Promotion Actions Research Articles

Teaching-learning process in the undergraduate nursing course: training in the perspective of health promotion from the point of view of Paulo Freire

Introduction: health promotion actions enable professionals to create strategies capable of preventing diseases and other health problems. It is extremely important that health professionals are trained and qualified to see beyond the health aspects, so that they can create plans that help the individual in their health and social aspects, as well as developing quality care practices. Objective: to analyze the process of student training in the field of nursing aimed at promoting the health of adolescents from the perspective of Paulo Freire’s concepts. Methods: this is a descriptive study based on a qualitative approach conducted in accordance with the COREQ international guideline for qualitative research, carried out in three municipalities: Juazeiro do Norte, Crato and Iguatu, both cities in the Brazilian state of Ceará. Results: the health training process is geared towards building passive students of knowledge, trained to have a concept of promotion focused only on health issues, with a focus on well-being and quality of life. Conclusion: health promotion practices for adolescents are still incipient in health training, as there is still a focus on the use of traditional methodologies in theory and in practice the prioritization of ministerial programs. However, it is noteworthy that although the participants have broad perceptions of health and health promotion, there is still traditional training, as well as the application to the adolescent public.

USE OF ARTIFICIAL INTELLIGENCE AS A STRATEGY FOR MONITORING AND CONTROLLING CHRONIC NON-COMMUNICABLE DISEASES: AN INTEGRATIVE LITERATURE REVIEW

Chronic noncommunicable diseases are the leading cause of death and morbidity worldwide. Mobile applications are commonly used by the population and, therefore, the implementation of this tool to guide, prevent and monitor the health status of users becomes extremely important, considering the effectiveness of these actions, already proven in the literature. Objective: to conduct an integrative literature review on the effectiveness of artificial intelligence to promote improvements in the health control of the population in relation to NCDs. Materials and methods: This is an integrative literature review through searches in the following electronic databases: National Center for Biotechnology Information (PubMed), Scientific Electronic Library Online (SciELO), Medical Literature Analysis and Retrieval System Online (MEDLINE) and Latin American and Caribbean Literature in Health Sciences (LILACS). The inclusion criteria were studies published between 2019 and September 2023; be in English, Portuguese or Spanish and that analyzed the effectiveness of artificial intelligence to assist in better control of NCDs. The results were analyzed through a critical review of the content. Results and discussion: Ten articles were included for detailed analysis. The results indicate that this strategy is effective in improving disease control, especially diabetes mellitus, considering the population as a whole, that is, from all socioeconomic levels and cultural diversity. Conclusion: This review allowed us to conclude that this resource is a great ally for professionals in the development and implementation of health promotion actions aimed at reducing NCDs.

Investigating the relationship between β-carotene intake from diet and supplements, smoking, and lung cancer risk

β-carotene is a naturally occurring and safe dietary source of vitamin A that is associated with cancer risk reductions when consumed in typical dietary amounts. However, two clinical trials reported increased incidence of lung cancer and total mortality among heavy smokers taking β-carotene supplements (20 or 30 mg/day). Based on these findings, the Joint FAO/WHO Expert Committee on Food Additives withdrew Acceptable Daily Intake values for β-carotene (0–5 mg/kg bw). We evaluated relevant epidemiological and toxicological literature to assess the biological plausibility of this relationship and identified three mechanisms involving cellular proliferation signaling, a mode of action for cancer promotion. The overall weight of evidence consistently demonstrated typical dietary doses of β-carotene decreased cellular proliferation signaling via these mechanisms, even in the presence of smoke, while co-exposure to smoke and higher, supplemental doses increased cellular proliferation signaling through these same pathways. The production of excessive oxidative β-carotene metabolites via reactions with smoke constituents may be a key event underlying this relationship. Consistent with previous findings, our evaluation indicated consumption of up to 50 mg/day β-carotene does not present safety concerns for the non-smoking general population. Heavy smokers consuming less than 15 mg β-carotene/day are not expected to be at an increased risk of lung cancer.

