Milne-Ives Madison, Neill Sarah, Bayes Natasha, Blair Mitch, Blewitt Jane, Bray Lucy, Carrol Enitan D, Carter Bernie, Dawson Rob, Dimitri Paul, Lakhanpaul Monica, Roland Damian, Tavare Alison, Meinert Edward
Centre for Health Technology, University of Plymouth, Plymouth, United Kingdom.
School of Nursing and Midwifery, University of Plymouth, Plymouth, United Kingdom.
JMIR Res Protoc. 2021 Jun 30;10(6):e27504. doi: 10.2196/27504.
Urgent and emergency care health services are overburdened, and the use of these services by acutely ill infants and children is increasing. A large proportion of these visits could be sufficiently addressed by other health care professionals. Uncertainty about the severity of a child's symptoms is one of many factors that play a role in parents' decisions to take their children to emergency services, demonstrating the need for improved support for health literacy. Digital interventions are a potential tool to improve parents' knowledge, confidence, and self-efficacy at managing acute childhood illness. However, existing systematic reviews related to this topic need to be updated and expanded to provide a contemporary review of the impact, usability, and limitations of these solutions.
The purpose of this systematic review protocol is to present the method for an evaluation of the impact, usability, and limitations of different types of digital educational interventions to support parents caring for acutely ill children at home.
The review will be structured using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) and Population, Intervention, Comparator, and Outcome (PICO) frameworks. Five databases will be systematically searched for studies published in English during and after 2014: Medline, EMBASE, CINAHL, APA PsycNet, and Web of Science. Two reviewers will independently screen references' titles and abstracts, select studies for inclusion based on the eligibility criteria, and extract the data into a standardized form. Any disagreements will be discussed and resolved by a third reviewer if necessary. Risk of bias of all studies will be assessed using the Mixed-Methods Appraisal Tool (MMAT), and a descriptive analysis will be used to evaluate the outcomes reported.
The systematic review will commence during 2021.
This systematic review will summarize the impact, usability, and limitations of digital interventions for parents with acutely ill children. It will provide an overview of the field; identify reported impacts on health and behavioral outcomes as well as parental knowledge, satisfaction, and decision making; and identify the factors that affect use to help inform the development of more effective and sustainable interventions.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/27504.
紧急和急诊护理卫生服务负担过重，急性病婴幼儿对这些服务的使用正在增加。这些就诊中有很大一部分可由其他医疗保健专业人员充分处理。儿童症状严重程度的不确定性是影响家长决定带孩子前往急诊服务的众多因素之一，这表明需要加强对健康素养的支持。数字干预是提高家长管理儿童急性疾病的知识、信心和自我效能的潜在工具。然而，需要更新和扩展与该主题相关的现有系统评价，以对这些解决方案的影响、可用性和局限性进行当代综述。
本系统评价方案的目的是介绍一种评估不同类型数字教育干预对支持在家照顾急性病儿童的家长的影响、可用性和局限性的方法。
本评价将采用系统评价与Meta分析方案的首选报告项目（PRISMA-P）以及人群、干预措施、对照和结局（PICO）框架进行构建。将系统检索五个数据库，以查找2014年及之后发表的英文研究：医学期刊数据库（Medline）、荷兰医学文摘数据库（EMBASE）、护理学与健康领域数据库（CINAHL）、美国心理学会心理学文摘数据库（APA PsycNet）和科学引文索引数据库（Web of Science）。两名评审员将独立筛选参考文献的标题和摘要，根据纳入标准选择研究纳入，并将数据提取为标准化形式。如有任何分歧，将进行讨论，如有必要，由第三名评审员解决。将使用混合方法评估工具（MMAT）评估所有研究的偏倚风险，并使用描述性分析来评估报告的结局。
系统评价将于2021年开始。
本系统评价将总结数字干预对患有急性病儿童的家长的影响、可用性和局限性。它将提供该领域的概述；确定报告的对健康和行为结局以及家长知识、满意度和决策的影响；并确定影响使用的因素，以帮助为开发更有效和可持续的干预措施提供信息。
国际注册报告识别号（IRRID）：PRR1-10.2196/27504。
