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A randomized controlled study about the use of eHealth in the home health care of premature infants

Artikel i vetenskaplig tidskrift
Författare Anna Gund
Bengt Arne Sjöqvist
Helena Wigert
Elisabet Hentz
Kaj Lindecrantz
Kristina Bry
Publicerad i BMC Medical Informatics and Decision Making
Volym 13
Sidor Article number 22
ISSN 1472-6947
Publiceringsår 2013
Publicerad vid Institutionen för vårdvetenskap och hälsa
Institutionen för kliniska vetenskaper, Avdelningen för pediatrik
Sidor Article number 22
Språk en
Länkar dx.doi.org/10.1186/1472-6947-13-22
https://gup.ub.gu.se/file/103072
Ämnesord Video conferencing, Internet, Preterm infant, Home health care, eHealth, Web application
Ämneskategorier Medicinteknik, Pediatrik, Annan medicin och hälsovetenskap

Sammanfattning

BACKGROUND: One area where the use of information and communication technology (ICT), or eHealth, could be developed is the home health care of premature infants. The aim of this randomized controlled study was to investigate whether the use of video conferencing or a web application improves parents' satisfaction in taking care of a premature infant at home and decreases the need of home visits. In addition, nurses' attitudes regarding the use of these tools were examined. METHOD: Thirty-four families were randomized to one of three groups before their premature infant was discharged from the hospital to home health care: a control group receiving standard home health care (13 families); a web group receiving home health care supplemented with the use of a web application (12 families); a video group with home health care supplemented with video conferencing using Skype (9 families). Families and nursing staff answered questionnaires about the usefulness of ICT. In addition, semi-structured interviews were conducted with 16 families. RESULTS: All the parents in the web group found the web application easy to use. 83% of the families thought it was good to have access to their child's data through the application. All the families in the video group found Skype easy to use and were satisfied with the video calls. 88% of the families thought that video calls were better than ordinary phone calls. 33% of the families in the web group and 75% of those in the video group thought the need for home visits was decreased by the web application or Skype. 50% of the families in the web group and 100% of those in the video group thought the web application or the video calls had helped them feel more confident in caring for their child. Most of the nurses were motivated to use ICT but some were reluctant and avoided using the web application and video conferencing. CONCLUSION: The families were satisfied with both the web application and video conferencing. The families readily embraced the use of ICT, whereas motivating some of the nurses to accept and use ICT was a major challenge.

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