基于网络的针对父母和儿童门诊手术准备的个性化干预措施（WebTIPS）：开发
Web-based tailored intervention for preparation of parents and children for outpatient surgery (WebTIPS): development.
作者信息
Kain Zeev N, Fortier Michelle A, Chorney Jill MacLaren, Mayes Linda
机构信息
From the *Department of Anesthesiology and Perioperative Care, University of California, Irvine, Orange, California; †UCI Center on Stress & Health, University of California, Irvine, Orange, California; ‡Child Study Center, Yale University, New Haven, Connecticut; §Departments of Anesthesiology, Pain Management and Perioperative Medicine, and Psychology, Dalhousie University and IWK Health Centre, Halifax, Nova Scotia; and ∥Departments of Pediatrics and Psychology, Yale University, New Haven, Connecticut.
出版信息
Anesth Analg. 2015 Apr;120(4):905-14. doi: 10.1213/ANE.0000000000000610.
BACKGROUND
As a result of cost-containment efforts, preparation programs for outpatient surgery are currently not available to the majority of children and parents. The recent dramatic growth in the Internet presents a unique opportunity to transform how children and their parents are prepared for surgery. In this article, we describe the development of a Web-based Tailored Intervention for Preparation of parents and children undergoing Surgery (WebTIPS).
DEVELOPMENT OF PROGRAM
A multidisciplinary taskforce agreed that a Web-based tailored intervention consisting of intake, matrix, and output modules was the preferred approach. Next, the content of the various intake variables, the matrix logic, and the output content was developed. The output product has a parent component and a child component and is described in http://surgerywebtips.com/about.php. The child component makes use of preparation strategies such as information provision, modeling, play, and coping skills training. The parent component of WebTIPS includes strategies such as information provision, coping skills training, and relaxation and distraction techniques. A reputable animation and Web design company developed a secured Web-based product based on the above description.
CONCLUSIONS
In this article, we describe the development of a Web-based tailored preoperative preparation program that can be accessed by children and parents multiple times before and after surgery. A follow-up article in this issue of Anesthesia & Analgesia describes formative evaluation and preliminary efficacy testing of this Web-based tailored preoperative preparation program.
背景
由于成本控制措施，目前大多数儿童及其家长无法获得门诊手术的准备项目。互联网近年来的迅猛发展为改变儿童及其家长手术准备方式提供了独特契机。在本文中，我们描述了一种用于为接受手术的家长和儿童进行准备的基于网络的定制干预措施（WebTIPS）的开发情况。
项目开发
一个多学科特别工作组一致认为，由输入、矩阵和输出模块组成的基于网络的定制干预措施是首选方法。接下来，确定了各种输入变量的内容、矩阵逻辑和输出内容。输出产品有一个家长组件和一个儿童组件，相关介绍见http://surgerywebtips.com/about.php。儿童组件采用了诸如信息提供、示范、游戏和应对技能训练等准备策略。WebTIPS的家长组件包括信息提供、应对技能训练以及放松和分散注意力技巧等策略。一家知名的动画和网页设计公司根据上述描述开发了一个安全的基于网络的产品。
结论
在本文中，我们描述了一种基于网络的定制术前准备项目的开发情况，儿童和家长在手术前后均可多次访问该项目。本期《麻醉与镇痛》的后续文章将描述该基于网络的定制术前准备项目的形成性评估和初步疗效测试情况。
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