Evidence map›Paper›PMID 40267078›Full record

ArticlePLOS digital health2025

Preclinical usability evaluation of the Liveborn app: A mobile health application that provides feedback for neonatal resuscitation.

Daniel Ishoso, Eric Mafuta, Kourtney Bettinger, Carl Bose, Benjamin H Chi, Ingunn Haug, Patricia Gomez, Joar Eilevstjønn, Abigail McRea, Helge Myklebust and 2 more

Abstract read
In one paragraph

Article in PLOS digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Daniel IshosoSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Eric MafutaSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Kourtney BettingerDepartment of Pediatrics, University of Kansas, Kansas City, Kansas, United States of America.
Carl BoseDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Benjamin H ChiDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Ingunn HaugLaerdal Medical, Stavanger, Norway.
Patricia GomezJhpiego, Baltimore, Maryland, United States of America.
Joar EilevstjønnLaerdal Medical, Stavanger, Norway.
Abigail McReaDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Helge MyklebustLaerdal Medical, Stavanger, Norway.
Antoinette TshefuSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Jackie K PattersonDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID https://orcid.org/0000-0002-3330-7872

Funding

An Integrated mHealth Strategy to Improve Newborn Resuscitation in Low and Lower-Middle Income CountriesR21HD103058 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PATTERSON, JACQUELYN K · 2020 to 2021
$377k
NICHD NIH HHS R21 HD103058
6 · The paper itself

Abstract

Neonatal mortality, particularly due to failure to breathe at birth, remains a significant challenge in low- and middle-income countries (LMICs). Effective neonatal resuscitation is essential to improving survival, but is challenging to implement consistently at the bedside. The Liveborn mobile health application for newborn resuscitation was developed to provide real-time guidance and support debriefing for healthcare workers in LMICs. Liveborn allows an observer to document the timing of key actions during a resuscitation; it then compares the observer data to recommended care and provides data-driven feedback. This study aimed to evaluate the usability of Liveborn in simulated resuscitations. We conducted two rounds of simulated resuscitations using Liveborn with midwives at one health facility in the Democratic Republic of Congo. Each round included ten simulations, with half testing real-time guidance and half focusing on debriefing. Between rounds, Liveborn was iteratively refined based on analysis of video-recordings of the simulations and participant surveys. Midwives' perceptions of usability and feasibility were assessed using previously validated survey tools including the System Usability Scale (SUS) with a score >68 considered above average, and the Feasibility of Intervention Measure (FIM) with a score >12 considered above neutral. Round 1 of testing identified several key usability issues including difficulty accurately recording events, poor adherence to audio guidance that was insufficiently specific, and poor flow of debriefing for intrapartum stillbirth cases. The Liveborn app, after iterative refinement, demonstrated excellent usability (median SUS score of 90 [Q1, Q3: 85, 95]) and excellent feasibility (median FIM score of 19 [16, 20]). Further research is needed to assess Liveborn's effectiveness in real clinical settings and its impact on neonatal outcomes in LMICs.

Identifiers

PMID40267078
PMCPMC12017530

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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.