School of Medicine, Faculty of Health, University of Witten/Herdecke, Alfred-Herrhausen-Straße 50, D 58448, Witten, Germany.
University Children's Hospital, University of Tübingen, Tübingen, Germany.
BMC Med Inform Decis Mak. 2020 Oct 1;20(1):249. doi: 10.1186/s12911-020-01269-w.
Fever is one of the most common symptoms of pediatric consultations and its mismanagement is a health care burden. Guidelines on fever management are incoherent and data on fever management are still missing. This study protocol describes an app-based registry to evaluate the fever management of parents.
The primary objectives are to assess guideline adherence (primary outcome) and parental confidence in managing fever, and thus to reduce overuse of antipyretics, antibiotics and healthcare providers. Secondary objectives include creating a "FeverApp" that will enable parents to handle fever safely and to use the FeverApp registry as symptom and fever management diary. Further objectives include developing and testing a symptom-led registry model by app-based acquisition of parental entries of febrile illness cycle data and developing and testing models of how an interactive app-based registry can enable nationwide EMA information to inform science, guideline and policy makers, and the public.
A FeverApp, guiding parents and carers in handling and documenting fever, will be developed with family pediatricians according to current guidelines and recommended for all parents in Germany. A registry will anonymously document features, management and outcomes of febrile episodes: basic sociodemographic and medical information, initial symptoms, course of fever, pharmacological and non-pharmacological interventions, consultations with doctors, outcomes, fever-associated fears, and app satisfaction.
This app may improve communication quality and health, e.g. asthma and antimicrobial resistance. Results will be published via website www.feverapp.de .
This app-based registry protocol is registered in the German Clinical Trials Register (DRKS) with registration number: DRKS00016591 .
发热是儿科就诊最常见的症状之一，其管理不当是医疗保健的负担。发热管理指南不一致，关于发热管理的数据仍然缺乏。本研究方案描述了一种基于应用程序的登记系统，用于评估父母的发热管理。
主要目的是评估指南的遵守情况（主要结局）和父母管理发热的信心，从而减少退热剂、抗生素和医疗保健提供者的过度使用。次要目标包括创建一个“FeverApp”，使父母能够安全地处理发热，并将 FeverApp 登记系统用作症状和发热管理日记。进一步的目标包括通过基于应用程序的获取父母发热周期数据条目，开发和测试基于症状的登记模型，以及开发和测试基于应用程序的交互登记系统如何能够使全国范围内的 EMA 信息为科学、指南和政策制定者以及公众提供信息。
将根据当前指南与家庭儿科医生一起开发 FeverApp，指导父母和照顾者处理和记录发热情况，并推荐给德国的所有父母。登记系统将匿名记录发热发作的特征、管理和结果：基本的社会人口学和医疗信息、初始症状、发热过程、药物和非药物干预、与医生的咨询、结果、与发热相关的恐惧以及应用程序满意度。
该应用程序可能会改善沟通质量和健康状况，例如哮喘和抗菌药物耐药性。结果将通过网站 www.feverapp.de 发布。
这个基于应用程序的登记协议在德国临床试验注册处（DRKS）注册，注册号为：DRKS00016591。
