Desenvolvimento de um jogo interativo para avaliação, prevenção e tratamento da dermatite associada à incontinência

Geraldo Magela Salomé; Jéssica de Aquino Pereira; Catherinne Souza da Cruz Duarte

Authors

Geraldo Magela Salomé Universidade do Vale do Sapucaí, Faculty of Medical Sciences “Dr. José Antônio Garcia Coutinho” – Pouso Alegre (MG), Brazil. https://orcid.org/0000-0002-7315-4866
Jéssica de Aquino Pereira Universidade do Vale do Sapucaí, Faculty of Medical Sciences “Dr. José Antônio Garcia Coutinho” – Pouso Alegre (MG), Brazil. https://orcid.org/0000-0002-6563-2960
Catherinne Souza da Cruz Duarte Universidade do Vale do Sapucaí, Faculty of Medical Sciences “Dr. José Antônio Garcia Coutinho” – Pouso Alegre (MG), Brazil. https://orcid.org/0009-0000-2575-6064

Abstract

Objective: To develop and validate an educational game for the assessment, prevention, and treatment of IAD. Method: The game "IAD – Incontinence-Associated Dermatitis" is an applied research study with technological production. The process followed three stages: analysis, design, and validation. In the analysis phase, an integrative literature review was conducted to support the game's development, identifying assessment, prevention, and treatment measures for IAD. During the design phase, planning and construction of the didactic content were carried out, including topic selection, text development for each screen, media selection, and interface layout design. The validation phase involved 44 experts, using the Delphi technique and the Content Validity Index (CVI), ensuring a validated educational resource for clinical practice. Results: In the initial assessment, most evaluators rated the game from inadequate to fully adequate, with a CVI ranging from 86.36 to 95.45%. After incorporating improvement suggestions, the game was reassessed and rated between adequate and fully adequate, achieving a CVI of 99.99 to 100.00%. Conclusion: The game "IAD – Incontinence-Associated Dermatitis" was developed as an educational tool based on scientific evidence for the assessment, prevention, and treatment of IAD, with the potential to contribute to clinical practice.

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References

Alcoforado CLGC, Lopes FO, Fernandes RA, Carvalho RLR, Guillen MRS, Ercole FF, et al. Knowledge of nursing professionals about dermatitis associated with incontinence and pressure injury. REME Rev Min Enferm. 2019;23:e-1166. https://doi.org/10.5935/1415-2762.20190014

Sokem JAS, Bergamaschi FPR, Watanabe EAMT. Ensino sobre dermatite associada à incontinência subsidiado pela metodologia da problematização. Rev Enferm UERJ. 2019;27:e43727. https://doi.org/10.12957/reuerj.2019.43727

Salomé GM, Rocha CA. Aplicativo móvel para avaliação, prevenção e tratamento da dermatite associada à incontinência. Rev Enferm Contemp. 2021;10(1):8-16. https://doi.org/10.17267/2317-3378rec.v10i1.2963

Ferreira M, Abbade L, Bocchi SCM, Miot HA, Boas PV, Guimaraes HQCP. Incontinence-associated dermatitis in elderly patients: prevalence and risk factors. Rev Bras Enferm. 2020;73(Suppl 3):e20180475. https://doi.org/10.1590/0034-7167-2018-0475

Banharak S, Panpanit L, Subindee S, Narongsanoi P, Sanun-Aur P, Kulwong W, et al. Prevention and care for incontinence-associated dermatitis among older adults: a systematic review. J Multidiscip Healthc. 2021;14:2983-3004. https://doi.org/10.2147/JMDH.S329672

Rezende VM, Marin HF. Educação em informática em saúde: competências para os profissionais da atenção primária à saúde. J Health Inform. 2020;12(4):118-24.

Salomé GM, Rosa GCM, Rosa JI. Validação do aplicativo móvel AspTraqueal para aspiração. Rev Enferm Contemp. 2022;11:e3982. https://doi.org/10.17267/2317-3378rec.2022.e3982

Castro KS, Batista Neto JBS, Ferreira MP, Moreira NFA, Silva LCM, Castro TMG, et al. O ensino da anatomia humana através de metodologias ativas de aprendizagem: um relato de experiência. REAS. 2021;13(2):e6176. https://doi.org/10.25248/reas.e6176.2021

Machado M, Alves IS, Maia ERRM, Magalhães AAS, Cordeiro IB. Elaboração de um jogo didático de biofísica como ferramenta de aprendizado e motivação para acadêmicos do curso de medicina. Rev Bras Ensino Fís. 2021;43:e20210101. https://doi.org/10.1590/1806-9126-RBEF-2021-0101

