Evidence map›Paper›PMID 33124989›Full record

Trial reportJMIR mHealth and uHealth2020

A Mobile App, KhunLook, to Support Thai Parents and Caregivers With Child Health Supervision: Development, Validation, and Acceptability Study.

Rosawan Areemit, Pagakrong Lumbiganon, Chanyut Suphakunpinyo, Arunee Jetsrisuparb, Sumitr Sutra, Kunwadee Sripanidkulchai

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rosawan AreemitDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0003-1652-7782
Pagakrong LumbiganonDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0003-4732-7193
Chanyut SuphakunpinyoDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0001-6170-0332
Arunee JetsrisuparbDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0002-8013-0993
Sumitr SutraDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0002-1897-6007
Kunwadee SripanidkulchaiDepartment of Computer Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0001-8109-1351

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Thailand, children born in government hospitals receive a maternal and child health handbook (MCHH). However, when a new MCHH edition is released, those with the previous editions do not have access to the updated information. A mobile app is an appealing platform to fill this gap. We developed a mobile app called "KhunLook" as an interactive electronic MCHH intended to assist parents in child health supervision.

objectiveThis study describes the user requirements and development of the KhunLook mobile app, validity of parents' growth assessments, and parents' evaluation of feasibility and acceptability of the app.

methodsPhase 1 was a qualitative study using individual interviews. The interview data were used to revise the prototype. In phase 2, parents were randomly assigned to assess their children's growth with the app or the MCHH. The outcomes were compared to those of the physician's assessment, and congruence was determined. In phase 3, parents evaluated the feasibility and acceptability of the app in comparison to the MCHH through a web-based survey.

resultsFour health care providers and 8 parents participated in phase 1. Two themes were identified: (1) the mobile app potentially counters parents' infrequent use of the MCHH with accuracy, attractiveness, convenience, and simplicity, and (2) health supervision needs to be standard, up-to-date, and understandable. KhunLook was publicly launched with a family page and 7 key features: growth and nutrition, development, immunizations, oral health, reminders for the next appointment, memories, and health advice. In phase 2, 56 parents participated in the growth parameter assessments; 34 were in the App group and 22 in the MCHH group. The outcomes of the growth parameter assessments between parents and physicians in both the App and MCHH groups were not significantly different. The congruence proportions were higher in the App group for weight and head circumference, but the differences were not statistically significant. In phase 3, 356 parents from all over Thailand participated in a web-based survey. Parents rated the app feasibility as "very easy to easy" to use at higher proportions than the MCHH in all health assessment domains (growth, development, and immunizations) and ease-of-use domains with statistical significance (P<.001). The KhunLook app received a significantly higher mean score (8.59/10) than the MCHH (7.6/10) (P<.001). Most parents (317/356, 89.0%) preferred the app over MCHH. Further, 93.5% (333/356) of the parents stated that they would continue to use the app and 96.9% (345/356) would recommend others to use it.

conclusionsKhunLook, a Thai mobile app for child health supervision, was developed, validated for growth assessments, and was well accepted for ease-of-use by parents. Further studies should be conducted with a large scale of users, and the impact of this app on health behaviors and health outcomes must be evaluated.

Indexed as

Mobile ApplicationsCaregiversChildChild HealthHumansParentsThailandacceptabilitychild health supervisionfeasibilityKhunLookmaternal and child health handbookmHealthmobile appmobile phoneThailand

Identifiers

PMID33124989
PMCPMC7665943

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.