ArticleActa paediatrica (Oslo, Norway : 1992)2020
Usability and acceptability of an automated respiratory rate counter to assess childhood pneumonia in Nepal.
Article in Acta paediatrica (Oslo, Norway : 1992), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Performance of automated respiratory rate counters for respiratory rate assessment to support pneumonia detection among children under five years of age in low- and middle-income settings: a systematic review of qualitative and quantitative evidence.Journal of global health · 2026Pooled it
- Trial
- Effect of attaching ChARM automated respiratory rate counter on actual respiratory rate in children.Discover medicine · 2026Article
- Evaluating the performance of an automated respiratory rate counter in detecting fast breathing pneumonia in children using a reference video expert panel.BMC digital health · 2025Article
- Multi-Modal Portable Respiratory Rate Monitoring Device for Childhood Pneumonia Detection.Micromachines · 2023Article
- Health System Considerations for Community-Based Implementation of Automated Respiratory Counters to Identify Childhood Pneumonia in 5 Regions of Ethiopia: A Qualitative Study.International journal of health policy and management · 2023Article
- Article
- Acceptability, usability and efficacy of an automatic respiratory monitor in determining fast breathing:Journal of family medicine and primary care · 2022Article
- Field Experiences with Handheld Diagnostic Devices to Triage Children under Five Presenting with Severe Febrile Illness in a District Hospital in DR Congo.Diagnostics (Basel, Switzerland) · 2022Article
- Performance of Automated Point-of-Care Respiratory Rate Counting versus Manual Counting in Children under Five Admitted with Severe Febrile Illness to Kisantu Hospital, DR Congo.Diagnostics (Basel, Switzerland) · 2021Article
- Use of the ReSVinet Scale for parents and healthcare workers in a paediatric emergency service: a prospective study.BMJ paediatrics open · 2021Article
- Usability and acceptability of an automated respiratory rate counter to assess childhood pneumonia in Nepal.Acta paediatrica (Oslo, Norway : 1992) · 2020Article
Corrections and comments
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Authors and funding
14 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimPneumonia is the leading cause of child death after the neonatal period, resulting from late care seeking and inappropriate treatment. Diagnosis involves counting respiratory rate (RR); however, RR counting remains challenging for health workers and miscounting, and misclassification of RR is common. We evaluated the usability of a new automated RR counter, the Philips Children's Respiratory Monitor (ChARM), to Female Community Health Volunteers (FCHVs), and its acceptability to FCHVs and caregivers in Nepal.
methodsA cross-sectional study was conducted in Jumla district, Nepal. About 133 FCHVs were observed between September and December 2018 when using ChARM during 517 sick child consultations, 264 after training and 253 after 2 months of routine use of ChARM. Acceptability of the ChARM was explored using semi-structured interviews.
resultsFCHV adherence to guidelines after 2 months of using ChARM routinely was 52.8% (95% CI 46.6-58.9). The qualitative findings suggest that ChARM is acceptable to FCHVs and caregivers; however, capacity constraints such as older age and low literacy and impacted device usability were mentioned.
conclusionFurther research on the performance, cost-effectiveness and implementation feasibility of this device is recommended, especially among low-literate CHWs.
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