Xploro数字治疗平台在医院为儿童提供信息和准备计划手术方面的可接受卡塔尔世界杯8强波胆分析性和影响:前后评估研究%A Bray,Lucy %A Sharpe,Ashley %A Gichuru,Phillip %A Fortune,Peter-Marc %A Blake,Lucy %A Appleton,Victoria %+英国l394qp奥姆斯克圣海伦斯路边山大学健康、社会关怀与医学学院,44 01695 657231 brayl@edgehill.ac.uk %K健康知识%K增强现实%K儿童%K程序%K健康%K人工智能%D 2020 %7 11.8.2020 %9原始论文%J J Med Internet Res %G English %X人们越来越有兴趣寻找新的方法来改善儿童为医院程序(如外科手术、x光检查和血液检查)做准备。准备充分和知情的儿童有更好的结果(较少的程序焦虑和更高的满意度)。与儿童一起开发的数字治疗(DTx)平台(Xploro)通过游戏化、严肃游戏、聊天机器人和增强现实化身提供健康信息。目的:本研究旨在评估Xploro DTx的可接受性,并研究其对儿童及其父母的手术知识、手术焦虑以及在医院接受计划手术时报告的经历的影响。方法:采用混合方法设计,从接受标准医院信息的儿童组(治疗前组)和接受DTx干预的儿童组(治疗后组)中依次收集定量测量和定性数据。参与者是年龄在8到14岁之间的儿童和他们的父母,他们在英格兰西北部的一家儿童医院接受计划的临床手术。儿童及其父母在基线、手术前和手术后完成了自我报告测量(感知知识、手术焦虑、手术满意度和手术介入)。结果:共有80名儿童(标准护理组n=40,干预组n=40)及其父母参与研究; the children were aged between 8 and 14 years (average 10.4, SD 2.27 years) and were attending a hospital for a range of procedures. The children in the intervention group reported significantly lower levels of procedural anxiety before the procedure than those in the standard group (two-tailed t63.64=2.740; P=.008). The children in the intervention group also felt more involved in their procedure than those in the standard group (t75=−2.238; P=.03). The children in the intervention group also reported significantly higher levels of perceived procedural knowledge preprocedure (t59.98=−4.892; P=.001) than those in the standard group. As for parents, those with access to the Xploro intervention reported significantly lower levels of procedural anxiety preprocedure than those who did not (t68.51=1.985; P=.05). During the semistructured write and tell interviews, children stated that they enjoyed using the intervention, it was fun and easy to use, and they felt that it had positively influenced their experiences of coming to the hospital for a procedure. Conclusions: This study has shown that the DTx platform, Xploro, has a positive impact on children attending a hospital for a procedure by reducing levels of procedural anxiety. The children and parents in the intervention group described Xploro as improving their experiences and being easy and fun to use. %M 32780025 %R 10.2196/17367 %U //www.mybigtv.com/2020/8/e17367/ %U https://doi.org/10.2196/17367 %U http://www.ncbi.nlm.nih.gov/pubmed/32780025
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