An Intelligent Customer-Driven Digital Solution to Improve Perioperative Health Outcomes Among Children Undergoing Circumcision and Their Parents: Development and Evaluation
Kwa, Zhi Yin; Li, Jinqiu; Loh, Dale Lincoln; Lee, Yang Yang; Liu, Guangyu; Zhu, Lixia; Pikkarainen, Minna; He, Honggu; Mali, Vidyadhar Padmakar (2024-02-16)
JMIR Publications
16.02.2024
Kwa, Z. Y., Li, J., Loh, D. L., Lee, Y. Y., Liu, G., Zhu, L., Pikkarainen, M., He, H., & Mali, V. P. (2024). An intelligent customer-driven digital solution to improve perioperative health outcomes among children undergoing circumcision and their parents: Development and evaluation. JMIR Formative Research, 8, e52337. https://doi.org/10.2196/52337
https://creativecommons.org/licenses/by/4.0/
© 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. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.
https://creativecommons.org/licenses/by/4.0/
© 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. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.
https://creativecommons.org/licenses/by/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202402211928
https://urn.fi/URN:NBN:fi:oulu-202402211928
Tiivistelmä
Abstract
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
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
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