A Intervenção do Serviço de Atenção Domiciliar junto ao usuário e cuidador na rede de atenção à saúde

**Introduction**: Population aging drives the development of home care practices, expanding the role of healthcare teams. The Home Care Service (SAD) is characterized by comprehensive actions in health promotion, prevention, treatment, and rehabilitation performed at home, ensuring continuity of care and effective integration with healthcare networks and the user. **Objective**: To highlight the relationship between the Home Care Service (SAD) and healthcare networks. **Methodology**: This is a descriptive study in the form of a narrative literature review, which sought to highlight the relationship between the Home Care Service (SAD) and healthcare networks. The research was conducted through online access to the PubMed, Medline, and Scielo databases, using the descriptors "home care services," "SUS," and "healthcare networks." Inclusion criteria were: articles available in full text, in Portuguese and English, addressing the topic, and published between 2019 and 2023. **Results**: The results highlight the importance of home care services in assessing, identifying, and training caregivers, promoting self-care and user autonomy. The lack of professional guidance for caregivers presents an opportunity for improvement in care practices. Furthermore, SAD stands out as an innovative strategy in healthcare, surpassing primary care and emergency services, adopting a humanized approach aligned with SUS. By replacing or complementing hospital stays, it seeks equity in resource distribution for efficient access to home care, with active intervention in caregiver training, playing a crucial role in preventing complications, and consolidating itself as a key agent for a patient-centered approach within the SUS framework. **Conclusion**: The intervention of SAD with the user and caregiver is of utmost importance in training caregivers to assist users, avoiding unnecessary complications and ensuring continuity of care within SUS. Thus, the service complements the care provided in primary care and emergency services and substitutes or complements hospital stays.

Developing mental wellbeing promotion practices in Finnish primary schools: The CONSENSUS project

Abstract Issue/problem Schools constitute a key arena for promoting mental wellbeing among children and adolescents, and the Finnish welfare state has many beneficial structures in place for promoting mental wellbeing in schools. However, as mental health problems are prevalent, the need to advance this work is vital, ideally applying a holistic approach focusing on school-family interaction. Description of the problem The Finnish CONSENSUS project (2021-2025) focuses on the development of new practices and collaboration models in mental wellbeing promotion, targeting pupils in 13 primary schools in the Ostrobothnia region. The project answers question such as: What focal areas are prioritized by stakeholders in the development of mental wellbeing promotion in schools? How do participatory principles contribute to the development process and related outcomes? Results In 2024, a synthesis of previous project results (interviews, focus groups and longitudinal survey data collected among pupils, school personnel, school health care services and parents) was generated. The synthesis encompasses 20 possible priority areas to focus on in the development of mental well-being promotion actions, which are ranked by stakeholder representatives utilizing Delphi methods. Some pinpointed priority areas are implemented and evaluated in collaboration with self-selected schools during the academic year 2024-2025. Lessons Results highlight priorities in the development of mental wellbeing promotion in Finnish primary schools and describe focal areas being piloted, also illustrating opportunities and challenges when implementing participatory principles in action research projects. Key messages • Project results highlight prioritized areas in the development of mental wellbeing promotion in Finnish schools, as well as new initiatives currently being piloted. • The project approach emphasising participatory principles provides lessons for other initiatives focusing on mental wellbeing promotion development in schools.

