Stival
@unb.br
University of Brasilia
Scopus Publications
- Serious Game Terminologia Secreta (TESE): educational technology applied to the teaching of basic nursing
Aline Farias de Oliveira, Yuri Gustavo de Sousa Barbalho, Fernanda Rocha Temporim de Lacerda Paranaguá, Diana Lúcia Moura Pinho, Marina Morato Stival, et al.
Revista Gaucha De Enfermagem, 2026
Objective: To develop and validate a serious game-type application for nursing students on Fundamental Nursing. Method: Methodological development research, with a quantitative and descriptive approach. It was conducted in the Midwest region of Brazil, between January 2022 and June 2023, in four phases: development and validation of the internal content of the application; programming software; validation of the application's usability by 11 experts and 33 nursing students, using the System Usability Scale. Results: The app includes a game with technical terms, player rankings and an online pocket guide. Usability was validated by 11 experts and 33 nursing students using the System Usability Scale. The average scores were 92.5 and 87.5 respectively, classifying the technology as “best imaginable”, with high acceptance, integrated functionality and intuitive navigation. Conclusion: The TESE application demonstrated good usability and high user acceptance, proving to be an important strategy for enhancing the teaching-learning process for nursing students in Fundamental Nursing. The technology developed can contribute to the improvement of interprofessional communication and clinical nursing practice through the standardized mastery of technical terminology. - Exploring the use of escape rooms in nursing: A comprehensive scoping review
Carla Sílvia Fernandes, Maria Teresa Moreira, Maria Salomé Ferreira, Silvana Schwerz Funghetto, Marina Morato Stival, et al.
Nurse Education in Practice, 2025 - Connecting Health and Technology: Validation of Instant Messaging for Use as Diabetes Mellitus Control Strategy in Older Brazilian Adults
Manoela Vieira Gomes da Costa, Renata Puppin Zandonadi, Verônica Cortez Ginani, Silvana Schwerz Funghetto, Luciano Ramos de Lima, et al.
International Journal of Environmental Research and Public Health, 2025
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. - Coordination of care in health systems for users with diabetes and hypertension: a scoping review
Virgílio Luiz Marques de Macedo, Naira Pereira de Sousa, Ana Cristina dos Santos, Walterlânia Santos, Marina Morato Stival, et al.
Revista Latino Americana De Enfermagem, 2025
Objective: to map the available evidence on the characteristics of care coordination between Primary Health Care and Specialized Outpatient Care for users with diabetes and hypertension. Method: this is a scoping review with 40 articles as the final sample, evaluated by means of Content Analysis, of the thematic-categorical type, with the aid of a technological tool. Results: care coordination was defined by means of eight categories: information and communication, integration of care, improvement and quality, care management, care sharing, fundamental attribute, health professionals and health service users, with the results of the articles concentrating mainly on four categories, with information and communication standing out, followed by the category of care management and the category of care sharing, in parallel with improvement and quality. Conclusion: technological tools are a first step in ensuring the coordination of care, proving to be a significant feature, with emphasis on studies on the sharing of information between health services through electronic medical records. However, although this technology has proved to be advantageous for the health system, with good results, it is not the only means of ensuring the coordination of care. - Home-Based Exercise and Fall Prevention in Older Adults: Development, Validation and Usability of the Mais Equilíbrio Mobile App
Mateus Medeiros Leite, Alessandro de Oliveira Silva, Silvana Schwerz Funghetto, Luciano Ramos de Lima, Samuel Barbosa Mezavila Abdelmur, et al.
