Evidence map›Paper›PMID 35594073›Full record

ArticleJMIR formative research2022

Development and Feasibility of a Mobile Asthma App for Children and Their Caregivers: Mixed Methods Study.

Misa Iio, Miori Sato, Masami Narita, Kiwako Yamamoto-Hanada, Taku Oishi, Ai Kishino, Takahiro Kawaguchi, Rin Nishi, Mayumi Nagata, Yukihiro Ohya

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

10 authors at 5 institutions in 1 country.

Misa IioCollege of Nursing, Kanto Gakuin University, Yokohama, Japan.ORCID https://orcid.org/0000-0002-7525-0448
Miori SatoAllergy Center, National Center for Child Health and Development, Setagaya, Japan.ORCID https://orcid.org/0000-0003-3785-7019
Masami NaritaDepartment of Pediatrics, Kyorin University School of Medicine, Kyorin University, Mitaka, Japan.ORCID https://orcid.org/0000-0002-5862-679X
Kiwako Yamamoto-HanadaAllergy Center, National Center for Child Health and Development, Setagaya, Japan.ORCID https://orcid.org/0000-0003-1288-9620
Taku OishiDepartment of Pediatrics, Kochi Medical School, Kochi University, Nankoku, Japan.ORCID https://orcid.org/0000-0002-0191-2365
Ai KishinoDivision of Pediatrics, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan.ORCID https://orcid.org/0000-0001-8639-8117
Takahiro KawaguchiDivision of Pediatrics, Showa General Hospital, Kodaira, Japan.ORCID https://orcid.org/0000-0002-4084-9135
Rin NishiDivision of Pediatrics, Yutenji Family Clinic, Meguro, Japan.ORCID https://orcid.org/0000-0002-9775-0523
Mayumi NagataCollege of Nursing, Kanto Gakuin University, Yokohama, Japan.ORCID https://orcid.org/0000-0001-6758-0909
Yukihiro OhyaAllergy Center, National Center for Child Health and Development, Setagaya, Japan.ORCID https://orcid.org/0000-0002-1560-3942
National Center For Child Health and Development · JPKanto Gakuin University · JPKōchi University · JPKyorin University · JPShowa General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile health apps can support the self-management of pediatric asthma. Previous studies on mobile apps for children aged >7 years with asthma are limited, and most reports on asthma apps do not consider interactions between the children and their caregivers. Therefore, we developed an asthma app for children aged 0-12 years and their caregivers based on the results of our previous study regarding user needs.

objectiveThe aim of this study was to evaluate the feasibility of a developed mobile app for children with asthma and their caregivers and to modify and complete the app according to the feasibility results.

methodsWe recruited children diagnosed with persistent asthma by an allergy specialist at 2 children's hospitals, 1 university hospital, 2 general hospitals, and 1 pediatric clinic. Thereafter, the app usage was assessed, and questionnaires were administered. This study used convergent mixed methods, including providing user feedback about the pediatric asthma app, completing questionnaire surveys regarding preferences, and obtaining quantitative data about app usage. Quantitative data were analyzed based on the ratings provided for the app features used by the participants, and the usage of the app features was analyzed using descriptive statistics. Qualitative data were analyzed via a descriptive qualitative research analysis and were used to identify codes from the content-characteristic words.

resultsIn total, 30 pairs of children aged 2-12 years and their caregivers responded to the 3-month survey, and 20 pairs of children aged 4-12 years and their caregivers responded to the 6-month survey. In the 3- and 6-month surveys, "record" was the most commonly used feature by both caregivers and children. The average access logs per month among the 20 pairs ranged from 50 to 79 in the 6-month survey. The number of access logs decreased over time. In the qualitative results, app utilization difficulties were identified for 6 categories: record, preparing, alert settings, change settings, mobile phone owner, and display and motivation. Regarding app feasibility, 60% (12/20) of the caregivers strongly agreed or agreed for all evaluation items, while 63% (7/11) of the children strongly agreed or agreed for 6 items, excluding satisfaction. In the qualitative results, feasibility evaluation of the app was classified into 3 categories: high feasibility of the app, improvement points for the app, and personal factors preventing app utilization. Based on the results of the feasibility analysis, the final version of the app was modified and completed.

conclusionsThe app feasibility among children with asthma and their caregivers was generally good. Children aged 7-12 years used elements such as record, quiz, and manga. This app can support the continuous self-management of pediatric asthma. However, efforts must be taken to maintain and improve the app quality.

trial registrationUMIN Clinical Trials Registry UMIN000039058; https://tinyurl.com/3na9zyf8.

Indexed as

asthmacaregiverschildrenfeasibilityhealth appmHealthmobile appmobile phonepediatricusability

Identifiers

PMID35594073
PMCPMC9166665
OpenAlexW4280510541

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.