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

摘要 更换鼻胃管（NG）喂养家中的婴儿可能是一个紧张的事件， 家庭当儿童位于远离医疗保健的农村社区时，这种压力会加剧， 或为没有英语读写能力的家庭，他们可能难以遵循书面指示。很多时候， 城市地区的儿童将被带到诊所或急诊室，以帮助更换NG管 当它福尔斯出来或者需要换的时候。然而，在农村地区，孩子的家庭可能不容易 获得援助。拟议的项目开发技术在家长友好，非书面界面 在专业人员进行监测的同时， 并远程引导它们。目前还没有一个系统来帮助在家庭基础设施中得不到充分服务的家庭。 放置NG喂养管。研究表明，有婴儿需要家庭NG的父母 管饲可能会遇到错位和其他问题。这一创新项目将创造一个 使用智能手机的系统，在家庭期间为父母提供真实的支持 放置NG喂养管。该项目是一个可重复使用的，低成本的NG管放置的集成 引导工具沿着由智能手机应用程序的组合提供的即时反馈， 通过语音或视频呼叫与远程护理者协调。在第一阶段， 开发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