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Developing a Mobile Health Intervention for Low-Income, Urban Caregivers of Children with Asthma: A Pilot Study.
Pediatric Allergy, Immunology, and Pulmonology ( IF 0.9 ) Pub Date : 2017-12-28 , DOI: 10.1089/ped.2017.0794
Robin S Everhart 1 , Kristin E Heron 2, 3 , Gillian G Leibach 1 , Samantha A Miadich 1
Affiliation  

Objective: This pilot study explored the initial feasibility and efficacy of providing feedback to low-income, urban caregivers of children with persistent asthma about their daily experiences reported via ecological momentary assessment (EMA) on caregiver emotional health (quality of life, perceived stress, and positive affect). Methods: Data were collected from 28 caregivers and their children (7-12 years). Caregivers completed a baseline session, 14 days of EMA surveys via smartphone, and were randomized to intervention or control groups. The intervention group received individualized EMA feedback regarding areas of daily life that may be making it harder to manage child asthma. The control group received information on general child health. Caregivers completed assessments 4 weeks and 4 months postintervention. Results: In the EMA group, caregivers experienced an increase in perceived stress from baseline to postintervention, but a decrease in perceived stress from postintervention to follow-up. There were no significant changes in outcome measures for the control group. Conclusion: Preliminary findings suggest that providing caregivers with feedback from daily assessments may reduce stress, which could be targeted in future mobile health interventions for low-income, urban families of children with asthma.

中文翻译:

为哮喘儿童的低收入,城市看护者开发移动医疗干预措施:一项初步研究。

目的:这项初步研究探索了初步的可行性和有效性,该研究旨在通过持续性哮喘儿童的低收入,城市看护人,通过生态瞬时评估(EMA)报告的有关看护者情绪健康(生活质量,感知压力,和积极的影响)。方法:从28名看护者及其子女(7-12岁)中收集数据。护理人员完成了基线会议,通过智能手机进行了14天的EMA调查,并被随机分为干预组或对照组。干预组收到了有关日常生活领域的个性化EMA反馈,这些反馈可能会使儿童哮喘的治疗更加困难。对照组收到了有关一般儿童健康的信息。护理人员在干预后4周和4个月完成评估。结果:在EMA组中,从基线到干预后,护理人员的感知压力有所增加,但是从干预后到随访,护理人员的感知压力有所降低。对照组的结局指标无明显变化。结论:初步发现表明,向护理人员提供每日评估的反馈可能会减轻压力,这可能是将来针对低收入,哮喘儿童城市家庭的流动医疗干预措施的目标。
更新日期:2019-11-01
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