Introdução: Nos dias de hoje, possibilitar o acesso à informação com os mais diferentes meios de comunicação torna-se fundamental e ao mesmo tempo desafiador. Deste modo, qualquer estratégia utilizada é importante. A educação a distancia figura como a estratégia facilitadora para o acesso de informação, informação esta que poderá repercutir na qualidade de vida do indivíduo se consideramos, por exemplo, os programas de capacitação com a temática que envolve saúde auditiva. Objetivo: Este estudo teve por objetivo criar uma rede de aprendizagem colaborativa como modelo de educação em saúde auditiva, por meio da Teleducação Interativa e analisar a eficácia do mesmo. Metodologia: o estudo foi realizado em 4 escolas da rede pública da cidade de Bauru. Participaram dessa proposta 38 alunos do 9o ano, de ambos os sexos, na faixa etária entre 14 e 15 anos. O programa de capacitação apresentou duração média de 4 meses em cada escola e foi dividido em 2 etapas, a primeira englobando a elaboração dos módulos educacionais, desenvolvimento do programa de capacitação, atividades presenciais, atividades a distancia e atividades práticas na temática de saúde auditiva e, a segunda etapa consistiu na avaliação da eficácia do programa. Foi desenvolvido o Cybertutor sobre o tema saúde auditiva, com o intuito de complementar o aprendizado, disponibilizado na internet, e os participantes tinham livre acesso. A atividade presencial continha a apresentação de aulas expositivas, conteúdos gráficos e audiovisuais. Na atividade a distância, o conteúdo educacional foi apresentado aos alunos por meio da Teleducação Interativa. Nesta fase, os alunos tiveram acesso ao Cybertutor. Após o período de capacitação, os estudantes intitulados Jovens Doutores, realizaram a atividade prática tendo como proposta a multiplicação do conhecimento adquirido. Para mensurar a eficácia do programa de capacitação foram aplicados os seguintes instrumentos: Questionário Situação-Problema, Escala Lickert de Atitudes Sociais em Relação à inclusão (ELASI) e Ficha de Pesquisa Motivacional (FPM). Resultados: Os resultados das avaliações pré e pós-teste do Questionário Situação-Problema e da ELASI, revelaram que o programa de capacitação desenvolvido foi eficaz, pois proporcionou à construção do conhecimento e o desenvolvimento de atitudes mais favoráveis em relação à inclusão. A FPM demonstrou um índice de motivação em relação à participação altamente positivo, avaliando o programa como Impressionante. Conclusões: O presente estudo permitiu concluir que foi desenvolvido um programa educacional utilizando a Teleducação Interativa como modelo de educação em saúde auditiva. Este programa foi eficaz, pois proporcionou o aprendizado dos alunos das escolas participantes. A elaboração deste modelo de capacitação alcançou um índice de motivação em relação à participação altamente positivo. Mostrou ser uma proposta eficiente de educação na temática sobre a saúde auditiva, podendo ser considerada uma importante estratégia de consolidação da inclusão do deficiente auditivo na comunidade. Na avaliação realizada nas escolas participantes do projeto, a utilização da metodologia do programa Projeto Jovem Doutor estimulou e motivou os participantes a realizarem a multiplicação do conhecimento adquirido, portanto, evidenciou ser um programa eficaz de educação em saúde auditiva, podendo ser utilizado para a capacitação de outras populações. / Introduction: Nowadays, providing access to information with the most different types of media becomes crucial and challenging at the same time. Therefore, any strategy used is important. The distance education appears as a strategy for facilitating access to information, this information that may impact on the quality of life for the individual to consider, for example, programs with the theme that involves hearing health. Objective: This study aimed to create a network of collaborative learning as an educational model for hearing health, tele-education through interactive and analyze the effectiveness of it. Methodology: The study was conducted in four public schools in Bauru. Thirty eight 9th grader students participated in this proposal , both male and female, between 14 and 15 years old. The training program had a mean duration of 4 months in each school and was divided into 2 phases, the first covering the development of educational modules, development of the training program, classroom activities, distance activities and practical activities in the thematic hearing health and the second step was to assess the effectiveness of the program. There was a Cybertutor developed on the hearing health issue, in order to complement the learning available on the Internet, and participants had free access. The classroom activity contained presentation of lectures, graphics and audiovisual content. In the distance learning activity, the educational content was presented to the students through interactive tele-education. At this stage, students had access to Cybertutor. After the training period, the students titled \"Young Doctors\", carried out the practical activity proposing multiplication of the acquired knowledge. To measure the effectiveness of the training program the following instruments were applied: Questionnaire Situation-Problem, Lickert Scale of Social Attitudes Toward Inclusion (ELASI) Form and Motivational Research (FPM). Results: The results of pre-and post-test of the questionnaire Situation- Problem and ELASI revealed that the training program developed was effective because it provided for the construction of knowledge and the development of more favorable attitudes toward inclusion. The FPM showed an index of motivation in relation to highly positive participation, evaluating the program as \"impressive\". Conclusions: This study concluded that an educational program using the Interactive Tele-education as hearing health education model was developed . This program was effective because it provided the learning of students in the participating schools . The development of this training model achieved an index of motivation in relation to highly positive participation. It is an efficient education proposal on the issue about hearing health and may be considered an important strategy to consolidate the inclusion of the hearing impaired community. In the evaluation of the project in the participating schools, the use of the methodology of program design Young Doctor stimulated and motivated the participants to perform the multiplication of the knowledge acquired thus proven to be an effective program of health education and can be used for training other populations.

