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Shorey S, Yang YY, Dennis CL. A Mobile Health App-Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study. J Med Internet Res 2018; 20:e119. [PMID: 29674314 PMCID: PMC5934535 DOI: 10.2196/jmir.9188] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Revised: 01/21/2018] [Accepted: 01/23/2018] [Indexed: 11/21/2022] Open
Abstract
Background The postnatal period poses numerous challenges for new parents. Various educational programs are available to support new parents during this stressful period. However, the usefulness of educational programs must be evaluated to ascertain their credibility. Objective The aim of this descriptive, qualitative study was to explore the views of parents of newborns with regard to the content and delivery of a mobile health (mHealth) app–based postnatal educational program. Methods A qualitative semistructured interview guide was used to collect data from 17 participants who belonged to the intervention group of a randomized controlled trial. The intervention, a 4-week-long access to a mHealth app–based educational program, was evaluated. The interviews were conducted in English and at the participants’ homes. Thematic analysis was used to analyze the data. The Consolidated Criteria for Reporting Qualitative Research checklist was used to report the findings. Results The interviews revealed 4 main themes: (1) positive features of the mHealth app, (2) advice from midwives, (3) experiences gained from using the mHealth app, and (4) recommendations for the future. The participants evaluated the educational program to be a good source of information that was tailored to the local context. The different modes of delivery, including audio and video, accentuated the accessibility of information. The parents evaluated that the facilitator of the featured communication platform, a midwife, provided trustworthy advice. Belongingness to a virtual community beyond the hospital endowed the parents the confidence that they were not alone and were supported by other parents and health care professionals. Conclusions According to the parents, the mHealth app–based educational program was helpful in supporting a multi-ethnic sample of parents during the postnatal period. This insight indicates that the program could be implemented in a wide community of parents in the postnatal period. The helpfulness of the educational program is a testament of the potential benefits of using telemedicine among new parents postnatally. Resources can also be dedicated toward extending the duration of access to the app beyond 1 month and developing relevant content for parents across the perinatal period.
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Affiliation(s)
- Shefaly Shorey
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore
| | - Yen Yen Yang
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore
| | - Cindy-Lee Dennis
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
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Wagg AJ, Callanan MM, Hassett A. The use of computer mediated communication in providing patient support: A review of the research literature. Int J Nurs Stud 2018; 82:68-78. [PMID: 29609154 DOI: 10.1016/j.ijnurstu.2018.03.010] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2017] [Revised: 03/08/2018] [Accepted: 03/15/2018] [Indexed: 12/21/2022]
Abstract
OBJECTIVES The aim of this study is to explore how computer mediated communication has been used by a variety of healthcare,professionals to support their patients and discuss the implication that this may have for future practice. DESIGN A systematized review of the literature. DATA SOURCES A review of empirical studies within the literature was carried out in April 2016 in CINAHL, MEDLINE, ASSIA, BNI, Psychinfo, and Web of Science databases. REVIEW METHODS The databases searched produced 2930 titles, of which 190 publications were considered relevant to the objectives. Titles and abstracts were then reviewed and duplicates removed producing 67 publications. Exclusion and inclusion criteria were applied. The inclusion criteria were (1) interventions that facilitate two-way communication between any healthcare professional and their patients via a computer; (2) Interventions aimed at providing any type of support e.g. emotional, tangible, informational, or esteem support; (3) English language; (4) Primary empirical studies. Data quality was assessed and thematic analysis applied. RESULTS Thirty-one publications were included in this study. Intervention types included Email (n = 8), Videoconferencing (n = 7), Online Social Support Groups (n = 9) and multifaceted interventions (n = 7). Three themes emerged from the data including increasing access to healthcare, adding value to healthcare delivery and improving patient outcomes. Twenty-five (81%) of the studies found that computer mediated communication could produce positive effects. CONCLUSIONS Computer mediated communication could be both what patients want and a way of delivering support to patients in a resource tight environment. This has implications for a range of health support needs and professionals including nurses, midwives and allied healthcare professionals. Reviewing the lessons learnt will ensure future interventions are tailored to the support needs of the patients, carefully planned and mindful of the risks.
