(Preprint)
(Preprint)
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DOI：
10.2196/preprints.12431
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发表时间：
2018-10
期刊：
影响因子：
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通讯作者：
Sarah Verschueren;J. van Aalst;A. Bangels;J. Toelen;K. Allegaert;C. Buffel;G. Vander Stichele
中科院分区：
文献类型：
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作者：
Sarah Verschueren;J. van Aalst;A. Bangels;J. Toelen;K. Allegaert;C. Buffel;G. Vander Stichele
每年接受门诊手术的儿童数量不断增加，相当一部分儿童经历了严重的术前焦虑和术后疼痛。围手术期焦虑和疼痛的管理在儿童中仍然具有挑战性，并且是不充分的，这对身体，心理和经济结果产生了负面影响。现有的非药物干预是昂贵的，耗时的，不同的可用性，并缺乏效益。因此，需要一种基于证据的、可获得的非药物干预作为现有药物替代疗法的辅助手段，以减少接受门诊手术的儿童的围手术期焦虑和疼痛。有人提出技术支持的干预措施，作为解决这一背景下未得到满足的需求的一种方法。特别是，严肃的健康游戏（SGH）具有改变儿童健康信念和行为的独特潜力。目的本研究的目的是描述CliniPup的原理、科学证据、设计方面和特点，这是一种SGH，旨在减少接受门诊手术的儿童的围手术期焦虑和疼痛。方法采用SERES SGH开发框架创建SGH CliniPup。特别是，采用了混合方法的方法，包括结构化的文献综述，辅以人种学研究，如专家访谈和时间运动练习。利用由此产生的科学证据基础，以确保由此产生的SGH是相关的，现实的，和理论驱动的。采用参与式设计方法，其中临床专家定性审查了SGH的几个版本，并使用迭代创造性过程来整合适用的反馈。CliniPup是一种SGH，其开发目的是整合（1）来自结构化文献综述的科学证据基础，（2）在民族志研究期间收集的现实内容，如专家访谈，（3）来自科学文献的明确教学目标，以及（4）解决证据关键方面的游戏机制和用户界面设计。结论本报告详细介绍了CliniPup的系统开发，这是一种SGH，旨在减少接受门诊手术的儿童的围手术期焦虑和疼痛。临床专家验证了CliniPup的潜在科学证据基础和设计基础，表明它是为目标人群的初步评估而设计的。提出了一个评估计划，并简要介绍。
BACKGROUND Increasing numbers of children undergo ambulatory surgery each year and a significant proportion experiences substantial preoperative anxiety and postoperative pain. The management of perioperative anxiety and pain remains challenging in children and is inadequate, which negatively impacts physical, psychosocial, and economic outcomes. Existing non-pharmacological interventions are costly, time consuming, vary in availability, and lack benefits. Therefore, there is a need for an evidence-based, accessible, non-pharmacological intervention as an adjunct to existing pharmacological alternatives to reduce perioperative anxiety and pain in children undergoing ambulatory surgery. Technology-enabled interventions have been proposed as a method to address the unmet need in this setting. In particular, serious games for health (SGHs) hold unique potential to change health beliefs and behaviors in children. OBJECTIVE The objective of this research was to describe the rationale, scientific evidence, design aspects, and features of CliniPup, an SGH aimed at reducing perioperative anxiety and pain in children undergoing ambulatory surgery. METHODS The SERES framework for SGH development was used to create the SGH, CliniPup. In particular, a mixed-methods approach was applied that consisted of a structured literature review supplemented with ethnographic research, such as expert interviews and a time-motion exercise. The resulting scientific evidence base was leveraged to ensure that the resulting SGH was relevant, realistic, and theory-driven. A participatory design approach was applied wherein clinical experts qualitatively reviewed several versions of the SGH and an iterative creative process was used to integrate the applicable feedback. RESULTS CliniPup, an SGH, was developed to incorporate (1) scientific evidence base from a structured literature review, (2) realistic content collected during ethnographic research such as expert interviews, (3) explicit pedagogical objectives from scientific literature, and (4) game mechanics and user interface design that address key aspects of the evidence. CONCLUSIONS This report details the systematic development of CliniPup, an SGH aimed at reducing perioperative anxiety and pain in children undergoing ambulatory surgery. Clinical experts validated CliniPup’s underlying scientific evidence base and design foundations, suggesting that it was well designed for preliminary evaluation in the target population. An evaluation plan is proposed and briefly described.