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Recruiting NCT06903052

Nurse Parental Support Using a Proactive Mobile App in Symptom Management for Children With Mechanical Ventilation

No phase Interventional Child With Medical Complexity Symptom Management Self Efficacy Mobile Application

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Nurse parental support using a proactive mobile App.
Who it may be relevant to
Registry conditions: Child With Medical Complexity, Symptom Management, Self Efficacy, Mobile Application. Basic parameters: 2 years — 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Hong Kong
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Nurse Parental Support Using a Proactive Mobile App in Symptom Management for Children With Medical Complexity Requiring Mechanical Ventilation: an Effectiveness-implementation Hybrid 2 Study

Overview

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.

Detailed description

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.

Interventions

  • Device Nurse parental support using a proactive mobile App
    Nurse parental support using a proactive mobile App in symptom management for child with mechanical ventilation

Primary outcome measures

  • Caregiving Self-efficacy [Time frame: Day 0, Month 3, Month 6, Month 9]
  • Implementation evaluation [Time frame: month 9]
Secondary outcome measures (2)
  • Modified Memorial Symptom Assessment Scale [Time frame: Day 0, Month 3, Month 6, Month 9]
  • Children health service utilization [Time frame: Day 0, Month 3, Month 6, Month 9]

Eligibility criteria

The inclusion criteria for parents are:

  • parent of a child with mechanical ventilation aged 2-18
  • having a Smartphone
  • able to communicate in Chinese and read Chinese
  • living with his/her child at home.

The exclusion criteria for parents are:

  • a reported mental health disorder
  • engaging in other structured programs related to symptom management 3) living in an area with no internet coverage.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Supportive care

Study locations

Hong Kong · 1 center
  • School of Nursing The Hong Kong Polytechnic University — Kowloon

Identifiers

NCT: NCT06903052 · SNHongkongPOLYU · Ref: 22231361

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