Abstract The eHealth technologies promote parental care practices for preterm infants. Nonetheless, we should underscore the abundant information and available apps and disparities in these resources’ quality, usability, and reliability. This article examines eHealth technologies directed at parents to care for preterm infants. An integrative review was conducted across the principal health databases (Capes, EBSCO, BVS, PubMed, Scholar, and SciELO), selecting works published from 2011 to 2022 in Portuguese and English, focusing on the use of eHealth technologies for the care of preterm infants. We identified 13 articles related to information and communication technologies in strategies for educating and promoting the health of preterm infants and their parents and the importance of evaluating and validating eHealth technologies in maternal and child health promotion. Properly validated eHealth technologies can be crucial in supporting parents in promoting health and providing care for preterm infants after hospital discharge, which, in turn, can drive the evolution of healthcare systems and improve clinical practices. Nonetheless resources quality usability reliability Capes, Capes (Capes EBSCO BVS PubMed Scholar SciELO, SciELO , SciELO) 201 202 English 1 promotion discharge which turn 20 2

Resumo As tecnologias eHealth contribuem na promoção das práticas parentais de cuidado para bebês pré-termo. Não obstante, é notável a abundância de informações e aplicativos disponíveis, a disparidade na qualidade, facilidade de uso e confiabilidade desses recursos. Este artigo objetiva examinar as tecnologias eHealth direcionadas aos pais para o cuidado de bebês pré-termo. Realizou-se uma revisão integrativa nas principais bases de dados da área da saúde (Capes, EBSCO, BVS, PubMed, Scholar e SciELO), com a seleção de publicações de 2011 a 2022, em português e inglês, sobre a utilização de tecnologias eHealth voltadas aos cuidados de bebês pré-termo. Identificaram-se 13 artigos com temáticas sobre: as tecnologias da informação e comunicação nas estratégias de educação e a promoção da saúde de bebês pré-termo e seus pais; e importância da avaliação e validação das tecnologias eHealth na promoção da saúde materno-infantil. Tecnologias eHealth validadas adequadamente podem desempenhar um papel fundamental em apoiar os pais na promoção da saúde e na prestação de cuidados ao bebê pré-termo após a alta hospitalar. Isso, por sua vez, tem o potencial de impulsionar a evolução dos sistemas de saúde e a melhoria das práticas clínicas. prétermo. prétermo pré termo. termo obstante disponíveis qualidade recursos Realizouse Realizou se Capes, Capes (Capes EBSCO BVS PubMed SciELO, SciELO , SciELO) 201 2022 inglês Identificaramse Identificaram 1 maternoinfantil. maternoinfantil materno infantil. infantil materno-infantil hospitalar Isso vez clínicas 20 202 2

In the course of the past three decades, the concept of "plain language" has garnered increasing attention. Recent developments have further solidified this field, given the International Federation for Plain Language's definition of plain language, as well as the introduction of an ISO (International Organisation for Standardisation) Standard for plain language in 2023. These milestones suggest that plain language is set to play a more significant role in public communication. The International Federation for Plain Language defines plain language as communication in which the wording, structure, and design are so clear that the target audience can effortlessly find, understand, and use the information they need. However, this definition has faced criticism for its vagueness. In an effort to refine the definition, the ISO Plain Language Standard was introduced. It includes four governing principles: 1) Readers get the information they need; 2) Readers can easily find what they need; 3) Readers can easily understand what they find; and 4) Readers can easily use the information. Both the definitions of the ISO Standard and the International Federation for Plain Language concentrate on the understandability and usability of information in creating effective plain language documents. In this article, I argue that alongside understandability and usability, user experience should be considered as a third measurable element of success in plain language documents. Although existing research primarily focuses on usability and understanding, it gives limited attention to user experience, whereas I argue that user experience is a crucial factor in the creation of successful plain language documents. More specifically, I explore in this article the preference of respondents for plain language techniques used in documents in an attempt to establish a connection between the user's experience of these techniques and the document's usability and understandability. I also delve into users' overall experience with plain language documents and assess whether there is a correlation between overall experience and users' perceptions of specific plain language techniques. I further analyse users'experiences with plain language techniques within specific contexts, namely the medical, legal, and financial domains, to determine if the context influences their experience. In addition, I investigate the relationship between users'experiences with plain language techniques and extratextual factors, such as qualification, income, home language, the variety of Afrikaans they speak, and their level of engagement with the document's content. This comprehensive analysis aims to clarify the role of user experience in the success of plain language documents and it potentially prompts a reconsideration of experience, in addition to understandability and usability, when creating successful plain language documents. The study employed a quantitative correlational research design to examine the relationship between respondents' experience of plain language techniques, understandability and usability, extratextual factors, and the contexts in which these documents are encountered. Data collection involved a questionnaire-based survey, with 506 respondents participating through convenience sampling. The survey was conducted on the SUNSurvey platform at Stellenbosch University and was shared across social media platforms such as Facebook, Instagram, and WhatsApp to target individuals matching specific population characteristics. Respondents read one of 18 selected plain language documents and answered questions about the documents. Extratextual information, such as respondents' highest qualification level, annual income, home language, the variety of Afrikaans they speak, and the frequency with which they were exposed to the context, were collected. Engagement with the selected document was measured using Likert-scale statements. To assess understanding of the documents, factual questions were included, and usability questions were asked if respondents received one of the six forms that were tested. Experience with the plain language documents was also measured by means of Likert-scale statements. Importantly, respondents'experiences with specific plain language techniques were assessed, allowing them to express their experience with said techniques. The results of the study regarding respondents'experience of the plain language techniques used reveal overwhelmingly positive feedback. The Likert-scale ratings indicated that respondents across various demographic groups had favourable impressions of plain language techniques. This suggests that these techniques not only enhance document usability and understandability but are also well-received by users. The analysis of relationships between different variables yields intriguing findings. While many comparisons did not show statistically significant correlations, the noteworthy results are those that did. When examining respondents 'experiences with plain language techniques in documents across three contexts, no statistically significant relationship could be established, indicating positive experiences with these techniques across all contexts without contextual influence. In terms of understanding, most comparisons revealed a positive relationship between the experience of plain language techniques and understanding. This implies that respondents with more positive experiences better understood the documents, aligning with existing research and suggesting that improved understanding leads to more positive experiences. However, for usability there was no statistically significant relationship between the experience of plain language techniques and document usability, indicating that the study could not establish a clear link between these two factors. When considering extratextual factors, few statistically significant relationships were found. Only the respondents' home language showed a significant relationship with their experience of plain language techniques, suggesting that Afrikaans speakers had more positive experiences. For other extratextual factors, namely qualification, income level, and variety of Afrikaans, there were no significant correlations. In conclusion, this study highlights that positive experiences of plain language techniques are associated with better understandability, emphasising the importance of user experience in creating successful plain language documents. The results are positive for document designers, as diverse groups of people had positive experiences with these techniques, making plain language a tool for improving interactions with public documentation. This study suggests that considering user experience is crucial in defining plain language beyond just usability and understandability.