Physical activity promotion as intersectoral planning in Milan Health Protection Agency

Abstract Issue/problem Physical activity is a protective factor for preventing Noncommunicable diseases (NCDs) and, for this reason, it plays an important role in all the different guidelines for prevention and health promotion. The Italian Regional Prevention Plans and in particular the Lombardy one promote physical activity with a systemic approach, through both upstream and downstream actions to encourage the role of communities. Description of the problem Based on the regional plan, the Health Protection Agency (HPA) of the Metropolitan City of Milan developed locally validated actions and best practices for the promotion of physical activity, through the cross-sectoral involvement of different stakeholders (health system, companies, universities, local authorities, sports associations, etc.). Results Physical activity is embedded in all lines of health promotion activities in local planning documents. Sustainable and active mobility activities have been implemented in companies and schools with a comprehensive approach. Validated regional programs (Pedibus, Walking Groups, ecc.) have been implemented in the local community, along with the construction of permanent local laboratories for physical activity, structured through the development of specific territorial networks and providing for integration with the socio-sanitary setting. Lessons Promoting physical activity becomes an opportunity to both consolidate territorial networks and to develop evidence-based health promotion actions able to meet the different health needs of the population and to produce a structural change in living contexts. Key messages • Physical activity is both a protective factor for health promotion and a tool for implementing intersectoral and equity-oriented system actions from a life-course perspective. • Promoting physical activity becomes an opportunity to consolidate territorial networks.

Needs and opportunities for developing health and well-being profiles in Estonian local governments

Abstract The creation and implementation of health and wellbeing profile, an evidence-based framework for planning health promotion as holistic process, is the responsibility of public health practitioners, who tend work part-time and sometimes lack professional competences. The current study maps the level of awareness, attitudes, needs and possibilities of local government leaders and public health practitioners to develop and implement profiles effectively in Estonian local governments. Semi-structured interviews with leaders in local governments (10) and practitioners (9) were conducted in 2022-2023. Data was analysed using qualitative content analysis. Sample included representatives from all Estonian local governments (79 in total) and were categorized into subgroups based on local governments size, status of the profile, public health specialist employment, and educational background. Preliminary results indicate that leaders find as a supportive factors for enabling and encouraging profile compilation process for example: mandatory requirement; motivated implementors; well organized and effective workplan. Specialists find supportive factors to be cooperation on the national level, good communication practices and joint responsibility. Barriers for health promoters are the lack of time, motivation, financial resources, stakeholders understanding and meaningful action. The first qualitative study on these topics in Estonia highlight that creating a profile is supported by previous positive experience and have per contra an opposite negative effect to start the process. In general, the profile was considered necessary for helping identify problems and support decision-making processes for managing resources, however, assessment whether the profile should be obligatory is needed. In addition, there is a need for further support for the evidence-based decision-making process on the local level in health promotion by offering education and guidance from the national level. Key messages • Knowledge about the importance of public health, barriers and decision-making principles of local government leaders and specialists helps to develop interventions based on actual needs. • Continuously updated health and well-being profile ensures sustainability of health promotion action and is useful knowledge to policymakers, local government leaders and public health practitioners.

The Correlation between Husband Support and Reproductive Age Couple Self-Efficacy in LARC Election in Choosing LARC

Husband support is a strengthening factor in choosing long-term contraceptive methods. The problem is the husband's strong influence in determining the wife’s contraception. A wife becomes more confident in herself through the positive support of her husband. This study aims to find out the correlation between the husband's support with the self-efficacy of women of childbearing age in choosing LARC. The research design used is a correlational descriptive with a cross-sectional approach. The population of LARC acceptor PUS was 42 people, sampling using proportional random sampling with 38 respondents who met the inclusion criteria. The research instrument uses husband support query sheets and self-efficacy questionnaires that have been tested for validity and reliability. The Spearman correlation test shows a correlation coefficient of 0.564 which is strongly correlated. As well as the significance level of 0.000 < 0.05, which means there is a correlation between the husband's support and PUS self-efficacy in choosing LARC. The promotional action to increase the confidence of the use of LARC is to increase the provision of information on LARC contraception.

Time of Energy Intake: Association with Weight Status, Diet Quality, and Sociodemographic Characteristics in Brazil.

