Sun Terri, Dunsmuir Dustin, Miao Ian, Devoy Gregor M, West Nicholas C, Görges Matthias, Lauder Gillian R, Ansermino J Mark
Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada.
Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Paediatr Anaesth. 2018 Oct;28(10):897-905. doi: 10.1111/pan.13471.
Postoperative pain in children is often poorly managed at home, leading to slower functional recovery, poor oral intake, sleep disturbances, and behavioral changes. Panda is a smartphone application (app) designed to support parents in assessing their child's pain and managing medications.
The aim of this study was to evaluate the Panda app's usability and feasibility in hospital prior to testing the app at home.
The study comprised two phases. Phase I evaluated Panda's usability with nurses, parents, and adolescents using simulated scenarios. Usability was measured by task completion rate, user error rates, and the Computer Systems Usability Questionnaire. Phase II evaluated Panda's feasibility by observing parents/guardians of pediatric patients using the app on the postsurgical ward. Feasibility was measured using response frequency and delay following app notifications from an audit trail of app function, and parental satisfaction from an interview. Feedback was used to guide iterative app improvements.
In Phase I, 13 nurses, 12 parents, and 5 adolescents evaluated the app. A total of 103 usability issues were identified, analyzed, and addressed. In Phase II, 29 parents responded to a total of 151 app notifications, with 84% responding within 1 hour in the final round of testing; 93% of participants reported the app was easy to use, and rated the app with a median [interquartile range] Computer Systems Usability Questionnaire score of 2 [1-4]. Significant barriers to use included lack of flexibility in the medication scheduling, low volume of alert sounds, and the extra time spent on medication safety checks.
Panda's usability was improved and its feasibility demonstrated in the controlled hospital environment. The next step is to evaluate its feasibility for use at home.
儿童术后疼痛在家庭中往往管理不善，导致功能恢复缓慢、口服摄入量低、睡眠障碍和行为改变。熊猫应用程序是一款智能手机应用，旨在帮助家长评估孩子的疼痛情况并管理用药。
本研究的目的是在对该应用程序进行家庭测试之前，评估其在医院环境中的可用性和可行性。
该研究包括两个阶段。第一阶段使用模拟场景评估护士、家长和青少年对熊猫应用程序的可用性。可用性通过任务完成率、用户错误率和计算机系统可用性问卷进行衡量。第二阶段通过观察儿科患者的家长/监护人在术后病房使用该应用程序来评估其可行性。可行性通过应用程序功能审计跟踪中应用程序通知后的响应频率和延迟以及访谈中的家长满意度来衡量。反馈用于指导应用程序的迭代改进。
在第一阶段，13名护士、12名家长和5名青少年对该应用程序进行了评估。共识别、分析并解决了103个可用性问题。在第二阶段，29名家长对总共151条应用程序通知做出了响应，在最后一轮测试中，84%的家长在1小时内做出了响应；93%的参与者表示该应用程序易于使用，并将该应用程序的计算机系统可用性问卷评分中位数[四分位间距]评为2[1-4]。使用的主要障碍包括用药计划缺乏灵活性、警报声音音量低以及用药安全检查花费的额外时间。
熊猫应用程序的可用性在受控的医院环境中得到了改善，其可行性也得到了证明。下一步是评估其在家庭中使用的可行性。
