Development of a mobile application about cervical cancer and cytopathological screening for pregnant women

Authors

DOI:

https://doi.org/10.36517/2175-6783.20252695187

Keywords:

Educational Technology; Papanicolaou Test; Uterine Cervical Neoplasms; Nursing Care; Prenatal Care.

Abstract

Objective: to develop and evaluate evidence of the validity of a mobile application on the importance of cytopathological examination for pregnant women. Methods: this is a methodological study developed in four stages: literature review, design, development, and evidence of the application's validity. The Content Validity Index was used to analyze content and appearance validity. The binomial test was applied to establish the proportion of agreement among experts. Results: the application was developed with an easy-to-view interface and pleasing appearance, using clear language and consisting of four topics (cervical cancer, cervical screening, cancer in pregnancy, and routine). After analyzing the content and functional performance, it was evident that the mobile application, My cervix® (“Meu colo®”, in Portuguese), showed good evidence of validity, with overall content and appearance validity indices above 0.80. Conclusion: the mobile application developed and validated proved to be a technological innovation with the potential to promote knowledge about cytopathological screening for pregnant women. Contributions to practice: the mobile application can be a valuable tool in clinical and nursing care practice to guide pregnant women about cervical cancer.

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References

1. Ministério da Saúde (BR). Cadernos de Atenção Básica. Controle dos cânceres do colo do útero e da mama [Internet]. 2013 [cited Maio 23, 2025]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/controle_canceres_colo_utero_2013.pdf

2. Ferreira MCM, Nogueira MC, Ferreira LCM, Bustamante-Teixeira MT. Detecção precoce e prevenção do câncer do colo do útero: conhecimentos, atitudes e práticas de profissionais da ESF. Ciênc Saúde Coletiva. 2022;27(6):2291-302. doi: https://doi.org/10.1590/1413-81232022276.17002021

3. Santos MO, Lima FCS, Martins LFL, Oliveira JFP, Almeida LM, Cancela MC. Estimated cancer incidence in Brazil, 2023-2025. Rev Bras Cancerol. 2023;69(1):e-213700. doi: https://dx.doi.org/10.32635/2176-9745.RBC.2023v69n1.3700

4. Instituto Nacional de Câncer José Alencar Gomes da Silva. Diretrizes brasileiras para o rastreamento do câncer do colo do útero [Internet]. 2016 [cited Mar 8, 2025]. Available from: https://www.inca.gov.br/publicacoes/livros/diretrizes-brasileiras-para-o-rastreamento-do-cancer-do-colo-do-utero

5. Mascarenhas MS, Faria LV, Morais LP, Laurindo DC, Nogueira MC. Knowledge and practices of primary care users about cervical cancer control. Rev Bras Cancerol. 2020;66(3):e-01030. doi: http://dx.doi.org/10.32635/2176-9745.RBC.2020v66n3.1030

6. Instituto Nacional do Câncer José Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil [Internet]. 2020 [cited Apr. 21, 2025]. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf

7. Sousa RA, Santos SMS, Santana IJ, Almeida PV, Silva MB, Brasil AMV, Araújo LCN. Performance of papa school during prenatal: profile of pregnant women seen in a teaching assistance unit. Saúde Coletiva. 2023;13(85):12484-89. doi: https://dx.doi.org/10.36489/saudecoletiva.2023v13i85p12478-12489

8. Miranda MG, França CCC. Conhecimento prévio de pacientes gestantes sobre a importância do preventivo de câncer de colo de útero. Rev Eletr Acervo Saúde. 2025;25(5):1-10. doi: https://dx.doi.org/10.25248/REAS.e20272.2025

9. Cardoso NM, Almeida PD, Araújo Filho ACA, Gomes MCA, Paz EPA, Araújo TME. Tecnologias educativas para adesão ao exame Papanicolau: revisão integrativa. J Nurs Health. 2024;14(3):e1427534. doi: https://doi.org/10.15210/jonah.v14i3.27534

10. Polit DF, Beck CT. Fundamentos de pesquisa em enfermagem: avaliação de evidências para as práticas de enfermagem. Porto Alegre: Artmed; 2011.

11. Doak CC, Doak LG, Root JH. Teaching patients with low literacy skills. Philadelphia: Lippincott Company; 1996. doi: http://doi.org/10.1097/00000446-199612000-00022

12. Mendes KDS, Silveira RCCP, Galvão CM. Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto Contexto Enferm. 2019;28:e20170204. doi: https://doi.org/10.1590/1980-265X-TCE-2017-0204

13. Sakhniuk M, Boduch Adam. React and react native: build cross-platform JavaScript and TypeScript apps for the web, desktop, and mobile. Fifth Edition: Birmingham; 2024.

