In-hospital usability and feasibility evaluation of Panda, an app for the management of pain in children at home

Autor:	Dustin Dunsmuir, Nicholas West, Terri Sun, J. Mark Ansermino, Ian Miao, Gregor M. Devoy, Matthias Görges, Gillian R. Lauder
Rok vydání:	2018
Předmět:	Adult Parents medicine.medical_specialty Adolescent Postoperative pain Task completion Smartphone application 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Surveys and Questionnaires Humans Pain Management Medicine Child Pain Measurement Inpatients Pain Postoperative business.industry Usability Middle Aged Functional recovery Mobile Applications Low volume Anesthesiology and Pain Medicine Audit trail Patient Satisfaction Pediatrics Perinatology and Child Health Physical therapy Feasibility Studies Smartphone Poor Oral Intake business 030217 neurology & neurosurgery
Zdroj:	Pediatric Anesthesia. 28:897-905
ISSN:	1155-5645
DOI:	10.1111/pan.13471
Popis:	Background Postoperative pain in children is often poorly managed at home, leading to slower functional recovery, poor oral intake, sleep disturbances, and behavioral changes. Panda is a smartphone application (app) designed to support parents in assessing their child's pain and managing medications. Aims The aim of this study was to evaluate the Panda app's usability and feasibility in hospital prior to testing the app at home. Methods The study comprised two phases. Phase I evaluated Panda's usability with nurses, parents, and adolescents using simulated scenarios. Usability was measured by task completion rate, user error rates, and the Computer Systems Usability Questionnaire. Phase II evaluated Panda's feasibility by observing parents/guardians of pediatric patients using the app on the postsurgical ward. Feasibility was measured using response frequency and delay following app notifications from an audit trail of app function, and parental satisfaction from an interview. Feedback was used to guide iterative app improvements. Results In Phase I, 13 nurses, 12 parents, and 5 adolescents evaluated the app. A total of 103 usability issues were identified, analyzed, and addressed. In Phase II, 29 parents responded to a total of 151 app notifications, with 84% responding within 1 hour in the final round of testing; 93% of participants reported the app was easy to use, and rated the app with a median [interquartile range] Computer Systems Usability Questionnaire score of 2 [1-4]. Significant barriers to use included lack of flexibility in the medication scheduling, low volume of alert sounds, and the extra time spent on medication safety checks. Conclusion Panda's usability was improved and its feasibility demonstrated in the controlled hospital environment. The next step is to evaluate its feasibility for use at home.
Databáze:	OpenAIRE
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