<i>QUIMIO EM CASA</i>: APPLICATION FOR FAMILY MEMBERS OF CHILDREN AND ADOLESCENTS USING ORAL ANTINEOPLASTIC AGENTS

Franco, Gabriele Alvernaz Silva; Silva, Liliane Faria da; Seixas, Flavio Luiz; Góes, Fernanda Garcia Bezerra; Pacheco, Sandra Teixeira de Araújo; Moraes, Juliana Rezende Montenegro Medeiros de

doi:10.1590/1980-265X-TCE-2021-0414en

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Original Article • Texto contexto - enferm. 31 • 2022 • https://doi.org/10.1590/1980-265X-TCE-2021-0414en copy

QUIMIO EM CASA: APPLICATION FOR FAMILY MEMBERS OF CHILDREN AND ADOLESCENTS USING ORAL ANTINEOPLASTIC AGENTS

QUIMIO EN CASA: APLICACIÓN PARA FAMILIARES DE NIÑOS Y ADOLESCENTES QUE USAN ANTINEOPLÁSICOS ORALES

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to develop and validate a mobile application for the guidance of family members of children and adolescents undergoing treatment with oral antineoplastic drugs.

Method:

this is methodological research developed in seven steps: search for themes through interviews with twenty-three family members of children and adolescents undergoing oral chemotherapy; theoretical study; mobile application development; validation with thirteen expert judges; adequacy; validation with twelve family members of children and adolescents undergoing oral chemotherapy and mobile application final adaptation. The interviews were analyzed using the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires software and validated with a Likert-type scale, considering validated items with a Concordance Index equal to or greater than 70%.

Results:

the application “Quimio em Casa” was returned with two interfaces, a desktop version aimed at health professionals and the application for family members of children and adolescents undergoing treatment with oral chemotherapy. The contents that guided the application development were storage, handling, administration, specific care for each chemotherapy agent, adverse effects, when to go to the emergency room and daily checking of administrations. The application was designed and validated with an adequacy Concordance Index of 96.7% among judges, and 100% by family members.

Conclusion:

the application proved to be valid as an educational technology in practical application with family members of children and adolescents undergoing oral chemotherapy.

DESCRIPTORS:
Antineoplastic agents. Administration; oral. Educational technology. Mobile applications. Validation study. Oncology nursing

Chunk 1: Usability (SUS Instrument)	TA^*	A†	PA‡	CI
1 - I would like to use this app often	07	02	-	100%
2 - I considered that the APP has the necessary complexity	06	03	-	100%
3 - I found the app easy to use	07	02	-	100%
4 - I think I can use the app without technical support	07	01	01	88.9%
5 - I thought the various functions in this APP were well integrated	08	01	-	100%
6 - I thought the app was pretty consistent	07	02	-	100%
7 - I imagine most people will learn how to use this app quickly	05	03	01	88.9%
8 - I found the app lightweight and uncomplicated to use	08	-	01	88.9%
9 - I felt very confident using this app	08	01	-	100%
10 -With the knowledge I already have, I can continue to use this app	08	01	-	100%
Total Chunk 1	71	16	03	96.7%
Chunk 2: Content	TA	A	PA	CI
11 - Information is adequate for guiding oral chemotherapy administration as well as clarifying family doubts	08	-	01	88.9%
12 - The proposal of access to personalized information, such as chemotherapeutic agent name, indication, storage, adverse effects, guidelines, drug interactions and overdose, presents itself as a valid strategy	06	02	01	88.9%
13 - There is a logical sequence of the proposed content	07	02	-	100%
14 - The amount of information contained in the APP is adequate	05	04	-	100%
15 - Provides help in a non-weary way and in a clear way	08	01	-	100%
16 - Language used in the APP is compatible with the target audience	03	06	-	100%
17 - Ilustrations (images) are pertinent to the content	08	01	-	100%
18 - Size and font, as well as the colors applied, help family members to understand and use the APP	07	02	-	100%
19 - Content is interesting and can generate interest for the family member to keep the APP installed on the mobile phone	09	-	-	100%
20 - Invites/instigates changes in behavior and attitude	06	03	-	100%
21 - The APP is relevant for health promotion and is suitable for use by any professional who works advising family members of children undergoing treatment with oral chemotherapy	09	-	-	100%
Total Chunk 2	76	21	02	98%