Die definisies van sowel die International Federation for Plain Language as die ISO Gewone Taal Standaard beklemtoon dat verstaanbaarheid en bruikbaarheid noodsaaklik is vir die skep van optimale gewonetaaldokumente. In hierdie studie voer ek egter aan dat daar 'n derde meetbare element van gewonetaaldokumente is wat 'n effek op die sukses daarvan het, naamlik die manier waarop die verbruiker die gewonetaaldokumente ervaar. Vir hierdie studie is ' n kwantitatiewe korrelasionele navorsingsontwerp gebruik om die verhouding tussen respondente se ervaring, verstaanbaarheid, en bruikbaarheid van gewone-taaldokumente, asook respondente se persoonlike eienskappe, en die kontekste waarin die gewonetaaldokumente voorkom, te bepaal. Opnamenavorsing met 'n vraelys as die data-insamelingsinstrument is uitgevoer en 506 respondente het aan die studie deelgeneem. Die resultate van die studie dui daarop dat respondente oor die algemeen positiewe ervarings met gewonetaaltegnieke in dokumente gehad het. Verder is 'n sterk positiewe verhouding tussen die ervaring en die verstaanbaarheid van die gewonetaaldokumente gevind. Dit dui aan dat 'n positiewe ervaring tot 'n beter begrip van die dokumente bydra. Dit is egter nie die geval met bruikbaarheid nie, aangesien geen statisties beduidende verhouding hier gevind is nie. Wat betref buitetekstuele faktore, het slegs huistaal 'n statisties beduidende invloed op die ervaring van gewonetaaltegnieke gehad. Die resultate van hierdie studie dui dus daarop dat ervaring 'n belangrike faktor is in die sukses van gewonetaaldokumente, en gevolglik oorweeg moet word om ervaring as een van die elemente in die definisie van gewone taal in te sluit.

ABSTRACT Digital health can effectively engage patients in the self-management of their asthma. Still, it will only reach its full potential when apps are aligned with patients’ needs and are integrated into clinical practice. We aim to test a framework for the involvement of patients/carers in all phases of developing and implementing an app for asthma. This protocol was co-designed with six asthma patients/carers and includes 5 tasks. Regular interactions among patients, developers and healthcare professionals will be a priority for user requirements definition (task 1) and iterative development and testing until the app’s initial version (tasks 2-3). Patients/carers and healthcare professionals will be fully engaged in the real-life feasibility study (task 4) and management and dissemination activities (task 5). The eligibility criteria to participate in tasks 2-4 are 1) diagnosis of asthma or carer of a person with asthma; 2) ≥18 years; 3) ability to use apps and access a mobile device with Internet. We anticipate applying questionnaires such as the User Experience Questionnaire and the System Usability Scale in all app testing tasks. We expect to have a final version of the asthma app that meets patients’/carers’ needs and experiences and healthcare professionals’ concerns. This will be an attractive app to support patients in self-management of their disease, keeping their asthma in control, having fewer asthma symptoms, and enjoying life. This study will be a framework for fully involving patients, carers and citizens in the iterative co-production development and implementation of an asthma app.

RESUMO A saúde digital pode envolver efetivamente os doentes no controlo da sua doença, mas só alcançará o seu potencial quando as aplicações móveis desenvolvidas estiverem alinhadas com as necessidades percebidas pelos doentes e integradas na prática clínica. O nosso objetivo é testar uma abordagem para o envolvimento de doentes/cuidadores em todas as fases de desenvolvimento e implementação de uma aplicação móvel para a autogestão da asma. Este protocolo foi codesenvolvido com seis pessoas com asma/cuidadores e contempla cinco tarefas. Interações regulares entre doentes, investigadores, programadores e profissionais de saúde serão uma prioridade para a definição dos requisitos do utilizador (tarefa 1) e para o desenvolvimento iterativo até a versão inicial da aplicação (tarefas 2-3). Doentes/cuidadores e profissionais de saúde estarão ativamente envolvidos no estudo observacional sobre o uso da app na vida real (tarefa 4) e nas atividades de gestão/disseminação (tarefa 5). Os critérios de elegibilidade para participar nas tarefas 2-4 são: diagnóstico médico de asma ou cuidador de pessoa com este diagnóstico; pelo menos 18 anos; capacidade de usar aplicações e acesso a um dispositivo móvel com Internet. Antecipamos o uso de questionários como o Questionário de Experiência do Utilizador e a Escala de Usabilidade do Sistema em todas as tarefas que envolvem teste da aplicação. No final do estudo esperamos ter uma versão final da aplicação para a asma que atenda às necessidades e experiência dos doentes/cuidadores e às preocupações dos profissionais de saúde. Esta será uma aplicação atrativa para apoiar os doentes na autogestão da sua doença, ajudando a manter a sua asma controlada, com menos sintomas e melhor qualidade de vida. Este estudo fornecerá uma abordagem para envolver os doentes, cuidadores e cidadãos no desenvolvimento iterativo e coprodução de uma aplicação móvel de saúde para pessoas com asma.

