Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/4395 |
Resumo: | Virtual Clinical cases are effective interactive tools for assessing clinical skills, simulating various aspects of doctor patient interaction. The aims of this study were to develop and psychometrically validate a virtual tool to assess knowledge about the diagnosis and rational treatment of diabetes mellitus, based on its pathophysiology, in a computer graphical user interface, and to propose a model of support for teaching, in order to promote Telecare and Tele-education. This was a methodological development study with a quantitative approach. The virtual clinical cases were applied to a group of 14 doctors from a universe of 60 Endocrinologists (experts) and to another group of 72 third-year medical school students. The process followed the guidelines for the evaluation of psychometric properties with descriptive and inferential analyses. For reliability analysis, Cronbach's alpha was applied to expert, student and all-group questionnaires (,890: ,606: ,770). The difference in scores between experts and students was highly significant by Friedman (p > 0.01) and Wilcoxon (p > 0.001) tests. From the analysis of the scores, a manual for regulation of VCC and a graphical interface in virtual clinical case format (simulation) were created, linked to a database hosted on the Telehealth system – Goiás Federal University of Goias platform. The instrument is easy to understand and to use by subjects. When applied to students and medical professionals, the instrument also fulfills a function of process evaluation parallel to the formative process and can also be useful in continuing education in the FHS. In summary, the VCC resulted in an instrument with proven psychometric properties and features, and can therefore be considered a valid and reliable instrument to measure knowledge about the diagnosis and rational treatment of DM based on its pathophysiology. The project has pioneered, since there was not an online tool, developed and previously validated for reviewing of clinical cases. We intend to continue this project expanding its use for formative assessment and continuing education in other specialties of internal medicine. |
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Taleb, Alexandre Chaterhttp://lattes.cnpq.br/3191620401627150Taleb, Alexandre ChaterAffiune Neto, AbrahãoPereira, Edna Regina SilvaCosta, Nilce Maria da Silva Camposhttp://lattes.cnpq.br/6977373149115047http://lattes.cnpq.br/1147954952025284Silva, Eldeci Cardoso da2015-03-31T11:20:55Z2014-02-10SILVA, E. C. Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus. 2014. 127 f. Dissertação (Mestrado Profissional em Ensino na Saúde) - Universidade Federal de Goiás, Goiânia, 2014.http://repositorio.bc.ufg.br/tede/handle/tede/4395ark:/38995/001300000dj80Virtual Clinical cases are effective interactive tools for assessing clinical skills, simulating various aspects of doctor patient interaction. The aims of this study were to develop and psychometrically validate a virtual tool to assess knowledge about the diagnosis and rational treatment of diabetes mellitus, based on its pathophysiology, in a computer graphical user interface, and to propose a model of support for teaching, in order to promote Telecare and Tele-education. This was a methodological development study with a quantitative approach. The virtual clinical cases were applied to a group of 14 doctors from a universe of 60 Endocrinologists (experts) and to another group of 72 third-year medical school students. The process followed the guidelines for the evaluation of psychometric properties with descriptive and inferential analyses. For reliability analysis, Cronbach's alpha was applied to expert, student and all-group questionnaires (,890: ,606: ,770). The difference in scores between experts and students was highly significant by Friedman (p > 0.01) and Wilcoxon (p > 0.001) tests. From the analysis of the scores, a manual for regulation of VCC and a graphical interface in virtual clinical case format (simulation) were created, linked to a database hosted on the Telehealth system – Goiás Federal University of Goias platform. The instrument is easy to understand and to use by subjects. When applied to students and medical professionals, the instrument also fulfills a function of process evaluation parallel to the formative process and can also be useful in continuing education in the FHS. In summary, the VCC resulted in an instrument with proven psychometric properties and features, and can therefore be considered a valid and reliable instrument to measure knowledge about the diagnosis and rational treatment of DM based on its pathophysiology. The project has pioneered, since there was not an online tool, developed and previously validated for reviewing of clinical cases. We intend to continue this project expanding its use for formative assessment and continuing education in other specialties of internal medicine.Casos clínicos virtuais são ferramentas interativas eficazes para avaliação de competências clínicas, simulando vários aspectos da interação médico paciente. O objetivo desse trabalho foi desenvolver e validar psicometricamente uma ferramenta virtual para avaliar conhecimentos sobre o diagnóstico e tratamento racional do diabetes mellitus, baseado em sua fisiopatologia, em uma interface gráfica computacional, além de propor um modelo de suporte para o ensino, promovendo assim a Teleassistência e a Teleducação. Foi realizado um estudo de desenvolvimento metodológico, de abordagem quantitativa, no qual os casos clínicos virtuais foram aplicados a um grupo de médicos endocrinologistas (experts) e a um grupo de discentes do terceiro ano de um curso de medicina. O processo seguiu as normas de avaliação das propriedades psicométricas com análises descritivas e inferenciais. Para análise da confiabilidade foi utilizado o alpha de Crombach para os questionários dos experts, discentes e todos os grupos (0,890: 0,606: 0,770). A diferença de escore entre experts e discentes foi altamente significativa pelos testes de Friedman (p>0,01) e Wilcoxon (p>0,001). A partir das análises dos escores, foram criados um manual de normatização dos casos clínicos virtuais e uma interface gráfica virtual em formato de casos clínicos, vinculados a um banco de dados hospedado na plataforma do sistema de Telessaúde-GO da Universidade Federal de Goiás. O instrumento demonstrou ser de fácil compreensão e utilização pelos sujeitos do estudo. Quando aplicado aos discentes e aos médicos o instrumento cumpriu, também, uma função de avaliação processual paralela ao processo formativo e poderá ser útil também na educação permanente na ESF. Os CCV resultaram em um instrumento com características e propriedades psicométricas comprovadas, e que pode, assim, ser considerado válido e confiável para medir o conhecimento sobre diagnóstico e tratamento racional do DM baseado em sua fisiopatologia. Pretende-se dar continuidade a esse projeto ampliando sua utilização para avaliação formativa e educação permanente em outras especialidades da clínica médica.Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2015-03-30T11:36:52Z No. of bitstreams: 2 Dissertação - Eldeci Cardoso da Silva - 2014.pdf: 4717681 bytes, checksum: 891e8f812b0baea3c679106aed6d5481 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-03-31T11:20:55Z (GMT) No. of bitstreams: 2 Dissertação - Eldeci Cardoso da Silva - 2014.pdf: 4717681 bytes, checksum: 891e8f812b0baea3c679106aed6d5481 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-03-31T11:20:55Z (GMT). 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dc.title.por.fl_str_mv |