Nielsen Heuristics	TA^*	A†	PA‡	I§	CI
1 - System status visibility
1.1 Are users informed about the APP progress with the appropriate response in an acceptable time?	03	01	-	-	100%
1.2 Do the messages about the APP status have a clear and concise language?	03	01	-	-	100%
1.3 Do all screens maintain accessible menus and common functions of the APP?	02	02	-	-	100%
2 - Match between APP interface and real world
2.1 Does the APP use concepts and language familiar to users rather than technical terms?	04	-	-	-	100%
2.2 Does the APP use real-world conventions and present information in a natural and logical order?	03	01	-	-	100%
3 - User control and freedom
3.1 Do users have the freedom to make changes, such as changing their password, reporting symptoms and calling through the app?	03	01	-	-	100%
3.2 Is relevant information such as text, buttons and commands visible when the keyboard is opened?	03	-	01	-	75%
3.3 Does the APP make clear what the next step is to accomplish the task?	03	01	-	-	100%
4 - Consistencies and standards
4.1 Do design elements, such as objectives and actions, have the same meaning or effects in different situations?	03	01	-	-	100%
4.2 Do controls and buttons distinguish themselves from the rest of layout, making it clear that they are clickable?	03	-	-	01	75%
4.3 Is textual information presented in a standardized way? (font size, color)	04	-	-	-	100%
5 - Error prevention
5.1 Would users make mistakes they would make on better interfaces?	02	02	-	-	100%
6 - Recognition instead of remembrance
6.1 Are project elements, such as objects, actions and options, visible?	03	01	-	-	100%
6.2 Is the option back presented according to the APP standard for this platform?	03	01	-	-	100%
6.3 Are the most important data and messages findin the default APP position for this platform?	02	02	-	-	100%
6.4 In fields where there is a need to insert data, is this evident?	03	01	-	-	100%
6.5 Do the screen titles adequately describe their content?	04	-	-	-	100%
7- Flexibility and efficiency of use
7.1 Are task methods efficient? Can users customize frequent actions or shortcuts?	01	02	01	-	75%
7.2 Does the APP have problems during interaction (hangs, buttons do not work on first click, etc.)?	03	01	-	-	100%
7.3 Are tasks relatively simple to perform?	02	02	-	-	100%
7.4 Are the most commonly used functions easily accessed?	04	-	-	-	100%
8 - Esthetics and minimalist design
8.1 Is the menu aesthetically simple and clear?	03	01	-	-	100%
8.2 Is only information related to the task being performed displayed?	03	01	-	-	100%
8.3 Does it have buttons with adequate size to click?	03	01	-	-	100%
9 - Helps users recognize, diagnose and retrieve data
9.1 Are error messages expressed in language (no code)? Do they describe the problem exactly and suggest the solution? Is help easy to understand?	04	-	-	-	100%
10 - Help and documentation
10.1 Is appropriate help provided? Is this information easy to find and focused on users’ task?	01	02	01	-	75%
Total Chunk 3	75	25	03	01	96.1%

Items	TA^*	A†	PA‡	I§	CI
1 APP Objective
1.1 The app provides knowledge for family members	12	-	-	-	100%
1.2 Helps during families’ daily lives	12	-	-	-	100%
1.3 Is suitable for use by any family member of a child undergoing oral chemotherapy	09	03	-	-	100%
2 Organization
2.1 The APP has logical sequence	12	-	-	-	100%
2.2 The app is attractive and easy to handle	12	-	-	-	100%
2.3 The themes/topics depict important aspects of treatment	12	-	-	-	100%
3 APP style
3.1 Title and content size is adequate	12	-	-	-	100%
3.2 Vocabulary is accessible	12	-	-	-	100%
3.3 Images serve to complement the texts	12	-	-	-	100%
3.4 Images are simple, expressive and sufficient	12	-	-	-	100%
3.5 Is easy to access the app on the mobile phone on the Android system	10	02	-	-	100%
4 Motivation
4.1 The app can help family members to change their behavior and attitude	11	01	-	-	100%
4.2 It is in the family’s interest to keep the APP installed on the mobile phone	12	-	-	-	100%
4.3 The APP addresses the issues necessary for everyday life	12	-	-	-	100%
Total	162	06	-	-	100%

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Gabriele Alvernaz Silva Franco gabrielealvernaz@yahoo.com.br