Telenutrition in the care of adults and elderly in Primary Health Care during the COVID-19 pandemic

Authors

DOI:

https://doi.org/10.12957/demetra.2023.67192

Keywords:

Primary Health Care. Information Technology. Telenutrition. Telehealth.

Abstract

Introduction: Faced with the social distancing recommendations adopted during the Covid-19 pandemic, nutritional assistance began to include telenutrition in the Primary Health Care routine. Objective: To evaluate nutrition telecare in Primary Health Care during the Covid-19 pandemic in the dimensions of care guidelines and technology management. Methods: This is a descriptive study with adult and elderly users in nutritional telecare at a Primary Health Care Unit in Southern Brazil between March 2020 and March 2021. Data were collected from electronic medical records and telephone interviews. The socioeconomic characteristics of the participants were analyzed, as well as the assessment of nutrition teleconsultation and dietary and lifestyle changes resulting from nutritional monitoring, with anthropometric data obtained by self-report. Descriptive statistics were used to calculate absolute and relative frequency, mean, and standard deviation. Results: A total of 100 users were interviewed, 53.0% of whom were adults, most of whom were women (72.0%) with white skin color (85.9%), and completed secondary education (44.0%). Excess weight reached 78.6% of people. The majority denied difficulties in understanding nutritional guidelines (91.0%) or needing help to use technologies (81.0%). The user's assessment of the remote service was positive, pointing to an improvement in the quality of food (79.7%), in behavioral aspects (46.8%), and in the practice of physical activity (53.2%). Conclusion: Users presented a positive evaluation and good adaptation to the remote care method.

References

World Health Organization. WHO Coronavirus (COVID-19) Dashboard. WHO Coronavirus (COVID-19) Dashboard With Vaccination Data [Internet]. Who. 2021 [cited 2021 Nov 14]. p. 1–5. Available from: https://covid19.who.int/

Mallah SI, Ghorab OK, Al-Salmi S, Abdellatif OS, Tharmaratnam T, Iskandar MA, et al. COVID-19: breaking down a global health crisis. Ann Clin Microbiol Antimicrob [Internet]. 2021;20(1):1–36. Available from: https://doi.org/10.1186/s12941-021-00438-7

Brasil. Coronavírus Brasil [Internet]. Ministério da Saúde. 2021 [cited 2021 Nov 14]. Available from: https://covid.saude.gov.br/

Brasil. Ministério da Saúde. Protocolo de manejo clínico da Covid-19 na Atenção Primária à saúde: versão 9 [Internet]. Vol. 9, Secretaria de Atenção Primária à Saúde (SAPS). Brasília - DF; 2020. Available from: https://portaldeboaspraticas.iff.fiocruz.br/biblioteca/protocolo-de-manejo-clinico-do-coronavirus-covid-19-na-atencao-primaria-a-saude/

Guadalupe Medina M, Giovanella L, Bousquat A, Magalhães de Mendonça MH, Aquino R. Primary healthcare in times of COVID-19: what to do? Cad Saude Publica. 2020 Aug 1;36(8).

Mauldin K, Gieng J, Saarony D, Hu C. Performing nutrition assessment remotely via telehealth. Nutr Clin Pract. 2021;36(4):751–68.

Stefan N, Birkenfeld AL, Schulze MB. Global pandemics interconnected — obesity, impaired metabolic health and COVID-19. Nature Reviews Endocrinology [Internet]. 2021 [cited 2021 Oct 23];17(3):135–49. Available from: www.nature.com/nrendo

Hessami A, Shamshirian A, Heydari K, Pourali F, Alizadeh-Navaei R, Moosazadeh M, et al. Cardiovascular diseases burden in COVID-19: Systematic review and meta-analysis. Am J Emerg Med [Internet]. 2021 Aug 1 [cited 2021 Oct 23];46:382–91. Available from: https://pubmed.ncbi.nlm.nih.gov/33268238/

Mesenburg MA, Hallal PC, Menezes AMB, Barros AJD, Horta BL, de Barros FC, et al. Chronic non-communicable diseases and COVID-19: EPICOVID-19 Brazil results. Rev Saude Publica [Internet]. 2021 Jun 2 [cited 2021 Oct 23];55:1–11. Available from: http://www.scielo.br/j/rsp/a/wQR46xj6RxJGqcr93VMwRsv/?lang=en

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020 Feb 15;395(10223):507–13.

Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, et al. Prevalence of comorbidities and its effects in coronavirus disease 2019 patients: A systematic review and meta-analysis. Int J Infect Dis. 2020 May 1;94:91–5.

World Health Organization. Non-communicable diseases [Internet]. World Health Organization. 2018 [cited 2020 Oct 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Porto Alegre, Secretaria Municipal da Saúde. Diretoria Geral de Atenção Primária à Saúde, Universidade Federal do Rio Grande do Sul. Programa de Pós-Graduação em Epidemiologia. TelessaúdeRS (TelessaúdeRS-UFRGS). Manual de Teleconsulta na APS. Porto Alegre; 2020. 26 p.

Mehta P, Stahl MG, Germone MM, Nagle S, Guigli R, Thomas J, et al. Telehealth and Nutrition Support During the COVID-19 Pandemic. J Acad Nutr Diet [Internet]. 2020;120(12):1953–7. Available from: http://dx.doi.org/10.1016/j.jand.2020.07.013

Bakken S, Grullon-Figueroa L, Izquierdo R, Lee NJ, Morin P, Palmas W, et al. Development, Validation, and Use of English and Spanish Versions of the Telemedicine Satisfaction and Usefulness Questionnaire. J Am Med Informatics Assoc. 2006 Nov;13(6):660–7.

Kruse CS, Krowski N, Rodriguez B, Tran L, Vela J, Brooks M. Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open. 2017 Aug 1;7(8):12.

Morgan DG, Kosteniuk J, Stewart N, O’Connell ME, Karunanayake C, Beever R. The telehealth satisfaction scale: reliability, validity, and satisfaction with telehealth in a rural memory clinic population. Telemed J E Health. 2014 Nov 1;20(11):997–1003.

World Health Organization. Obesity: Preventing and managing the global epidemic. Geneva; 1998.

Levorato CD, de Mello LM, da Silva AS, Nunes AA. Fatores associados à procura por serviços de saúde numa perspectiva relacional de gênero. Cienc e Saude Coletiva. 2014;19(4):1263–74.

IBGE. Pesquisa Nacional de Saúde 2019: informações sobre domicílios, acesso e utilização dos serviços de saúde [Internet]. Instituto Brasileiro de Geografia e Estatistica- IBGE. 2020. 31–33 p. Available from: http://biblioteca.ibge.gov.br/visualizacao/livros/liv91110.pdf

Kops NL, Bessel M, Knauth DR, Caleffi M, Wendland EM. Body image (dis)satisfaction among low-income adult women. Clin Nutr. 2019;38(3):1317–23.

Comitê Gestor da Internet no Brasil. Pesquisa sobre o uso das tecnologias de informação e comunicação nos domicílios brasileiros: TIC domicílios 2018. São Paulo: Núcleo de Informação e Coordenação do Ponto; 2019. 392 p.

Mueller M, Knop M, Niehaves B, Adarkwah CC. Investigating the acceptance of video consultation by patients in rural primary care: Empirical comparison of preusers and actual users. JMIR Med Informatics. 2020;8(10).

Bradford NK, Caffery LJ, Smith AC. Awareness, experiences and perceptions of telehealth in a rural Queensland community. BMC Health Serv Res. 2015 Sep 28;15(1).

Donaghy E, Atherton H, Hammersley V, McNeilly H, Bikker A, Robbins L, et al. Acceptability, benefits, and challenges of video consulting: A qualitative study in primary care. Br J Gen Pract. 2019;69(686):E586–94.

Hammersley V, Donaghy E, Parker R, McNeilly H, Atherton H, Bikker A, et al. Comparing the content and quality of video, telephone, and face-to-face consultations: A non-randomised, quasi-experimental, exploratory study in UK primary care. Br J Gen Pract [Internet]. 2019 [cited 2021 Jan 18];69(686):E595–604. Available from: /pmc/articles/PMC6607843/?report=abstract

McKinstry B, Watson P, Pinnock H, Heaney D, Sheikh A. Telephone consulting in primary care: A triangulated qualitative study of patients and providers. Br J Gen Pract. 2009 Jun;59(563):433–40.

Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional por Amostra de Domicílios Contínua 2017-2018 [Internet]. Instituto Brasileiro de Geografia e Estatística. 2020. 1–12 p. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101705_informativo.pdf

Brasil. Ministério da Saúde. Universidade Federal de Minas Gerais. Instrutivo - Metodologia de trabalho em grupos para ações de alimentação e nutrição na Atenção Básica. Ministério da Saúde Universidade Federal de Minas Gerais. 2016;168.

Amaral RP do, Tesser CD, Müller P. Benefícios dos grupos no manejo da hipertensão arterial sistêmica: percepções de pacientes e médicos. Rev Bras Med Família e Comunidade. 2013;8(28):196–202.

World Health Organization. Noncommunicable diseases country profiles 2018 [Internet]. World Health Organizations. Geneva: World Health Organization; 2018 [cited 2021 May 24]. Available from: http://www.who.int/nmh/publications/ncd-profiles-2018/en/

World Health Organization. Information note: COVID-19 and NCDs [Internet]. 2020. Available from: https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Alimentação e Nutrição [Internet]. 1st ed. Política Nacional de Alimentação e Nutrição. Brasília - DF; 2013. 84 p. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_alimentacao_nutricao.pdf

Haas K, Hayoz S, Maurer-Wiesner S. Effectiveness and feasibility of a remote lifestyle intervention by dietitians for overweight and obese adults: Pilot study. J Med Internet Res. 2019 Apr 1;21(4):14.

Block G, Azar KMJ, Romanelli RJ, Block TJ, Hopkins D, Carpenter HA, et al. Diabetes prevention and weight loss with a fully automated behavioral intervention by email, web, and mobile phone: A randomized controlled trial among persons with prediabetes. J Med Internet Res. 2015 Oct 1;17(10).

Haste A, Adamson AJ, McColl E, Araujo-Soares V, Bell R. Web-based weight loss intervention for men with type 2 diabetes: Pilot randomized controlled trial. JMIR Diabetes. 2017;2(2).

Lunde P, Nilsson BB, Bergland A, Kværner KJ, Bye A. The effectiveness of smartphone apps for lifestyle improvement in noncommunicable diseases: Systematic review and meta-analyses. J Med Internet Res. 2018 May 1;20(5):12.

Villinger K, Wahl DR, Boeing H, Schupp HT, Renner B. The effectiveness of app-based mobile interventions on nutrition behaviours and nutrition-related health outcomes: A systematic review and meta-analysis. Obes Rev. 2019 Oct 1;20(10):1465–84.

Steele EM, Rauber F, dos Santos Costa C, Leite MA, Gabe KT, da Costa Louzada ML, et al. Dietary changes in the NutriNet Brasil cohort during the covid-19 pandemic. Rev Saude Publica. 2020;54:1–8.

Di Renzo L, Gualtieri P, Pivari F, Soldati L, Attinà A, G C, et al. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med [Internet]. 2020 Jun 8 [cited 2021 Aug 7];18(1). Available from: https://pubmed.ncbi.nlm.nih.gov/32513197/

Rodríguez-Pérez C, Molina-Montes E, Verardo V, Artacho R, García-Villanova B, Guerra-Hernández E, et al. Changes in Dietary Behaviours during the COVID-19 Outbreak Confinement in the Spanish COVIDiet Study. Nutrients [Internet]. 2020 Jun 1 [cited 2021 Nov 6];12(6):1–19. Available from: https://pubmed.ncbi.nlm.nih.gov/32531892/

Published

2023-07-04

How to Cite

Pinto Pereira, F. V., da Silva, G. T., & Schuch, I. (2023). Telenutrition in the care of adults and elderly in Primary Health Care during the COVID-19 pandemic. DEMETRA: Food, Nutrition & Health, 18, e67192. https://doi.org/10.12957/demetra.2023.67192

Issue

Section

Food and Nutrition in Collective Health