Perceptions and Acceptability of a Smartphone App Intervention (ChildSafe) in Malaysia: Qualitative Exploratory Study.
Perceptions and Acceptability of a Smartphone App Intervention (ChildSafe) in Malaysia: Qualitative Exploratory Study.
复制标题
马来西亚智能手机应用程序干预（ChildSafe）的感知和可接受性：定性探索性研究。
DOI：
10.2196/24156
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发表时间：
2021-06-01
影响因子：
3.7
通讯作者：
Johari MZ
中科院分区：
文献类型：
--
作者：
Yong TSM;Perialathan K;Ahmad M;Juatan N;Abdul Majid L;Johari MZ
家是儿童意外伤害的易受伤害的地方。意外伤害是导致死亡、住院和残疾的主要原因。这些伤害被认为是可以预防的，如果不加以解决，它们将继续成为一个持续存在的问题。智能手机在我们的日常生活中变得越来越重要，它不仅是通信的重要工具，也是其他业务的重要工具-它们具有可用于各种目的的应用程序。因此，开发了一种基于应用程序的干预措施（ChildSafe），以评估和减少儿童在家中受伤。本研究旨在评估家长/监护人对儿童安全智能手机应用程序干预的接受程度。本研究采用定性探索性方法对ChildSafe干预应用程序研究的选定参与者进行。在2017年11月至2018年3月期间，在雪兰莪州双溪毛禄地区至少有一个0至59个月大的孩子的父母或监护人中进行了27次半结构化深入访谈。访谈问题是根据实施研究综合框架（CFIR）制定的。访谈被记录，逐字转录，并在CFIR的指导下对数据进行主题分析。该研究揭示了用户对ChildSafe应用程序的可用性，可行性和可接受性的看法。三个CFIR领域被确定为：干预特征，内部设置和个人特征。干预特征下共有5个结构：证据强度和质量、相对优势、适应性、可试验性、设计质量和包装;内部设置下2个：实施气候和实施准备;个人特征下4个：关于干预的知识和信念、自我效能、个人变化阶段和其他个人属性。总的来说，参与者认为该应用程序非常有用和有效，易于使用，并且通过提醒实现家庭安全评估。该应用程序取代了参与者搜索有关家庭安全和危险信息的需求，因为该应用程序本身就是为这一特定目的而设计的评估工具。即使在新生阶段，尽管有其局限性，该应用程序已促使用户考虑并在自己的家中做出改变。然而，该应用程序的未来版本应进行扩展，使其对用户更具吸引力，因为它缺乏互动反馈和其他功能。家长/监护人接受使用ChildSafe应用程序，以防止儿童在家中受伤。然而，需要进一步扩展和改进，以提高家长/监护人对该应用程序的接受度。
Home is a vulnerable place for accidental child injuries. Unintentional injuries are a leading cause of death, hospitalization, and disabilities. These injuries are considered preventable and if not tackled, they will continue to be a persisting problem. Smartphones have become increasingly important in our everyday life and is an important tool not only for communication but also for other purposes—they have apps that can be used for various purposes. Therefore, an app-based intervention (ChildSafe) was developed to assess and reduce child injury at home. This study aimed to evaluate the acceptance of the ChildSafe smartphone app intervention by parents/guardians. This study was conducted using a qualitative exploratory approach on selected participants of the ChildSafe intervention app study. A total of 27 semistructured in-depth interviews were carried out among parents or guardians who have at least one child between the age of 0 and 59 months in the area of Sungai Buloh, Selangor, between November 2017 and March 2018. Interview questions were developed from the consolidated framework for implementation research (CFIR). Interviews were recorded, transcribed verbatim, and data were thematically analyzed guided by CFIR. The study revealed users’ perception on usability, feasibility, and acceptability toward the ChildSafe app. Three CFIR domains were identified: intervention characteristics, inner setting, and characteristics of individuals. A total of 5 constructs were revealed under intervention characteristics: evidence strength and quality, relative advantage, adaptability, trialability, and design quality and packaging; 2 under inner setting: implementation climate and readiness for implementation; and 4 under characteristics of individuals: knowledge and beliefs about the intervention, self-efficacy, individual stage of change, and other personal attributes. In general, participants felt the app is extremely useful and effective, easy to use, and purposeful in achieving home safety assessment via reminders. The app replaces the need for participants to search for information on home safety and dangers, as the app itself was designed as a tool to assess for this specific purpose. Even at the nascent stage and despite its limitations, the app has prompted users to consider and make changes around their own home. However, future versions of the app should be expanded to make it more attractive to users as it lacks interactive feedback and additional features. Parents/guardians are accepting the use of the ChildSafe app to prevent child injury at home. However, further expansion and improvements are needed to increase the acceptability of this app by parents/guardians.