The occurrence of depression in the United States is steadily increasing. In every age group, women have a higher rate of depression than men, and U.S. women between the ages of 40 and 59 have a depression rate of 12%. Adult women living in rural areas experience physical and/or psychological impairment and lack access to mental health treatment. The purpose of this quantitative nonexperimental study was to examine participants' preferences for treatment delivery method based on patient perceptions of the clinical experience, patient satisfaction, and therapeutic bond. The working alliance theory provided the theoretical foundation. Data collection included survey responses from a self-selected sample of 264 adult females ages 40 to 65. Results from independent sample t tests indicated that participants favored CBT treatment delivered via videoconferencing more than in-person treatment. Implications for social change include improving the lives of adult women suffering from depression by providing treatment via videoconferencing when in-person services are not available. Psychologists may apply findings in clinical practice, thereby benefiting individuals, families, and communities.

After a diagnosis of cancer, timely access to oncology care is a priority. For patients living in a rural community, there are many challenges such as proximity to cancer care, reduced access to state-of-the art therapies, lack of coordinated care, and limited access to clinical trials. A multidisciplinary consultation (MDC) via telehealth can improve access to care for rural oncology patients. The purpose of this project was to determine the effects of telehealth MDC on the time in days from diagnosis to the first treatment with the goal of persuading the project site to implement a telehealth MDC. The data involved a comparison of 2 rural locations, 1 with telehealth MDC and 1 without. Data from 36 oncology patients were compared using time in days from the initial diagnosis to the first oncology treatment. The patients who received the initial consultation with telehealth MDC had an average timeframe of 19 days from diagnoses to first treatment, whereas those without telehealth MDC had an average of 51 days, meaning there was a statistically significant difference (z = -5.811, p < .0001). The data will be presented to leadership at the project site to provide the rationale to implement telehealth MDC. This project can lead to a positive social change for rural oncology patients by encouraging telehealth MDC, which may address the several identified barriers that affect access for oncology patients by improving access to clinical trials, coordination of care, and nursing education to rural community patients at the project site.

