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Volume 22
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10.3390/ijerph22020282
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Article

Connecting Health and Technology: Validation of Instant Messaging for Use as Diabetes Mellitus Control Strategy in Older Brazilian Adults

by
Manoela Vieira Gomes da Costa
1,*,
Renata Puppin Zandonadi
2,
Verônica Cortez Ginani
2,
Silvana Schwerz Funghetto
1,
Luciano Ramos de Lima
3,
Tania Cristina Morais Santa Barbara Rehem
3 and
Marina Morato Stival
1,*
1
Graduate Program in Health Sciences and Technologies, Campus Universitario Ceilândia, University of Brasília, Brasília 72220-275, Brazil
2
Department of Nutrition, Faculty of Health Sciences, Campus Universitario Darcy Ribeiro, University of Brasília, Brasília 70910-900, Brazil
3
Department of Nursing, Ceilândia University Campus, University of Brasília, Brasília 72220-275, Brazil
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2025, 22(2), 282; https://doi.org/10.3390/ijerph22020282
Submission received: 15 December 2024 / Revised: 8 February 2025 / Accepted: 10 February 2025 / Published: 14 February 2025
(This article belongs to the Special Issue Advances in Nursing and Medical Education)
Review Reports Versions Notes

Abstract

Background: Digital technologies are increasingly being used to promote effective health interventions in the older adult population. This study aimed to develop and validate instant messages with educational content related to glycemic control, delivered via an instant messaging application, as a type 2 DM control strategy for older adults. Methods: This was a methodological study that developed instant messages containing text and images. The validation process was conducted by a panel of experts composed of nursing, nutrition, and physical education professionals. SPSS version 25.0 was used for the statistical analysis. A CVI was used to measure the experts’ agreement regarding the validity of the content of the educational messages. An exact test of binomial distribution with p > 0.05, indicating statistical significance, and a 0.95 proportion of agreement was used to estimate the statistical reliability of the CVI. Results: Sixty-one text messages were prepared with illustrations as support, and were divided into three themes. The educational messages were validated by experts, with an average CVI score above 0.80 for all indicators. Conclusions: The educational messages developed in this study were considered relevant and clear for older adults and could be applied in the digital environment, with the objective of helping older adults manage type 2 DM.
Keywords: aging; type 2 diabetes mellitus; glycemic control; nursing; nutrition; social media; public health aging; type 2 diabetes mellitus; glycemic control; nursing; nutrition; social media; public health

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MDPI and ACS Style

Costa, M.V.G.d.; Zandonadi, R.P.; Ginani, V.C.; Funghetto, S.S.; Lima, L.R.d.; Rehem, T.C.M.S.B.; Stival, M.M. Connecting Health and Technology: Validation of Instant Messaging for Use as Diabetes Mellitus Control Strategy in Older Brazilian Adults. Int. J. Environ. Res. Public Health 2025, 22, 282. https://doi.org/10.3390/ijerph22020282

AMA Style

Costa MVGd, Zandonadi RP, Ginani VC, Funghetto SS, Lima LRd, Rehem TCMSB, Stival MM. Connecting Health and Technology: Validation of Instant Messaging for Use as Diabetes Mellitus Control Strategy in Older Brazilian Adults. International Journal of Environmental Research and Public Health. 2025; 22(2):282. https://doi.org/10.3390/ijerph22020282

Chicago/Turabian Style

Costa, Manoela Vieira Gomes da, Renata Puppin Zandonadi, Verônica Cortez Ginani, Silvana Schwerz Funghetto, Luciano Ramos de Lima, Tania Cristina Morais Santa Barbara Rehem, and Marina Morato Stival. 2025. "Connecting Health and Technology: Validation of Instant Messaging for Use as Diabetes Mellitus Control Strategy in Older Brazilian Adults" International Journal of Environmental Research and Public Health 22, no. 2: 282. https://doi.org/10.3390/ijerph22020282

APA Style

Costa, M. V. G. d., Zandonadi, R. P., Ginani, V. C., Funghetto, S. S., Lima, L. R. d., Rehem, T. C. M. S. B., & Stival, M. M. (2025). Connecting Health and Technology: Validation of Instant Messaging for Use as Diabetes Mellitus Control Strategy in Older Brazilian Adults. International Journal of Environmental Research and Public Health, 22(2), 282. https://doi.org/10.3390/ijerph22020282

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