Needs Analysis for a Parenting App to Prevent Unintentional Injury in Newborn Babies and Toddlers: Focus Group and Survey Study Among Chinese Caregivers
Needs Analysis for a Parenting App to Prevent Unintentional Injury in Newborn Babies and Toddlers: Focus Group and Survey Study Among Chinese Caregivers
复制标题
防止新生儿和幼儿意外伤害的育儿应用程序需求分析：中国护理人员焦点小组和调查研究
DOI：
10.2196/11957
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发表时间：
2019-04-30
影响因子：
5
通讯作者：
Hu, Guoqing
中科院分区：
文献类型：
--
作者：
Ning, Peishan;Gao, Deyue;Hu, Guoqing
背景随着移动医疗技术的日益普及，智能手机提供的基于APP的干预措施已成为预防伤害的一种日益重要的策略。目的本研究旨在为中国0~6岁儿童照顾者提供基于APP的意外伤害预防干预设计框架。方法采用以理论为基础的混合研究方法，包括焦点小组和基于网络的定量调查。照顾0至6岁儿童并拥有智能手机的成年照顾者被招募到两个连续的研究阶段。首先，从2015年12月到2016年3月，在社区卫生保健中心和幼儿园的照顾者中进行了焦点小组调查。焦点小组(每组8-10名参与者)探讨了照顾者对使用APP预防儿童意外伤害的认识、经验和意见。其次，根据焦点小组的调查结果，设计了一份基于网络的定量调查，并于2016年11月分发给照顾者；它收集了基于APP的干预的具体需求的信息。进行了专题分析和定量描述性分析。结果共完成12个焦点小组，涉及108名照顾者。大多数参与者表达了学习意外儿童伤害预防知识和技能的强烈愿望，并对基于APP的干预措施持积极态度。与会者对基于APP的干预表示了多重偏好，包括其内容、功能、互动方式、安装和注册物流以及隐私保护和信息安全。在焦点小组之后，1505名照顾者完成了一项基于微信的量化调查，调查结果与焦点小组的结果大致相似，并增加了关于参与者对学习什么、何时学习以及如何学习的偏好的数字指标。建立了详细的框架，包括5个组成部分：(1)内容设计，(2)功能设计，(3)交互风格，(4)安装和注册物流，(5)隐私保护和信息安全，以及15个具体要求。结论我们开发了一个框架，可以作为指导，为父母和照顾者设计基于APP的干预措施，特别是针对0~6岁儿童的意外伤害预防。
Background With the growing popularity of mobile health technology, app-based interventions delivered by smartphone have become an increasingly important strategy toward injury prevention. Objective This study aimed to develop a framework supporting the design of an app-based intervention to prevent unintentional injury, targeted for caregivers of Chinese children aged 0 to 6 years. Methods A theory-based mixed-method study, including focus groups and Web-based quantitative survey, was performed. Adult caregivers who care for children aged 0 to 6 years and own a smartphone were recruited into 2 sequential stages of research. First, focus groups were conducted among the caregivers at community health care centers and preschools from December 2015 to March 2016. Focus groups (8-10 participants per group) explored awareness, experiences, and opinions of caregivers toward using an app to prevent unintentional injury among children. Second, based on the focus groups findings, a Web-based quantitative survey was designed and distributed to caregivers in November 2016; it collected information on specific needs for the app-based intervention. Thematic analysis and quantitative descriptive analyses were performed. Results In total, 12 focus groups were completed, involving 108 caregivers. Most participants expressed a strong desire to learn knowledge and skills about unintentional child injury prevention and held positive attitudes toward app-based interventions. Participants expressed multiple preferences concerning the app-based intervention, including their contents, functions, interactive styles, installation and registration logistics, and privacy protection and information security. Following the focus groups, 1505 caregivers completed a WeChat-based quantitative survey, which generated roughly similar results to those of focus groups and added numerical metrics concerning participants’ preferences on what to learn, when to learn it, and how to learn it. A detailed framework was established involving 5 components: (1) content design, (2) functional design, (3) interactive style, (4) installation and registration logistics, and (5) privacy protection and information security, and 15 specific requirements. Conclusions We developed a framework that can be used as a guide to design app-based interventions for parents and caregivers, specifically for unintentional injury prevention of children aged 0 to 6 years.