The health sector has not yet begun to explore the full potential of geographical information system (GIS) technology for health research and planning. The goal of this thesis is to demonstrate this potential in Africa through the application of GIS to the most important health issues in the continent. In excess of 23,000 homesteads are mapped and interviewed throughout Hlabisa district, Kwa-Zulu Natal using differential global positioning systems (GPS). I use the GIS to analyse mode health care usage patterns. 87% of homesteads use the nearest clinic and travel an average distance of 4.72 km to do so. There is a significant logarithmic relationship between distance from clinic and usage by the homesteads (r2 = 0.774, p<0.0001). I propose the distance usage index (DUI) as a composite spatial measure of clinic usage. The index is the sum of the distances from clinic to all actual client homesteads divided by the sum of the distances from clinic to all homesteads within its distance-defined catchment. The index encompasses inclusion, exclusion and strength of patient attraction for each clinic. The DUI highlights significant disparities in clinic usage patterns across the district (mean = 110%, SD =43.7). The results of the study have important implications for health planning in Africa. I use GIS/GPS technology to quantify the spatial implications of a shift towards community-based treatment of tuberculosis using the DOTs strategy in Hlabisa. The mean distance from each homestead in the district to nearest supervision point is measured using a GIS. The shift in treatment strategy from hospital to community-based between 1991-1996 reduces the mean distance to treatment point from 29.6 km (94% of the population > 5km) to 1.5 km (entire population < 5km). GIS effectively documents and quantifies the impact of community-based tuberculosis treatment on access to treatment. I produce the first quantifiable evidence of a relationship between distance to roads and HIV prevalence using a GIS. HIV prevalence was measured through anonymous surveillance among pregnant women in Hlabisa and stratified by clinic attended. Assuming women attend the nearest clinic, the mean distance from homesteads to a primary or secondary road for each clinic catchment is strongly correlated with HIV prevalence (r = 0.66; p = 0.002). Further research is needed to better understand this relationship both at ecological and individual levels.I develop a methodology that has numerous applications to health systems provision in developing countries where limited physical access to primary health care is a major factor contributing to the poor health of populations. I use an accessibility model within a GIS to subdivide an area into units of equal workload using a range of physical and social variables. The methodology could be used to ergonomically design programmes for home-based care and tuberculosis directly observed treatment. It could also be used as a basis for more efficient distribution of community health workers. I use high-resolution long-term rainfall and temperature data to produce the first malaria seasonality (length, start and end of transmission season(s)) maps for Africa. I relate the model to population data and estimate the population exposure in a variety of transmission settings. I investigate the relationship between predicted length of transmission season and parasite ratio from 2335 geo-referenced studies of children <10 years across Africa. The research is the first to correlate actual malaria survey data with model predictions at a continental scale. The seasonality model corresponds well with historical expert opinion maps and case data. A significant logarithmic relationship is detected between predicted length of transmission season and parasite ratio (r2=0.712, p=0.001). I recompute the changes in the disease likely to occur as a result of global warming. The seasonality model constitutes an important first step towards an estimate of continental intensity of transmission. / Thesis (Ph.D.)-University of Natal, 2000.

Objective The use of telehealth to provide health service delivery to rural and remote First Nations populations Canada-wide has greatly increased in recent years. Telehealth provides a mechanism for these disadvantaged and underserved communities to access timely healthcare services that would otherwise be expensive, delayed or unavailable due to geographic and resource limitations. There are numerous benefits, challenges and cultural issues that must be understood from a healthcare professional perspective when providing telehealth care to First Nations communities. Once educated with respect to these issues and experienced in providing care, healthcare professionals are well poised to provide feedback with respect to improving telehealth mediated health care delivery. This thesis examines these issues in the context of using telehealth for patient care, specifically cancer care. Methods This thesis is divided into two phases. Phase one is a literature review assessing the use of telehealth, specifically in rural and remote First Nations communities in Canada. Phase 2 is a study using a survey to assess healthcare professionals who provide telelehealth mediated patient care (in particular cancer care) to Northern BC First Nations communities. The participants were contacted through the use of an online survey tool to assess their perceptions of benefits, challenges, and cultural awareness when providing patient care. The survey population consisted of onsite health professionals and urban health professionals providing patient care to Northern BC First Nations communities via telehealth. Specific participant groups of interest were (1) onsite cancer care professionals, (2) onsite other (non-cancer) care professionals, (3) urban cancer care professionals, and (4) urban other (non-cancer) care professionals. Results The participant population of 45 was too limited a sample size for inferential statistics to be conducted. Therefore our survey data was interpreted by comparing the mean composite scores of the participants groups within each category. Our survey data implied that onsite cancer care providers found fewer benefits and more challenges with respect to telehealth than the other participant groups. We did not see any differences between the participant groups with respect to cultural awareness. Conclusion Based on the literature we reviewed telehealth can reduce costs and extend health care services in a timely manner while at the same time complement conventional care to build stronger health care community relationships. Despite these positive benefits found in literature, our survey found onsite cancer care professionals did perceive fewer benefits and more challenges regarding telehealth use. Specific issues raised by our survey participants that need to be addressed are the physical disconnect associated with telehealth and the perception that telehealth is a replacement for conventional care. / Graduate

This study used a concurrent multiple-probe across three mother-child dyads with a non-concurrent addition of a fourth mother-child dyad to assess the extent to which behavior specialists’ use of coaching and performance feedback via telehealth effects the degree to which the parent implements the multi-component behavior support plan (BSP) strategies with fidelity in their home to decrease their child’s challenging behavior. Four behavior specialists and four mothers with their children who exhibit mild to moderate behavior participated in this study. The research question examined if a functional relation exists between implementation of coaching and performance feedback from the behavior specialists via the telehealth model on the parents’ level of implementation fidelity of the strategies in the BSP and the improvement in the level of child’s target challenging behavior and adaptive behavior. Results indicate the efficacy of coaching and performance feedback via telehealth in improving parent treatment fidelity. These results support the use of telehealth to deliver training on multi-component interventions. Additionally, participating behavior specialists and parents indicated that they found the procedures used to be both acceptable and effective. Further implications for practice and directions for future research are discussed.