Jmir Aging, 2025
Background The global aging population and the high incidence of falls among this population highlight the need for effective preventive strategies. Home-based exercise programs, such as the Otago protocol, have demonstrated efficacy in reducing fall risk but often face barriers related to user adherence. Mobile health (mHealth) apps offer promising tools to support health promotion and enhance autonomy in older adults. Objective This study aims to develop and validate a prototype mobile app, Mais Equilíbrio (More Balance), designed to guide older adults in performing home-based physical exercises adapted from the Otago protocol. Methods This methodological study was conducted in two phases: (1) content validation by 22 experts in physical education and physiotherapy using the Suitability Assessment of Materials (SAM) scale, and (2) usability testing with 24 older adults (aged 60 to 80 y), using the System Usability Scale (SUS). An overall score above 70% on the SAM and above 85 on the SUS were considered indicators of high quality and excellent usability, respectively. Results The Mais Equilíbrio (More Balance) app was developed based on the Otago protocol and tailored for independent home use. A Content Validity Index above 0.95 was observed for all items. An overall average score of 81.20 (SD 15.78) on the SAM scale was found, classifying the material as “superior.” Usability tests with older adults showed an average score of 95.98 (SD 5.58) on the SUS, indicating excellent usability. The highest scores were observed in “ease of use” and “user confidence.” Conclusions The Mais Equilíbrio (More Balance) app, distinct for digitally adapting the Otago protocol to the Brazilian context and for its dual validation process with experts and older adults, has proven to be a valid and highly usable tool for guiding home-based physical exercise in older adults, with potential to promote fall prevention and autonomy. - A Serious Game (Health Unit in Focus) for Enhancing Undergraduate Education on Older Adults’ Health: Design and Validation Study
Yuri Gustavo de Sousa Barbalho, Calliandra Maria de Souza Silva, Carla Sílvia Neves da Nora Fernandes, Raíza Rana de Souza Lima Trombini, Patrícia Littig Melo, et al.
Jmir Serious Games, 2025
Background Population aging underlines the critical need to improve health professional training to adequately care for adults aged >60 years. Developing educational resources to support academics and professionals presents a valuable opportunity to enhance understanding of health conditions and improve clinical management. Serious games are designed to develop teaching, training, and learning skills. Their use in the educational setting is warranted, as they integrate digital aspects and gamification to create a playful experience for content acquisition. Deepening this theme in nursing education will improve assistance to the older adult population, leading to more qualified care based on gerontological practices and comprehensive health care for older adults. Objective This study aims to develop and validate a serious game on older adult health for undergraduate nursing students. Methods This quantitative and descriptive methodological study, conducted between February 2023 and December 2023 at a public university in the Federal District of Brazil, involved the active participation of 27 undergraduate nursing students in their eighth to tenth semesters. The game, Health Unit in Focus (HUF), was developed and validated with their input. It features 75 clinical cases distributed across 3 themes: pharmacology, metabolic syndrome, and semiology. Of the 40 students initially enrolled, 27 completed the study. The app was validated using the System Usability Scale and student feedback, and the results were reported following the Game-Based Intervention Reporting Guidelines (GAMING). Results The participants had a mean age of 22.67 (SD 1.44) years, were mostly female (20/27, 74%), and were in their eighth semester (26/27, 96%). The game received an average System Usability Scale score of 85.75 (median 86.57), classified as excellent, as all evaluated items scored >75. Participants considered the game easy to use; accessible; practical; and rich in well-founded, useful content. This high usability score, coupled with the overwhelmingly positive feedback from the students, instills confidence in the game’s effectiveness. Furthermore, 100% (27/27) of students agreed that learning through games is effective and expressed interest in incorporating more interactive games into their training. The serious game HUF showed good usability, as its overall score was “excellent,” with its highest score in the odd-numbered items that addressed the positive aspects identified in the analysis. Conclusions The serious game HUF is not just a valid and reliable tool for training nursing students but also an engaging and interactive approach to learning. Its ability to captivate and involve students in the learning process is a testament to its potential to revolutionize nursing education. It is essential that the development of new methodological resources, such as serious games, be based on scientific evidence to guarantee greater reliability and success in achieving their established objectives. - Strategies for Effective Communication in Hypertension Management: Validation of Messages from a Mobile Application to Assist Hypertensive Older Adults in Adherence to Treatment, Nutrition and Physical Activity
Alayne Pereira, Raiza Trombini, Yuri Barbalho, Marina Stival, Luciano Lima, et al.
Nutrients, 2024
Background: Poor adherence to antihypertensive treatment is a common problem among elderly hypertensive patients and one of the leading causes of inadequate blood pressure control. In this sense, it is essential to improve strategies for effective communication in managing hypertension treatment for this group. Objective: This study aimed to validate the text messages of a mobile application to aid adherence to antihypertensive treatment, nutrition, and physical activity among older adults with hypertension treated in Brazilian public primary health care. Methods: This descriptive, methodological development study with a quantitative approach was carried out between March and August 2024. Results: A total of 27 messages were constructed and validated by 13 experts, and this stage was divided into two rounds. The Content Validity index and percentage of agreement were used in the validation process. The messages were developed using theory, national guidelines, validation, and expert review. Conclusions: Text messages for adherence to antihypertensive treatment involving medication, nutrition, and physical activity have enormous potential with the target audience studied. - 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
Raíza Rana de Souza Lima Trombini, Rafaella Dusi, Alayne Larissa Martins Pereira, Renata Puppin Zandonadi, Marina Morato Stival, et al.
