An Intelligent Customer-Driven Digital Solution to Improve Perioperative Health Outcomes Among Children Undergoing Circumcision and Their Parents: Development and Evaluation.

Autor:	Kwa ZY; Department of Nursing, National University Hospital, Singapore, Singapore.; National University Health System, Singapore, Singapore., Li J; Nursing Department, Zhuhai Campus, Zunyi Medical University, Zhuhai, China.; Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Loh DL; National University Health System, Singapore, Singapore.; Department of Paediatric Surgery, National University Hospital, Singapore, Singapore., Lee YY; National University Health System, Singapore, Singapore.; Department of Paediatric Surgery, National University Hospital, Singapore, Singapore., Liu G; Integrated Health Promotion, Ministry of Health Office for Healthcare Transformation, Singapore, Singapore., Zhu L; Hôpital Chinois de Montréal, Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada., Pikkarainen M; Department of Health Technology and Rehabilitation and Department of Product Design, Oslo Metropolitan University, Oslo, Norway.; Martti Ahtisaari Institute, Oulu Business School, University of Oulu, Oulu, Finland., He H; National University Health System, Singapore, Singapore.; Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Mali VP; National University Health System, Singapore, Singapore.; Department of Paediatric Surgery, National University Hospital, Singapore, Singapore.
Jazyk:	angličtina
Zdroj:	JMIR formative research [JMIR Form Res] 2024 Feb 16; Vol. 8, pp. e52337. Date of Electronic Publication: 2024 Feb 16.
DOI:	10.2196/52337
Abstrakt:	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. Trial Registration: ClinicalTrials.gov NCT04174404; https://clinicaltrials.gov/ct2/show/NCT04174404. (©Zhi Yin Kwa, Jinqiu Li, Dale Lincoln Loh, Yang Yang Lee, Guangyu Liu, Lixia Zhu, Minna Pikkarainen, Honggu He, Vidyadhar Padmakar Mali. Originally published in JMIR Formative Research (https://formative.jmir.org), 16.02.2024.)
Databáze:	MEDLINE
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