“IUPROST: aplicativo móvel para controle da incontinência urinária em homens submetidos à prostatectomia radical”

Abstract

Introduction: Urinary incontinence is a frequent complaint in men in the postoperative period of radical prostatectomy surgery, and contributes to significant losses in the quality of life of these individuals. The International Continence Society (ICS) recommends, as a first treatment option, the adoption of strategies based on behavioral therapies aimed at lifestyle modification and adherence to pelvic floor muscle training. The use of applications for mobile devices emerges as a technological tool to assist the patient in adhering to behaviors, in performing pelvic muscle strengthening exercises, and in understanding the treatment process associated with face-to-face treatment. Therefore, they are configured as a facilitating tool for access and dissemination of information that stimulate the practice of self-care. Objective: To develop and evaluate the quality of a mobile application based on the content of a cognitive behavioral program for men with UI after radical prostatectomy. Method: This is a technological development study that involves the construction of an application for mobile devices in three stages. In the first stage, the booklet “Guidance manual on post-radical prostatectomy urinary incontinence” – 2nd version was updated, based on the international guidelines of the ICS. The second stage included the development of the application in five phases: communication, planning, modeling, construction and delivery. In the third stage, the quality assessment of the product was carried out, according to ISO/IEC 25010 (2011) by sixteen specialists (eight specialists in urinary incontinence and eight specialists in software development). Six characteristics were evaluated: functional suitability, performance efficiency, compatibility, usability, reliability and security. A concordance rate above 70% was considered. Data collection took place between December 2021 and January 2022 and the data were analyzed by adapting ISO/IEC 14598-6 (2004). Results: In the first step, updating the booklet consisted of modifying the voiding diary, inserting new steps in pelvic muscle training and publishing the new version. In the second stage, the application was developed from the creation of layout, logo and interfaces. Eight main menus were produced and eight educational videos of exercise guidelines and three of patient and family testimonials were produced. In the third evaluation stage, all the characteristics obtained an agreement rate

above 80%, except for the functional adequacy characteristic by the specialists in urinary incontinence, which showed an agreement of 71%. (INPI Record: BR512022001279-0). Conclusion: The IUProst application, created for patients with urinary incontinence after radical prostatectomy, was considered of quality by researchers in the areas of UI and software development. The technology includes in its content relevant and updated information based on scientific evidence related to male UI and behavioral treatment. Keywords: Nursing; Urinary incontinence; Lower Urinary Tract Symptoms; Behavioral therapy; Mobile Applications. Technological Development and Innovation Projects.