Submitted by Haroudo Xavier Filho (haroudo.xavierfo@ufpe.br) on 2016-04-06T18:35:45Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertação_DFSS.pdf: 4701984 bytes, checksum: bc9f59bf7508a2eb7b60c0b7b305b359 (MD5) / Made available in DSpace on 2016-04-06T18:35:45Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertação_DFSS.pdf: 4701984 bytes, checksum: bc9f59bf7508a2eb7b60c0b7b305b359 (MD5) Previous issue date: 2015-08-31 / Universidade Federal de Pernambuco / A utilização da tecnologia da informação (TI) na prática da atenção à saúde é uma tendência no Brasil e no mundo. Neste contexto, o campo de conhecimento informática em saúde tem sido aplicado ao desenvolvimento científico que utiliza a informática para melhor oferecer serviços à saúde, resolvendo problemas e auxiliando na tomada de decisão. Diante dessa abordagem, temos o uso dos modernos recursos da TI para realização de atividades a distância relacionadas à prática de saúde em seus diversos níveis, resultando assim em atividades denominadas de telessaúde. Ciente dos benefícios trazidos pela informática em saúde, o governo federal propõe políticas de utilização da TI no auxílio à promoção e gestão da saúde. Neste cenário, o Núcleo de Telessaúde da Universidade Federal de Pernambuco (NUTES-UFPE) oferece serviços de telessaúde para a população, através de sistemas de informação que auxiliam a assistência e diagnóstico do paciente, bem como a formação contínua do profissional de saúde. Como medida de monitoramento e avaliação desses serviços de telessaúde, o Ministério da Saúde (MS) instituiu medidas de controle e monitoramento através de indicadores de desempenho, os quais são coletados dos núcleos e enviados ao MS. Com o objetivo de obter uma visão detalhada dos serviços de telessaúde ofertados e com isso, analisar a troca de informação entre sistemas e departamentos que executam cada serviço, nessa pesquisa foi realizado um detalhamento sintático e semântico dos dados a serem trocados entre os sistemas do NUTES-UFPE, garantindo a interoperabilidade entre eles para efetuar a coleta dos indicadores de cada serviço de telessaúde. Desta forma, como estratégia de pesquisa, foi realizado um estudo de caso tomando como premissa a utilização da abordagem da Gestão de Processos de Negócio (do inglês, Business Process Management- BPM) para mapear os processos de negócio do NUTES-UFPE. A presente pesquisa descreve a aplicação desse estudo de caso que teve como resultado a viabilização da interoperabilidade entre os sistemas e melhorias na troca de informação, coleta e envio dos indicadores de monitoramento e avaliação dos serviços de telessaúde. / The use of information technology (IT) in the practice of health care is a trend that has been evolving and gaining increasingly space in health area in Brazil and all around the world. In this context, the health informatics, as discussed in literature, is a knowledge field applied to scientific development that uses computer technology to improve health services, fixing problems and assisting in decision-making. Faced with this approach, there is the use of modern IT resources for carrying out distance activities related to health practice at various levels, resulting in activities named telehealth. Aware of benefits brought by health informatics, the federal government proposes IT usage policies in helping to promote and manage health. In this scenario, the Telehealth Center of Federal University of Pernambuco (NUTES-UFPE) provides telehealth services to the population through information systems that support the assistance and diagnose of patients, as well as the continuous education for health professionals. As a measure of monitoring and evaluation of these telehealth services provided by the various telehealth centers, the Ministry of Health established control and monitoring measures through performance indicators, which are collected from the centers and sent to Ministry. With the goal of to get a detailed view of the offered telehealth services and thereby, analyze the exchange of information between systems and departments that execute each service, this research was made a syntactic and semantic details of data to be exchanged between NUTES-UFPE systems, ensuring interoperability between them to do the collect of indicators for each telehealth service. So, as a research strategy, a case study was realized with the premise of the use of Business Process Management (BPM) in order to map the NUTES-UFPE business processes. This research describes the application of this case study that resulted in a feasibility of the interoperability between systems and improvements of the information exchange, collection and dispatch of indicators for monitoring and evaluation of telehealth services.