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Affiliation(s)
| | - Margie M Callanan
- Salomons Centre for Applied Psychology, Canterbury Christ Church University, Kent, UK
| | - Alexander Hassett
- Salomons Centre for Applied Psychology, Canterbury Christ Church University, Kent, UK
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Using eHealth to Increase Autonomy Supportive Care: A Multicenter Intervention Study in Antenatal Care. Comput Inform Nurs 2018; 36:77-83. [PMID: 28984634 DOI: 10.1097/cin.0000000000000389] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
eHealth solutions are increasingly implemented in antenatal care to enhance women's involvement. The main aim of this study was to evaluate women's assessment of autonomy supportive care during the antenatal care visits among low-risk pregnant women. An intervention study was conducted including a control group attending standard antenatal care and an intervention group having access to an eHealth knowledge base, in addition to standard care. A total of 87 women were included in the control group and a total of 121 women in the intervention group. Data were collected using an online questionnaire 2 weeks after participants had given birth. Data were analyzed using χ tests and Wilcoxon rank sums. Use of an eHealth knowledge base was associated with statistically significant higher scores for women's overall assessment of antenatal care visits, the organization of antenatal care visits, confidence after antenatal care visits, and involvement during antenatal care visits. We also found a statistically significant higher overall self-perceived autonomy supportive care in the intervention group compared with the control group.
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Feenstra MM, Nilsson I, Danbjørg DB. "Dad - a practical guy in the shadow": Fathers' experiences of their paternal role as a father during early discharge after birth and readmission of their newborns. SEXUAL & REPRODUCTIVE HEALTHCARE 2017; 15:62-68. [PMID: 29389503 DOI: 10.1016/j.srhc.2017.11.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2017] [Revised: 11/13/2017] [Accepted: 11/20/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES The aim is to explore how new fathers experience early discharge after birth and readmission of their newborn in relation to their role and involvement as a father. Fathers of today are active participants during pregnancy, birth and in the care of the newborn. Still studies demonstrate that health care professionals are unsuccessful at involving fathers in ante- and postnatal care. How fathers experience their paternal role in the early postnatal period may affect the well-being of the new family. STUDY DESIGN A qualitative study inspired by the hermeneutic approach. Data was collected through telephone interviews. The study was conducted in the Region of Southern Denmark in a University Hospital setting. Convenience sampling was applied. Eight fathers were included from November 2015 till February 2016 and six were interviewed. RESULTS The data analysis revealed three categories: Early discharge - ups and downs, Readmission -waiting but being in good hands, and Practical guy in the shadow. CONCLUSIONS Our study points at fathers being comfortable with being discharged early, but experienced insecurity when at home. The fathers experienced to be categorized by health care professionals as the practical guy, who had to assist the mother. Yet fathers saw themselves as equal to the mothers. Fathers also saw themselves in the shadow of the mother and showed greater considerations for the mother's feelings than their own. Fathers can be insecure in their paternal role when being met as just the practical guy.
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Affiliation(s)
- Maria Monberg Feenstra
- Department of Gynaecology and Obstetrics, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark.
| | - Ingrid Nilsson
- Danish Commitee for Health Education, Classensgade 71, 5. Sal, DK-2100 København Ø, Denmark.
| | - Dorthe Boe Danbjørg
- CIMT - Centre for Innovative Medical Technology, University of Southern Denmark & Clinical Research Unit, Department of Haematology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark.
