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《阻碍生长超级应用程序:印度尼西亚为解决儿童发育迟缓问题所做的努力——德尔菲法与试点研究》

Stunting Super App as an Effort Toward Stunting Management in Indonesia: Delphi and Pilot Study.

作者信息

Erika Kadek Ayu, Fadilah Nur, Latif Aulia Insani, Hasbiah Nurhikmawaty, Juliaty Aidah, Achmad Harun, Bustamin Anugrayani

机构信息

Faculty of Nursing, Hasanuddin University, Jl. Perintis Kemerdekaan Kampus Tamalanrea Km.10, Makassar, 90245, Indonesia, 62 81342129855.

Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.

出版信息

JMIR Hum Factors. 2024 Dec 17;11:e54862. doi: 10.2196/54862.

DOI:10.2196/54862
PMID:39688884
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668187/
Abstract

BACKGROUND

Currently, 30 million children are experiencing acute malnutrition, and 8 million children are severely underweight.

OBJECTIVE

This study aimed to develop a stunting super app, a one-stop app designed to prevent and manage stunting in Indonesia.

METHODS

This study consisted of three stages. Stage 1 used a 3-round Delphi study involving 12 experts. In stage 2, 4 experts and a parent of children with stunted growth created an Android app containing stunting educational materials. In stage 3, a pilot study involving a control group was conducted to evaluate parents' knowledge about stunting prevention through the app and standard interventions.

RESULTS

In the Delphi study, 11 consensus statements were extracted; arranged in three major themes, including maternal health education, child health education, and environmental education; and applied in the form of the Sistem Evaluasi Kesehatan Anak Tumbuh Ideal (SEHATI) app. This app was assessed using a content validity index, with a cumulative agreement of ≥80% among the 5 individuals. The pilot study showed an increase in the knowledge of mothers of toddlers with stunted growth before and after the educational intervention (P=.001).

CONCLUSIONS

The SEHATI app provides educational content on stunting prevention that can increase the knowledge of mothers of toddlers with stunted growth.

摘要

背景

目前,有3000万儿童正遭受急性营养不良,800万儿童严重体重不足。

目的

本研究旨在开发一款发育迟缓超级应用程序,这是一款旨在预防和管理印度尼西亚发育迟缓问题的一站式应用程序。

方法

本研究包括三个阶段。第一阶段采用三轮德尔菲研究,涉及12名专家。在第二阶段,4名专家和一名发育迟缓儿童的家长创建了一个包含发育迟缓教育材料的安卓应用程序。在第三阶段,进行了一项涉及对照组的试点研究,以评估家长通过该应用程序和标准干预措施对发育迟缓预防的了解情况。

结果

在德尔菲研究中,提取了11条共识声明;分为三个主要主题,包括孕产妇健康教育、儿童健康教育和环境教育;并以“理想成长儿童健康评估系统”(SEHATI)应用程序的形式应用。该应用程序使用内容效度指数进行评估,5名个体之间的累积一致性≥80%。试点研究表明,接受教育干预前后,发育迟缓幼儿母亲的知识水平有所提高(P=0.001)。

结论

SEHATI应用程序提供了关于发育迟缓预防的教育内容,可以提高发育迟缓幼儿母亲的知识水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5489/11668187/533ca1006caa/humanfactors-v11-e54862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5489/11668187/533ca1006caa/humanfactors-v11-e54862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5489/11668187/533ca1006caa/humanfactors-v11-e54862-g001.jpg

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本文引用的文献

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Role of Maternal in Preventing Stunting: a Systematic Review.母亲在预防发育迟缓中的作用:系统评价。
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婴儿喂养智能手机应用程序的内容和质量:系统搜索和评估五年更新。
JMIR Mhealth Uhealth. 2020 May 27;8(5):e17300. doi: 10.2196/17300.
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What are Delphi studies?什么是德尔菲研究?
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Stunting diagnostic and awareness: impact assessment study of sociodemographic factors of stunting among school-going children of Pakistan.发育迟缓的诊断和认知:巴基斯坦学龄儿童发育迟缓的社会人口因素影响评估研究。
BMC Pediatr. 2020 May 19;20(1):232. doi: 10.1186/s12887-020-02139-0.
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Establishment of a clinician-led guideline on the diagnosis and treatment of Hirayama disease using a modified Delphi technique.采用改良 Delphi 技术制定以临床医生为主导的平山病诊断与治疗指南。
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