Nutrients, 2024
Background: 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). Objective: 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. Methods: 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. Results: 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. Conclusion: 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. - Construction and Content Validation of Mobile Devices’ Application Messages about Food and Nutrition for DM2 Older Adults
Rafaella Dusi, Raiza Rana de Souza Lima Trombini, Alayne Larissa Martins Pereira, Silvana Schwerz Funghetto, Verônica Cortez Ginani, et al.
Nutrients, 2024
Older adults face a decline in the quality of their diet, which affects their health. The prevalence of DM2 is increasing, as are the associated complications. Effective nutrition education and mobile health (mHealth) interventions offer a viable solution in the scenario of the widespread use of mobile devices. This study aimed to develop and validate messages for a mobile application aimed at older adult Brazilians with DM2 who receive care at the Brazilian Unified Health System (SUS). The educational messages on healthy eating for older adults with DM2 were created from 189 excerpts selected from Brazilian official documents. A total of 37 messages were created, categorized into 20 educational, 12 motivational, and 5 congratulatory, all up to 120 characters. Twenty-one experts validated the messages for clarity and relevance, and 11 messages had to be revised to meet the criteria. Subsequently, the 36 messages approved by the experts were tested on a sample of 57 older adults, guaranteeing clarity rates of over 80%. This study developed and validated 36 messages for a mobile health app aimed at older adults with type 2 diabetes mellitus in Brazil. Expert evaluation ensured clarity and relevance, confirmed by older adult participants who evaluated clarity. This research highlights the potential of mHealth to overcome barriers to accessing healthcare in the SUS, emphasizing personalized interventions for the effective management of older adults’ health. - IL-10 and IL-1β Serum Levels, Genetic Variants, and Metabolic Syndrome: Insights into Older Adults' Clinical Characteristics
Renata de Souza Freitas, Calliandra Maria de Souza Silva, Caroline Ferreira Fratelli, Luciano Ramos de Lima, Marina Morato Stival, et al.
Nutrients, 2024
Populational aging is marked by chronic noncommunicable diseases, such as metabolic syndrome (MetS). IL-10 and IL-1β are pleiotropic cytokines with multiple biological effects linked to metabolic disorders. This cross-sectional study assessed 193 participants’ IL-10 and IL-1β serum levels regarding their role in developing MetS, clinical characteristics, and their IL1B rs1143627 and IL10 rs1800890 variants’ genotype frequencies in a population over 60. IL-10 levels correlated weakly with HDL levels and fat mass and inversely with triglycerides, glucose, glycated hemoglobin, and estimated average blood glucose levels. IL-10 levels were also indirectly influenced by the patient’s T2DM duration, lean mass amount, and bone mineral content. Participants with altered HDL, elevated serum glucose, raised HbA1c levels, or those over 80 had reduced serum IL-10 levels compared to those with normal levels or other age groups, respectively. Women also had higher serum IL-10 levels than men. Dissimilarly, IL-1β levels correlated directly only with the number of total leukocytes and segmented neutrophils, showing only significant variations with self-reported alcohol consumption. Our study also found that those with the IL10 AA genotype (lower IL-10 levels) had a significantly higher risk of developing MetS. These findings may help direct future research and more targeted therapeutic approaches in older adults. - ICNP® terminological subset for preventing falls in the elderly in primary care
Revista Da Escola De Enfermagem Da USP, 2024 - TNF-α levels, hypertension, glycated hemoglobin, and lower limb pain are predictors of diabetic neuropathy
Luciano Ramos de Lima, Marina Morato Stival, Silvana Schwerz Funghetto, Cris Renata Grou Volpe, Izabel Cristina Rodrigues da Silva, et al.
International Journal of Diabetes in Developing Countries, 2023 - Determining Medication Errors in an Adult Intensive Care Unit
Renata da Nóbrega Souza de Castro, Lucas Barbosa de Aguiar, Cris Renata Grou Volpe, Calliandra Maria de Souza Silva, Izabel Cristina Rodrigues da Silva, et al.
