Influência do ambiente virtual de aprendizado (AVA) na modalidade EaD na adesão terapêutica e no efeito do jaleco branco do hipertenso

OBJECTIVE: Hypertension (AH) is a risk factor for cardiovascular diseases and health education associated with educational technology can be used to improve adherence behavior. To evaluate the influence of educational strategy in an individual guidance program associating educational technology in the virtual learning environment (VLE) in the Distance Learning (DL) modality for hypertensive patients to be promoted by nurses and to verify the effect of the white coat and the quality of life in patients at a state in São Paulo. METHODS: Randomized clinical study with AVA Group (study group, 10 patients) and Control Group (16 patients). Both groups participated in six consultations with the nurse during 120 days with intervals of 20 days. At the beginning of the study (randomization) and at the end, the following instruments were applied: Morisky test and WHOQOL and Ambulatory Blood Pressure Monitoring (ABPM) was performed. Only the study group had remote access to the VLE, ​​consisting of six specific educational modules, with release at each meeting. RESULTS: There was no statistical significance between the two groups regarding sociodemographic and hemodynamic variables. There was statistical significance at the end of the study between the groups in the Morisky Test (p = 0.001) and in the WHOQOL Social Domain 3 (p = 0.001) favorable to the AVA Group. As for the effect of the white coat, there was no reduction in the phenomenon at the end of the study. CONCLUSION: The strategy promoted an improvement in adherence behavior in the AVA Group.