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Garne Holm K, Brødsgaard A, Zachariassen G, Smith AC, Clemensen J. Participatory design methods for the development of a clinical telehealth service for neonatal homecare. SAGE Open Med 2017; 5:2050312117731252. [PMID: 28975028 PMCID: PMC5613838 DOI: 10.1177/2050312117731252] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 08/17/2017] [Indexed: 11/20/2022] Open
Abstract
Objectives: Neonatal homecare delivered during home visits by neonatal nurses is a common method for supporting families of preterm infants following discharge. Telehealth has been introduced for the provision of neonatal homecare, resulting in positive feedback from parents of preterm infants. While the benefits are beginning to be realised, widespread uptake of telehealth has been limited due to a range of logistical challenges. Understanding user requirements is important when planning and developing a clinical telehealth service. We therefore used participatory design to develop a clinical telehealth service for neonatal homecare. Methods: The study adopted a participatory design approach to engage users in the development and design of a new telehealth service. Participatory design embraces qualitative research methods. Creative and technical workshops were conducted as part of the study. Tests of the telehealth service were conducted in the neonatal unit. Participants in this study were former and current parents of preterm infants eligible for neonatal homecare, and clinical staff (medical and nursing) from the neonatal unit. Preterm infants accompanied their parents. Results: Based on the results obtained during the workshops and subsequent testing, we developed an application (app), which was integrated into the medical record at the neonatal unit. The app was used to initiate videoconferences and chat messages between the family at home and the neonatal unit, and to share information regarding infant growth and well-being. Conclusion: Results obtained from the workshops and testing demonstrated the importance of involving users when developing new telehealth applications. The workshops helped identify the challenges associated with delivery of the service, and helped instruct the design of a new telehealth service for neonatal homecare based on the needs of parents and clinical staff.
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Affiliation(s)
- Kristina Garne Holm
- HCA Research, Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark
| | - Anne Brødsgaard
- Paediatric Department, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.,Section for Nursing, Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Gitte Zachariassen
- HCA Research, Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark
| | - Anthony C Smith
- Centre for Online Health, University of Queensland, Brisbane, QLD, Australia.,Centre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark
| | - Jane Clemensen
- Centre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark
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Benahmed N, San Miguel L, Devos C, Fairon N, Christiaens W. Vaginal delivery: how does early hospital discharge affect mother and child outcomes? A systematic literature review. BMC Pregnancy Childbirth 2017; 17:289. [PMID: 28877667 PMCID: PMC5588709 DOI: 10.1186/s12884-017-1465-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Accepted: 08/22/2017] [Indexed: 01/08/2023] Open
Affiliation(s)
- Nadia Benahmed
- KCE Belgian Health Care Knowledge Centre, Boulevard du Jardin Botanique 55, 1000 Bruxelles, Belgium
| | - Lorena San Miguel
- KCE Belgian Health Care Knowledge Centre, Boulevard du Jardin Botanique 55, 1000 Bruxelles, Belgium
| | - Carl Devos
- KCE Belgian Health Care Knowledge Centre, Boulevard du Jardin Botanique 55, 1000 Bruxelles, Belgium
| | - Nicolas Fairon
- KCE Belgian Health Care Knowledge Centre, Boulevard du Jardin Botanique 55, 1000 Bruxelles, Belgium
| | - Wendy Christiaens
- KCE Belgian Health Care Knowledge Centre, Boulevard du Jardin Botanique 55, 1000 Bruxelles, Belgium
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Kidholm K, Clemensen J, Caffery LJ, Smith AC. The Model for Assessment of Telemedicine (MAST): A scoping review of empirical studies. J Telemed Telecare 2017; 23:803-813. [PMID: 28758525 DOI: 10.1177/1357633x17721815] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
The evaluation of telemedicine can be achieved using different evaluation models or theoretical frameworks. This paper presents a scoping review of published studies which have applied the Model for Assessment of Telemedicine (MAST). MAST includes pre-implementation assessment (e.g. by use of participatory design), followed by multidisciplinary assessment, including description of the patients and the application and assessment of safety, clinical effectiveness, patient perspectives, economic aspects organisational aspects and socio-cultural, legal and ethical aspects. Twenty-two studies met the inclusion criteria and were included in the review. In this article, research design and methods used in the multidisciplinary assessment are described, strengths and weaknesses are analysed, and recommendations for future research are presented.
