Digital literacy and technological profile of coronary patients: mobile applications for health education

Authors

DOI:

https://doi.org/10.5902/2179769288846

Keywords:

Health Literacy, Digital Health, Coronary Disease, Health Education, Health Profile

Abstract

Objective: To evaluate digital health literacy and delineate the technological profile of patients with coronary artery disease. Method: A cross-sectional, descriptive, and exploratory study was conducted. Data collection was conducted at an outpatient clinic of a university hospital from July 2022 to March 2023. A validated and adapted instrument was used to outline the technological profile, and the eHEALS scale was employed to assess digital literacy. Results: The level of digital health literacy found was low. In the technological profile, the smartphone emerged as the most used device in daily life. Most participants had Wi-Fi internet access (82, 60.3%), and 112 (82.4%) expressed interest in using an application about their disease. Conclusion: The digital health literacy observed was insufficient. Coronary patients prefer the use of smartphones. Educational mobile applications tailored to the elderly population can be utilized as a strategy to enable digital inclusion.

Downloads

Author Biographies

Pollyanna Dutra Sobral, Federal University of Pernambuco

Nurse, PhD in Nursing, Federal University of Pernambuco, Recife, Pernambuco, Brazil

Vania Pinheiro Ramos, Federal University of Pernambuco

Graduated in Nursing from the Federal University of Pernambuco (1978). Specialized in Methodology of Teaching, Research and Nursing Care (1981) and Master's Degree in Nursing - area of ​​concentration Medical-Surgical Nursing, both from the Ana Neri School of Nursing of the Federal University of Rio de Janeiro (1986), PhD in Neuropsychiatry and Behavioral Sciences from the Federal University of Pernambuco - area of ​​concentration Neurosciences (2010) and Post-doctorate from the School of Nursing of Ribeirão Preto-USP/Public Health and Maternal-Child Program. She is currently a Full Professor in the Department of Nursing at the Center of Health Sciences of the Federal University of Pernambuco, a Member of the Ethics Committee for Research Involving Human Beings at the Federal University of Pernambuco, a Professor in the Postgraduate Program in Nursing - Master's/Doctorate at the Center of Health Sciences of the Federal University of Pernambuco, and a Member of the Editorial Board of the Nursing Journal UFPE Online REUOL. She has experience in the area of ​​Nursing, with an emphasis on Medical-Surgical Nursing, working mainly on the following topics: Bioethics and adult health care.

Virginia Gomes Ferreira da Cruz, Federal University of Pernambuco

Nursing Student (UFPE). She was a member of the student affairs department of the Ranúsia Alves Academic Directory (D.A.R.A) in the 2022 administration. She worked as a monitor for the subject 'EF542 - Nursing in Emergency Situations in the Community' of the Nursing course at UFPE. Currently, she is a member of the Extension Project 'Health Education in the Training of School Children and Adolescents as Multipliers in First Aid in a Context of Culture and Peace'. Member of the research group 'Assist/Care in Nursing' (CNPq) at the Federal University of Pernambuco. She worked as a volunteer intern in the Municipal Immunization Program against COVID-19 of the Municipal Health Department of Jaboatão dos Guararapes - Pernambuco.

Jadiane Ingrid da Silva, Federal University of Pernambuco

Master of Nursing, Federal University of Pernambuco, Recife, Pernambuco, Brazil

Rízia Florêncio Gama, Hospital das Clínicas da Universidade Federal de Pernambuco

Specialist in Public Health, Hospital das Clínicas, Federal University of Pernambuco, Recife, Pernambuco, Brazil

Daniela Angélica Calado Cavalcanti, Hospital das Clínicas da Universidade Federal de Pernambuco

Specialist in Occupational Nursing – Cefapp Group. Hospital das Clínicas, Federal University of Pernambuco, Recife, Pernambuco, Brazil

References

World Health Organization (WHO). Health promotion glossary of terms 2021. Geneva (CH): World Health Organization; 2021. Health Promotion Glossary of Terms 2021 [Internet]. World Health Organization; 2021 [cited 2024 Dec 26]. Available from: https://www.who.int/publications/i/item/9789240038349.