14. Souza MM, Lopes CT, Almeida AAM, Almeida TCF, Gouveia BLA, Oliveira SHS. Development and validation of a mobile application for heart failure patients self-care. Rev Esc Enferm USP. 2022;56:e20220315. doi: https://dx.doi.org/10.1590/1980-220X-REEUSP-2022-0315pt

15. Galindo Neto NM, Sá GGM, Barbosa LU, Pereira JCN, Henriques AHB, Barros LM. Covid-19 and digital technology: mobile applications available for download in smartphones. Texto Contexto Enferm. 2020;29:e20200150. doi: https://dx.doi.org/10.1590/1980-265X-TCE-2020-0150

16. Lobiondo-Wood G, Haber J. Pesquisa em enfermagem: métodos, avaliação crítica e utilização. Rio de Janeiro: Guanabara Koogan; 2001.

17. Chen C, Li X, Sun L, Cao S, Kang Y, Hong L, et al. Post-discharge short message service improves short-term clinical outcome and self-care behaviour in chronic heart failure. Esc Heart Fail. 2019;6(1):164-73. doi: https://doi.org/10.1002/ehf2.12380

18. Sampieri RH, Collado CF, Lucio MPB. Metodologia de pesquisa. Porto Alegre: Penso; 2013.

19. Yusoff MSB. ABC of content validation and contente validity index calculation. Educ Med J. 2019;11(2):49-54. doi: http://doi.org/10.21315/eimj2019.11.2.6

20. Alexandre NMC, Coluci MZO. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciênc Saúde Coletiva. 2011;16(7):3061-8. doi: http://doi.org/10.1590/S1413-81232011000800006

21. Melo LCN, Silva BM, Nitschke RG, Viegas SMF. Virtual social networks and health technologies in the daily life of clients and households: care and health promotion. Ciênc Saúde Coletiva. 2023;28(8):2193-202. doi: https://dx.doi.org/10.1590/1413-81232023288.05252023

22. Van Eck van der Sluijs A, Vonk S, Van Jaarsveld BC, Bonenkamp AA, Abrahams AC. Good practices for dialysis education, treatment, and ehealth: a scoping review. PLoS One. 2021;16(8):e0255734. doi: https://doi.org/10.1371/journal.pone.0255734

23. Cruz LF, Maciel JM, Sales JKD, Rodrigues LM, Santos SMS, Cruz RSBLC, Oliveira DR, Cavalcante EGR. Health education for adherence to Papanicolaou: a literature review. Rev Bras Promoç Saúde. 2023;36:13164. doi: https://dx.doi.org/10.5020/18061230.2023.13164

24. Liu Y, Wang X. Application of smart mobile medical services in maternal health care management. Contrast Media Mol Imaging. 2021;2021:6249736. doi: https://doi.org/10.1155/2021/6249736

25. Souza FMLC, Santos WN, Santos RSC, Silva VLM, Abrantes RM, Soares, VFR, et al. Effectiveness of mobile applications in pregnant women’s adherence to prenatal consultations: randomized clinical trial. Rev Bras Enferm. 2021;74(Suppl 5):e20190599. doi: https://dx.doi.org/10.1590/0034-7167-2019-0599

26. Pizzolato AC, Sarquis LMM, Danski MTR. Nursing APHMÓVEL: mobile application to register the nursing process in prehospital emergency care. Rev Bras Enferm. 2021;74(Suppl 6):e20201029. doi: https://doi.org/10.1590/0034-7167-2020-1029

27. Chang YW, Tsai SM, Lin PC, Chou FH. Efficacy of a smartphone application to promote maternal influenza vaccination: a randomized controlled trial. Vaccines (Basel). 2022;10(3):369. doi: https://doi.org/10.3390/vaccines10030369

28. Duarte AM, Mandetta MA. BMT-App: development and validation of a mobile application for families of children/adolescents with cancer. Acta Paul Enferm. 2022;35:eAPE03502. doi: https://dx.doi.org/10.37689/acta-ape/2022AO03502

29. Ministério da Saúde (BR). Diretrizes Brasileiras para o Rastreamento do Câncer do Colo do Útero: Parte I - Rastreamento organizado utilizando testes moleculares para detecção de DNA-HPV oncogênico [Internet]. 2024 [cited Jun 10, 2025]. Available from: https://www.febrasgo.org.br/images/2024/relatorio-preliminar-diretrizes-brasileiras-para-o-rastreamento-do-cancer-do-colo-do-utero-parte-i-rastreamento-organizado-utilizando-testes-moleculares-para-deteccao-de-dna-hpv-oncogenico.pdf

Published

2025-09-15

Issue

Section

Research Article

How to Cite

1.
Silva NG da, Silva TM da, Oliveira DR de, Pinheiro AKB, Quirino G da S, Calou CGP, et al. Development of a mobile application about cervical cancer and cytopathological screening for pregnant women. Rev Rene [Internet]. 2025 Sep. 15 [cited 2026 Feb. 17];26(1):e95187. Available from: https://periodicos.ufc.br/rene/article/view/95187