We present a framework for solving the problem of functional compatibility between process control equipment in control centres at underground mines and operator capabilities. The equipment incorporates displays of current ventilation, gas, and fire hazard data, status of alarm and early warning systems, a voice communication subsystem, and facilities for recording and printing of data and reports. The layout of the existing control panel is compared with a recommended design. The basic principles of ergonomic design and arrangement of the controls and indicators, as well as ease of use, type of operations carried out with these controls, and operators' viewing angles are discussed. The objective is to improve the usability of control panels, display boards, and graphic screens so as to enhance the functioning of control centres and optimize control of technological processes in coal mines.

ABSTRACT Introduction. Mobile applications represent a promising alternative for providing support in the management of Dengue patients. However, the usability of these tools in Peru is unknown. Objectives. To evaluate the usability and usage recommendations of the Dengue ONQOY application in managing Dengue patients in rural areas of Peru. Methods. A qualitative study was conducted, which included semi-structured interviews with 8 experts in Dengue management. Data were coded using Atlas. Ti software. Three categories were assessed: (1) informative usability (2) design usability, and (3) recommendations for improvement. Results. Three key aspects were highlighted. (1) The application is perceived as valuable for first- level doctors in peripheral areas with limited Dengue experience due to its personalized approach and academic value. (2) Its ease of use and practicality were emphasized, although connectivity limitations in some areas were noted. (3) Recommendations for improvement included the inclusion of differential diagnoses, additional risk factors, updated references, hydration guidelines, and medication dosages. Conclusions. Dengue ONQOY is considered highly usable by doctors treating Dengue cases at the primary care level in Peru. Despite connectivity limitations and potential design improvements, its development and implementation offer a promising alternative for managing Dengue patients in the country in this field.

RESUMEN Introducción. Las aplicaciones móviles representan una alternativa prometedora para brindar soporte en la gestión de pacientes con dengue. Sin embargo, se desconoce la usabilidad de estas herramientas en el Perú. Objetivo. Evaluar la usabilidad y las recomendaciones de uso de la aplicación Dengue ONQOY en la gestión de pacientes con dengue en zonas rurales de Perú. Métodos. Se realizó un estudio cualitativo que incluyó entrevistas semiestructuradas a 8 expertos en el tratamiento del dengue, los datos fueron codificados mediante el programa Atlas. Ti. Fueron evaluadas tres categorías: (1) usabilidad informativa, (2) usabilidad de diseño y (3) recomendaciones para su mejoramiento. Resultados. Se destacaron tres aspectos clave: (1) la aplicación es percibida como valiosa para los médicos de primer nivel en áreas periféricas con poca experiencia en dengue debido a su enfoque personalizado y valor académico; (2) se destacó su facilidad de uso y practicidad, aunque se señaló la limitación de la conectividad en algunas áreas; y, (3) se recomendó la inclusión de diagnósticos diferenciales, factores de riesgo adicionales, referencias actualizadas, guías de hidratación y dosis de medicamentos para mejorar la aplicación. Conclusión. Dengue ONQOY fue considerado altamente utilizable por médicos que atienden casos de dengue en el primer nivel de atención en Perú. A pesar de las limitaciones relacionadas con la conectividad y las posibles mejoras en su diseño, su desarrollo e implementación ofrecen una alternativa prometedora para el manejo de pacientes con Dengue en el país.

RESUMEN Introducción. La usabilidad en un sistema de teleconsulta afecta directamente la eficiencia y efectividad de la atención médica remota. Objetivo. Evaluar la usabilidad de la teleconsulta durante la pandemia por COVID-19. Población y método. Estudio de corte transversal. Incluimos a los cuidadores de niños/as de 1 mes a 12 años. Evaluamos la usabilidad mediante el Telehealth Usability Questionnaire adaptado en español. Además, evaluamos datos socioeconómicos. Resultados. Tasa de respuesta del 70,2 % (n = 221). La mayoría eran mujeres, edad promedio 33 años, con educación secundaria y cobertura de salud pública. El 87,8 % eligió atención telefónica y el 88,2 % tenía su primera teleconsulta. Alta satisfacción general con puntuaciones menores en facilidad de uso y aprendizaje en videollamadas. Conclusión. La teleconsulta mostró alta usabilidad, independientemente de la modalidad, para cuidadores de niños/as de 1 mes a 12 años.

Abstract This publication, carried out in collaboration with the Universidad del Bio Bio (Chile) belongs to the research line: Design and economics and it is made up of several works by authors of different origins, some of which are part, in its English version, of a publication made with the agreement of the University from Palermo and Kookmin University (South Korea). This version in Spanish and Portuguese was coordinated by Dr. Jimena Alarcón from the Universidad del Bio-Bio (Chile) and Roberto Céspedes from the Universidad de Palermo (Argentina).

Resumen Esta publicación, realizada en colaboración con la Universidad del Bio Bio (Chile) pertenece a la línea de investigación: Diseño y economía y se constituye por varios trabajos realizados por autores de distintos orígenes, alguno de los cuales forman parte, en su versión en idioma inglés, de una publicación realizada con acuerdo de la Universidad de Palermo y la Kookmin University (Corea del Sur). Esta versión en español y portugués fue coordinada por la Dra. Jimena Alarcón por la Universidad del Bio-Bio (Chile) y Roberto Céspedes por la Universidad de Palermo (Argentina).

Resumo Esta publicação, realizada em colaboração com a Universidad del Bio Bio (Chile) pertence à linha de pesquisa: Design e economia, e é composta por vários trabalhos de autores de diferentes origens, alguns dos quais fazem parte, em sua versão em inglês, de uma publicação feita com o acordo da Universidade da Universidade de Palermo e Kookmin (Coréia do Sul). Esta versão em espanhol e português foi coordenada pela Dra. Jimena Alarcón da Universidad del Bio-Bio (Chile) e Roberto Céspedes da Universidad de Palermo (Argentina).

