关键词: anxiety app apps child children circumcision content analysis distraction distractions emotional health outcome health outcomes interview interviews mobile health mobile phone pain pediatric pediatrics perioperative perioperative anxiety postoperative postoperative pain recovery self-efficacy surgery surgical

来  源:   DOI:10.2196/52337   PDF(Pubmed)

Abstract:
BACKGROUND: Circumcision as a common elective pediatric surgery worldwide is a stressful and anxiety-inducing experience for parents and children. Although current perioperative interventions proved effective, such as reducing preoperative anxiety, there are limited holistic solutions using mobile apps.
OBJECTIVE: This paper aims to describe the development and primary evaluation of an intelligent customer-driven smartphone-based app program (ICory-Circumcision) to enhance health outcomes among children undergoing circumcision and their family caregivers.
METHODS: Based on the review of the literature and previous studies, Bandura\'s self-efficacy theory was adopted as the conceptual framework. A multidisciplinary team was built to identify the content and develop the apps. Semistructured interviews were conducted to evaluate the ICory-Circumcision.
RESULTS: The ICory-Circumcision study was carried out from March 2019 to January 2020 and comprised 2 mobile apps, BuddyCare app and Triumf Health mobile game app. The former provides a day-by-day perioperative guide for parents whose children are undergoing circumcision, while the latter provides emotional support and distraction to children. In total, 6 participants were recruited to use the apps and interviewed to evaluate the program. In total, 4 main categories and 10 subcategories were generated from content analysis.
CONCLUSIONS: ICory-Circumcision seemed to lean toward being useful. Revisions to ICory-Circumcision are necessary to enhance its contents and features before advancing to the randomized controlled trial.
BACKGROUND: ClinicalTrials.gov NCT04174404; https://clinicaltrials.gov/ct2/show/NCT04174404.
摘要:
背景:包皮环切术作为世界范围内常见的择期儿科手术,对父母和孩子来说是一种压力和焦虑的经历。尽管目前的围手术期干预措施被证明是有效的,比如减少术前焦虑,使用移动应用程序的整体解决方案有限。
目的:本文旨在描述智能客户驱动的基于智能手机的应用程序程序(ICory-Circumcision)的开发和初步评估,以改善接受包皮环切术的儿童及其家庭照顾者的健康结果。
方法:在文献回顾和前人研究的基础上,采用班杜拉的自我效能理论作为概念框架。建立了一个多学科团队来识别内容并开发应用程序。进行了半结构化访谈以评估包皮环切术。
结果:该研究于2019年3月至2020年1月进行,包括2个移动应用程序,BuddyCare应用程序和TriumfHealth手机游戏应用程序。前者为孩子接受包皮环切术的父母提供了日常的围手术期指南,而后者为孩子提供情感支持和分散注意力。总的来说,招募了6名参与者使用这些应用程序,并进行了访谈以评估该计划。总的来说,内容分析产生了4个主类别和10个子类别。
结论:包皮环切术似乎倾向于有用。在进行随机对照试验之前,有必要对包皮环切术进行修订以增强其内容和特征。
背景:ClinicalTrials.govNCT04174404;https://clinicaltrials.gov/ct2/show/NCT04174404。
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