Guizardi FL, Dutra EB, Passos MFD. Em Mar Aberto: Perspectivas e desafios para uso de tecnologias digitais na educação permanente da saúde [Internet]. Porto Alegre: Rede Unida; 2021 [acesso em 2024 mar 23]. 338 p. Disponível em: https://www.arca.fiocruz.br/handle/icict/47844. DOI: https://doi.org/10.18310/9786587180304

Costa AC, Conceição AP, Butcher HK, Butcher RCGS. Factors influencing health literacy in patients with coronary artery disease. Rev Latinoam Enferm. 2023;31:e3878. doi: 10.1590/1518-8345.6211.3880. DOI: https://doi.org/10.1590/1518-8345.6211.3880

Peres F, Rodrigues KM, Silva TL. Literacia em saúde. Rio de Janeiro: SciELO-FIOCRUZ; 2021. (Temas em Saúde). DOI: https://doi.org/10.7476/9786557081068

Martins AMEBL, Sampaio HAC, Diogo ATS, Lima PXV, Mesquita LGM, Souto CA, et al. História do letramento em saúde: uma revisão narrativa. Unimontes Cient. 2022;24(2):1-23. doi: 10.46551/ruc.v24n2a1. DOI: https://doi.org/10.46551/ruc.v24n2a1

Ribas KH, Araújo AHIM. The importance of Health Literacy in Primary Care: integrative literature review. Res Soc Dev. 2021;10(16):e493101624063. doi: 10.33448/rsd-v10i16.24063. DOI: https://doi.org/10.33448/rsd-v10i16.24063

Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. J Med Internet Res. 2006 Jun 16;8(2):9. doi: 10.2196/jmir.8.2.e9. DOI: https://doi.org/10.2196/jmir.8.2.e9

Van Hoa H, Giang HT, Vu PT, Van Tuyen D, Khue PM. Factors associated with health literacy among the elderly people in Vietnam. Biomed Res Int [Internet]. 2020:3490635. doi: 10.1155/2020/3490635. DOI: https://doi.org/10.1155/2020/3490635

Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional por Amostra de Domicílios (PNAD) [Internet]. Rio de Janeiro: IBGE; 2020 [acesso em 2024 set 10]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/populacao/9127-pesquisa-nacional-por-amostra-de-domicilios.html.

Mialhe FL, Moraes KL, Sampaio HAC, Brasil VV, Vila VSC, Soares GH, et al. Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults. Rev Bras Enferm;75(1):e20201320. doi: 10.1590/0034-7167-2020-1320. DOI: https://doi.org/10.1590/0034-7167-2020-1320

Eng J. Sample size estimation: how many individuals should be studied? Radiology. 2003;227(2):309-13. doi: 10.1148/radiol.2272012051. DOI: https://doi.org/10.1148/radiol.2272012051

Batista RLS, Furtado AGTL, Coriolano MGWS. eHeals como ferramenta para avaliar o letramento digital em saúde de pessoas idosas no distrito sanitário IV de Recife-PE [Internet]. In: Anais do X Congresso Internacional de Envelhecimento Humano; 2023 out 08-10 [acesso em 2024 dez 26]; Recife (PE). Disponível em: https://editorarealize.com.br/editora/anais/cieh/2023/TRABALHO_COMPLETO_EV191_MD4_ID1075_TB398_25102023144939.pdf.

Flauzino KDL, Pimentel MGC, Batistoni SST, Zaine I, Vieira LOB, Rodrigues KRDH, et al. Digital Literacy for Older Adults: perceptions about teaching-learning. Educ Real. 2020;45. doi: 10.1590/2175-6236104913. DOI: https://doi.org/10.1590/2175-6236104913

Diniz JL, Moreira ACA, Teixeira IX, Azevedo SGV, Freitas CASL, Maranguape IC. Digital inclusion and Internet use among older adults in Brazil: a cross-sectional study. Rev Bras Enferm. 2020;73(Suppl 3). doi: 10.1590/0034-7167-2020-0241. DOI: https://doi.org/10.1590/0034-7167-2020-0241

Oliveira WC, Hessel AMDG, Pesce L. Envelhecimento e inclusão digital: autonomia e empoderamento à luz da pedagogia crítica freireana. Rev Prâksis. 2020;3:85-101. doi: 10.25112/rpr.v3i0.2150. DOI: https://doi.org/10.25112/rpr.v3i0.2150

National Institutes of Health (NIH). Clear comunication [Internet]. Bethesda (MD): National Institutes of Health; 2025 [cited 2024 Mar 23]. Available from: https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication.

Santos MR, Gomes MMF. Perfil das pessoas idosas no Brasil: um estudo sobre acesso à internet e habilidades digitais por gerações. Cad Pedagóg. 2023;20(7):2467-95. doi: 10.54033/cadpedv20n7-003. DOI: https://doi.org/10.54033/cadpedv20n7-003

Zhou SH, Huang ST, Xu N, Chen LW, Chen Q. Application of the WeChat Platform to implement continuous nursing for patients after percutaneous coronary intervention. Med Sci Monit. 2020 Dec 29:26:e925444. doi: 10.12659/MSM.925444. DOI: https://doi.org/10.12659/MSM.925444

Agência IBGE Notícias. 161,6 milhões de pessoas com 10 anos ou mais de idade utilizaram a Internet no país, em 2022 [Internet]. Rio de Janeiro: Agência IBGE Notícias; 2023 [acesso em 2024 maio 24]. Disponível em: https://agenciadenoticias.ibge.gov.br/agencia-noticias/2012-agencia-de-noticias/noticias/38307-161-6-milhoes-de-pessoas-com-10-anos-ou-mais-de-idade-utilizaram-a-internet-no-pais-em-2022.