International Journal of Environmental Research and Public Health, 2023 - ICNP® terminological subset for preventing falls in the elderly in primary care
Paulo Henrique Fernandes dos Santos, Marina Morato Stival, Luciano Ramos de Lima, Cris Renata Grou Volpe, Silvana Schwerz Funghetto
Revista Da Escola De Enfermagem, 2023 - ICNP(r) terminological subset for preventing falls in the elderly in primary care
Paulo Henrique Fernandes dos Santos, Marina Morato Stival, Luciano Ramos de Lima, Cris Renata Grou Volpe, Silvana Schwerz Funghetto
Revista Da Escola De Enfermagem, 2023 - Predictive Models of Muscle Strength in Older People with Type 2 Diabetes Mellitus
Mateus Medeiros Leite, Ivo Vieira de Sousa Neto, Maurílio Tiradentes Dutra, Silvana Schwerz Funghetto, Alessandro de Oliveira Silva, et al.
Clinical Interventions in Aging, 2023 - MAOA uVNTR Polymorphism Influence on Older Adults Diagnosed with Diabetes Mellitus/Systemic Arterial Hypertension
Gabriel Moura Alves Seixas, Renata de Souza Freitas, Caroline Ferreira Fratelli, Calliandra Maria de Souza Silva, Luciano Ramos de Lima, et al.
Journal of Aging Research, 2023 - Non-invasive neuromodulation in reducing the risk of falls and fear of falling in community-dwelling older adults: systematic review
Guilherme Augusto Santos Bueno, Arthur Dutra do Bomfim, Lorrane Freitas Campos, Anabela Correia Martins, Raquel Brito Elmescany, et al.
Frontiers in Aging Neuroscience, 2023 - Initial Muscle Quality Affects Individual Responsiveness of Interleukin-6 and Creatine Kinase following Acute Eccentric Exercise in Sedentary Obese Older Women
Ivo Vieira de Sousa Neto, Dahan da Cunha Nascimento, Jonato Prestes, Eduardo Fernandes da Fonseca, Rodrigo Souza Celes, et al.
Biology, 2022 - TREND OF THE HOSPITALIZATIONS DUE TO AMBULATORY CARE SENSITIVE CONDITIONS IN PEDIATRICS IN DISTRITO FEDERAL
Lorena da Silva Luz Santos, Flávia Reis de Andrade, Marina Morato Stival, Tania Cristina Morais Santa Barbara Rehem
Texto E Contexto Enfermagem, 2022 - ACTN3 GENE POLYMORPHISM AND FACTORS ASSOCIATED WITH FUNCTIONAL PERFORMANCE IN ELDERLY WOMEN ASSISTED IN PRIMARY HEALTH CARE
Leandro César Teixeira Machado, Mateus Medeiros, Marina Morato Stival, Yuri Gustavo De Sousa Barbalho, Filipe Dinato De Lima, et al.
Journal of Physical Education Maringa, 2022 - Comparative evaluation of inflammatory parameters and substitute insulin resistance indices in elderly women with and without type 2 diabetes mellitus
Mateus Medeiros Leite, Maurílio Tiradentes Dutra, Manoela Vieira Gomes da Costa, Silvana Schwerz Funghetto, Alessandro de Oliveira Silva, et al.
Experimental Gerontology, 2021 - Predictive factors for reduced functional mobility in elderly diabetics and non-diabetics
Fernanda Thais Ferreira de Paiva, Marina Morato Stival, Luciano Ramos de Lima, Alessandro de Oliveira Silva, Yuri Gustavo de Sousa Barbalho, et al.
International Journal of Diabetes in Developing Countries, 2021 - Specialized nursing terminology for the prevention of falls in the elderly in primary care
Paulo Henrique Fernandes dos Santos, Jordana Penha Rodrigues, Marina Morato Stival, Nuno Damácio de Carvalho Félix, Luciano Ramos de Lima, et al.
Revista Da Escola De Enfermagem, 2021 - Predictive factors for diabetic neuropathy in older people treated in primary care
Izabelle Reis, Luciano Lima, Mani Funez, Silvana Funghetto, Manoela Costa, et al.
Revista De Enfermagem Referencia, 2021 - Nursing diagnosis Risk for Falls in the elderly in primary health care
Paulo Henrique Fernandes dos Santos, Marina Morato Stival, Luciano Ramos de Lima, Walterlânia Silva Santos, Cris Renata Grou Volpe, et al.
Revista Brasileira De Enfermagem, 2020 - Association of Vitamin D with the TaqI Polymorphism of the VDR Gene in Older Women Attending the Basic Health Unit of the Federal District, DF (Brazil)
Renata de Souza Freitas, Caroline Ferreira Fratelli, Calliandra Maria de Souza Silva, Luciano Ramos de Lima, Marina Morato Stival, et al.