Introdução: A Telessaúde caracteriza-se pelo uso da tecnologia de informação e comunicação na área da saúde. Na Fonoaudiologia, o uso desta ferramenta por meio da Teleducação e Teleassistência se caracteriza como uma importante estratégia que leva a informação para alunos, profissionais, pacientes e comunidade em geral. Esse fator, aliado à grande extensão geográfica do Brasil e a distribuição heterogênea dos profissionais da saúde, vem ao encontro da necessidade de atendimento especializado para pacientes e descentralização do conhecimento para profissionais. Neste contexto, o uso da Teleducação emerge como uma proposta para minimizar as dificuldades encontradas pelo paciente, no processo de adaptação do aparelho de amplificação sonora individual (AASI), na qual muitos materiais educacionais são produzidos com o intuito de orientar e facilitar a adaptação do indivíduo deficiente auditivo, à sua nova realidade. Objetivo: Este projeto tem por objetivo elaborar um programa de capacitação por meio da Teleducação Interativa, sobre o aparelho de amplificação sonora individual, e analisar a eficácia do mesmo, quanto ao aprendizado e motivação dos profissionais. Resultados: A primeira etapa compreendeu a elaboração do programa de capacitação, na qual foi desenvolvido um cybertutor sobre o tema AASI e as ferramentas fórum de discussão e web conferência, com o intuito de complementar o aprendizado. Na segunda etapa, referente à análise do programa, verificou-se que não houve significância estatística no aspecto relacionado ao aprendizado do conteúdo, na avaliação pré e pós teste. Em relação à motivação dos profissionais, o estudo obteve resultado positivo, sendo avaliado como curso impressionante. Discussão: O programa de capacitação foi desenvolvido, respaldado em estudos voltados para elaboração de materiais didáticos à distância. No que se referem aos resultados da avaliação, todas as dificuldades encontradas neste aspecto corroboraram com a literatura. Conclusão: A elaboração do Programa de Capacitação por meio da Teleducação Interativa sobre o tema aparelho de amplificação sonora individual (AASI) foi realizada satisfatoriamente, alcançando um índice de motivação em relação à participação altamente positivo, porém os resultados da comparação da avaliação da situação problema pré e pós teste não foram estatisticamente significantes. / Introduction: Telehealth is characterized by the use of information technology and communication in healthcare. In audiology, the use of this tool through Telecare and Tele-education is characterized as an important strategy that leads the information for students, professionals, patients and the general community. This factor, combined with the large geographical extent of Brazil and the heterogeneous distribution of health professionals, meets the need of specialized care for patients and decentralization of knowledge for professionals. In this context, the use of Tele-education has emerged as a proposal to minimize the difficulties encountered by the patient in the process of adaptation of a hearing aids (HA), in which many educational materials are produced in order to guide and facilitate the adaptation HA to their new reality. Objective: This project aims to develop a training program through the Interactive Tele-education on the individual sound amplification devices, and analyze the effectiveness of the same as learning and motivation. Results: The first stage of the preparation of the training program, which was developed on the theme Cybertutor hearing aids and tools discussion forum and web conferencing in order to supplement learning. In the second stage, regarding the analysis of the program, it was found that there was no statistical significance in the learning aspect of the content, in the pre and post test. Regarding the motivation of staff, the study was positive, which was assessed as \"impressive progress\". Discussion: The training program was developed, backed up by studies aimed at developing distance learning materials. In that refer to results of the evaluation, all difficulties found in this aspect corroborated with the literature. Conclusion: The development of the Training Program through the Interactive Tele-education on the subject of HA was performed satisfactorily, reaching a level of motivation in relation to participation highly positive, but the comparison results of the evaluation of the problem situation pre and post-test were not statistically significant.

