mHealth: Possibilidades no campo da atividade física e desfechos em saúde

• Autor(a) principal: Oliveira, Marcos Vinicius Lima de
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/8247
• topic: mHealth; eHealth; Aptidão física - Avaliação; Avaliação em saúde; Programas de saúde; Aplicativos móveis; Tecnologia médica; CNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICA

The use of mobile and wireless technologies in health care has grown in recent years and has demonstrated the ability to modify the profile of health services worldwide. The emergence of market-based applications for health care and the creation of mHealth-based interventions has opened up a broad field of discussion about the actual effectiveness of mHealth use in health interventions. To analyze the aspects involved in this area, the present dissertation developed two studies, a systematic review with the objective of identifying the methodological quality, characteristics of the interventions and the samples on positive outcomes in health and that had as search data articles in English MEDLINE, where articles were selected that were randomized clinical trials and used some approach with mHealth and obtained at least the collection of a variable related to health. The included studies used a variety of technologies as a means of physical activity intervention. Intervention periods had an average of 18.4 weeks. Overall, the articles presented good methodological quality with 82% showing positive and significant results in their variables of interest and their results suggest that mHealth interventions are associated with positive health outcomes in different approaches to health promotion for healthy people or in treatment people with illness. The heterogeneous feature of the interventions shows how the use of mHealth may be relevant in interventions of different population segments. Intervention time was a limiting factor, observing that longer studies show a lower rate of significance in their results, a factor that raises doubts about the use of these interventions in the long term. MHealth shows itself as a vast field of research and with the advancement of technologies presents new possibilities for intervention. The second cross-sectional study focused on analyzing the aspects associated with the current rate of sedentary lifestyle, along with trends in the approach of millennials to technology and especially the use of large-scale smartphones that enable thinking in health tools and data sharing which were impossible until a few years. The IPAQ short version and a semi-structured questionnaire adapted from the Millennials Pew Research Center were applied in order to evaluate the level of physical activity and the habits of use of smartphones of 591 (269 men) university students. 60% of the young people presented sedentary habits and even those were classified within the tertile with greater caloric expenditure presented long time of inactivity during the day (> 6 hours / day). Most young people have access to smartphones (89%) but only 30% but use of health-related applications and even those young people who use these applications do not present significant differences for the group that does not use them. The lack of a culture of using apps still makes comparisons between these tools and traditional questionnaires difficult, but the high percentage of young people using smartphones makes these applications tools with great future potential