Robles MTA, Collado-Mateo D, Fernández-Espínola C, Viera EC, Fuentes-Guerra FJG. Effects of teaching games on decision making and skill execution: a systematic review and meta-analysis. Int J Environ Res Public Health. 2020;17(2):505. https://doi.org/10.3390/ijerph17020505

Amir LR, Leonardy IC, Dewatmoko SN, Yanuar R, Suniarti DF, Idrus E, et al. Serious game as oral histology learning strategy for undergraduate dental students; crossover randomized controlled trial. BMC Oral Health. 2023;23(1):585. https://doi.org/10.1186/s12903-023-03286-3

Aperibense PGGS, Xavier BTUS, Ribeiro RL, Masson VA, Carvalho Filho MA. Design instrucional: estratégia de aprendizagem aplicada à história da enfermagem no ensino remoto. Cogitare Enferm. 2022;27:e84401. https://doi.org/10.5380/ce.v27i0.84401

Maciel DMC, Merces MC, Santos AS, Silva AP, Santos CV, Castro JO, et al. Burnout e níveis de proteína c-reativa: revisão integrativa da literatura. Acta Paul Enferm. 2023;36:APE00242. https://doi.org/10.37689/acta-ape/2023AR00242

Santos CMC, Pimenta CAM, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev Latino-Am Enfermagem. 2007;15(3):508-11. https://doi.org/10.1590/S0104-11692007000300023

Brandão ACMAG, Gambin CC, Majado CA, Kunitake N, Alexandre NMC, Dantas SRPE. Adaptation of “Perineal Assessment Tool” for Brazilian culture. Estima, Braz J Enterostomal Ther. 2018;16:e0618. https://doi.org/10.30886/estima.v16.397_PT

Beeckman D, Van den Bussche K, Alves P, Arnold Long MC, Beele H, Ciprandi G, et al. Towards an international language for incontinence-associated dermatitis (IAD): design and evaluation of psychometric properties of the Ghent Global IAD Categorization Tool (GLOBIAD) in 30 countries. Br J Dermatol. 2018;178(6):1331-40. https://doi.org/10.1111/bjd.16327

Salomé GM, Rocha CA, Miranda FD, Alves JR, Dutra RAA, Tenório AG. Algoritmos para prevenção e tratamento de dermatite associada à incontinência. Estima, Braz J Enterostomal Ther. 2020;18:e1320. https://doi.org/10.30886/estima.v18.837_PT

Chen Y, Gao Y, Zhang J, Niu M, Liu X, Zhang Y, et al. Quality and clinical applicability of recommendations for incontinence-associated dermatitis: a systematic review of guidelines and consensus statements. J Clin Nurs. 2023;32(11-12):2371-82. https://doi.org/10.1111/jocn.16306

Glass Jr GF, Goh CCK, Cheong RQ, Ong ZL, Khong PCB, Chan EY. Effectiveness of skin cleanser and protectant regimen on incontinence-associated dermatitis outcomes in acute care patients: a cluster randomised trial. Int Wound J. 2021;18(6):862-73. https://doi.org/10.1111/iwj.13588

Gunasegaran N, Ang SY, Ng YZ, Lee NES, Agus N, Lee CW, et al. The effectiveness of a hydrocolloid crusting method versus standard care in the treatment of incontinence-associated dermatitis among adult patients in an acute care setting: a randomised controlled trial. J Tissue Viability. 2023;32(2):171-8. https://doi.org/10.1016/j.jtv.2023.01.007

Wang J, Ma L, Zhou D, Yu B. Meta-analysis investigating the efficacy of liquid dressing and ostomy powder for the treatment of incontinence-associated dermatitis. Adv Skin Wound Care. 2023;36(9):481-5. https://doi.org/10.1097/ASW.000000000000001

Marques JBV, Freita D. Método Delphi: caracterização e potencialidades na pesquisa em educação. Pro-Posições. 2018;29(2):389-415. https://doi.org/10.1590/1980-6248-2015-0140

Alexandre NMC, Coluci MZO. Content validity in the development and adaptation processes of measurement instruments. Cien Saude Colet. 2011;16(7):3061-8. https://doi.org/10.1590/s1413-81232011000800006

Salomé GM. A booklet on the assessment, prevention and treatment of incontinence-associated dermatitis. Adv Skin Wound Care. 2023;36(7):355-60. https://doi.org/10.1097/01.ASW.0000926624.17117.0f

Ribeiro K, Silva EJO, Souza Filho RP, Cerqueira TV, Siqueira EG, Souza DMST. Educação em saúde sobre pé diabético: jogo educativo. Revista Sociedade Científica.2024;7(1):136-67. doi: https://doi.org/10.61411/rsc202410117