RESUMEN CEATECSOFT E.I.R.L enfrenta un desafío que requiere una evaluación. A través del análisis de actores involucrados en la organización, se ha detectado una disminución en la rentabilidad económica. Esta situación está vinculada a diversos factores, como los costos laborales y las horas extras del personal técnico, la facturación de licencias y los gastos asociados con las actualizaciones del sistema de escritorio. El objetivo de esta investigación fue determinar en qué medida la implementación de la arquitectura multi-tenant en un software como servicio (SaaS) incrementa su usabilidad en las MYPES del sector comercio del Nor Oriente del Peruano. Para ello, se realizó una investigación pre-experimental con una muestra de 32 MYPES a quienes se les aplicó un cuestionario para medir el grado de usabilidad del software puesto en producción. En promedio, el 92 % de los encuestados reconoció mejoras en la solución propuesta, lo que marca una gran diferencia entre el pre y pos-test. En conclusión, el software como servicio (SaaS) desarrollado bajo la arquitectura multi-tenant ha aumentado la usabilidad del sistema implementado, generando beneficios significativos en términos de rentabilidad para la empresa CEATECSOFT E.I.R.L. En primer lugar, se ha logrado una reducción en los costos relacionados con el personal técnico, al eliminar la necesidad de gestionar múltiples versiones y al minimizar los gastos asociados con las visitas técnicas a los clientes, así como los costos relacionados con el registro de nuevos clientes.

ABSTRACT CEATECSOFT E.I.R.L. faces a challenge that requires an evaluation. Through the analysis of stakeholders in the organisation, a decrease in economic profitability has been detected. This situation is linked to several factors, such as labour costs and overtime for technical staff, licence invoicing and expenses associated with desktop system upgrades. The objective of this research was to determine to what extent the implementation of multi-tenant architecture in software as a service (SaaS) increases its usability in MSEs in the commerce sector of North Eastern Peru. For this purpose, pre-experimental research was carried out with a sample of 32 MSEs to whom a questionnaire was applied to measure the degree of usability of the software put into production. On average, 92 % of the respondents recognised improvements in the proposed solution, which significantly differs between the pre-and post-test. In conclusion, the software as a service (SaaS) developed under the multi-tenant architecture has increased the implemented system's usability, generating significant profitability benefits for the CEATECSOFT E.I.R.L. company. Firstly, technical staff costs have been reduced by eliminating the need to manage multiple versions and minimising the costs associated with technical visits to customers, and the costs associated with registering new customers.

RESUMEN Objetivo: Evaluar la usabilidad del prototipo de aplicación móvil “Quali+” para personas con hipertensión arterial. Método: Estudio descriptivo, transversal, de evaluación heurística de un prototipo de aplicación móvil realizado entre junio y julio de 2021, en un hospital universitario. Los participantes fueron 22 personas con hipertensión arterial en la ciudad de Campina Grande, PB, Brasil. Para medir la usabilidad se aplicó el instrumento Smartphone Usability QuestionnaiRE. Los niveles ( 70 puntos tienen buena usabilidad. Se utilizó estadística descriptiva. Resultados: Los principales hallazgos del estudio deben presentarse de manera concisa y clara, sin excesivos detalles. Los resultados deben estar alineados con la sección de resultados del artículo completo, proporcionando información más detallada sobre los análisis estadísticos realizados y los principales resultados encontrados. Conclusión: La evaluación de la usabilidad mostró que, aunque se trata de un prototipo, la aplicación tiene una buena usabilidad y puede considerarse para uso rutinario en la autogestión de la salud. Se necesita investigación futura para verificar su eficacia. Objetivo Quali+ Quali “Quali+ Método descriptivo transversal 2021 universitario 2 Grande PB Brasil QuestionnaiRE 7 descriptiva Resultados clara detalles completo encontrados Conclusión que salud eficacia “Quali 202 20

ABSTRACT Objective: To evaluate the usability of the “Quali+” mobile application prototype for people with high blood pressure. Method: Descriptive, cross-sectional study of heuristic evaluation of a mobile application prototype carried out between June and July 2021, in a university hospital. Participants were 22 people with arterial hypertension in the city of Campina Grande, PB, Brazil. To measure usability, the Smartphone Usability questionnaiRE instrument was applied. Levels (70 points have good usability. Descriptive statistics were used. Results: The overall usability average was 105.8(7.44 points, with the lowest score being 83 and the highest being 113. Usability was at the highest level(80 points). Conclusion: The usability evaluation showed that, although it is a prototype, the application has good usability and can be considered for routine use in health self-management. Future research is needed to verify its effectiveness. Objective Quali+ Quali “Quali+ pressure Method crosssectional cross sectional 2021 hospital 2 Grande PB Brazil applied 70 (7 used Results 105.87.44 1058744 105.8 7.44 105 8 7 44 105.8(7.4 113 level80 level 80 level(8 points. . points) Conclusion that selfmanagement. selfmanagement self management. management self-management effectiveness “Quali 202 ( 87 105.87.4 105874 1058 105. 744 7.4 10 4 105.8(7. 11 level8 level( 20 105.87. 10587 74 7. 1 105.8(7 105.87 105.8(

RESUMO Objetivo: Avaliar a usabilidade do protótipo de aplicativo móvel “Quali+” para pessoas com hipertensão arterial. Método: Estudo descritivo, transversal, de avaliação heurística de um protótipo de aplicativo móvel realizado entre junho e julho de 2021, em hospital universitário. Participaram 22 pessoas com hipertensão arterial, na cidade de Campina Grande, PB, Brasil. Para mensuração da usabilidade, aplicou-se o instrumento Smartphone Usability questionnaiRE. Níveis (70 pontos apresentam boa usabilidade. Utilizou-se da estatística descritiva. Resultados: A média geral de usabilidade foi 105,8(7,44 pontos, obtiveram-se como menor escore 83 e, maior 113. A usabilidade se enquadrou no nível mais elevado (80 pontos). Conclusão: A avaliação da usabilidade constatou que, ainda que se trate de um protótipo, o aplicativo apresenta boa usabilidade, podendo ser considerado para o uso rotineiro na autogestão em saúde. Pesquisas futuras são necessárias para verificar a eficácia. Objetivo Quali+ Quali “Quali+ arterial Método descritivo transversal 2021 universitário 2 Grande PB Brasil aplicouse aplicou questionnaiRE 70 (7 Utilizouse Utilizou descritiva Resultados 105,87,44 1058744 105,8 7,44 105 8 7 44 105,8(7,4 obtiveramse obtiveram 113 80 (8 pontos. . pontos) Conclusão saúde eficácia “Quali 202 ( 87 105,87,4 105874 1058 105, 744 7,4 10 4 105,8(7, 11 20 105,87, 10587 74 7, 1 105,8(7 105,87 105,8(

