Desenvolvimento de software para promoção da saúde no climatério: evidências de validade e adequação semântica

Geisa Machado Fontenele; Malvina Thaís Pacheco Rodrigues; Thereza Maria Magalhães Moreira; Andrea Cronemberger Rufino

doi:10.26694/reufpi.v15i1.6145

Development of software for health promotion during climacteric: evidences of validity and semantic appropriateness

Authors

Geisa Machado Fontenele Hospital Universitário da Universidade Federal do Piauí https://orcid.org/0000-0002-7025-9195
Malvina Thaís Pacheco Rodrigues Universidade Federal do Piauí https://orcid.org/0000-0001-5501-0669
Thereza Maria Magalhães Moreira Universidade Estadual do Ceará https://orcid.org/0000-0003-1424-0649
Andrea Cronemberger Rufino Universidade Estadual do Piauí https://orcid.org/0000-0003-3799-8313

DOI:

https://doi.org/10.26694/reufpi.v15i1.6145

Keywords:

Mobile Applications, Climacteric, Validation Study, Menopause, Health Promotion

Abstract

Objective: To develop software with evidences of validity and semantic appropriateness regarding health promotion during the climacteric. Method: A methodological study conducted in three stages: specification; development; and validity analysis. Validity was assessed by 10 expert judges specializing in gynecology/women’s health, and its semantics were analyzed by 11 users of the public health system. The Concordance Index was calculated, and a binomial test was performed. Results: The software’s content was organized into seven dimensions: 1) Understanding the Climacteric; 2) Healthy Lifestyle; 3) Main Climacteric Complaints; 4) Disease Prevention; 5) Oral Health; 6) Sexuality; 7) Hormone Therapy, Natural Medicine, and Complementary Practices. The software includes a diary feature for recording trigger situations related to the occurrence of hot flashes, which are common during the climacteric. Evidence of validity was found, with an overall agreement rate of 86.4% among the judges. In the binomial test, agreement rates of >85% (p>0.05) were evident for each attribute within the dimensions. Conclusion: The “Climatério e Saúde®” software provides information with evidence of validity and semantic appropriateness regarding health promotion during the climacteric. It brings to practice a wide range of content on health promotion during the climacteric, grouped within a single validated educational technology.

Author Biographies

Geisa Machado Fontenele, Hospital Universitário da Universidade Federal do Piauí

Possui graduação em Enfermagem pela Universidade Estadual Vale do Acaraú (2004). Atualmente é enfermeira da SECRETARIA DE SAÚDE DO ESTADO DO PIAUÍ (Hospital Dirceu Arcoverde da Polícia Militar) e no Hospital Universitário da Universidade Federal do Piauí (HU-UFPI) onde atua na Unidade de Atenção à Saúde da Mulher. Possui mestrado em Saúde da Mulher pela Universidade Federal do Piauí. Teresina, Piauí, Brasil.

Malvina Thaís Pacheco Rodrigues, Universidade Federal do Piauí

Possui Graduação em Enfermagem pela Universidade Federal do Piauí. Especialização em Formação Pedagógica- PROFAE, Saúde Pública, Estatística, Mestrado em Educação na Universidade Federal do Piaui e Doutorado em Saúde Coletiva UECE. Professora Titular do Magistério Federal lotada no Colégio Técnico de Teresina da Universidade Federal do Piauí (UFPI); Subcoordenadora do Programa de Pós-Graduação em Saúde e Comunidade (PPGSC) e docente do Programa de Pós-Graduação Saúde da Mulher (PPGSM) da UFPI. Teresina, Piauí, Brasil

Thereza Maria Magalhães Moreira, Universidade Estadual do Ceará

Enfermeira e Advogada. Professora Associada da Universidade Estadual do Ceará. Mestre e Doutora em Enfermagem pela Universidade Federal do Ceará. Pós-Doutora em Saúde Pública pela Universidade de São Paulo. Fortaleza, Ceará, Brasil.

Andrea Cronemberger Rufino, Universidade Estadual do Piauí

Professora de Ginecologia Associada II da Universidade Estadual do Piauí. Pesquisadora visitante no CERMÉS 3 (Centre de Recherche Médicine, Sciences, Santé et Societé- Paris). Pós Doutorado pela UnB. Doutora em Ciências pela UNIFESP. Mestre em Medicina pelo Instituto de Assistência Médica ao Servidor Estadual-SP. Teresina, Piauí, Brasil.

References

1. Ministério da Saúde (BR). Instituto Sírio Libanês de ensino e pesquisa. Protocolos de Atenção Básica: saúde das Mulheres. Brasília (DF): Ministério da Saúde; 2016. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/protocolos_atencao_basica_saude_mulheres.pdf

2. Amaral ICGA. Conhecimento sobre menopausa de acordo com mulheres brasileiras de meia idade: um estudo de base populacional [dissertação]. Faculdade de Ciências Médicas, Universidade Estadual de Campinas. São Paulo, 2018. Disponível: http://bdtd.ibict.br/vufind/Record/CAMP_c153b1a63a67fef663d4b5d0a84af7b8

3. Mazzetto FMC, Marin MJS, Ferreira MLSM, Orso LF. The experience of the climacteric period for women without children. Millenium. 2019;2(10):21-30. DOI: https://doi.org/10.29352/mill0210.02.00238

4. Assunção DFS, Pires DHK, Barreto EL, Gonçalves FA, Dias RS. Quality of life of climateric stage women. Rev. Soc. Bras. Clín. Méd. 2017;15(2):80-3. Disponível: https://docs.bvsalud.org/biblioref/2017/11/875548/152_80-83.pdf

5. Polit DF, Beck CT. Fundamentos da pesquisa em enfermagem: avaliação de evidências na prática de enfermagem. 7. ed. Porto Alegre: Artmed; 2019.

6. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2009;372:71. DOI: https://doi.org/10.1136/bmj.n71

7. Botelho LLR, Cunha CCA, Macedo M. The integrative review method in organizational studies. Gestão e Sociedade. 2011;5(11):121-36. DOI: https://doi.org/10.21171/ges.v5i11.1220

8. Melnyk BM, Fineout-Overholt E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E. Evidence-Based Practice in Neursing& Healthcare: a guide to best practice. Phifadelphia: Lippincot Williams; 2005. Available from: https://www.scirp.org/%28S%28vtj3fa45qm1ean45vvffcz55%29%29/reference/referencespapers.aspx?referenceid=938118

9. Oliveira MS. Self care of the woman in the whitewashing of the mastectomy: study of appearance validation and content of the educative technology [dissertação]. Programa de Pós-Graduação em Enfermagem, Universidade Estadual do Ceará, Fortaleza, 2006. Available from: https://repositorio.ufc.br/handle/riufc/1972

10. Fehring RJ. Methods to validate nursing diagnoses. Heart & Lung: The Journal of Critical Care. 1987;16(6):625-29. Disponível em:

https://epublications.marquette.edu/cgi/viewcontent.cgi?article=1026&context=nursing_fac

11. Oliveira SC, Lopes MVO, Fernandes AFC. Development and validation of an educational booklet for healthy eating during pregnancy. Rev. Latino-Am. Enfermagem. 2014;22(4):611-20. DOI: https://doi.org/10.1590/0104-1169.3313.2459

12. Sommerville I. Engenharia de Software. 9. ed. São Paulo: Pearson Prentice Hall; 2011.

13. Rocha TAH, Fachini LA, Thumé E, Silva NC, Barbosa ACQ, Carmo M, et al. Mobile health: new perspectives for healthcare provision. Epidemiol. Serv. Saúde. 2016;25(1):159-70. DOI: https://doi.org/10.5123/S1679-49742016000100016

14. Coronado, PJ. et al. Quality of life at peri- and postmenopause: analysis of the results from app “Mi Menopausia”. Maturitas. 2025;197(108267): DOI: https://doi.org/10.1016/j.maturitas.2025.108267

15. Sillence E, Hardy C, Kemp E. “This App Just Gets Me”: Assessing the Quality, Features and User Reviews of Menopause Smartphone Apps. Journal of Consumer Health on the Internet. 2023;27(2):156-172. DOI: https://doi.org/10.1080/15398285.2023.2204287

16. Coluci MZO, Alexandre NMC, Milani D. Construction of measurement instruments in the area of health. Ciênc. Saúde Coletiva. 2015;20(3):925-36. DOI: https://doi.org/10.1590/1413-81232015203.04332013

17. Karam J, Paul MM, Shufelt C, Ravikumar P, Fratianni AM, Oloyede S, et al. Evaluating the Efficacy of a Mobile Phone App in Enhancing Menopause Knowledge and Shared Decision-Making: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2025;14:e76536. DOI: https://doi.org/10.2196/76536

18. Pourshahrokhi N, Hunter M, Farokhzadian J, Ahmadian L. Identifying the content, capabilities, and design features of a mobile-based cognitive behavioral therapy intervention for managing menopausal symptoms. International Journal of Medical Informatics. 2026;206. DOI: https://doi.org/10.1016/j.ijmedinf.2025.106163

19. Ribeiro PL, Cherubim DO, Padoin SMM, Paula CC. Creation and validation of a visual educational technology contente for lactation physiology learning. Rev Bras Enferm. 2020;73(6):e20190564. DOI: http://dx.doi.org/110.1590/0034-7167-2019-0564

20. Buchanan L, Anderson E, MBiostat HX, Phongsavan P, Rissel C, Wen LM et al. Sources of information and the use of mobile applications for health and parenting information during pregnancy: Implications for health promotion. Health Informatics Journal. 2021;27(3):1–10. Available from: https://journals.sagepub.com/doi/pdf/10.1177/14604582211043146

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Published

2026-08-19

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Fontenele GM, Rodrigues MTP, Moreira TMM, Rufino AC. Development of software for health promotion during climacteric: evidences of validity and semantic appropriateness. Rev Enferm UFPI [Internet]. 2026 Aug. 19 [cited 2026 Aug. 22];15(1). Available from: https://periodicos.ufpi.br/index.php/reufpi/article/view/6145

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Vol. 15 No. 1 (2026): Rev Enferm UFPI

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