Nurse Parental Support Using a Proactive Mobile App in Symptom Management for Children With Medical Complexity Requiring Mechanical Ventilation: an Effectiveness-implementation Hybrid 2 Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Caregiving Self-efficacy
研究概览
简要总结
The aims of this study are to test the effectiveness of a nurse support using a proactive mobile app to enhance parental self-efficacy in symptom management for children using mechanical ventilations, and alongside identify factors facilitating or deterring the program implementation.
A single group pre-post quasi-experimental study on parents of CMC requiring mechanical ventilation.
Parents will be recruited from a non-government office, with an estimated sample size of 52 parents. Self-administrated questionnaire, and semi-structured interview guide will be used for data collection.
详细描述
Parents of children required mechanical ventilations at risk of high stress levels because these children have multisystem diseases, including severe neurologic conditions, resulting in potential premature death. Literature suggested that increasing parental self-efficacy in managing their child's symptoms could improve the child's health.
Nurse parental support in symptom management using a proactive mobile health application is an alternative method considered more accessible and nurse-parent interactivity to continue home-based support for the CMC and parents.
Self-administrated questionnaire, and semi-structured interview guide will be used for data collection. Descriptive statistics, including proportions for categorical variables, mean, and SD for normally distributed continuous variables, and median and inter-quartile range for non-normally distributed variables, will be reported. Generalized estimating equation will be used to address the objectives with appropriate link function. Qualitative data will be analyzed using thematic analysis to identify the facilitator, and barriers of program implementation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 2 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The inclusion criteria for parents are:
- •parent of a child with mechanical ventilation aged 2-18
- •having a Smartphone
- •able to communicate in Chinese and read Chinese
- •living with his/her child at home.
排除标准
- •for parents are:
- •a reported mental health disorder
- •engaging in other structured programs related to symptom management 3) living in an area with no internet coverage.
研究组 & 干预措施
Nurse parental support using a proactive mobile App
Nurse parental support using a proactive mobile App in symptom management for children with mechanical ventilation for a 3-month period.
干预措施: Nurse parental support using a proactive mobile App (Device)
结局指标
主要结局
Caregiving Self-efficacy
时间窗: Day 0, Month 3, Month 6, Month 9
The scale consists of 18 items to measure the self-efficacy of Chinese caregivers. It is rated on a 9-point scale, with 1= no confidence, to 9 =full confidence.
Implementation evaluation
时间窗: month 9
Semi-structured interviews will be conducted to the related community stakeholders to evaluate the quality of service provided. Semi-structured interview guide will be used to collect qualitative data in four perspectives including: 1. reach: document the number of participants, and retention in the intervention 2. adoption: seek to find out if the intervention is appropriate and in action 3. implementation: understand stakeholders' perception if the intervention is acceptable and implemented as planned 4. maintenance: explore the facilitators and barriers in the sustainability of the nurse parental support using a proactive mobile app
次要结局
- Modified Memorial Symptom Assessment Scale(Day 0, Month 3, Month 6, Month 9)
- Children health service utilization(Day 0, Month 3, Month 6, Month 9)
研究者
Dr Winsome Lam
Professor
The Hong Kong Polytechnic University