This study aimed to estimate the association of time of energy intake with weight status, diet quality, and sociodemographic characteristics in Brazil. This cross-sectional study used data from a nationally representative survey with 44.744 individuals (≥10 years old). Food consumption was assessed by 24 h recall. The evening/morning energy intake ratio was calculated, standardized, and categorized in tertiles. The association between the evening/morning energy intake ratio and weight status was estimated using polynomial logistic regression models, and differences across diet quality and sociodemographic categories were estimated considering the non-overlapping 95% confidence intervals. Men, adolescents, adults, and individuals in the higher income level had greater evening energy intake. Those with a higher evening-to-morning energy intake ratio were 15% more likely to be obese (OR = 1.15; 95% CI = 1.02 to 1.28), 21% less likely to be underweight (OR = 0.79; 95% CI = 0.64 to 0.98), and reported greater total energy, protein, and lipid intake, as well as higher consumption of low-quality diet markers. Higher evening energy intake relative to morning intake was associated with obesity, low-quality diet markers, and sociodemographic characteristics. The characterization of the time of energy intake can be useful for tailoring and targeting diet promotion actions and for controlling the obesity epidemic.

Health beliefs model to explore older adults' dementia prevention and health promotion from 2021 to 2022 in Taiwan: A cross-sectional survey study.

One person suffers from dementia every 3 seconds globally. Thirteen older adults aged 65 and older will have dementia, and 1 in 5 older adults over the age of 80 years will have dementia in Taiwan. Older adults should be equipped with demonstrated health beliefs regarding dementia prevention and health promotion about Ascertain Dementia 8-item Questionnaire (AD8), cues to action, health beliefs, self-efficacy, and behavioral intention in daily life. The purpose of this study was to survey older adults' demographic background, AD8, cues to action, health beliefs, self-efficacy, and behavioral intention for dementia prevention and health promotion. A cross-sectional survey design was used. Convenience sampling was performed. A total of 330 older adults participated in the study. The questionnaire used in this study included questions on older adults' demographic background, AD8, cues to action, health beliefs, self-efficacy, and behavioral intention. The researcher collected complete data by receiving the sampling on paper or by interview from October 8, 2021, to February 12, 2022. The SPSS 23.0 statistical package was employed for quantitative analysis. Data analysis included frequency, percentage, mean, standard deviation (SD), Spearman's rho correlation, and simple regression analysis. The findings showed that older adults had the following mean scores on health beliefs (perceived susceptibility 13.45 ± SD 2.34, perceived severity 13.54 ± SD 2.69, perceived benefits 16.57 ± SD 2.84, perceived barriers 8.20 ± SD 3.69), self-efficacy 16.96 ± SD3.52, and behavioral intention 19.56 ± SD 3.51. Older adults' demographic background, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy explained 56.1% of the variance in behavioral intention. The conclusions of the study indicated that older adults' demographic background, AD8, cues to action, health beliefs, self-efficacy, and behavioral intention constituted the main factors for effective dementia prevention and health promotion. In the future, the research team will continue to explore older adults' dementia prevention and develop many strategies on health promotion, as well as slowing the aging brain process.

Geological Monuments of the Republic of Kosovo: Action for Identification, Study, Coding, Geoconservation and Promotion

Geological Monuments of the Republic of Kosovo: Action for Identification, Study, Coding, Geoconservation and Promotion

Evaluation of the Effect of a Mobile Application on Glycated Hemoglobin in Older Adults with Type 2 Diabetes Mellitus-Protocol of a Randomized Clinical Trial.

