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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/65888
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dc.creatorRoberta Lins Gonçalvespt_BR
dc.creatorWagner Meira Juniorpt_BR
dc.creatorJames Batchelorpt_BR
dc.creatorAntônio Luiz Pinho Ribeiropt_BR
dc.creatorAdriana Silvina Paganopt_BR
dc.creatorZilma Silveira Nogueira Reispt_BR
dc.creatorKen Brackstonept_BR
dc.creatorTaina Costa Pereira Lopespt_BR
dc.creatorSarah Almeida Cordeiropt_BR
dc.creatorJulia Macedo Nunespt_BR
dc.creatorSeth Kwaku Afagbedzipt_BR
dc.creatorMichael Headpt_BR
dc.date.accessioned2024-03-14T22:36:55Z-
dc.date.available2024-03-14T22:36:55Z-
dc.date.issued2022-12-10-
dc.citation.volume25pt_BR
dc.citation.spage1pt_BR
dc.citation.epage20pt_BR
dc.identifier.doihttps://doi.org/10.2196/44209pt_BR
dc.identifier.issn1438-8871pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/65888-
dc.description.resumoBackground: During the COVID-19 pandemic, telehealth was expanded without the opportunity to extensively evaluate the adopted technology’s usability. Objective: We aimed to synthesize evidence on health professionals’ perceptions regarding the usability of telehealth systems in the primary care of individuals with noncommunicable diseases (NCDs; hypertension and diabetes) from the COVID-19 pandemic onward. Methods: A systematic review was performed of clinical trials, prospective cohort studies, retrospective observational studies, and studies that used qualitative data collection and analysis methods published in English, Spanish, and Portuguese from March 2020 onward. The databases queried were MEDLINE, Embase, BIREME, IEEE Xplore, BVS, Google Scholar, and grey literature. Studies involving health professionals who used telehealth systems in primary care and managed patients with NCDs from the COVID-19 pandemic onward were considered eligible. Titles, abstracts, and full texts were reviewed. Data were extracted to provide a narrative qualitative evidence synthesis of the included articles. The risk of bias and methodological quality of the included studies were analyzed. The primary outcome was the usability of telehealth systems, while the secondary outcomes were satisfaction and the contexts in which the telehealth system was used. Results: We included 11 of 417 retrieved studies, which had data from 248 health care professionals. These health care professionals were mostly doctors and nurses with prior experience in telehealth in high- and middle-income countries. Overall, 9 studies (82%) were qualitative studies and 2 (18%) were quasiexperimental or multisite trial studies. Moreover, 7 studies (64%) addressed diabetes, 1 (9%) addressed diabetes and hypertension, and 3 (27%) addressed chronic diseases. Most studies used a survey to assess usability. With a moderate confidence level, we concluded that health professionals considered the usability of telehealth systems to be good and felt comfortable and satisfied. Patients felt satisfied using telehealth. The most important predictor for using digital health technologies was ease of use. The main barriers were technological challenges, connectivity issues, low computer literacy, inability to perform complete physical examination, and lack of training. Although the usability of telehealth systems was considered good, there is a need for research that investigates factors that may influence the perceptions of telehealth usability, such as differences between private and public services; differences in the level of experience of professionals, including professional experience and experience with digital tools; and differences in gender, age groups, occupations, and settings. Conclusions: The COVID-19 pandemic has generated incredible demand for virtual care. Professionals’ favorable perceptions of the usability of telehealth indicate that it can facilitate access to quality care. Although there are still challenges to telehealth, more than infrastructure challenges, the most reported challenges were related to empowering people for digital health.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentFALE - FACULDADE DE LETRASpt_BR
dc.publisher.departmentICX - DEPARTAMENTO DE CIÊNCIA DA COMPUTAÇÃOpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofJournal of Medical Internet Researchpt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectHealth care professionalpt_BR
dc.subjectTelehealthpt_BR
dc.subjectNoncommunicable diseasept_BR
dc.subjectUsabilitypt_BR
dc.subjectCOVID-19 pandemicpt_BR
dc.subjectCOVID-19pt_BR
dc.subject.otherCuidados médicospt_BR
dc.subject.otherTelemática médicapt_BR
dc.subject.otherTelecomunicação em medicinapt_BR
dc.subject.otherCuidados Primários de Saúdept_BR
dc.titleUsability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic reviewpt_BR
dc.typeArtigo de Periódicopt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-4976-0716pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-3150-3503pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-6374-9295pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-6882-3260pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-2867-7027pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-4520-961Xpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-2555-7190pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-4566-8296pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-1189-0531pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-2614-2723pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-5307-552Xpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-0364-3584pt_BR
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