Introdução: Nos dias de hoje, possibilitar o acesso à informação com os mais diferentes meios de comunicação torna-se fundamental e ao mesmo tempo desafiador. Deste modo, qualquer estratégia utilizada é importante. A educação a distancia figura como a estratégia facilitadora para o acesso de informação, informação esta que poderá repercutir na qualidade de vida do indivíduo se consideramos, por exemplo, os programas de capacitação com a temática que envolve saúde auditiva. Objetivo: Este estudo teve por objetivo criar uma rede de aprendizagem colaborativa como modelo de educação em saúde auditiva, por meio da Teleducação Interativa e analisar a eficácia do mesmo. Metodologia: o estudo foi realizado em 4 escolas da rede pública da cidade de Bauru. Participaram dessa proposta 38 alunos do 9o ano, de ambos os sexos, na faixa etária entre 14 e 15 anos. O programa de capacitação apresentou duração média de 4 meses em cada escola e foi dividido em 2 etapas, a primeira englobando a elaboração dos módulos educacionais, desenvolvimento do programa de capacitação, atividades presenciais, atividades a distancia e atividades práticas na temática de saúde auditiva e, a segunda etapa consistiu na avaliação da eficácia do programa. Foi desenvolvido o Cybertutor sobre o tema saúde auditiva, com o intuito de complementar o aprendizado, disponibilizado na internet, e os participantes tinham livre acesso. A atividade presencial continha a apresentação de aulas expositivas, conteúdos gráficos e audiovisuais. Na atividade a distância, o conteúdo educacional foi apresentado aos alunos por meio da Teleducação Interativa. Nesta fase, os alunos tiveram acesso ao Cybertutor. Após o período de capacitação, os estudantes intitulados Jovens Doutores, realizaram a atividade prática tendo como proposta a multiplicação do conhecimento adquirido. Para mensurar a eficácia do programa de capacitação foram aplicados os seguintes instrumentos: Questionário Situação-Problema, Escala Lickert de Atitudes Sociais em Relação à inclusão (ELASI) e Ficha de Pesquisa Motivacional (FPM). Resultados: Os resultados das avaliações pré e pós-teste do Questionário Situação-Problema e da ELASI, revelaram que o programa de capacitação desenvolvido foi eficaz, pois proporcionou à construção do conhecimento e o desenvolvimento de atitudes mais favoráveis em relação à inclusão. A FPM demonstrou um índice de motivação em relação à participação altamente positivo, avaliando o programa como Impressionante. Conclusões: O presente estudo permitiu concluir que foi desenvolvido um programa educacional utilizando a Teleducação Interativa como modelo de educação em saúde auditiva. Este programa foi eficaz, pois proporcionou o aprendizado dos alunos das escolas participantes. A elaboração deste modelo de capacitação alcançou um índice de motivação em relação à participação altamente positivo. Mostrou ser uma proposta eficiente de educação na temática sobre a saúde auditiva, podendo ser considerada uma importante estratégia de consolidação da inclusão do deficiente auditivo na comunidade. Na avaliação realizada nas escolas participantes do projeto, a utilização da metodologia do programa Projeto Jovem Doutor estimulou e motivou os participantes a realizarem a multiplicação do conhecimento adquirido, portanto, evidenciou ser um programa eficaz de educação em saúde auditiva, podendo ser utilizado para a capacitação de outras populações. / Introduction: Nowadays, providing access to information with the most different types of media becomes crucial and challenging at the same time. Therefore, any strategy used is important. The distance education appears as a strategy for facilitating access to information, this information that may impact on the quality of life for the individual to consider, for example, programs with the theme that involves hearing health. Objective: This study aimed to create a network of collaborative learning as an educational model for hearing health, tele-education through interactive and analyze the effectiveness of it. Methodology: The study was conducted in four public schools in Bauru. Thirty eight 9th grader students participated in this proposal , both male and female, between 14 and 15 years old. The training program had a mean duration of 4 months in each school and was divided into 2 phases, the first covering the development of educational modules, development of the training program, classroom activities, distance activities and practical activities in the thematic hearing health and the second step was to assess the effectiveness of the program. There was a Cybertutor developed on the hearing health issue, in order to complement the learning available on the Internet, and participants had free access. The classroom activity contained presentation of lectures, graphics and audiovisual content. In the distance learning activity, the educational content was presented to the students through interactive tele-education. At this stage, students had