Digital educational technologies in health have been an important instrument for promoting learning, self-care, self-esteem, and security regarding prevention and health promotion actions that lead to changes in behavior, mainly for non-communicable disease patients, such as type 2 Diabetes Mellitus (DM 2). This study aimed to describe a protocol for evaluating the effect of an app for cell phones and tablets on the blood glucose of older adults with DM 2. The protocol will be used to compare the effectiveness of an application for mobile devices concerning the educational booklet in reducing Glycated Hemoglobin in older adults with DM 2 in Primary Health Care. This protocol is part of a Randomized Clinical Trial project entitled Effectiveness of a Mobile Device Application on Glycated Hemoglobin in Elderly People with Type 2 Diabetes Mellitus: a Randomized Clinical Trial. The protocol was structured in the following phases: (i) sample calculation, (ii) invitation to participate in the study according to the eligibility criteria; (iii) participant registration; (iv) randomization and allocation of participants into groups (double blinding); (v) application of the intervention; (vi) post-intervention procedures (post-test); (vii) data analysis. It is expected that encouraging studies on the impact of a mobile application will improve and enhance health education focused on self-care for older adults with DM 2, potentially influencing the local health system by reducing hospitalizations due to conditions that are sensitive to primary care, since health promotion and prevention of DM-related illnesses will be the main focus of the application and booklet developed.

Surface Chemical Effects on Fischer–Tropsch Iron Oxide Catalysts Caused by Alkali Ion (Li, Na, K, Cs) Doping

Among the alkali metals, potassium is known to significantly shift selectivity toward value-added, heavier alkanes and olefins in iron-based Fischer–Tropsch synthesis catalysts. The aim of the present contribution is to shed light on the mechanism of action of alkaline promoters through a systematic study of the structure–reactivity relationships of a series of Fe oxide FTS catalysts promoted with Group I (Li, Na, K, Cs) alkali elements. Reactivity data are compared to structural data based on in situ, synchrotron-based XRD and XPS, as well as temperature-programmed studies (TPR-H2, TPC-CO, TPD-CO2, and TPD-H). It has been observed that the alkali elements induced higher carburization rates, higher basicities, and lower adsorbed hydrogen coverages. Catalyst stability followed the trend Na-Fe > unpromoted > Li-Fe > K-Fe > Cs-Fe, being consistent with the ability of the alkali (Na) to prevent active site loss by catalyst reoxidation. Potassium was the most active in promoting high α hydrocarbon formation. It is active enough to promote CO dissociative adsorption (and the formation of FeCx active phases) and decrease the surface coverage of H-adsorbed species, but it is not so active as to cause premature catalyst deactivation by the formation of a carbon layer resulting in the blocking active sites.

Family relationships and environmental factors of children in social vulnerability

This study sought to analyze the dynamics of family relationships and environmental factors in children in situations of social vulnerability and violence served by an educational institution. This is a descriptive-exploratory study, with eight families served by a non-governmental institution located in a municipality in the Southern Region of Brazil. Semi-structured interviews were applied to fathers, mothers and/or guardians for the analysis of the Comprehensive Assessment Synthesis Instruments (ISAC). The results showed averages close to 3.0 (from 1 to 5) in ISAC, which conceives situations in which there are strengths, but also vulnerabilities in families, especially socioeconomic factors. It was also identified difficulty in accessing health services, education, employment and adequate food. Therefore, health promotion actions should be encouraged, seeking to develop a culture of peace, reduce vulnerabilities and strengthen support networks.

Gender-responsive health promotion for women: regulating the sociopolitical landscape of alcohol product marketing

Abstract This perspective piece calls for health promotion action to regulate alcohol product marketing targeting women and create environments where it is possible to mitigate the harms of alcohol and protect women’s health. Drawing on the Global Alcohol Action Plan in the context of the Australian National Women’s Health Strategy 2020–30, we consider critical actions for gender-responsive health promotion to protect women from the ways alcohol companies market their products utilizing women’s gendered social roles and entrenched stereotypes. We show how these subtle yet powerful gendered approaches to alcohol marketing have the potential for harm yet are not covered by the current mechanisms of the self-regulated Alcohol Beverages Advertising Code. We draw on the World Health Organization’s 2024 Framework on Gender-Responsive Approaches to the Acceptability Availability and Affordability of Alcohol and make a call to regulate alcohol marketing targeting women.