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Affiliation(s)
- Kristian Kidholm
- 1 Centre for Innovative Medical Technology, Odense University Hospital, Denmark
| | - Jane Clemensen
- 1 Centre for Innovative Medical Technology, Odense University Hospital, Denmark
| | - Liam J Caffery
- 2 Centre for Online Health, The University of Queensland, Australia
| | - Anthony C Smith
- 2 Centre for Online Health, The University of Queensland, Australia
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Slomian J, Emonts P, Erpicum M, Vigneron L, Reginster JY, Bruyère O. What should a website dedicated to the postnatal period contain? A Delphi survey among parents and professionals. Midwifery 2017; 53:9-14. [PMID: 28732193 DOI: 10.1016/j.midw.2017.07.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 06/26/2017] [Accepted: 07/04/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Mothers have a great need for information during the postnatal period. Trying to meet this need, mothers are increasingly turning to the Internet. Nevertheless, many women have stated that they often or always found that the information that they found on the Internet was incomplete or wrong. Many women therefore believe that health professionals should suggest reliable Internet websites for new mothers. The aim of this study was therefore to find a consensus on the content of a reliable and centralized website dedicated to mothers from the end of pregnancy to 1 year after childbirth. DESIGN Two rounds of an online Delphi survey were used in this study. SETTING AND PARTICIPANTS The panel of participants involved in the survey included parents (both mothers and fathers) and professionals (health professionals and professionals of early childhood for mothers of children aged 0 to 2 years). FINDINGS Ninety-six parents and professionals participated in the first round (37.7 ± 9.76 years; 84.4% of women) and 78 in the second round. The majority of participants (94.6%) thought that a centralized website could help mothers from pregnancy to one year after childbirth. The content that the experts would like to find on a website were themed into five categories: "infants' information", "parents' information", "administrative information", "professionals' information" and "type of resources". In each category, experts highlighted the key words that they found important and should be reported on the website. The most important items highlighted by participants were baby's feeding/breastfeeding (92.8%), babies' needs (84.1%), baby blues (77.9%), postpartum depression (72.1%), management of the couple's relationship (72.1%), women's right to postnatal care (83.6%), links to reliable documents (63.9%) and a list of useful contacts (52.5%). CONCLUSIONS This study helped to understand the questions that mothers ask themselves during the postpartum period and provided priorities to respond to their questions in the process of developing a website.
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Affiliation(s)
- J Slomian
- Department of Public Health, Epidemiology and Health Economics and Support Unit in Epidemiology and Biostatistics, University of Liège, Liège, Belgium.
| | - P Emonts
- Department of Obstetrics and Gynaecology, CHU Liège, Liège, Belgium.
| | - M Erpicum
- SPIRAL, University of Liège, Liège, Belgium.
| | - L Vigneron
- Wallonia e-Health Living Lab, Liège, Belgium.
| | - J Y Reginster
- Department of Sport Sciences, University of Liège, Liège, Belgium.
| | - O Bruyère
- Department of Public Health, Epidemiology and Health Economics and Support Unit in Epidemiology and Biostatistics, University of Liège, Liège, Belgium; Department of Obstetrics and Gynaecology, CHU Liège, Liège, Belgium; SPIRAL, University of Liège, Liège, Belgium; Wallonia e-Health Living Lab, Liège, Belgium; Department of Sport Sciences, University of Liège, Liège, Belgium.
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Slomian J, Emonts P, Vigneron L, Acconcia A, Reginster JY, Oumourgh M, Bruyère O. Meeting the Needs of Mothers During the Postpartum Period: Using Co-Creation Workshops to Find Technological Solutions. JMIR Res Protoc 2017; 6:e76. [PMID: 28468746 PMCID: PMC5438445 DOI: 10.2196/resprot.6831] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Revised: 03/03/2017] [Accepted: 03/20/2017] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The postnatal period is associated with many new needs for mothers. OBJECTIVE The aim of this study was to find technological solutions that meet the needs of mothers during the year following childbirth. METHODS Two co-creation workshops were undertaken with parents and professionals. The aim of the first workshop was to create a list of all the criteria the proposed solution would have to address to meet the needs of mothers after childbirth. The aim of the second workshop was to create solutions in response to the criteria selected during the first workshop. RESULTS Parents and health professionals want solutions that include empathy (ie, to help fight against the feelings of abnormality and loneliness), that help mothers in daily life, that are personalized and adapted to different situations, that are educational, and that assures some continuity in their contact with health professionals. In practice, we found that parents and professionals think the solution should be accessible to everyone and available at all times. To address these criteria, technology experts proposed different solutions, such as a forum dedicated to the postpartum period that is supervised by professionals, a centralized website, a system of videoconferencing, an online exchange group, a "gift voucher" system, a virtual reality app, or a companion robot. CONCLUSIONS The human component seems to be very important during the postnatal period. Nevertheless, technology could be a great ally in helping mothers during the postpartum period. Technology can help reliably inform parents and may also give them the right tools to find supportive people. However, these technologies should be tested in clinical trials.
