Helping parents know when to seek help for an acutely ill child: Evidence based co-development of a mobile phone app using complex intervention methodology

被引：0

作者：

Neill, Sarah ^{[1
]}

Bayes, Natasha ^{[2
]}

Thompson, Matthew ^{[3
]}

Croxson, Caroline ^{[4
]}

Roland, Damian ^{[5
,6
]}

Lakhanpaul, Monica ^{[7
,8
]}

机构：

[1] Univ Plymouth, Fac Hlth, Sch Nursing & Midwifery, Plymouth, England

[2] Univ Northampton, Fac Hlth, Northampton, England

[3] Univ Washington, Dept Family Med, Seattle, WA USA

[4] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England

[5] Leicester Royal Infirm, Childrens Emergency Dept, Paediat Emergency Med Leicester Acad PEMLA Grp, Leicester, England

[6] Univ Leicester, SAPPHIRE Grp, Hlth Sci, Leicester, England

[7] UCL, UCL Great Ormond St Inst Child Hlth, UCL Populat Policy & Practice Res & Teaching Dept, London WC1N 1EH, England

[8] Whittington Hlth NHS, Community Paediat, London N19 5NF, England

来源：

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | 2024年 / 187卷

关键词：

Mobile apps; mHealth; Medical informatics; Co-development; Acute childhood illness; Parents; Safety netting; PUBLIC INVOLVEMENT; PRIMARY-CARE; HEALTH; ENGLAND; ILLNESS; PATIENT; ADMISSIONS; COVID-19; SERVICES; IMPACT;

D O I：

10.1016/j.ijmedinf.2024.105459

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Background: Acute illness accounts for the majority of episodes of illness in children under five years of age and is the age group with the highest consultation rate in general practice in the UK. The number of children presenting to emergency care is also steadily increasing, having risen beyond pre-pandemic numbers. Such high, and increasing, rates of consultation have prompted concerns about parents' level of knowledge and confidence in caring for their children when they are ill, and particularly when and how to seek help appropriately. Aim: The ASK SNIFF collaboration research programme identified parents' need for accurate and accessible information to help them know when to seek help for a sick child in 2010. This paper presents the resulting programme of research which aimed to co-develop an evidence-based safety netting intervention (mobile app) to help parents know when to seek help for an acutely ill child under the age of five years in the UK. Methods: Our programme used a collaborative six step process with 147 parent and 324 health professional participants over a period of six years including: scoping existing interventions, systematic review, qualitative research, video capture, content identification and development, consensus methodology, parent and expert clinical review. Results: Our programme has produced evidence-based content for an app supported by video clips. Our collaborative approach has supported every stage of our work, ensuring that the end result reflects the experiences, perspectives and expressed needs of parents and the clinicians they consult. Conclusion: We have not found any other resource which has used this type of approach, which may explain why there is no published evaluation data demonstrating the impact of existing UK resources. Future mobile apps should be designed and developed with the service users for whom they are intended.

引用

页数：6