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus |
dc.title.alternative.eng.fl_str_mv |
Development and validation of virtual tool for rational treatment of Diabetes mellitus |
title |
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus |
spellingShingle |
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus Silva, Eldeci Cardoso da Validação do instrumento Psicometria Diabetes mellitus Caso clínico virtual simulado Avaliação de habilidades clínicas Validation of the instrument Psychometrics Assessment of clinical skills Virtual clinical case simulation CIENCIAS DA SAUDE |
title_short |
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus |
title_full |
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus |
title_fullStr |
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus |
title_full_unstemmed |
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus |
title_sort |
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus |
author |
Silva, Eldeci Cardoso da |
author_facet |
Silva, Eldeci Cardoso da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Taleb, Alexandre Chater |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3191620401627150 |
dc.contributor.referee1.fl_str_mv |
Taleb, Alexandre Chater |
dc.contributor.referee2.fl_str_mv |
Affiune Neto, Abrahão |
dc.contributor.referee3.fl_str_mv |
Pereira, Edna Regina Silva |
dc.contributor.advisor2.fl_str_mv |
Costa, Nilce Maria da Silva Campos |
dc.contributor.advisor2Lattes.fl_str_mv |
http://lattes.cnpq.br/6977373149115047 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1147954952025284 |
dc.contributor.author.fl_str_mv |
Silva, Eldeci Cardoso da |
contributor_str_mv |
Taleb, Alexandre Chater Taleb, Alexandre Chater Affiune Neto, Abrahão Pereira, Edna Regina Silva Costa, Nilce Maria da Silva Campos |
dc.subject.por.fl_str_mv |
Validação do instrumento Psicometria Diabetes mellitus Caso clínico virtual simulado Avaliação de habilidades clínicas |
topic |
Validação do instrumento Psicometria Diabetes mellitus Caso clínico virtual simulado Avaliação de habilidades clínicas Validation of the instrument Psychometrics Assessment of clinical skills Virtual clinical case simulation CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Validation of the instrument Psychometrics Assessment of clinical skills Virtual clinical case simulation |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Virtual Clinical cases are effective interactive tools for assessing clinical skills, simulating various aspects of doctor patient interaction. The aims of this study were to develop and psychometrically validate a virtual tool to assess knowledge about the diagnosis and rational treatment of diabetes mellitus, based on its pathophysiology, in a computer graphical user interface, and to propose a model of support for teaching, in order to promote Telecare and Tele-education. This was a methodological development study with a quantitative approach. The virtual clinical cases were applied to a group of 14 doctors from a universe of 60 Endocrinologists (experts) and to another group of 72 third-year medical school students. The process followed the guidelines for the evaluation of psychometric properties with descriptive and inferential analyses. For reliability analysis, Cronbach's alpha was applied to expert, student and all-group questionnaires (,890: ,606: ,770). The difference in scores between experts and students was highly significant by Friedman (p > 0.01) and Wilcoxon (p > 0.001) tests. From the analysis of the scores, a manual for regulation of VCC and a graphical interface in virtual clinical case format (simulation) were created, linked to a database hosted on the Telehealth system – Goiás Federal University of Goias platform. The instrument is easy to understand and to use by subjects. When applied to students and medical professionals, the instrument also fulfills a function of process evaluation parallel to the formative process and can also be useful in continuing education in the FHS. In summary, the VCC resulted in an instrument with proven psychometric properties and features, and can therefore be considered a valid and reliable instrument to measure knowledge about the diagnosis and rational treatment of DM based on its pathophysiology. The project has pioneered, since there was not an online tool, developed and previously validated for reviewing of clinical cases. We intend to continue this project expanding its use for formative assessment and continuing education in other specialties of internal medicine. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-02-10 |
dc.date.accessioned.fl_str_mv |
2015-03-31T11:20:55Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SILVA, E. C. Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus. 2014. 127 f. Dissertação (Mestrado Profissional em Ensino na Saúde) - Universidade Federal de Goiás, Goiânia, 2014. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/4395 |
dc.identifier.dark.fl_str_mv |
ark:/38995/001300000dj80 |
identifier_str_mv |
SILVA, E. C. Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus. 2014. 127 f. Dissertação (Mestrado Profissional em Ensino na Saúde) - Universidade Federal de Goiás, Goiânia, 2014. ark:/38995/001300000dj80 |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/4395 |
dc.language.iso.fl_str_mv |
por |
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por |
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513421144313530010 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
8765449414823306929 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
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dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Ensino na Saúde (FM) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Medicina - FM (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
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bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f b292a83e42bd8ad62533bba1395b83ff 9da0b6dfac957114c6a7714714b86306 891e8f812b0baea3c679106aed6d5481 d92450124db949415f94c4e58d5ca811 cba39ccd801aa5b40b1dbf99cd94d3c7 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1811721521175986176 |