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生命管理:一款用于自杀行为管理的移动应用程序的效度证据

GerenciaVida: Validity Evidence of a Mobile Application for Suicide Behavior Management.

作者信息

Rocha Daniel de Macêdo, Oliveira Aline Costa de, Bezerra Sandra Marina Gonçalves, Sousa Laelson Rochelle Milanês, Alves Rafael Saraiva, Oliveira Breno da Silva, Ramos Iara Barbosa, Lima Muriel Fernanda de, Reis Renata Karina, Nogueira Lídya Tolstenko

机构信息

Department of Nursing, Federal University of Mato Grosso do Sul, Coxim 79400-000, Brazil.

Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil.

出版信息

Int J Environ Res Public Health. 2025 Jul 15;22(7):1115. doi: 10.3390/ijerph22071115.

DOI:10.3390/ijerph22071115
PMID:40724181
Abstract

Technology-based strategies for the prevention and management of suicidal behavior are widely referenced for identifying vulnerable groups and for supporting clinical reasoning, decision-making, and appropriate referrals. In this study, we estimated the interface and content validity evidence of an interactive mobile application developed for managing suicidal behavior. This methodological study employed psychometric parameters to evaluate the content and interface of the mobile application, following five action phases: analysis, design, development, implementation, and evaluation. A total of 27 healthcare professionals participated, selected by convenience sampling, all working within the Psychosocial Care Network across different regions of Brazil. Data were collected using an electronic form, the Delphi technique for evaluation rounds, and a Likert scale to achieve consensus. The validity analysis was based on a Content Validity Index (CVI) equal to or greater than 0.80. The results showed that GerenciaVida, a technology developed for healthcare workers-regardless of their level of care or professional category-can be used to screen for suicide risk in the general population and indicate preventive alternatives. The app demonstrated satisfactory indicators of content validity (0.974) and interface validity (0.963), reflecting clarity (0.925), objectivity (1.00), adequacy (0.925), coherence (0.962), accuracy (0.962), and clinical relevance (1.00). The development path of this mobile application provided scientific, technological, and operational support, establishing it as an innovative care tool. It consolidates valid evidence that supports the identification, risk classification, and prevention of suicidal behavior in various healthcare contexts.

摘要

基于技术的自杀行为预防和管理策略在识别弱势群体以及支持临床推理、决策和适当转诊方面被广泛引用。在本研究中,我们评估了一款为管理自杀行为而开发的交互式移动应用程序的界面和内容效度证据。这项方法学研究采用心理测量参数来评估该移动应用程序的内容和界面,遵循分析、设计、开发、实施和评估五个行动阶段。共有27名医疗保健专业人员通过便利抽样选出,他们都在巴西不同地区的心理社会护理网络内工作。数据通过电子表格收集,采用德尔菲技术进行评估轮次,并使用李克特量表以达成共识。效度分析基于内容效度指数(CVI)等于或大于0.80。结果表明,GerenciaVida这款为医护人员开发的技术——无论其护理水平或专业类别如何——可用于筛查普通人群的自杀风险并指出预防方案。该应用程序展示了令人满意的内容效度指标(0.974)和界面效度指标(0.963),反映出清晰度(0.925)、客观性(1.00)、充分性(0.925)、连贯性(0.962)、准确性(0.962)和临床相关性(1.00)。这款移动应用程序的开发路径提供了科学、技术和运营支持,将其确立为一种创新的护理工具。它巩固了支持在各种医疗保健环境中识别、风险分类和预防自杀行为的有效证据。

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本文引用的文献

1
Patient-Centered Suicide Prevention Care Delivery Among Established Integrated Primary Care Providers.在成熟的综合初级保健提供者中提供以患者为中心的自杀预防护理
Crisis. 2025 Jul 1. doi: 10.1027/0227-5910/a001011.
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Youth Suicide Prevention in Primary Care.初级保健中的青少年自杀预防
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Enhancing youth suicide prevention: The critical role of family involvement in screening, intervention, and postvention.加强青少年自杀预防:家庭参与在筛查、干预及善后处理中的关键作用。
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AI-driven early diagnosis of specific mental disorders: a comprehensive study.人工智能驱动的特定精神障碍早期诊断:一项综合研究。
Cogn Neurodyn. 2025 Dec;19(1):70. doi: 10.1007/s11571-025-10253-x. Epub 2025 May 5.
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Framework to Assist Stakeholders in Technology Evaluation for Recovery (FASTER) to Mental Health and Wellness.协助利益相关者进行康复技术评估的框架(FASTER)促进心理健康与幸福。
BMC Health Serv Res. 2025 Apr 30;25(1):623. doi: 10.1186/s12913-025-12418-0.
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Mobile app-based intervention for paternal perinatal depression, anxiety, and stress: A randomised controlled trial.基于移动应用程序对父亲围产期抑郁、焦虑和压力的干预:一项随机对照试验。
J Affect Disord. 2025 Aug 1;382:325-335. doi: 10.1016/j.jad.2025.04.075. Epub 2025 Apr 23.
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Impact of the COVID-19 pandemic on suicide mortality in Brazil: an interrupted time series analysis.新冠疫情对巴西自杀死亡率的影响:一项中断时间序列分析
Trends Psychiatry Psychother. 2025 Apr 14. doi: 10.47626/2237-6089-2024-0952.
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Prolonged social withdrawal ("hikikomori") and its associations with depressive symptoms and suicidal ideation among young adults in Korea: Findings from the 2022 Youth Life Survey.韩国年轻人中长时间社交退缩(“蛰居族”)及其与抑郁症状和自杀意念的关联:2022年青少年生活调查结果
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Digital tracking, provider decision support systems, and targeted client communication via mobile devices to improve primary health care.通过数字追踪、医疗服务提供者决策支持系统以及借助移动设备与目标客户进行沟通,以改善初级卫生保健。
Cochrane Database Syst Rev. 2025 Apr 7;4(4):CD012925. doi: 10.1002/14651858.CD012925.pub2.