Souza RCB, Barros JK, Fonseca SRAV, Yamaguchi MU, Oliveira LP. Características associadas à Literacia em saúde e Literacia Digital em saúde em idosos de uma cidade do interior do Paraná. Holos (Natal) 2022;5. doi: 10.15628/holos.2022.13924. DOI: https://doi.org/10.15628/holos.2022.13924

Silva RH, Gatti MAN, Marta SN, Marafon RGC, Gatti Neto GG, Andrade SC, et al. Aplicativos de saúde para dispositivos móveis: uma revisão integrativa. Braz J Health Rev. 2020 set 04 [acesso em 2024 set 11];3(5):11754-65. doi: 10.34119/bjhrv3n5-033. DOI: https://doi.org/10.34119/bjhrv3n5-033

Oliveira LB, Vilhena BJ, Freitas RN, Bastos ZRG, Teixeira E, Menezes EG, et al. Aplicativos móveis no cuidado em saúde: uma revisão integrativa. Rev Enferm Atual In Derme; 2022;93(31):2020. doi: 10.31011/reaid-2020-v.93-n.31-art.760. DOI: https://doi.org/10.31011/reaid-2020-v.93-n.31-art.760

Ni Z, Wu B, Yang Q, Yan LL, Liu C, Shaw RJ. An mHealth intervention to improve medication adherence and health outcomes among patients with coronary heart disease: randomized controlled trial. J Med Internet Res. 2022;24(3):e27202. doi: 10.2196/27202. DOI: https://doi.org/10.2196/27202

Boyd AD, Ndukwe CI, Dileep A, Everin OF, Yao Y, Welland B, et al. Elderly medication adherence intervention using the my interventional drug-eluting stent educational app: multisite randomized feasibility trial. JMIR Mhealth Uhealth. 2020 Jun 24;8(6):e15900. doi: 10.2196/15900. DOI: https://doi.org/10.2196/15900

Zhu Y, Zhao Y, Wu Y. Effectiveness of mobile health applications on clinical outcomes and health behaviors in patients with coronary heart disease: a systematic review and meta-analysis. Int J Nurs Sci. 2024 Mar 10;11(2):258-75. doi: 10.1016/j.ijnss.2024.03.012. DOI: https://doi.org/10.1016/j.ijnss.2024.03.012

Paula TR, Menezes AP, Guedes NG, Silva VM, Cardoso MVLML, Ramos ES. Effectiveness of mobile applications for behavioral changes in health: a systematic review. Rev Rene. 2020;21:e43845. doi: 10.15253/2175-6783.20202143845. DOI: https://doi.org/10.15253/2175-6783.20202143845

Beauchamp A, Talevski J, Niebauer J, Gutenberg J, Kefalianos E, Mayr B, et al. Health literacy interventions for secondary prevention of coronary artery disease: a scoping review. Open Heart. 2022 Jan;9(1):e001895. doi: 10.1136/openhrt-2021-001895. DOI: https://doi.org/10.1136/openhrt-2021-001895

Nezamdoust S, Abdekhoda M, Rahmani A. Determinant factors in adopting mobile health application in healthcare by nurses. BMC Med Inform Decis Mak. 2022 Feb 22;22(1):47. doi: 10.1186/s12911-022-01784-y. DOI: https://doi.org/10.1186/s12911-022-01784-y

Amalindah D, Winarto A, Rahmi AH. Effectiveness of mobile app-based interventions to support diabetes self-management: a systematic review. J Ners. 2020;15(Spec No 1):9-18. doi: 10.20473/jn.v15i2.18897. DOI: https://doi.org/10.20473/jn.v15i1Sp.18897

Downloads

Published

2025-03-31

How to Cite

Sobral, P. D., Ramos, V. P., Cruz, V. G. F. da, Silva, J. I. da, Gama, R. F., & Cavalcanti, D. A. C. (2025). Digital literacy and technological profile of coronary patients: mobile applications for health education. Revista De Enfermagem Da UFSM, 15, e5. https://doi.org/10.5902/2179769288846

Issue

Vol. 15 (2025): Artigos do volume 15

Section

Artigos Originais

License

Copyright (c) 2025 Revista de Enfermagem da UFSM

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

 

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.