Abstract Introduction and Objective In most cases, due to the failure of nonsurgical methods in the treatment of diseases related to the colon, it is necessary to perform colostomy as the main treatment method. However, this surgery can cause a wide range of physical, social, and psychological problems in patients. Therefore, in order to prevent and treat the complications of colostomy, it is necessary to adopt measures in the field of self-care and continuous education for patients to control the complications of the disease, seek treatment, and experience improvements in their quality of life. Additionally, considering the role of mobile health (mHealth) applications in facilitating continuous and effective training, and improving self-care for these patients, the aim of the present study was to design and evaluate an mHealth application for self-care of colostomy patients. Materials and Methods In the present applied research, first the functional requirements of the software were determined considering the self-care requirements of colostomy patients. Then, the software was designed based on object-oriented analysis, and according to it, the application was coded in Java and developed in the Android Studio environment. Finally, to evaluate the software, the opinions and comments of 5 gastroenterologists and 10 adult colostomy patients in the age range between 27 and 64 years who had at least a high school diploma were used as the basis of judgment at this stage. The instruments used in the evaluation included a checklist, derived from three standard questionnaires (the System Usability Scale [SUS], the mHealth App Usability Questionnaire [MAUQ], and the User Version of the Mobile Application Rating Scale [uMARS]) to measure the user-friendliness indicator, and a researcher-made checklist to measure the performance indicator of the various services provided. Results The services of the software developed include the provision of medical information and self-care instructions regarding colostomy surgery, as well as alerts for the user to schedule an appointment with a doctor and the time to take medications. Based on the results of the evaluation stage, the users were generally satisfied with the interface, services, and general features of the software. In general, the software was evaluated at the “acceptable” level, with a rate of 85%. Discussion and Conclusion Based on the findings of the current research, thesoftware developed can be significantly effective in facilitating the education of colostomy patients and improving their self-care. Proper and continuous self-care and education for colostomy patients is necessary to prevent and control complications resulting from surgery and to improve their quality of life. Therefore, in addition to patients, all health care staff, organizations, and associations which support colostomy patients can also use this software to educate patients and improve the care provided to them. cases colon method However physical social Therefore selfcare self disease life Additionally (mHealth training research Then objectoriented object oriented analysis environment Finally 1 2 6 stage SUS, SUS , [SUS] MAUQ, MAUQ [MAUQ] uMARS [uMARS] userfriendliness friendliness researchermade researcher made medications interface acceptable “acceptable level 85 85% selfcare. care. staff organizations them [SUS [MAUQ [uMARS 8

RESUMEN Objetivo: desarrollar y validar el serious game para la enseñanza-aprendizaje sobre la prevención de infecciones del sitio quirúrgico. Método: estudio metodológico realizado por etapas: desarrollo y validación del contenido del juego, basado en simulación virtual (preparación, participación y debriefing) y desafíos; desarrollo de juegos, siguiendo las etapas de concepto, preproducción, prototipo, producción y postproducción; y validación de usabilidad mediante el instrumento Heuristic Evaluation for Digital Educational Games. Para evaluar el contenido y usabilidad del juego participaron 12 enfermeros y 08 expertos en juegos digitales. Resultados: el guión del serious game contenía tres períodos pre, intra y postoperatorios secuenciales, centrándose en intervenciones de enfermería destinadas a prevenir infecciones del sitio quirúrgico. Se obtuvo un Coeficiente de Validez de Contenido superior a 0,80 para el contenido del juego. En cuanto a la evaluación de la jugabilidad mediante las heurísticas evaluadas, todas las afirmaciones presentes en el guión del juego fueron consideradas adecuadas y se implementaron ajustes en cuanto a retroalimentación, acceso al marco teórico sobre prevención de infecciones del sitio quirúrgico, inclusión de imágenes en el material de estudio y orientación del jugador en la sesión de debriefing. Conclusión: el serious game desarrollado se consideró válido y potencial herramienta pedagógica en el área de enfermería para aprender a prevenir infecciones del sitio quirúrgico. Objetivo enseñanzaaprendizaje enseñanza aprendizaje quirúrgico Método preparación, preparación (preparación debriefing desafíos concepto preproducción prototipo postproducción Games 1 0 digitales Resultados pre secuenciales 080 80 0,8 evaluadas retroalimentación Conclusión 8 0,

ABSTRACT Objective: To develop and validate serious game for teaching-learning regarding surgical site infection prevention. Method: This is a methodological study conducted in stages: game content development and validity based on virtual simulation (preparation, participation and debriefing) and challenges; game development, following the concept, pre-production, prototype, production and post-production stages; and usability validity, using an instrument called Heuristic Evaluation for Digital Educational Games. To assess the game content and usability, 12 nurses and 08 experts in digital games were involved. Results: The serious game script contained three sequential pre-, intra- and post-operative periods, focusing on nursing interventions aimed at preventing surgical site infections. A Content Validity Coefficient above 0.80 was obtained for game content. Regarding gameplay assessment using the assessed heuristics, all statements present in game script were considered adequate, and adjustments were implemented regarding feedback, access to the theoretical framework on preventing surgical site infections, the inclusion of images in the study material and directing players to the debriefing session. Conclusion: The serious game developed was considered valid and a potential pedagogical tool in nursing for learning how to prevent surgical site infections. Objective teachinglearning teaching prevention Method stages preparation, preparation (preparation challenges concept preproduction, preproduction pre production, pre-production prototype postproduction post Games 1 0 involved Results pre, , pre- intra postoperative operative periods infections 080 80 0.8 heuristics adequate feedback session Conclusion 8 0.

