Child With Medical Complexity, Mobile Application, Nurse-led Supportive Care, Self Efficacy, Symptom Management
Conditions
Keywords
parental self-efficacy, children requiring mechanical ventilation, symptom management, mobile application, nurse-led parental support
Brief summary
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.
Detailed description
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.
Interventions
DEVICENurse parental support using a proactive mobile App
Nurse parental support using a proactive mobile App in symptom management for child with mechanical ventilation
Sponsors
The Hong Kong Polytechnic University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Nurse parental support using a proactive mobile App in symptom management for children requiring mechanical ventilation
Eligibility
Sex/Gender
ALL
Age
2 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
The inclusion criteria for parents are: 1. parent of a child with mechanical ventilation aged 2-18 2. having a Smartphone 3. able to communicate in Chinese and read Chinese 4. living with his/her child at home. The
Exclusion criteria
for parents are: 1. a reported mental health disorder 2. engaging in other structured programs related to symptom management 3) living in an area with no internet coverage.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregiving Self-efficacy | 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 | 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 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Memorial Symptom Assessment Scale | Day 0, Month 3, Month 6, Month 9 | This is a modified 40-item Memorial Symptom Assessment Scale (MSAS in Chinese version). The items for measuring the frequency and severity of symptoms are rated on a 4-point Likert scale from one (almost never) to four (always). The items for measuring distress are rated on a 5-point Likert scale from one (not at all) to five (very). |
| Children health service utilization | Day 0, Month 3, Month 6, Month 9 | This is a record used to summarize a child's visits to outpatient clinic and emergency room, and the child's admission history. |
Countries
Hong Kong
Contacts
CONTACTWinsome Lam, PhD
PRINCIPAL_INVESTIGATORWinsome LAM, PhD
The Hong Kong Polytechnic University
Outcome results
None listed