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面向家长的发热应用程序:德国儿科发热管理的多语言且具有社会责任感的方法。

FeverApp for Parents: A Multilingual and Socially Accountable Approach to Paediatric Fever Management in Germany.

作者信息

Beerenbrock Yvonne, Jenetzky Ekkehart, Martin David D

机构信息

Chair of Medical Theory, University of Witten/Herdecke, Germany.

Institute for Medical Biometry, Epidemiology and Informatics (IMBEI), Johannes Gutenberg University Mainz, Mainz, Germany.

出版信息

J CME. 2024 May 15;13(1):2352940. doi: 10.1080/28338073.2024.2352940. eCollection 2024.

DOI:10.1080/28338073.2024.2352940
PMID:38766491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11097699/
Abstract

Policymakers and practitioners are increasingly focused on achieving health equity and meeting the specific health needs of diverse populations, including vulnerable groups such as children. To address these challenges, the Fever App for Parents has emerged as a solution to guide parents through the complexities of managing fever in their children by improving fever management in children through real-time data collection and comprehensive educational support. This systematic approach aims to reduce unnecessary medical interventions and overuse of antibiotics, thereby improving the overall quality of pediatric care and reducing parental anxiety. In Germany, almost every second child aged 0-10 is a child with migration status and/or migration experience. This means that the parents of these children also need to be targeted in fever management and informed about the correct behavior in case of fever. This information will also be monitored anonymously to provide a feedback loop on the parent's experience with the menu navigation and information design. The FeverApp provides parents with a structured, step-by-step guide to accurately track their child's temperature and medication intake to encourage adherence to established fever management protocols. This study examines how the FeverApp embodies the principles of social responsibility through its multilingualism and digital development stages that incorporate user feedback. It shows why this app can be a resource to promote health equity through social responsibility in medical education and practice for parents, but also what barriers need to be considered at different stages of app development for parents from different cultural backgrounds to enable informal medical learning through apps.

摘要

政策制定者和从业者越来越关注实现健康公平以及满足包括儿童等弱势群体在内的不同人群的特定健康需求。为应对这些挑战,“家长发烧应用程序”应运而生,通过实时数据收集和全面的教育支持来改善儿童发烧管理,从而指导家长应对管理孩子发烧的复杂情况。这种系统方法旨在减少不必要的医疗干预和抗生素的过度使用,进而提高儿科护理的整体质量并减轻家长的焦虑。在德国,几乎每两个0至10岁的儿童中就有一个具有移民身份和/或移民经历。这意味着这些孩子的父母在发烧管理方面也需要成为目标群体,并了解发烧时的正确应对方法。这些信息也将被匿名监测,以提供关于家长使用菜单导航和信息设计体验的反馈循环。“发烧应用程序”为家长提供了一个结构化的、循序渐进的指南,以准确跟踪孩子的体温和药物摄入量,鼓励家长遵守既定的发烧管理方案。本研究探讨了“发烧应用程序”如何通过其多语言特性以及纳入用户反馈的数字开发阶段体现社会责任原则。它展示了为什么这个应用程序可以成为一种资源,通过在医学教育和实践中对家长履行社会责任来促进健康公平,同时也展示了在应用程序开发的不同阶段,对于来自不同文化背景的家长而言,为了通过应用程序实现非正式医学学习需要考虑哪些障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3935/11097699/e0935425c1cc/ZJEC_A_2352940_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3935/11097699/e0935425c1cc/ZJEC_A_2352940_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3935/11097699/e0935425c1cc/ZJEC_A_2352940_F0001_OC.jpg

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本文引用的文献

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Predictors of sustained use of mobile health applications: Content analysis of user perspectives from a fever management app.移动健康应用持续使用的预测因素:来自一款发烧管理应用的用户观点内容分析
Digit Health. 2023 Jun 5;9:20552076231180418. doi: 10.1177/20552076231180418. eCollection 2023 Jan-Dec.
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Employing Smartphone Health Apps in Weight Management for Adolescents: Analysis on Experiences and Perspectives From Pediatric Providers.利用智能手机健康应用程序进行青少年体重管理:儿科医生的经验和观点分析。
Clin Pediatr (Phila). 2022 Oct;61(10):692-698. doi: 10.1177/00099228221097277. Epub 2022 May 17.
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Development of an observer-reported outcome measure to capture the signs and impact of fever distress symptoms in infants and young children.
开发一种由观察者报告的结局指标,以捕捉婴幼儿发热不适症状的体征及影响。
Qual Life Res. 2022 May;31(5):1573-1585. doi: 10.1007/s11136-021-03049-z. Epub 2022 Jan 7.
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Cross-sectional study of parental knowledge, behaviour and anxiety in management of paediatric fever among German parents.德国家长管理儿童发热的知识、行为和焦虑的横断面研究。
BMJ Open. 2021 Oct 18;11(10):e054742. doi: 10.1136/bmjopen-2021-054742.
5
A Mobile App for Self-Triage for Pediatric Emergency Patients in Japan: 4 Year Descriptive Epidemiological Study.日本一款用于儿科急诊患者自我分诊的移动应用程序:4年描述性流行病学研究
JMIR Pediatr Parent. 2021 Jun 30;4(2):e27581. doi: 10.2196/27581.
6
The Perceptions and Experiences of Mobile Health Technology by Older People in Guangzhou, China: A Qualitative Study.中国广州老年人对移动医疗技术的认知和体验:一项定性研究。
Front Public Health. 2021 Jun 25;9:683712. doi: 10.3389/fpubh.2021.683712. eCollection 2021.
7
Sociodemographic Characteristics and Interests of FeverApp Users.FeverApp 用户的社会人口学特征和兴趣。
Int J Environ Res Public Health. 2021 Mar 18;18(6):3121. doi: 10.3390/ijerph18063121.
8
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BMC Med Inform Decis Mak. 2020 Oct 1;20(1):249. doi: 10.1186/s12911-020-01269-w.
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The Fever Coach Mobile App for Participatory Influenza Surveillance in Children: Usability Study.《Fever Coach 移动应用程序在儿童参与性流感监测中的应用:可用性研究》。
JMIR Mhealth Uhealth. 2019 Oct 17;7(10):e14276. doi: 10.2196/14276.
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