Desenvolvimento e validação de conteúdo para um protótipo de aplicativo na rede EBSERH e manual de referência para a avaliação da atividade física no Sistema Único de Saúde.

Abstract

Introduction: The prescription of evidence-based physical exercises, especially in the hospital context, requires extensive evaluations to identify individual demands and capabilities. The operationalization of calculations and interpretations of these evaluations consumes a significant portion of healthcare professionals' time. Objective: To develop and validate content for a prototype application for managing and monitoring patients attended by physical education professionals in federal university hospitals within the EBSERH Network. Manuscript I: Content validation for a prototype application for patient management by physical education professionals in the hospital context. Objective: To validate content for a prototype application for patient management by physical education professionals in the hospital context. Methods: A descriptive research conducted in three stages: a) data collection through a semi-structured online questionnaire sent to all 43 physical education professionals within the EBSERH Network; b) content development based on literature review and data systematization; c) content validation through an online questionnaire administered to professionals after experimenting with the MoveSUS platform. Results: The initial questionnaire was answered by 27 physical education professionals, with an average age of 39,4 ± 7,4 years, 51,9% of whom were male, and all had some level of post-graduate education. The most commonly encountered diseases in clinical practice were arterial hypertension, diabetes mellitus, obesity, cardiovascular diseases, and depression. The main areas of work were bariatric surgery and orthopedics and traumatology units, followed by endocrinology, geriatrics, and post-Covid rehabilitation. The body mass index was the most used anthropometric assessment, and among the physical tests, the 6-Minute Walk Test was the most prevalent. The most employed questionnaires were the Physical Activity Readiness Questionnaire, and for estimating the level of physical activity, the International Physical Activity Questionnaire. The main reported challenges were an exhausting work routine/excessive demands, lack of equipment, and inadequate infrastructure. Most participants did not use management software but expressed interest in the application. In the second questionnaire sent to the 27 professionals from the first stage, 14 participated as content validation judges. In the analysis, all questions, domains, and dimensions presented content validity coefficient greater than 0,80. Conclusion: The content of the MoveSUS platform is valid to assist physical education professionals in their daily routines in the hospital context within the EBSERH Network. Technical product: MoveSUS - Reference manual for physical activity assessment in the Unified Health System (SUS). Objective: To provide the developed content for the MoveSUS prototype in the form of a didactic manual. Method: Analysis of the responses to the questionnaire sent to physical education professionals and literature review in major scientific databases such as PubMed, Scopus, Web of Science, SciELO, Google Scholar, and Lilacs. Assessment methods related to the mentioned topics by professionals were included if validated in the literature, presented reference tables and established cutoff points, and met criteria of safety, speed, low cost, simplicity, applicability, and minimally invasive. The content was grouped by similarity and organized into sections. Results: The step-by-step description of 6 anthropometric methods, 17 physical tests, and 10 scales/questionnaires were provided, along with their respective data assessment forms. Conclusion: The MoveSUS Manual introduced standardized and recognized methods in the scientific literature to meet the needs of physical education professionals in the hospital context. Final Remarks: In the hospital context within the EBSERH Network, the clinical practice of physical education professionals is characterized by resource scarcity and high demand for services. However, the content developed for the MoveSUS prototype has demonstrated to be a valid alternative to assist these professionals in patient management and monitoring through the online platform and can be explored in other contexts through the utilization of the Manual.