Evidence map›Paper›PMID 33707268›Full record

Observational studyBMJ open2021

Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study.

Atif Riaz, Olga Cambaco, Laura Elizabeth Ellington, Jennifer L Lenahan, Khatia Munguambe, Usma Mehmood, Alessandro Lamorte, Sana Qaisar, Benazir Baloch, Neel Kanth and 5 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03187067 (Evaluation of Impact of Lung Ultrasound), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
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.

NCT03187067 completednot on this map

Evaluation of Impact of Lung Ultrasound (LUS) on Management of Pneumonia in Low-resource Settings

TypeobservationalSponsorSave the ChildrenRan2017 to 2019Enrolled270ConditionsPneumonia, Acute Respiratory InfectionArmsLung ultrasound
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

15 authors at 7 institutions in 5 countries.

Atif RiazPediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Olga CambacoCentro de Investigação em Saúde de Manhiça, Manhica, Maputo, Mozambique.
Laura Elizabeth EllingtonPediatrics, University of Washington School of Medicine, Seattle, Washington, USA lelling@uw.edu.ORCID http://orcid.org/0000-0001-7904-4249
Jennifer L LenahanSave the Children Federation, Seattle, Washington, USA.
Khatia MunguambeCentro de Investigacao em Saude de Manhica, Manhica, Maputo, Mozambique.
Usma MehmoodPediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Alessandro LamorteEmergency Medicine, Umberto Parini Hospital, Aosta, Valle d'Aosta, Italy.
Sana QaisarPediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Benazir BalochPediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Neel KanthChildren's Hospital-Poverty Eradication Initiative, Sindh Government Hospital Karachi, Karachi, Sindh, Pakistan.
Muhammad Imran NisarPediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Giovanni VolpicelliEmergency Medicine, San Luigi Gonzaga University Hospital, Orbassano, Italy.
Quique BassatISGLOBAL, Barcelona, Spain.
Fyezah JehanPediatrics and Child Health, Aga Khan University, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-5874-4358
Amy Sarah GinsburgClinical Trial Center, University of Washington, Seattle, Washington, USA.ORCID http://orcid.org/0000-0002-2291-2276
Aga Khan University · PKManhiça Health Research Centre · MZUniversity of Washington · USBarcelona Institute for Global Health · ESGovernment of Pakistan · PKOspedale San Luigi Gonzaga · ITSave the Children · US

Funding

University of Washington Implementation Science Training Program (UW-ISTP)K12K12HL137940 · NHLBI · UNIVERSITY OF WASHINGTON · PI AU, DAVID H, CURTIS, J RANDALL · 2017 to 2021
$2.9M
Medical Research Council MR/L004283/1NHLBI NIH HHS K12 HL137940
6 · The paper itself

Abstract

objectivesPaediatric pneumonia burden and mortality are highest in low-income and middle-income countries (LMIC). Paediatric lung ultrasound (LUS) has emerged as a promising diagnostic tool for pneumonia in LMIC. Despite a growing evidence base for LUS use in paediatric pneumonia diagnosis, little is known about its potential for successful implementation in LMIC. Our objectives were to evaluate the feasibility, usability and acceptability of LUS in the diagnosis of paediatric pneumonia.

designProspective qualitative study using semistructured interviews

settingTwo referral hospitals in Mozambique and Pakistan

participantsA total of 21 healthcare providers (HCPs) and 20 caregivers were enrolled.

resultsHCPs highlighted themes of limited resource availability for the feasibility of LUS implementation, including perceived high cost of equipment, maintenance demands, time constraints and limited trained staff. HCPs emphasised the importance of policymaker support and caregiver acceptance for long-term success. HCP perspectives of usability highlighted ease of use and integration into existing workflow. HCPs and caregivers had positive attitudes towards LUS with few exceptions. Both HCPs and caregivers emphasised the potential for rapid, improved diagnosis of paediatric respiratory conditions using LUS.

conclusionsThis was the first study to evaluate HCP and caregiver perspectives of paediatric LUS through qualitative analysis. Critical components impacting feasibility, usability and acceptability of LUS for paediatric pneumonia diagnosis in LMIC were identified for initial deployment. Future research should explore LUS sustainability, with a particular focus on quality control, device maintenance and functionality and adoption of the new technology within the health system. This study highlights the need to engage both users and recipients of new technology early in order to adapt future interventions to the local context for successful implementation. TRIAL REGISTRATION NUMBER: NCT03187067.

Indexed as

CaregiversPneumoniaChildFeasibility StudiesHealth PersonnelHumansLungMozambiquePakistanProspective StudiesUltrasonographyinternational health servicespaediatric thoracic medicinepublic healthqualitative researchrespiratory infectionsultrasonography

Identifiers

PMID33707268
PMCPMC7957133
OpenAlexW3134164240

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.