access to Cybertutor. After the training period, the students titled \"Young Doctors\", carried out the practical activity proposing multiplication of the acquired knowledge. To measure the effectiveness of the training program the following instruments were applied: Questionnaire Situation-Problem, Lickert Scale of Social Attitudes Toward Inclusion (ELASI) Form and Motivational Research (FPM). Results: The results of pre-and post-test of the questionnaire Situation- Problem and ELASI revealed that the training program developed was effective because it provided for the construction of knowledge and the development of more favorable attitudes toward inclusion. The FPM showed an index of motivation in relation to highly positive participation, evaluating the program as \"impressive\". Conclusions: This study concluded that an educational program using the Interactive Tele-education as hearing health education model was developed . This program was effective because it provided the learning of students in the participating schools . The development of this training model achieved an index of motivation in relation to highly positive participation. It is an efficient education proposal on the issue about hearing health and may be considered an important strategy to consolidate the inclusion of the hearing impaired community. In the evaluation of the project in the participating schools, the use of the methodology of program design Young Doctor stimulated and motivated the participants to perform the multiplication of the knowledge acquired thus proven to be an effective program of health education and can be used for training other populations.

Apesar dos avanços tecnológicos voltados para o uso das Tecnologias da Informação e Comunicação em Saúde, vários aspectos normativos ainda estão sendo discutidos em âmbito nacional para o estabelecimento de uma legislação específica para a área de telemedicina. As normativas mais utilizadas como referência para definição do escopo de atuação profissional em telemedicina são: a RESOLUÇÃO CFM nº 1.643/2002, que define e disciplina a prestação de serviços através da Telemedicina e a RESOLUÇÃO CFM nº 2.107/2014, que define e normatiza a Telerradiologia e revoga a RESOLUÇÃO CFM nº 1890/09. Essa dissertação apresenta um estudo retrospectivo, quantitativo, descritivo, baseado em levantamento bibliográfico que tem como proposta verificar a conformidade das formas de uso da telemedicina e da telessaúde, nos contextos nacional e internacional, em relação ao modelo proposto para essa atividade pelo CFM, representado pelas resoluções 1.643/2002 e 2.107/2014. O levantamento bibliográfico foi feito no período de 2009 a 2015, nas bases de dados Scielo, PubMed e IEEE, com base nas palavras chaves videoconferencing, webconferencing, VTC, meeting, telemedicine e telehealth e suas combinações. Foram encontrados, incialmente, 2352 artigos que foram reduzidos para 572 após a leitura de seus resumos e, novamente reduzidos para 115, após a leitura parcial dos artigos. Os 115 artigos selecionados foram lidos na íntegra. Os resultados obtidos mostraram que o uso da telemedicina pode ampliar consideravelmente a área de atendimento especializado dos grandes centros médicos, o que deve ser incentivado, principalmente em países com menores recursos financeiros, ou com poucos especialistas, ou extremamente extensos, como no caso do Brasil / Despite technological advances aiming the best use of Information and Communication Technology in Healthcare, several normative aspects are still being discussed in national scope, in order to establish a specific legislation for telemedicine area. There are some specifically normative aspects for professional orientation in telemedicine as follows: CFM no. 1.643/2002 that define disciplines and services provided by telemedicine, and CFM no. 2.107/2014 that define and guide the teleradiology services. This work was a retrospective, quantitative and descriptive study based on bibliographic surveying, in order to verify the conformity of the use of telemedicine and telehealth in both national and international contexts, according to the CFM proposed model for this activity, represented by CFM resolutions no. 1.643/2002 and no. 2.107/2014. The bibliographic surveying between 2009 and 2015 used Scielo, PubMed, and IEEE databases, and the key words: videoconferencing, webconferencing, VTC, meeting, telemedicine, and telehealth plus their combinations. We found 2352 articles, reduced to 572 after reading their abstracts. One hundred and fifteen potentially relevant articles were selected after partial reading of the articles. After that, the 115 selected articles were fully read. The results showed that the use of telemedicine could considerably increase the area of specialized attending crew on important medical facilities, what should be encouraged mainly in countries with few or no financial resources, or the small number of specialists, or extensive areas such as Brazil