RESUMO Objetivo: desenvolver e validar serious game para o ensino-aprendizagem referente à prevenção de infecção de sítio cirúrgico. Método: estudo metodológico conduzido por etapas: desenvolvimento e validação do conteúdo do jogo, baseados na simulação virtual (preparação, participação e debriefing) e desafios; desenvolvimento do jogo, seguindo as etapas de conceito, pré-produção, protótipo, produção e pós-produção; e, validação da usabilidade, por meio do instrumento Heuristic Evaluation for Digital Educational Games. Para avaliação do conteúdo e usabilidade do jogo, contou-se com 12 enfermeiros e 08 especialistas em jogos digitais. Resultados: o script do serious game conteve três períodos sequenciais pré, intra e pós-operatório, com enfoque em intervenções de enfermagem voltadas para prevenção de infecção de sítio cirúrgico. Obteve-se um Coeficiente de Validade de Conteúdo acima de 0,80 para o conteúdo do jogo. Referente à avaliação da jogabilidade pelas heurísticas avaliadas, todas as afirmativas presentes no script do jogo foram consideradas adequadas e houve a implementação de ajustes no que se refere ao feedback, ao acesso ao referencial teórico sobre prevenção de infecção de sítio cirúrgico, à inclusão de imagens no material de estudo e ao direcionamento do jogador à sessão de debriefing. Conclusão: o serious game desenvolvido foi considerado válido e potencial ferramenta pedagógica na área de enfermagem para aprendizagem da prevenção de infecção de sítio cirúrgico. Objetivo ensinoaprendizagem ensino cirúrgico Método preparação, preparação (preparação debriefing desafios conceito préprodução, préprodução pré produção, pré-produção protótipo pósprodução pós pós-produção Games contouse contou 1 0 digitais Resultados pósoperatório, pósoperatório operatório, operatório pós-operatório Obtevese Obteve 080 80 0,8 avaliadas feedback Conclusão 8 0,

RESUMEN Objetivo: mapear la producción científica relacionada con aplicaciones orientadas a la seguridad del paciente. Método: revisión de alcance basada en el método propuesto por JBI y en las recomendaciones previstas en Preferred Reporting Items for Systematic Review and Meta-Analyses for Scoping Reviews. La búsqueda se realizó entre los meses de febrero y marzo de 2022 en seis bases de datos, literatura gris y oficinas de registro de propiedad intelectual. Se realizó la revisión por pares. Resultados: se analizaron 28 estudios. Los objetivos internacionales más contemplados por el software fueron la prevención de errores de medicación, cirugía segura y comunicación eficiente. Las aplicaciones utilizaron diferentes sistemas operativos y en su mayoría describieron el proceso de selección de contenido y la arquitectura del software. El sistema de evaluación incluyó el uso de escalas de usabilidad, antes y después de pruebas y ensayos clínicos. Conclusión: la construcción de aplicaciones de salud, especialmente aquellas destinadas a implementar objetivos de seguridad del paciente, es un campo amplio por explorar. Es necesario reforzar la calidad de la información ofrecida e implicar a un equipo multidisciplinario para su desarrollo. Se advierten lagunas en cuanto a diseños metodológico, como también la falta de legislación que regule aspectos relacionados con la calidad y veracidad de la información que ofrece el software. Protocolo de investigación registrado en el Open Science Framework (https://osf.io/8b9pz/) Objetivo paciente Método MetaAnalyses Meta Analyses Reviews 202 datos intelectual pares Resultados 2 estudios medicación eficiente usabilidad clínicos Conclusión salud explorar desarrollo metodológico https//osf.io/8b9pz/ httpsosfio8b9pz httpsosfiobpz https //osf.io/8b9pz/ osf io 8b9pz b pz (https://osf.io/8b9pz/ 20 https//osf.io/8b9pz httpsosfio osfio8b9pz osfiobpz //osf.io/8b9pz bpz (https://osf.io/8b9pz osfio

ABSTRACT Objective: to map scientific production related to patient safety applications. Method: scoping review based on the method proposed by the JBI and the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analyses for Scoping Reviews. The search took place between February and March 2022 in six databases, gray literature and intellectual property registration offices. The review was conducted by peers. Results: a total of 28 studies were analyzed. The international goals most often covered by the software were the prevention of medication errors, safe surgery and efficient communication. The applications used different operating systems and mostly described the process of content selection and software architecture. The evaluation system used usability scales, before and after tests and clinical trials. Conclusion: the construction of healthcare applications, especially those aimed at implementing patient safety targets, is a broad field to be explored. It is necessary to strengthen the quality of the information offered and the involvement of a multi-professional team in its development. There are gaps in the methodological designs and a lack of legislation regulating aspects related to the quality and veracity of the information provided by the software. Research protocol registered in the Open Science Framework (https://osf.io/8b9pz/) Objective Method MetaAnalyses Meta Analyses Reviews 202 databases offices peers Results 2 analyzed errors communication architecture scales trials Conclusion targets explored multiprofessional multi professional development https//osf.io/8b9pz/ httpsosfio8b9pz httpsosfiobpz https //osf.io/8b9pz/ osf io 8b9pz b pz (https://osf.io/8b9pz/ 20 https//osf.io/8b9pz httpsosfio osfio8b9pz osfiobpz //osf.io/8b9pz bpz (https://osf.io/8b9pz osfio

RESUMO Objetivo: mapear a produção científica relacionada a aplicativos voltados para segurança do paciente. Método: revisão de escopo baseada no método proposto pelo JBI e nas recomendações do Preferred Reporting Items for Systematic Review and Meta-Analyses for Scoping Reviews. A busca ocorreu entre os meses de fevereiro e março de 2022 em seis bases de dados, literatura cinzenta e escritórios de registro de propriedade intelectual. A revisão foi realizada por pares. Resultados: foram analisados 28 estudos. As metas internacionais mais contempladas pelos softwares foram a prevenção de erros de medicação, cirurgia segura e comunicação eficiente. Os aplicativos usaram diferentes sistemas operacionais e descreveram em sua maioria o processo de seleção de conteúdo e arquitetura do software. O sistema de avaliação contou com uso de escalas de usabilidade, testes antes e depois e ensaios clínicos. Conclusão: a construção de aplicativos em saúde, em especial, os voltados para aplicação das metas de segurança do paciente é um amplo campo a ser explorado. Faz-se necessário fortalecer a qualidade das informações ofertadas e o envolvimento de uma equipe multiprofissional para seu desenvolvimento. Observam-se lacunas relativas aos desenhos metodológicos e carência quanto às legislações que regulamentam aspectos relacionados à qualidade e veracidade das informações ofertadas pelos softwares. Protocolo de pesquisa registrado no Open Science Framework (https://osf.io/8b9pz/) Objetivo Método MetaAnalyses Meta Analyses Reviews 202 dados intelectual pares Resultados 2 estudos medicação eficiente software usabilidade clínicos Conclusão saúde especial explorado Fazse Faz se desenvolvimento Observamse Observam https//osf.io/8b9pz/ httpsosfio8b9pz httpsosfiobpz https //osf.io/8b9pz/ osf io 8b9pz b pz (https://osf.io/8b9pz/ 20 https//osf.io/8b9pz httpsosfio osfio8b9pz osfiobpz //osf.io/8b9pz bpz (https://osf.io/8b9pz osfio

