TY - JOUR AU - Feldman, Amy G AU - Moore, Susan AU - Bull, Sheana AU - Morris, Megan A AU - Wilson, Kumanan AU - Bell, Cameron AU - Collins, Margaret M AU - Denize, Kathryn M AU - Kempe, Allison PY - 2022 DA - 2022/1/13 TI -增加儿童实体器官移植人群免疫接种的智能手机应用程序:开发和初始可用性研究JO - JMIR Form Res SP - e32273 VL - 6is - 1kw -疫苗接种KW -移植KW -移动应用KW -敏捷开发KW -免疫KW -移动健康KW -移动健康KW -儿童KW -移植受者KW -儿童移植受者KW -儿科AB -背景:疫苗可预防的感染导致儿童移植受者的显著发病率、死亡率和成本。然而，在移植时，只有不到20%的儿童接受了最新的适龄免疫接种，可以预防这些疾病。智能手机应用程序有可能通过提供疫苗教育、发送疫苗提醒以及促进父母与多学科医疗小组之间的沟通来提高免疫接种率。目的:本研究的目的是描述一个智能手机应用程序的开发，免疫儿科移植，以促进移植前免疫，并报告应用于目标人群时的应用程序的功能和可用性。方法:在移动医疗敏捷开发和评估生命周期的指导下，我们采用混合方法研究设计。我们首先完成了一项形成性研究，包括对移植利益相关者(12名初级保健医生、40名移植受者的父母或监护人、11名移植护士协调员和19名移植亚专科医生)的半结构化访谈，以探索在移植前使用免疫应用程序的可接受性。基于这些发现，CANImmunize Inc开发了免疫儿科移植应用程序。接下来，我们与5-6个移植利益相关者/小组进行了2个焦点小组讨论(n=11;5名移植受者的父母、2名初级保健医生、2名移植护士协调员和2名移植亚专家)接受应用程序的反馈。对应用程序进行修改后，对功能原型进行alpha测试。然后，我们与12个利益相关者(6名移植受者的父母、2名初级保健医生、2名移植护士协调员和2名移植专科医生)进行了beta测试，通过迭代过程来优化应用程序。 Finally, the stakeholders completed the user version of the Mobile Application Rating Scale (uMARS) to assess the functionality and quality of the app. Results: A new Android- and Apple-compatible app, Immunize PediatricTransplant, was developed to improve immunization delivery in the pretransplant period. The app contains information about vaccine use in the pretransplant period, houses a complete immunization record for each child, includes a communication tool for parents and care providers, and sends automated reminders to parents and care providers when immunizations are due. During usability testing, the stakeholders were able to enter a mock vaccine record containing 16 vaccines in an average of 8.1 minutes (SD 1.8) with 87% accuracy. The stakeholders rated engagement, functionality, aesthetics, and information quality of the app as 4.2/5, 4.5/5, 4.6/5, and 4.8/5, respectively. All participants reported that they would recommend this app to families and care teams with a child awaiting solid organ transplant. Conclusions: Through a systematic, user-centered, agile, iterative approach, the Immunize PediatricTransplant app was developed to improve immunization delivery in the pretransplant period. The app tested well with end users. Further testing and agile development among patients awaiting transplant are needed to understand real-world acceptability and effectiveness in improving immunization rates in children awaiting transplant. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/1/e32273 UR - https://doi.org/10.2196/32273 UR - http://www.ncbi.nlm.nih.gov/pubmed/35023840 DO - 10.2196/32273 ID - info:doi/10.2196/32273 ER -