Using an App to monitor postoperative pain at home in pediatric patients

Tiozzo, Emanuela; Biagioli, Valentina; Brancaccio, Matilde; Ricci, Riccardo; Marchetti, Anna; Dall’Oglio, Immacolata; Gawronski, Orsola; Bonanni, Fabiana; Piga, Simone; Celesti, Lucia; Offidani, Caterina; Tozzi, Alberto Eugenio; Cirulli, Luisa; Raponi, Massimiliano

doi:10.1177/1367493520919313

Cited by 5 publications

(1 citation statement)

References 47 publications

(58 reference statements)

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“…Digital rating scales are constantly undergoing development (Cook et al, 2019;Hyslop et al, 2019) and clinical practice is in a paradigm shift toward digital tools for managing nausea (Wiljén et al, 2022). The digital era has given new opportunities to facilitate assessments in children, and using an application (App) has previously been reported to be effective and easy, as well as acceptable to children (Tiozzo et al, 2021). Miller et al (2011) state that if healthcare staff let the children estimate their nausea, they will have a greater opportunity to provide better and earlier symptom relief.…”

Section: Introductionmentioning

confidence: 99%

‘Do you feel well or unwell?’ A study on children’s experience of estimating their nausea using the digital tool PicPecc

Esplana

Olsson

Nilsson

2022

J Child Health Care

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Research with childhood cancer has progressed greatly in recent years, resulting in much improved treatment that is more intensive. However, with this new treatment children often experience negative symptoms, and research shows that nausea is a symptom that most affects them. Pictorial support in person-centred care for children (PicPecc) is a digital picture-based tool for children who undergo treatment due to their cancer diagnosis and helps them more effectively communicate and self-report their symptoms and emotions. The aim of the study was to investigate children’s experience of (i) using mHealth in nausea management and (ii) their acceptability of using an application (App). Semi-structured interviews were conducted with eight children aged five to fifteen years. Data were analysed with qualitative content analysis. The findings were presented in three categories: 1) Communicating feelings, 2) Playfulness generated in motivation and 3) App adaptable to children’s capabilities. Using an App contributed to new opportunities for the children to participate in their care. They experienced their treatment in different ways and used different strategies to manage and distract themselves from their symptoms. Using the PicPecc App can increase healthcare staff’s understanding of how children experience nausea when they undergo chemotherapy.

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Section: Introductionmentioning

confidence: 99%

‘Do you feel well or unwell?’ A study on children’s experience of estimating their nausea using the digital tool PicPecc

Esplana

Olsson

Nilsson

2022

J Child Health Care

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Identifying postoperative complications after inguinal hernia repair with a smartphone application: a comparative cohort study

van Hout,

Harker,

Vriens

et al. 2024

Hernia

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Purpose The Q1.6 Inguinal Hernia application continuously measures patient-reported outcomes (PROs) by sampling experiences through brief, digital and condition-specific questions, utilising micro-moments. This can overcome the limitations of current paper questionnaires and give real-time insight into patient recovery. This exploratory study compares data from the application with retrospective data from electronic medical records (EMRs) to provide information on its accuracy in detecting postoperative complications after inguinal hernia repair. Methods Patients were asked to use the application in addition to their usual care. The application employs twitch crowdsourcing to gather PROs. Questions from validated and frequently used questionnaires were integrated. A retrospective assessment of EMRs was combined with an additional telephone interview. The primary endpoints were the sensitivity and specificity of the application in detecting chronic postoperative inguinal pain, recurrence and surgical-site infection (SSI). Results A total of 215 patients were analysed. The sensitivity and specificity for detecting chronic postoperative inguinal pain were 100% (95% CI [47.8%, 100%]) and 93.7% (95% CI [88.3%, 97.1%]), respectively. For recurrence, the sensitivity was 77.8% (95% CI [40.0%, 97.2%]), and the specificity was 81.3% (95% CI [75.0%, 86.5%]). For SSI, the sensitivity and specificity were 75.0% (95% CI [19.4%, 99.4%]) and 89.8% (95% CI [84.8%, 93.6%]), respectively. Conclusion This study demonstrates satisfactory measurement capabilities of the Q1.6 Inguinal Hernia application for identifying postoperative complications following inguinal hernia repair. However, certain aspects require further improvement, such as addressing error-prone questions, enhancing long-term compliance, and validating (pain) measurements through prospective control data. Trail registration number NL7813 (Dutch Trial Registry), 19 May 2019.

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Digital health interventions for postoperative recovery in children: a systematic review

Plummer,

Adina,

Mitchell

et al. 2024

British Journal of Anaesthesia

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Using an App to monitor postoperative pain at home in pediatric patients

Cited by 5 publications

References 47 publications

‘Do you feel well or unwell?’ A study on children’s experience of estimating their nausea using the digital tool PicPecc

‘Do you feel well or unwell?’ A study on children’s experience of estimating their nausea using the digital tool PicPecc

Identifying postoperative complications after inguinal hernia repair with a smartphone application: a comparative cohort study

Digital health interventions for postoperative recovery in children: a systematic review

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