背景:夜间遗尿症(NE)是儿科和青少年人群中的常见诊断,估计6岁时的患病率约为15%。NE可以对多个健康领域产生重大影响。尿床报警器,通常由传感器和湿气激活的报警器组成,是一种常见的治疗方法。
目的:本研究旨在确定儿童父母和看护人使用当前尿床警报报告的满意度和不满意度。
方法:使用亚马逊市场上的搜索词“尿床警报”,包含>300条评论的产品。对于每个产品,对每个明星类别进行分析的5条评论排名为“最有帮助”。意义提取方法用于识别主要主题和副主题。通过将每个子主题的提及总数相加来计算百分比偏差,+1表示积极的提及,0表示中性提及,和-1的负面提及,并将这一总数除以观察到该特定次主题的评论数量。对年龄和性别进行亚分析。
结果:在确定的136种产品中,10个基于选择标准进行评价。跨产品确定的主要主题是长期关注,市场营销,报警系统,和设备力学和特点。被确定为未来创新目标的子主题包括警报准确性,体积变异性,耐用性,用户友好性,对女孩的适应性。总的来说,耐用性,报警精度,和舒适度是最负面的次主题(负偏斜为-23.6%,-20.0%,和-12.4%),这表明了潜在的改进领域。有效性是唯一明显呈正偏斜的子主题(16.8%)。报警声音和设备功能对年龄较大的儿童产生了积极的偏差,而易用性对年幼儿童有负向。女孩及其看护人报告说,使用带有绳索的设备的负面经历,臂带,和传感器垫。
结论:该分析为未来的设备设计提供了创新路线图,以提高患者和护理人员对尿床警报的满意度和依从性。我们的结果强调了在报警声音功能中需要额外的选项,因为不同年龄的孩子在这个领域有不同的偏好。此外,与男孩相比,女孩及其父母和看护人对当前设备功能的范围提供了更多负面的总体评价,表明未来发展的潜在重点领域。百分比倾斜表明,子主题通常更负面地偏向女孩,男孩的易用性为-10.7%,女孩为-20.5%,男孩的舒适度为-7.1%,女孩为-29.4%。放在一起,这篇综述强调了多种设备功能,这些功能是创新的目标,以确保无论年龄大小的翻译功效,性别,或特定的家庭需求。
BACKGROUND: Nocturnal enuresis (NE) is a frequent diagnosis in pediatric and adolescent populations with an estimated prevalence of around 15% at the age of 6 years. NE can have a substantial impact on multiple health domains. Bedwetting alarms, which typically consist of a sensor and moisture-activated alarm, are a common treatment.
OBJECTIVE: This study aimed to determine areas of satisfaction versus dissatisfaction reported by the parents and caregivers of children using current bedwetting alarms.
METHODS: Using the search term \"bedwetting alarms\" on the Amazon marketplace, products with >300 reviews were included. For each product, the 5 reviews ranked the \"most helpful\" for each star category were selected for analysis. Meaning extraction method was applied to identify major themes and subthemes. A percent skew was calculated by summing the total number of mentions of each subtheme,+1 for a positive mention, 0 for a neutral mention, and -1 for a negative mention, and dividing this total by the number of reviews in which that particular subtheme was observed. Subanalyses were performed for age and gender.
RESULTS: Of 136 products identified, 10 were evaluated based on the selection criteria. The main themes identified across products were long-term concerns, marketing, alarm systems, and device mechanics and features. The subthemes identified as future targets for innovation included alarm accuracy, volume variability, durability, user-friendliness, and adaptability to girls. In general, durability, alarm accuracy, and comfort were the most negatively skewed subthemes (with a negative skew of -23.6%, -20.0%, and -12.4% respectively), which are indicative of potential areas for improvement. Effectiveness was the only substantially positively skewed subtheme (16.8%). Alarm sound and device features were positively skewed for older children, whereas ease of use had a negative skew for younger children. Girls and their caretakers reported negative experiences with devices that featured cords, arm bands, and sensor pads.
CONCLUSIONS: This analysis provides an innovation roadmap for future device design to improve patient and caregiver satisfaction and compliance with bedwetting alarms. Our results highlight the need for additional options in alarm sound features, as children of different ages have divergent preferences in this domain. Additionally, girls and their parents and caretakers provided more negative overall reviews regarding the range of current device features compared to boys, indicating a potential focus area for future development. The percent skew showed that subthemes were often more negatively skewed toward girls, with the ease of use being -10.7% skewed for boys versus -20.5% for girls, and comfort being -7.1% skewed for boys versus -29.4% for girls. Put together, this review highlights multiple device features that are targets for innovation to ensure translational efficacy regardless of age, gender, or specific family needs.