Bavatharani R, Supriya V, Scott Julius Xavier, Sankaranarayanan Suresh
Department of Clinical Nutrition, Sri Ramachandra Faculty of Allied Health Sciences, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, India.
Department of Pediatric Hematology and Oncology, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, India.
Healthc Inform Res. 2025 Jan;31(1):37-47. doi: 10.4258/hir.2025.31.1.37. Epub 2025 Jan 31.
Conventional face-to-face nutrition counseling has played a crucial role in promoting healthy habits. However, the emergence of digital health technologies has introduced mobile app-based nutrition counseling as an effective alternative. This research aims to develop and evaluate the usability and effectiveness of the FIT4PEDON mobile nutrition counseling application in promoting healthy dietary behaviors and lifestyle modifications among childhood cancer survivors (CCS).
This study employed a mixed-methods approach, incorporating both survey and qualitative and quantitative analyses. A total of 33 health care professional experts participated. The reliability of the questionnaire was assessed using the Kuder-Richardson method, and its content validity was confirmed through expert evaluation. Usability testing was conducted with a validated questionnaire.
The development process resulted in two applications: an Android mobile application and an admin web application. The findings indicated that a significant proportion of experts endorsed the app for dietary management. Statistical analysis showed significant differences between "yes" and "no" responses. However, no significant differences were found when comparing responses across different sex or age groups.
The FIT4PEDON application shows promise in supporting CCS to adopt healthier lifestyles. Nevertheless, the study underscores the necessity for further research, particularly focusing on specific age groups of experts with relevant experience, to achieve more conclusive results. Leveraging technology through mobile apps has the potential to improve the quality of survivorship care and foster sustained engagement in long-term care for pediatric cancer survivors.
传统的面对面营养咨询在促进健康习惯方面发挥了关键作用。然而，数字健康技术的出现引入了基于移动应用程序的营养咨询作为一种有效的替代方案。本研究旨在开发和评估FIT4PEDON移动营养咨询应用程序在促进儿童癌症幸存者（CCS）的健康饮食行为和生活方式改变方面的可用性和有效性。
本研究采用混合方法，结合调查以及定性和定量分析。共有33名医疗保健专业专家参与。使用库德-理查森方法评估问卷的信度，并通过专家评估确认其内容效度。使用经过验证的问卷进行可用性测试。
开发过程产生了两个应用程序：一个安卓移动应用程序和一个管理员网络应用程序。研究结果表明，很大一部分专家认可该应用程序用于饮食管理。统计分析显示“是”和“否”回答之间存在显著差异。然而，在比较不同性别或年龄组的回答时未发现显著差异。
FIT4PEDON应用程序在支持儿童癌症幸存者采用更健康的生活方式方面显示出前景。尽管如此，该研究强调了进一步研究的必要性，特别是关注具有相关经验的特定年龄组专家，以获得更具决定性的结果。通过移动应用程序利用技术有可能提高生存护理的质量，并促进对儿科癌症幸存者长期护理的持续参与。
