App-based intervention for parents of children with crying, sleeping, and feeding problems: Usability, usefulness and implications for improvement

Michaela Augustin , Anne Sophie Wenzel , Maria Licata-Dandel , Linda D. Breeman , Ayten Bilgin , Dieter Wolke , Margret Ziegler , Volker Mall , Anna Friedmann
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Abstract

Background

There is a lack of evidence-based app guidance for parents of children with crying, sleeping, and feeding problems who are often highly burdened and not likely to seek professional help. A new psychoeducational app for parents providing scientifically sound information via text and videos, a diary function, selfcare strategies, a chat forum and a regional directory of specialized counseling centers may serve as a low-threshold intervention for this target group.

Objective

We investigated how parents perceived the app in terms of the following: (1) overall impression and usability, (2) feedback on specific app functions regarding usefulness and (3) possible future improvements.

Methods

Our clinical sample of N = 137 parents of children aged from 0 to 24 months was recruited from a cry baby outpatient clinic in Southern Germany between 2019 and 2022. A convergent parallel mixed methods design was used to collect and analyse cross-sectional data on app evaluation. After app use within the framework of a clinical trial, parents filled in an app evaluation questionnaire.

Results

Most participants used the app at least once a week (86, 62.8 %) over an average period of 19.06 days (SD = 15.00). Participants rated overall impression and usability as good, and the informational texts, expert videos and regional register of counseling centers as appealing and useful. The diary function and chat forum were found to be helpful in theory, but improvements in implementation were requested, such as a timer function for the diary entry. Regarding future functionality, parents posed several suggestions such as the option to contact counseling centers directly via app, and the inclusion of the profile of their partners.

Conclusions

Positive ratings of overall impression, usability, and specific app functions are important prerequisites for the app to be effective. App-based guidance for this target group should include easy-to-use information. The app is intended to serve as a secondary preventive low-threshold offer and to complement professional counseling.

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为有哭闹、睡眠和喂养问题的儿童的父母提供基于应用程序的干预:可用性、实用性和改进意义
背景对于有哭闹、睡眠和喂养问题的儿童的父母来说,他们往往负担沉重,而且不太可能寻求专业帮助,因此缺乏以证据为基础的应用程序指导。一款新的家长心理教育应用程序通过文字和视频、日记功能、自我护理策略、聊天论坛和地区专业咨询中心目录提供科学合理的信息,可作为针对这一目标群体的低门槛干预措施:(方法我们在 2019 年至 2022 年期间从德国南部的一家哭闹婴儿门诊诊所招募了 N = 137 名 0 至 24 个月儿童的父母作为临床样本。我们采用收敛平行混合方法设计来收集和分析有关应用程序评估的横截面数据。在临床试验框架内使用应用程序后,家长填写了应用程序评估问卷。结果大多数参与者每周至少使用一次应用程序(86 人,62.8%),平均使用时间为 19.06 天(SD = 15.00)。参与者对应用程序的总体印象和可用性评价良好,对信息文本、专家视频和咨询中心地区登记册的吸引力和实用性评价较高。他们认为日记功能和聊天论坛在理论上是有帮助的,但要求在实施方面加以改进,如在日记条目中增加计时器功能。关于未来的功能,家长们提出了一些建议,如通过应用程序直接联系咨询中心的选项,以及纳入其伴侣的个人资料等。针对这一目标群体的基于应用程序的指导应包括易于使用的信息。该应用程序旨在作为一种低门槛的辅助性预防措施,并作为专业咨询的补充。
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来源期刊
CiteScore
6.50
自引率
9.30%
发文量
94
审稿时长
6 weeks
期刊介绍: Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions
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