A Machine Learning Approach to Well-Being in Late Childhood and Early Adolescence: The Children’s Worlds Data Case

Explaining what leads to higher or lower levels of subjective well-being (SWB) in childhood and adolescence is one of the cornerstones within this field of studies, since it can lead to the development of more focused preventive and promotion actions. Although many indicators of SWB have been identified, selecting one over the other to obtain a reasonably short list poses a challenge, given that models are particularly sensitive to the indicators considered.Two Machine Learning (ML) algorithms, one based on Extreme Gradient Boosting and Random Forest and the other on Lineal Regression, were applied to 77 indicators included in the 3rd wave of the Children’s Worlds project and then compared. ExtremeGradient Boosting outperforms the other two, while Lineal Regression outperforms Random Forest. Moreover, the Extreme Gradient Boosting algorithm was used to compare models for each of the 35 participating countries with that of the pooled sample on the basis of responses from 93,349 children and adolescents collected through a representative sampling and belonging to the 10 and 12-year-olds age groups. Large differences were detected by country with regard to the importance of these 77 indicators in explaining the scores for the five-item-version of the CWSWBS5 (Children’s Worlds Subjective Well-Being Scale). The process followed highlights the greater capacity of some ML techniques in providing models with higher explanatory power and less error, and in more clearly differentiating between the contributions of the different indicators to explain children’s and adolescents’ SWB. This finding is useful when it comes to designing shorter but more reliable questionnaires (a selection of 29 indicators were used in this case).

Políticas públicas: O papel do Programa Saúde na Escola (PSE) como ferramenta para a integração entre saúde e educação

This research analyzed the School Health Program (PSE) as a tool for the integration between health and education, highlighting its importance and impact on the integral development of students. The objective was to evaluate how the PSE articulates the health and education networks to improve the quality of life and school performance of children and adolescents. A bibliographic research methodology was used, with a survey of articles on the SciELO, Web Of Science and Google Scholar platforms. The results showed that the PSE promotes an effective intersectoral approach, offering preventive and health promotion actions in schools, such as vaccination, visual screening, physical exercises, and educational campaigns. The analysis revealed that the program contributes to the reduction of social inequalities and improves the school environment by integrating health into the educational process. The conclusion reaffirms that the PSE is an innovative and essential strategy, as it combines health care and teaching to prepare students for academic and social challenges, demonstrating the effectiveness of public policies that promote intersectoral integration and the balanced development of the new generations.

The potential and limitations of radio as a health promotion tool: knowledge synthesis

Objective: Identify the potential and limitations of using radio for health promotion. Methods: This is an integrative review carried out from September to November 2022, using the databases Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database (Base de dados de Enfermagem, BDENF), National Library of Medicine (PUBMED) and Web of Science with the descriptors radio, information technology and health promotion. After the inclusion and exclusion criteria, a total of 16 articles remained. Results: As potentialities, it was identified that radio is a relevant tool for interaction and dissemination of information, as it manages to reach different audiences, enabling greater popular engagement and, consequently, greater effectiveness of health promotion actions. Its limitations include the complexity of certain subjects and the need to adapt the language used to the target audience. Conclusion: The conclusion is that health professionals should be empowered to use this technology as an intermediary tool for health education actions, since it enables greater interaction and brings the user-health professional-service relationship closer together.