RESUMEN Objetivo: desarrollar y validar un juego educativo capaz de apoyar acciones de educación en salud para pacientes sometidos a trasplante de hígado. Método: estudio de un producto tecnológico, basado en el marco del Diseño Centrado en el Usuario, realizado en un hospital de referencia para trasplante hepático. Los participantes fueron pacientes sometidos a trasplante de hígado, enfermeras y profesionales de tecnologías de la información. La recolección de datos se realizó a través de entrevistas semiestructuradas y cuestionario, utilizando estándares brasileños para la evaluación de la usabilidad. El análisis de los datos ocurrió a través del análisis de contenido, basado en el modelo de cálculo de la System Usability Scale. Resultados: participaron 17 pacientes, entre ellos siete enfermeras y cuatro profesionales de tecnologías de la información. El juego se compone de cinco recorridos cuyo cuidado principal se realizará en casa. Cada camino presenta pasos a seguir con sus reglas. En cuanto a la validación, la media general fue de 1,38. La valoración de la usabilidad por parte de los pacientes tuvo una media de 80 puntos, mientras que la de los profesionales superó el 75%. Conclusión: se considera que la herramienta antes mencionada es susceptible de ser utilizada en la práctica por los usuarios. Además, esto se ajustó para satisfacer las necesidades de los pacientes sometidos a trasplante de hígado para apoyar y gestionar la atención domiciliaria. Objetivo Método tecnológico Usuario hepático información cuestionario contenido Scale Resultados 1 casa reglas validación 138 38 1,38 8 puntos 75 75% Conclusión usuarios Además domiciliaria 13 3 1,3 7 1,

ABSTRACT Objective: to develop and validate an educational game capable of supporting health education actions for patients undergoing liver transplantation. Method: this is a study of a technological product, based on the User-Centered Design framework, carried out in a reference hospital for liver transplantation. Participants were patients undergoing liver transplantation, nurses and information technology professionals. Data collection took place through semi-structured interviews and a questionnaire, using Brazilian standards for usability assessment. Data analysis occurred through content analysis, based on the calculation model for the System Usability Scale. Results: seventeen patients participated, including seven nurses and four information technology professionals. The game is made up of five paths with the main care to be carried out at home. Each path presents steps to be followed with its rules. As for validation, the overall mean was 1.38. Usability assessment by patients had a mean of 80 points, while by professionals it was above 75%. Conclusion: it is considered that the aforementioned tool is capable of being used in practice by users. Furthermore, this was adjusted to meet the needs of patients undergoing liver transplantation to support and manage home care. Objective Method product UserCentered User Centered framework semistructured semi structured questionnaire Scale Results participated rules validation 138 1 38 1.38 8 points 75 75% Conclusion users Furthermore 13 3 1.3 7 1.

RESUMO Objetivo: desenvolver e validar jogo educativo capaz de subsidiar ações de educação em saúde ao paciente submetido ao transplante hepático. Método: estudo de produto tecnológico, sustentado no referencial doDesign Centrado no Usuário, realizado em hospital de referência em transplante hepático. Participantes foram pacientes submetidos ao transplante hepático, enfermeiros e profissionais da tecnologia da informação. A coleta de dados ocorreu por meio de entrevista semiestruturada e questionário, utilizando as normas brasileiras para avaliação da usabilidade. A análise dos dados ocorreu por meio de análise de conteúdo, com base no modelo de cálculo para a escala de System Usability Scale. Resultados: participaram 17 pacientes, dos quais, sete enfermeiros e quatro profissionais da tecnologia da informação. O jogo é formado por cinco caminhos com os principais cuidados a serem desenvolvidos em domicílio. Cada caminho apresenta etapas a serem seguidas com suas regras. Quanto à validação, a média geral foi de 1,38. A avaliação da usabilidade pelos pacientes teve média de 80 pontos, já pelos profissionais foi acima de 75%. Conclusão: considera-se que a referida ferramenta está apta para ser usada na prática pelos usuários. Ainda, essa foi ajustada para atender às necessidades dos pacientes submetidos ao transplante hepático para apoiar e gerenciar os cuidados em domicílio. Objetivo Método tecnológico Usuário informação questionário conteúdo Scale Resultados 1 quais domicílio regras validação 138 38 1,38 8 pontos 75 75% Conclusão considerase considera se usuários Ainda 13 3 1,3 7 1,

