Requirements for building educational and care technology on heart failure

exploratory study, carried out with 15 people with heart failure and 19 family members/caregivers, assisted in a tertiary unit in the Brazilian Northeast. Individual semi-structured interviews were carried out between November and December 2020. Hannah Arendt’s theoretical framework was adopted.

Results:

two units of meaning emerged: “The plurality of care in heart failure” and “Expectations on the construction and use of educational and care technology for heart failure”. The requirements involved the need to know the disease and its nuances, as well as the health network, through an application that can minimize individual and social precariousness; and highlighted the importance of the participation of the multidisciplinary team in the development and dissemination of the application.

Conclusions:

requirements on educational and care technology were identified and will support the creation of an application that promotes care, aiming to obtain positive health outcomes.

Descriptors:
Heart Failure; Mobile Applications; Technology; Educational Technology; Nursing

Sujeitos	Perguntas
Patients	- What information do you usually receive about HF? Which ones would you like to receive? - Do you seek information about HF to learn how to take care of yourself? - What do you think of the idea of receiving this information through a technology, such as an application? How would you like it to be made so that you could use it?
Relatives/Caregivers	- When you accompany your family member with HF to consultations, do you receive guidance from professionals about the disease? - Do you seek information about HF to improve the care of your family member? - Would you use a technology, such as an app, that could help with care? How would you like it to be developed so that you could use it?

Variables	Patients (n = 15)		Relatives / Caregivers (n = 19)
Variables	f ^* * Absolute frequency; †relative frequency; ‡mean ± standard deviation; §median.	%^†	f^ * Absolute frequency; †relative frequency; ‡mean ± standard deviation; §median.*	%^†
Sociodemographic data
Sex
Female	06	40.0	14	73.7
Male	09	60.0	05	26.3
Age (in years)	47.8 ± 13.4^‡		44.6 ± 14.3 ‡
Kinship
Spouse	-		05	26.3
Parents	-		01	5.3
Son	-		05	26.3
Brother	-		02	10.5
Nephew	-		03	15.8
Grandchild	-		01	5.3
Daughter in law	-		01	5.3
Unrelated	-		01	5.3
Residence
Relatives	14	93.3	-
Friends	01	6.7	-
Scolarity
Incomplete fundamental	04	26.7	01	5.3
Complete fundamental	01	6.7	03	15.8
Incomplete high school	-	-	01	5.3
Complete high school	07	46.7	06	31.6
Incomplete higher education	01	6.7	04	21.1
Graduated	02	13.3	04	21.1
Paid activity (yes)	05	33.3	10	52.6
Receive retirement	03	20.0	-	-
Receive benefit	03	20.0	-	-
Has a companion/Accompanies appointments (yes)	13	86.7	16	84.2
Performs/Participates in care (yes)	15	100.0	17	89.5
Clinical data
Time of illness (in years)	Md^§ = 4.0		-
Left ventricular ejection fraction (%)	45.4 ± 17.2^‡		-
Number of consultations (per year)	Md^§ = 3.0		-
Cellphone use
Calls (yes)	15	100.0	19	100.0
Messages (yes)	15	100.0	18	94.7
Social networks (yes)	15	100.0	18	94.7
Search (yes)	15	100.0	16	84.2
General apps (yes)	11	73.3	16	84.2
Health apps (yes)	05	33.3	07	36.8

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Virna Ribeiro Feitosa Cestari, E-mail: virna.ribeiro@hotmail.com