Exploring the health and wellbeing landscape at a third level institution

In line with the Healthy Campus framework, this study explored the health, health literacy, and wellbeing landscape for students at an Irish third level institution using a participatory action research approach with the aim to identify potential need, and inform future health promotion action(s). Methods. This mixed-method study involved three phases; (1) a scoping review to audit what activities are currently available to support student health and wellbeing on campus, (2) assessment of students’ current health literacy using the Health Literacy Questionnaire, analysed using Cohen's d to investigate the magnitude of differences between student groups, (3) qualitative discussions with university stakeholders, analysed using reflexive thematic analysis, to provide greater understanding and context to the results of the previous phases. Results. The scoping review identified 151 activities on campus to support students’ holistic health, with the majority focused on individual support. Students’ health literacy scores were in line with the broader literature. A number of themes were identified within the qualitative data; i) the need for an ‘opt-in’ approach to support a health-integrated culture, ii) barriers and facilitators to health information, iii) the importance of ‘walking the walk’, iv) the specific university experience of 2022 as society emerged from Covid-19, and v) factors that influence student engagement. Conclusion. Insight into the participatory action approach undertaken in this study may be useful to inform other higher education institutions (HEIs) interested in undertaking similar work. Thorough description of the findings may also allow these to be transferred to other contexts. The findings of this study can help inform and direct the current university's, and potentially other HEIs, future actions in regards to enhancing the health and wellbeing of its stakeholders. To foster an authentic ‘Healthy Campus’, a whole-university approach is needed HEIs, supported by open dialogue between stakeholders and senior leadership commitment.

Mobile solution and chronic diseases: development and implementation of a mobile application and digital platform for collecting, analyzing data, monitoring and managing health care

BackgroundTechnological advances based on mobile health (mHealth), the field of digital health (eHealth) aimed at managing health services and care and their concomitant transformations, have become increasingly important in the 21st century. In this context, care for individuals diagnosed with Chronic Non-Communicable Diseases (CNCDs) deserves to be highlighted. The aim of this study is to present the creation, development and implementation of the Telehealth Center of the Federal University of Viçosa (NUTELES - UFV), for the monitoring and management of health care for individuals with Arterial Hypertension (AH) and/or Diabetes Mellitus (DM).MethodsThis study, carried out in 2022 and 2023, involved 374 patients diagnosed with AH and/or DM in the health micro-region of Viçosa/MG, Brazil, comprising nine municipalities. The research aims to describe the creation, development and implementation of a software (NutelesApp) for the collection, storage, management and analysis of epidemiological research in public health, focusing specifically, on the monitoring and management of health care for individuals with AH and/or DM monitored by Primary Health Care (PHC). The parameters collected and analyzed were obtained through a questionnaire applied to patients, consisting of 70 questions, subdivided into 12 classes of questions. The epidemiological survey data was collected using mobile devices and analyzed using computer techniques based on statistical analysis. Once the field teams had completed their work, the files were transferred to servers for general analysis processing, using estimates of means, prevalence and respective standard errors, calculated using the Statistical Package for Social Science (SPSS) program, which takes into account the planning variables and includes the basic weights resulting from the sampling process. This study was approved by the Human Research Ethics Committee and registered, prior to recruitment, by the Brazilian Registry of Clinical Trials (ReBEC), ID: RBR-45hqzmf (Last approval date: 11/30/2022).ResultsThe information obtained through data collection with subsequent exploratory analysis of epidemiological data using the NutelesApp software suggests that mobile applications intended for the purpose of monitoring and managing healthcare for people with AH and/or DM should address the variables necessary to support a process of understanding the health conditions and/or disease of the individual as a whole and provide short- and long-term learning. Regarding the results of the survey using the software, the variables of 374 people were analyzed. Majority are female (73.2%) and white (43.5%). Most patients are elderly (average 64 years), with blood pressure levels within the normal range for this population, BMI indicates overweight, AC increased risk for cardiovascular events and CC within the recommendation value. All biochemical parameters analyzed were above normal limits.ConclusionsThe description of the creation and development of the software includes practical examples of its implementation, the results collected and its applicability in real scenarios, presenting determining criteria that can provide assertive and timely interventions for monitoring and managing the health and/or disease parameters of patients with HA and/or DM. In addition, the beneficial consequences of using this application will extend to health units and their respective management, improving the services provided by PHC and enhancing strategies and actions for health promotion and disease prevention.