Objetivo: mapear los contenidos y los recursos de los aplicativos móviles sobre el manejo de la Diabetes Mellitus y su usabilidad en los principales sistemas operacionales. Método: investigaciones de benchmarking . El mapeo de los apps , de los contenidos y recursos en las plataformas Play Store y App Store fue realizado a partir de una adaptación en la estructura de revisiones del objetivo del Joanna Briggs Institute. Para el análisis de la usabilidad, los aplicativos fueron comprobados por dos semanas; para esto, se utilizó el instrumento System Usability Scale , siendo que puntajes entre 50-67 puntos, son considerados limítrofes; entre 68-84, tienen usabilidad aceptable; y, arriba de 85, tienen excelente aceptación por el usuario y para realizar análisis estadística descriptiva. Resultados: los contenidos más prevalentes fueron el manejo de la glucemia capilar, alimentación, terapia medicamentosa oral e insulinoterapia. En cuanto a los recursos se obtuvo mayor frecuencia de diarios y gráficos. En relación a la usabilidad, 2 apps fueron considerados de excelente aceptación; 34, productos con usabilidad aceptable; 29, los apps pueden presentar algunas fallas, sin embargo tiene estándares de usabilidad todavía aceptables; y, 6 presentaron fallas sin condiciones de usabilidad. Conclusión: los contenidos y los recursos de aplicativos móviles abordan los puntos fundamentales para el manejo de la diabetes mellitus, con recursos de fácil utilización, usabilidad aceptable por los usuarios y con potencial para auxiliar en el manejo de la diabetes mellitus, en el día a día de los pacientes. Objetivo operacionales Método Institute semanas esto 5067 50 67 50-6 limítrofes 6884, 6884 68 84, 84 68-84 85 descriptiva Resultados capilar alimentación insulinoterapia gráficos 34 29 aceptables Conclusión mellitus utilización pacientes 506 5 50- 688 8 68-8 3 68-

Objetivo: mapear os conteúdos e os recursos dos aplicativos móveis sobre o manejo da Diabetes Mellitus e sua usabilidade nos principais sistemas operacionais. Método: pesquisa de benchmarking . O mapeamento dos apps , dos conteúdos e dos recursos nas plataformas Play Store e App Store foi realizado a partir de uma adaptação na estrutura de revisões de escopo da Joanna Briggs Institute. Para a análise da usabilidade, os aplicativos foram testados por duas semanas e utilizou-se o instrumento System Usability Scale , sendo que escores entre 50-67 pontos, é considerado limítrofe, entre 68-84, produtos com usabilidade aceitável e acima de 85, excelente aceitação pelo usuário e, para a análise, estatística descritiva. Resultados: os conteúdos mais prevalentes foram o manejo da glicemia capilar, alimentação, terapia medicamentosa oral e insulinoterapia. Quanto aos recursos, obteve-se a maior frequência de diários e gráficos. Em relação à usabilidade, dois apps foram considerados de excelente aceitação; 34, produtos com usabilidade aceitável; 29, o recurso pode apresentar algumas falhas, mas tem padrões de usabilidade ainda aceitáveis e 6, com falhas sem condições de usabilidade. Conclusão: os conteúdos e os recursos de aplicativos móveis abordam os pontos fundamentais para o manejo da Diabetes Mellitus com recursos de fácil utilização, com usabilidade aceitável pelos usuários e tem potencial para auxiliar no manejo da Diabetes Mellitus no dia a dia dos pacientes. Objetivo operacionais Método Institute utilizouse utilizou se 5067 50 67 50-6 limítrofe 6884, 6884 68 84, 84 68-84 85 descritiva Resultados capilar alimentação insulinoterapia obtevese obteve gráficos 34 29 6 Conclusão utilização pacientes 506 5 50- 688 8 68-8 3 2 68-

Objective: to map the content and features of mobile applications on the management of Diabetes Mellitus and their usability on the main operating systems. Method: benchmarking research. The mapping of apps, content, and resources on the Play Store and App Store platforms was based on an adaptation of the Joanna Briggs Institute’s scoping review framework. For the usability analysis, the apps were tested for two weeks and the System Usability Scale instrument was used, with scores between 50-67 points being considered borderline, between 68-84, products with acceptable usability and above 85, excellent user acceptance and, for the analysis, descriptive statistics. Results: the most prevalent contents were capillary blood glucose management, diet, oral drug therapy, and insulin therapy. As for resources, diaries and graphs were the most common. With regard to usability, two apps were considered to have excellent usability; 34, products with acceptable usability; 29, the resource may have some flaws but still has acceptable usability standards and 6, with flaws and no usability conditions. Conclusion: the content and resources of mobile applications address the fundamental points for managing Diabetes Mellitus with user-friendly resources, with usability acceptable to users and have the potential to assist in the management of Diabetes Mellitus in patients’ daily lives. Objective systems Method research Institutes Institute s framework analysis used 5067 50 67 50-6 borderline 6884, 6884 68 84, 84 68-84 85 statistics Results diet therapy common 34 29 6 conditions Conclusion userfriendly friendly patients lives 506 5 50- 688 8 68-8 3 2 68-

ABSTRACT Purpose: To determine and analyze the usability metrics of a free mobile learning app for ophthalmology in Brazil. Methods: Metric data from the management dashboard of the CBOQUIZ app were used. All users registered on the platform between March 2019 and June 30, 2021 were included. The number of questions answered, number of correct answers, number of questions answered and correct answers by subject area, and user performance by geographic region were analyzed. Results: There were 458 active users during the research period and 107,245 questions answered (average, 234.16 questions per user). Of the questions answered, 81,600 (75.5%) were correct and 2,645 were incorrect. The states in Brazil with the best performance were Espírito Santo, Paraiba, and Paraná. The subject area with the lowest hit rate was basic sciences (69.1%), within which embryology demonstrated the lowest hit rate (58.28%). The posterior segment had the highest number of questions answered, followed by miscellaneous topics and the anterior segment. Questions on strabismus were the least answered. Conclusion: The app was used consistently throughout the period studied, and participants adhered to this teaching modality. Performance asymmetry was observed across the Brazil states. The CBOQUIZ app can be used to homogenize ophthalmology teaching in the country. Purpose Methods 201 30 202 included analyzed Results 45 107245 107 245 107,24 average, average (average 23416 234 16 234.1 user. . user) 81600 81 600 81,60 75.5% 755 75 5 (75.5% 2645 2 645 2,64 incorrect Santo Paraiba Paraná 69.1%, 691 69.1% , 69 1 (69.1%) 58.28%. 5828 58.28% 58 28 (58.28%) Conclusion studied modality country 20 3 4 10724 10 24 107,2 2341 23 234. 8160 8 60 81,6 75.5 7 (75.5 264 64 2,6 69.1 6 (69.1% 582 58.28 (58.28% 1072 107, 816 81, 75. (75. 26 2, 69. (69.1 58.2 (58.28 (75 (69. 58. (58.2 (7 (69 (58. ( (6 (58 (5