Journal of Aging Research, 2020 - Impact of metabolic syndrome components in high-risk cardiovascular disease development in older adults
Yuri Gustavo de Sousa Barbalho, Marina Morato Stival, Luciano Ramos de Lima, Izabel Cristina Rodrigues da Silva, Alessandro de Oliveira Silva, et al.
Clinical Interventions in Aging, 2020 - Lower quality of life, lower limb pain with neuropathic characteristics, female sex, and ineffective metabolic control are predictors of depressive symptoms in patients with type 2 diabetes mellitus treated in primary care
Luciano Ramos de Lima, Marina Morato Stival, Silvana Schwerz Funghetto, Cris Renata Grou Volpe, Tania Cristina Morais Santa Barbara Rehem, et al.
International Journal of Diabetes in Developing Countries, 2019 - Serosurvey of Toxoplasma gondii, Sarcocystis sp. and Neospora caninum in geese (Anser sp.) from urban parks and captivity
Aline Luiza Konell, Ana Paula Sato, Marina Stival, Nathália Parreira Malaguini, Alan dos Anjos, et al.
Revista Brasileira De Parasitologia Veterinaria, 2019 - The influence of pain on elderly diabetics’ quality of life
Fernanda Thais Ferreira de Paiva, Luciano Ramos Lima, Mani Indiana Funez, Cris Renata Grou Volpe, Silvana Schwerz Funghetto, et al.
Revista Enfermagem, 2019 - Prescription errors in a basic pharmacy of the federal district
Anna Cecília Soares Santos, Cris Renata Grou Volpe, Diana Lúcia Moura Pinho, Luciano Ramos de Lima, Marina Morato Stival, et al.
Ciencia Y Enfermeria, 2019 - Frailty syndrome in the elderly in elderly with chronic diseases in Primary Care
Ingrid Alves Ribeiro, Luciano Ramos de Lima, Cris Renata Grou Volpe, Silvana Schwerz Funghetto, Tania Cristina Morais Santa Barbara Rehem, et al.
Revista Da Escola De Enfermagem, 2019 - Musculoskeletal discomfort, work ability and fatigue in nursing professionals working in a hospital environment
Thaís Pereira Dias da Silva, Wildo Navegantes de Araújo, Marina Morato Stival, Aline Martins de Toledo, Thomaz Nogueira Burke, et al.
Revista Da Escola De Enfermagem, 2018 - How do old men take care of their own health in Primary Care?
Talita Sousa Queiroz, Tania Cristina Morais Santa Barbara Rehem, Marina Morato Stival, Silvana Schwerz Funghetto, Luciano Ramos de Lima, et al.
Revista Brasileira De Enfermagem, 2018 - Risk factors for medication errors in the electronic and manual prescription
Cris Renata Grou Volpe, Eveline Maria Magalhães de Melo, Lucas Barbosa de Aguiar, Diana Lúcia Moura Pinho, Marina Morato Stival
Revista Latino Americana De Enfermagem, 2016 - Comparison of percentage body fat and body mass index for the prediction of inflammatory and atherogenic lipid risk profiles in elderly women
Silvana Schwerz Funghetto, Alessandro de Oliveira Silva, Nuno Manuel Frade de Sousa, Marina Morato Stival, Ramires Alsamir Tibana, et al.
Clinical Interventions in Aging, 2015 - Medication errors in a public hospital in Brazil
Cris Renata Grou Volpe, Diana Lúcia Moura Pinho, Marina Morato Stival, Margo Gomes de Oliveira Karnikowski
British Journal of Nursing, 2014 - Association of body composition with sarcopenic obesity in elderly women
Alessandro de Oliveira Silva, Margô Gomes de Oliveira Karnikowski, Silvana Schwerz Funghetto, Jonato Prestes, Lima, et al.
International Journal of General Medicine, 2013 - Prevalence of chronic pain in nursing undergraduate students
Camila Damázio da Silva, Gisely Carvalho Ferraz, Layz Alves Ferreira Souza, Ligia Vanessa Silva Cruz, Marina Morato Stival, et al.
Texto E Contexto Enfermagem, 2011 - Hability of aged to perform activities of daily living: A descriptive study
Simone Souza Nascimento, Luciano Ramos de Lima, Cris Renata Grou Volpe, Silvana Schwerz Funghetto, Margo Gomes de Oliveira Karnikowiski, et al.
Online Brazilian Journal of Nursing, 2010
