A parent–science partnership to improve postsurgical pain management in young children: Co-development and usability testing of the Achy Penguin smartphone-based app

Birnie, Kathryn A.; Nguyen, Cynthia; Amaral, Tamara Do; Baker, Lesley; Campbell, Fiona; Lloyd, Sarah; Ouellette, Carley; Baeyer, Carl L. von; Lalloo, Chitra; Gerstle, J. Ted; Stinson, Jennifer

doi:10.1080/24740527.2018.1534543

Cited by 9 publications

(9 citation statements)

References 46 publications

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“…In the current study, the parents reported that PDMP using MIM was very helpful because they were able to resolve any concerns and inquiries with their nurses at any time. This result is in line with that of previous studies that provide information via MIM or smartphone app have a positive impact on parents by providing easy-tounderstand information, reducing state anxiety and improving pain management and that it is an effective way of promoting caregivers' participation (Birnie et al, 2018;Newton & Sulman, 2018). On the basis of these findings, it would be necessary to expand the use of MIM and examine its efficacy as a means of communication between medical professionals, including nurses, and parents to facilitate children's recovery at home after surgery.…”

Section: Discussionsupporting

confidence: 91%

“…The intervention group showed a significantly greater increase in knowledge about postdischarge management than the control group. This may be because the information and interaction provided via a smartphone application, such as MIM were repeatedly and easily accessible to the parents, enabling iterative learning, and as Birnie et al () suggested, MIM served as a platform for bidirectional communication between nurses and parents when necessary. These results are similar to previous findings that provide surgery‐related information increasing recipient's knowledge (He et al, ; Yang et al, ; Zhu et al, ).…”

Section: Discussionmentioning

confidence: 99%

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Effects of a posttonsillectomy management program using a mobile instant messenger on parents’ knowledge and anxiety, and their children's compliance, bleeding, and pain

Yu¹,

Kim

2019

Specialist Pediatric Nursing

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Purpose Pediatric tonsillectomy is a highly common surgery for children. The inclusion of tonsillectomy in the diagnosis‐related group payment system in Korea has resulted in a shorter hospital stay for patients who undergo tonsillectomy. This, in turn, provides parents with additional caregiver roles in the home. Objectives This study aimed to investigate the effects of a postdischarge management program (PDMP) using Mobile Instant Messenger (MIM) on parents’ knowledge and state anxiety about postoperative care, and their children's compliance with care instructions at home, frequency of bleeding, and pain intensity after tonsillectomy. Design and Methods A nonequivalent control group nonsynchronized design. Settings and Participants Participants were 52 tonsillectomy children aged 3–7 years and their 52 parents (27 for the experimental group and 25 for the control group) from a hospital, in Korea. The control group received a routine written and oral predischarge education, while the experimental group received a predischarge education and a daily MIM for 7 days. For the experimental group, bidirectional communication between the nurse and parent when necessary using MIM are available during the intervention period. Results Parents in the experimental group reported a significantly higher knowledge about postdischarge management and lower state anxiety than the control group. Children in the experimental group showed a significantly greater improvement in compliance with the care instructions at home than the control group. However, bleeding frequency and pain intensity were not significantly lower in the experimental group than that in the control group. Practical Implications Nurses play a critical role in preventing and managing the complications of tonsillectomy. Providing proper parental education about pediatric posttonsillectomy care at home is critical for a successful recovery. With the explosion of smartphone technology, the MIM‐based PDMP is a useful and effective strategy in helping parents and children in posttonsillectomy care at home.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Effects of a posttonsillectomy management program using a mobile instant messenger on parents’ knowledge and anxiety, and their children's compliance, bleeding, and pain

Yu¹,

Kim

2019

Specialist Pediatric Nursing

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“… 15 , 66 To ensure that mHealth interventions for chronic pain meet end-user needs and are effectively translated into clinical practice, it will be critical to continue to include end-users (e.g., physicians, nurses, patients, family members) throughout the phases of development and evaluation. 58 By engaging pain psychology experts, apps will be more likely to align with current best practice guidelines and evidence-based psychological approaches for treating chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Do pain management apps use evidence-based psychological components? A systematic review of app content and quality