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Affiliation(s)
- Justine Slomian
- Epidemiology and Health Economics and Support Unit in Epidemiology and Biostatistics, Department of Public Health, University of Liège, Liège, Belgium
| | - Patrick Emonts
- Obstetrics and Gynecology, Department of Medicine, University of Liège, Liège, Belgium
| | - Lara Vigneron
- Wallonia e-health Living Lab, The Labs, Liège, Belgium
| | | | - Jean-Yves Reginster
- Bone and Cartilage Metabolism, Department of Public Health, University of Liège, Liège, Belgium
| | - Mina Oumourgh
- Epidemiology and Health Economics, Department of Public Health, University of Liège, Liège, Belgium
| | - Olivier Bruyère
- Epidemiology and Health Economics and Support Unit in Epidemiology and Biostatistics, Department of Public Health, University of Liège, Liège, Belgium
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Shorey S, Lau Y, Dennis CL, Chan YS, Tam WW, Chan YH. A randomized-controlled trial to examine the effectiveness of the ‘Home-but not Alone’ mobile-health application educational programme on parental outcomes. J Adv Nurs 2017; 73:2103-2117. [DOI: 10.1111/jan.13293] [Citation(s) in RCA: 56] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2017] [Indexed: 01/09/2023]
Affiliation(s)
- Shefaly Shorey
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore, National University Health System; Singapore
| | - YingY. Lau
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
| | | | - Yah Shih Chan
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
| | - Wilson W.S. Tam
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; Singapore
| | - Yiong Huak Chan
- Biostatistics Unit; Yong Loo Lin School of Medicine; National University of Singapore; National University Health System; Singapore
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Hägi-Pedersen MB, Norlyk A, Dessau R, Stanchev H, Kronborg H. Multicentre randomised study of the effect and experience of an early inhome programme (PreHomeCare) for preterm infants using video consultation and smartphone applications compared with inhospital consultations: protocol of the PreHomeCare study. BMJ Open 2017; 7:e013024. [PMID: 28279994 PMCID: PMC5353306 DOI: 10.1136/bmjopen-2016-013024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Although premature infants and their parents are discharged earlier to inhomecare programmes, how to optimally support parents during this transition remains unknown. The aim of this study is to compare the effects of early inhomecare (PreHomeCare) including video consultations and mobile applications with those of inhospital consultations regarding breast feeding, parental confidence and parent-infant interactions. METHODS AND ANALYSIS A randomised controlled intervention study will be conducted in four neonatal departments offering PreHomeCare (ie, premature infant inhomecare) in Denmark. Parents of hospitalised premature infants who fulfil the inclusion criteria for PreHomeCare will be randomised during hospitalisation to either the intervention (n=80) or control group (n=80) using 1:1 block randomisation. During PreHomeCare, the intervention group will receive a smartphone application with a video system and an infant scale, and the control group will receive usual care (ie, hospital consultations). Additionally, both groups will have planned nurse consultations two to three times a week: the intervention group through video consultations and the control group through inhospital consultations. Data collection will occur at inclusion/baseline, at the end of PreHomeCare and 1 month after discharge using questionnaires and hospital records. The primary outcome is the proportion of exclusively breastfed infants 1 month after discharge/end of PreHomeCare, the secondary outcomes are parent-infant interactions measured by the Mother and baby interaction scale and family confidence in caring for infants measured by the Karitane Parenting Confidence Scale. The process evaluation will consist of two qualitative studies: a field study and an interview study. Data collection will initially involve field observations of three scheduled video consultations with six families from the intervention group. These families will also be interviewed 1 month after PreHomeCare has ended. ETHICS AND DISSEMINATION The project has been approved by the Regional Ethics Committee and the Danish Data Protection Agency. TRIAL REGISTRATION NUMBER NCT02581800.
