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| ID | Type | Description | Link |
|---|---|---|---|
| Ref: 22231361 | Other Grant/Funding Number | Health and Medical Research Fund |
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The aims of this study are to test the effectiveness of a nurse support using a proactive mobile app to enhance parental self-efficacy in symptom management for children using mechanical ventilations, and alongside identify factors facilitating or deterring the program implementation.
A single group pre-post quasi-experimental study on parents of CMC requiring mechanical ventilation.
Parents will be recruited from a non-government office, with an estimated sample size of 52 parents. Self-administrated questionnaire, and semi-structured interview guide will be used for data collection.
Parents of children required mechanical ventilations at risk of high stress levels because these children have multisystem diseases, including severe neurologic conditions, resulting in potential premature death. Literature suggested that increasing parental self-efficacy in managing their child's symptoms could improve the child's health.
Nurse parental support in symptom management using a proactive mobile health application is an alternative method considered more accessible and nurse-parent interactivity to continue home-based support for the CMC and parents.
Self-administrated questionnaire, and semi-structured interview guide will be used for data collection. Descriptive statistics, including proportions for categorical variables, mean, and SD for normally distributed continuous variables, and median and inter-quartile range for non-normally distributed variables, will be reported. Generalized estimating equation will be used to address the objectives with appropriate link function. Qualitative data will be analyzed using thematic analysis to identify the facilitator, and barriers of program implementation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nurse parental support using a proactive mobile App | Experimental | Nurse parental support using a proactive mobile App in symptom management for children with mechanical ventilation for a 3-month period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nurse parental support using a proactive mobile App | Device | Nurse parental support using a proactive mobile App in symptom management for child with mechanical ventilation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Caregiving Self-efficacy | The scale consists of 18 items to measure the self-efficacy of Chinese caregivers. It is rated on a 9-point scale, with 1= no confidence, to 9 =full confidence. | Day 0, Month 3, Month 6, Month 9 |
| Implementation evaluation | Semi-structured interviews will be conducted to the related community stakeholders to evaluate the quality of service provided. Semi-structured interview guide will be used to collect qualitative data in four perspectives including:
| month 9 |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Memorial Symptom Assessment Scale | This is a modified 40-item Memorial Symptom Assessment Scale (MSAS in Chinese version). The items for measuring the frequency and severity of symptoms are rated on a 4-point Likert scale from one (almost never) to four (always). The items for measuring distress are rated on a 5-point Likert scale from one (not at all) to five (very). | Day 0, Month 3, Month 6, Month 9 |
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The inclusion criteria for parents are:
The exclusion criteria for parents are:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Winsome Lam, PhD | Contact | 852-2766 | 4291 | winsome.lam@polyu.edu.hk |
| Winsome Lam, PhD | Contact | (852)2766 | 4291 | winsome.lam@polyu.edu.hk |
| Name | Affiliation | Role |
|---|---|---|
| Winsome LAM, PhD | The Hong Kong Polytechnic University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| School of Nursing The Hong Kong Polytechnic University | Recruiting | Kowloon | Kowloon | 852 | Hong Kong |
IPD collected throughout the study, only IPD used in the results publication
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Nurse parental support using a proactive mobile App in symptom management for children requiring mechanical ventilation
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| Children health service utilization | This is a record used to summarize a child's visits to outpatient clinic and emergency room, and the child's admission history. | Day 0, Month 3, Month 6, Month 9 |