Home-Based Placement of Feeding Tubes with a Mobile Assistant for Underserved Population

摘要 更换鼻胃管在家中喂养婴儿可能是一件有压力的事情 家人。当儿童位于远离医疗保健的农村社区时，这种压力会加剧， 或者是对于没有英语素养的家庭，他们可能在遵循书面说明方面有困难。很多时候， 城市地区的儿童将被带到诊所或急诊室协助更换NG管 当它掉了，或者需要更换的时候。然而，在农村地区，孩子的家庭可能不容易 获得援助的途径。提议的项目以家长友好的非书面界面开发技术 在专业人员监控的情况下，协助在农村地区放置和验证天然气管道 并远程引导他们。目前还没有一个系统来帮助家庭中服务不足的家庭 NG饲喂管的放置。研究表明，有婴儿需要家庭护理的父母 管喂可能会与错位和其他问题作斗争。这个创新的项目将创造一个 系统利用智能手机为家长在居家期间提供实时支持 NG饲喂管的放置。该项目集成了可重复使用的、低成本的天然气管道放置 指导工具以及由智能手机应用程序组合提供的即时反馈 通过语音或视频通话与远程护理人员进行协调。在第一阶段，原型系统将是 发展起来的。原型的可接受性和可用性将在半结构化访谈中进行评估

Abstract Replacement of a Nasogastric (NG) tube for feeding an infant in the home can be a stressful event for families. This stress is exacerbated when the child is located in a rural community far from medical care, or for families without English literacy who may have difficulty following written instructions. Often times, children in urban areas will be taken to a clinic or emergency room to assist with NG tube replacement when it falls out, or needs to be changed. However, in a rural location the child's family may not have easy access to assistance. The proposed project develops technology in a parent friendly, non-written interface to assist the placement and verification of the NG tube in a rural location while a professional is monitoring and guiding them remotely. There is currently no system to assist underserved families in the home-based placement of NG feeding tubes. Studies have shown that parents who have infants needing home NG tube feeding can struggle with misplacement and other problems. This innovative project will create a system with the use of a smartphone to provide real time support for the parent during the home-based placement of NG feeding tubes. The project is the integration of a reusable, low-cost NG tube placement guidance tool along with immediate feedback provided by the combination of a smartphone application in coordination with a remote caregiver via voice or video call. In phase I, a prototype system will be developed. The acceptability and usability of the prototype will be evaluated in semi-structured interviews