Evidence map›Paper›PMID 34709194›Full record

ArticleJournal of medical Internet research2021

Multiparameter Continuous Physiological Monitoring Technologies in Neonates Among Health Care Providers and Caregivers at a Private Tertiary Hospital in Nairobi, Kenya: Feasibility, Usability, and Acceptability Study.

Amy Sarah Ginsburg, Mai-Lei Woo Kinshella, Violet Naanyu, Jessica Rigg, Dorothy Chomba, Jesse Coleman, Bella Hwang, Roseline Ochieng, J Mark Ansermino, William M Macharia

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 13% 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.

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

7 citing papers in PubMed, 10 citations in OpenAlex.

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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

10 authors at 6 institutions in 3 countries.

Amy Sarah GinsburgUW Clinical Trial Center, University of Washington, Seattle, WA, United States.ORCID 0000-0002-2291-2276
Mai-Lei Woo KinshellaDepartment of Obstetrics and Gynecology, British Columbia Children's and Women's Hospital and The University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-5846-3014
Violet NaanyuSchool of Arts and Sciences, Moi University, Eldoret, Kenya.ORCID 0000-0003-0182-1719
Jessica RiggCentre for International Child Health, BC Children's Hospital, Vancouver, BC, Canada.ORCID 0000-0003-3728-2163
Dorothy ChombaDepartment of Pediatrics, Aga Khan University, Nairobi, Kenya.ORCID 0000-0002-0038-7896
Jesse ColemanEvaluation of Technologies for Neonates in Africa, Nairobi, Kenya.ORCID 0000-0002-3601-7854
Bella HwangCentre for International Child Health, BC Children's Hospital, Vancouver, BC, Canada.ORCID 0000-0001-6519-1563
Roseline OchiengDepartment of Pediatrics, Aga Khan University, Nairobi, Kenya.ORCID 0000-0002-3818-7486
J Mark AnserminoCentre for International Child Health, BC Children's Hospital, Vancouver, BC, Canada.ORCID 0000-0001-8427-2035
William M MachariaDepartment of Pediatrics, Aga Khan University, Nairobi, Kenya.ORCID 0000-0002-4428-862X
Aga Khan University Nairobi · KEUniversity of British Columbia · CABC Children's Hospital · CAMoi University · KEPartners for Health and Development in Africa · KEUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuous physiological monitoring technologies are important for strengthening hospital care for neonates, particularly in resource-constrained settings, and understanding user perspectives is critical for informing medical technology design, development, and optimization.

objectiveThis study aims to assess the feasibility, usability, and acceptability of 2 noninvasive, multiparameter, continuous physiological monitoring technologies for use in neonates in an African health care setting.

methodsWe assessed 2 investigational technologies from EarlySense and Sibel, compared with the reference Masimo Rad-97 technology through in-depth interviews and direct observations. A purposive sample of health care administrators, health care providers, and caregivers at Aga Khan University Hospital, a tertiary, private hospital in Nairobi, Kenya, were included. Data were analyzed using a thematic approach in NVivo 12 software.

resultsBetween July and August 2020, we interviewed 12 health care providers, 5 health care administrators, and 10 caregivers and observed the monitoring of 12 neonates. Staffing and maintenance of training in neonatal units are important feasibility considerations, and simple training requirements support the feasibility of the investigational technologies. Key usability characteristics included ease of use, wireless features, and reduced number of attachments connecting the neonate to the monitoring technology, which health care providers considered to increase the efficiency of care. The main factors supporting acceptability included caregiver-highlighted perceptions of neonate comfort and health care respondent technology familiarity. Concerns about the side effects of wireless connections, electromagnetic fields, and mistrust of unfamiliar technologies have emerged as possible acceptability barriers to investigational technologies.

conclusionsOverall, respondents considered the investigational technologies feasible, usable, and acceptable for the care of neonates at this health care facility. Our findings highlight the potential of different multiparameter continuous physiological monitoring technologies for use in different neonatal care settings. Simple and user-friendly technologies may help to bridge gaps in current care where there are many neonates; however, challenges in maintaining training and ensuring feasibility within resource-constrained health care settings warrant further research. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1136/bmjopen-2019-035184.

Indexed as

CaregiversHealth PersonnelFeasibility StudiesHospitals, PrivateHumansInfant, NewbornKenyaMonitoring, PhysiologicTechnologyTertiary Care CentersAfricadirect observationsin-depth interviewsinfantsmedical technology designuser perspectives

Identifiers

PMID34709194
PMCPMC8587184
OpenAlexW3210002104

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.