 10.1590/1518-8345.1203.2761
  28. Sartor CD, 2014, BMC MUSCULOSKEL DIS, V15, DOI 10.1186/1471-2474-15-137
  29. Sartor CD, 2012, BMC MUSCULOSKEL DIS, V13, DOI 10.1186/1471-2474-13-36
  30. Schaper NC, 2016, DIABETES-METAB RES, V32, P7, DOI 10.1002/dmrr.2695
  31. Solomon SD, 2017, DIABETES CARE, V40, P412, DOI 10.2337/dc16-2641
  32. Van Schie CHM, 2004, DIABETES CARE, V27, P1668, DOI 10.2337/diacare.27.7.1668
  33. Vianna Y, 2013, COMO REINVENTAR EMPR
  34. WILLIAMS PL, 1994, J ADV NURS, V19, P180, DOI 10.1111/j.1365-2648.1994.tb01066.x
  35. York RM, 2009, PM&R, V1, P434, DOI 10.1016/j.pmrj.2009.03.001