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Affiliation(s)
- Mai-Britt Hägi-Pedersen
- Department of Public Health, Section for Nursing, Aarhus, Denmark
- Department of Paediatrics, Næstved Hospital, Næstved, Denmark
| | - Annelise Norlyk
- Department of Public Health, Section for Nursing, Aarhus, Denmark
- Faculty of Health Sciences, University College, Skejby, Denmark
| | - Ram Dessau
- Medical Microbiology Department, Slagelse Hospital, Slagelse, Denmark
| | - Hristo Stanchev
- Department of Paediatrics, Næstved Hospital, Næstved, Denmark
| | - Hanne Kronborg
- Department of Public Health, Section for Nursing, Aarhus, Denmark
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63
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Clemensen J, Rothmann MJ, Smith AC, Caffery LJ, Danbjorg DB. Participatory design methods in telemedicine research. J Telemed Telecare 2016; 23:780-785. [DOI: 10.1177/1357633x16686747] [Citation(s) in RCA: 163] [Impact Index Per Article: 20.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Healthcare systems require a paradigm shift in the way healthcare services are delivered to counteract demographic changes in patient populations, expanding technological developments and the increasing complexity of healthcare. Participatory design (PD) is a methodology that promotes the participation of users in the design process of potential telehealth applications. A PD project can be divided into four phases including: the identification and analysis of participant needs; the generation of ideas and development of prototypes; testing and further development of prototypes; and evaluation. PD is an iterative process where each phase is planned by reflecting on the results from the previous phase with respect to the participants’ contribution. Key activities of a PD project include: fieldwork; literature reviewing; and development and testing. All activities must be applied with a participatory mindset that will ensure genuine participation throughout the project. Challenges associated with the use of PD include: the time required to properly engage with participants; language and culture barriers amongst participants; the selection of participants to ensure good representation of the user group; and empowerment. PD is an important process, which is complemented by other evaluation strategies that assess organisational requirements, clinical safety, and clinical and cost effectiveness. PD is a methodology which encourages genuine involvement, where participants have an opportunity to identify practical problems and to design and test technology. The process engages participants in storytelling, future planning and design. PD is a multifaceted assessment tool that helps explore more accurately clinical requirements and patient perspectives in telehealth.
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Affiliation(s)
- Jane Clemensen
- Centre of Innovative Medical Technology, University of Southern Denmark, Odense, Denmark
- Odense University Hospital, Odense, Denmark
- Centre of Clinical Nursing Research, University of Southern Denmark, Odense, Denmark
| | - Mette J Rothmann
- Centre of Clinical Nursing Research, University of Southern Denmark, Odense, Denmark
- Department of Endocrinology, Odense University Hospital, Odense, Denmark
| | - Anthony C Smith
- Centre of Innovative Medical Technology, University of Southern Denmark, Odense, Denmark
- Odense University Hospital, Odense, Denmark
- Centre of Clinical Nursing Research, University of Southern Denmark, Odense, Denmark
- Centre for Online Health, The University of Queensland, Queensland, Brisbane, Australia
| | - Liam J Caffery
- Centre for Online Health, The University of Queensland, Queensland, Brisbane, Australia
| | - Dorthe B Danbjorg
- Centre of Innovative Medical Technology, University of Southern Denmark, Odense, Denmark
- Odense University Hospital, Odense, Denmark
- Centre of Clinical Nursing Research, University of Southern Denmark, Odense, Denmark
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Shorey S, Ng YPM, Danbjørg DB, Dennis CL, Morelius E. Effectiveness of the ‘Home-but not Alone’ mobile health application educational programme on parental outcomes: a randomized controlled trial, study protocol. J Adv Nurs 2016; 73:253-264. [DOI: 10.1111/jan.13151] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Shefaly Shorey
- Alice Lee Centre for Nursing Studies; Yong Loo Lin School of Medicine; National University of Singapore; National University Health System; Singapore
| | | | - Dorthe Boe Danbjørg
- Centre for Innovative Medical Technology Institute of Clinical Research; The Faculty of Health Sciences; University of Southern Denmark; Odense Denmark
| | | | - Evalotte Morelius
- Department of Social and Welfare Studies; Linkoping University; Norrkoping Sweden
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