MacPherson

Bakker

Anderson

et al. 2022

Canadian Journal of Pain

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Background With hundreds of pain management apps on the Canadian marketplace, it can be challenging for patients and clinicians to select effective and evidence-based mobile health (mHealth) apps that address pain from a biopsychosocial perspective. Aims The aim of this study is to identify pain management apps within the Canadian app marketplaces to aid clinicians in recommending apps. Methods The iOS and Android marketplaces were systematically searched to identify pain management apps that included at least one core component of cognitive behavioral therapy (CBT) or mindfulness- and acceptance-based therapies. Selected apps were assessed using a researcher developed psychological components checklist, and the Mobile App Rating Scale (MARS). These two measures provided a robust assessment of the apps’ technical abilities and psychological principles being implemented. Results Five hundred eight pain management apps were identified, yet only 12 included a psychological component and were available for evaluation. On average, apps contained 8.10 out of 18 psychological components (SD = 2.77) with a MARS quality rating of 4.02 out of 5 (SD = 0.32). The most common psychological components were grounded in CBT, including psychoeducation, sleep hygiene, behavioral activation, coping skills training, and social support. Among the least commonly included components were goal setting, values, and culture/diversity. Two-thirds of the apps involved health care practitioners in their development, but independent scientific review of apps was scarce. Conclusion The highest scoring apps (Curable, Pathways, Vivify) are highlighted for health care practitioners who may wish to recommend mHealth technologies to their patients for pain management. Future directions for research and app development are discussed.

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“…Besides, most manuscripts did not report on the measurement of effectiveness, efficiency, and satisfaction, because they fail to use a combination of methods that allows assessing these three domains [27]. Only eight out of the 31 manuscripts included [19,29,32,37,38,[54][55][56] assessed all the three domains of usability, despite existing recommendations to include measures of efficiency, effectiveness, and user satisfaction since a narrower selection of usability measures may lead to unreliable conclusions about the overall usability of the app [64]. Furthermore, there was an inconsistency between what was reported in the methodology section and the results presented.…”

Section: Discussionmentioning

confidence: 99%

“…Of these 23 studies, five also targeted specific age groups: four used children or adolescents [32,33,49,51] and one used older individuals [29]. From the remaining manuscripts (n = 8), two used children and adolescents [54,55] for usability assessment, four used individuals from the general population [35,39,56,57] and another two used health professionals [58,59]. The overview of the manuscripts analyzed is presented in the Table S1 from the Supplementary file.…”

Section: Usability Assessmentmentioning

confidence: 99%

Methodological Quality of Manuscripts Reporting on the Usability of Mobile Applications for Pain Assessment and Management: A Systematic Review

Almeida

Rocha

Silva

2020

IJERPH

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Background: There has been increasing use of mobile mHealth applications, including pain assessment and pain self-management apps. The usability of mHealth applications has vital importance as it affects the quality of apps. Thus, usability assessment with methodological rigor is essential to minimize errors and undesirable consequences, as well as to increase user acceptance. Objective: this study aimed to synthesize and evaluate existing studies on the assessment of the usability of pain-related apps using a newly developed scale. Methods: an electronic search was conducted in several databases, combining relevant keywords. Then titles and abstracts were screened against inclusion and exclusion criteria. The eligible studies were retrieved and independently screened for inclusion by two authors. Disagreements were resolved by discussion until consensus was reached. Results: a total of 31 articles were eligible for inclusion. Quality assessment revealed that most manuscripts did not assess usability using valid instruments or triangulation of methods of usability assessment. Most manuscripts also failed to assess the three domains of usability (effectiveness, efficiency and satisfaction). Conclusions: future studies should consider existing guidelines on usability assessment design, development and assessment of pain-related apps.

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A parent–science partnership to improve postsurgical pain management in young children: Co-development and usability testing of the Achy Penguin smartphone-based app

Abstract: (2018) A parent-science partnership to improve postsurgical pain management in young children: Co-development and usability testing of the Achy Penguin smartphone-based app,

Cited by 9 publications

References 46 publications

Effects of a posttonsillectomy management program using a mobile instant messenger on parents’ knowledge and anxiety, and their children's compliance, bleeding, and pain

Effects of a posttonsillectomy management program using a mobile instant messenger on parents’ knowledge and anxiety, and their children's compliance, bleeding, and pain

Do pain management apps use evidence-based psychological components? A systematic review of app content and quality

Methodological Quality of Manuscripts Reporting on the Usability of Mobile Applications for Pain Assessment and Management: A Systematic Review

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