Pacheco Renata Lopes, da Silva Mario Jorge Sobreira, Bines José
Centro de Oncology Therapy Center, Oncology Clinic, Petrópolis, RJ, Brazil.
Postgraduate Program in Public Health and Cancer Control, National Cancer Institute, Rio de Janeiro, RJ, Brazil.
J Cancer Surviv. 2024 Dec 17. doi: 10.1007/s11764-024-01718-9.
Breast cancer-related lymphedema (BCRL) is a complication that requires lifelong control, with patients taking responsibility for self-care. Mobile applications (apps) can be an effective health education strategy to help manage BCRL by promoting collaborative learning environments in physical therapy. The objective of this study was to design and validate the content for the development of a mobile application for self-care in the health of the BCRL.
The Delphi technique was used through two rounds with data collection instruments using Research Electronic Data Capture (REDCap) and consensus was obtained among a group of experts regarding the content.
Thirty experts participated in the first round to suggest content and 11 content menus, and 48 sub-content menus were suggested. The second round included 19 experts to validate the content. The content validity coefficient values were considered good, both for clarity and relevance (CVCt = 0.93) and for the relevance (CVCt = 0.92) of the contents, with the CVCt of the scale being 0.92, giving its content validity according to the analysis methods used in this research.
The Delphi technique helped to obtain a consensus that the content is clear, relevant, and pertinent. The results indicate that the application will be a useful and effective tool, offering the necessary functionality to guide these patients' self-care, and is ready for development.
This app will assist in proactive prevention before BCRL diagnosis, provide comprehensive knowledge and information during the treatment process for diagnosed patients, and support long-term self-management, while enhancing the learning of education provided to them by healthcare professionals such as physiotherapists.
乳腺癌相关淋巴水肿(BCRL)是一种需要终身管控的并发症,患者需负责自我护理。移动应用程序(应用)可以成为一种有效的健康教育策略,通过在物理治疗中促进协作学习环境来帮助管理BCRL。本研究的目的是设计并验证一款用于BCRL健康自我护理的移动应用程序的开发内容。
采用德尔菲技术,通过两轮使用研究电子数据采集(REDCap)的数据收集工具,并在一组专家之间就内容达成共识。
30名专家参与第一轮以提出内容,共提出11个内容菜单和48个子内容菜单。第二轮有19名专家参与以验证内容。内容效度系数值在清晰度和相关性(CVCt = 0.93)以及内容相关性(CVCt = 0.92)方面都被认为良好,该量表的CVCt为0.92,根据本研究使用的分析方法确定了其内容效度。
德尔菲技术有助于达成共识,即内容清晰、相关且恰当。结果表明该应用程序将是一个有用且有效的工具,具备指导这些患者自我护理的必要功能,并且已准备好进行开发。
这款应用程序将有助于在BCRL诊断前进行主动预防,为确诊患者在治疗过程中提供全面的知识和信息,并支持长期自我管理,同时加强诸如物理治疗师等医疗专业人员为他们提供的教育学习。