TY -非盟的丹尼斯法布里斯盟——maury劳拉盟——Carillo Kevin AU - Ologeanu-Taddei罗克珊娜盟——每周再现,anne - lise满身AU - .杰普奈尔,艾格尼丝AU -勒高夫,Florian盟——Desbois Madhu AU - Demurger,巴普蒂斯特盟-西尔柏,丹尼斯盟——圣母,Jean-David盟——Assuied Guedalia佩雷茨盟——Bonnot Olivier PY - 2022 DA - 2022/5/16 TI -早期发现神经发育障碍幼儿和产后抑郁症的移动健康应用程序:观察横断面研究乔- Uhealth Mhealth JMIR SP - e38181六世- 10 - 5 KW -早期检测KW - NDD KW -神经发育障碍KW - ASD KW -自闭症谱系障碍KW -患产后抑郁症KW -产后抑郁症KW - Mhealth KW -移动健康KW -实际研究KW -自闭症KW -育儿KW -儿科KW -儿童KW -手机KW -智能手机KW -移动健康应用KW -数字医疗干预KW -数码产品KW -算法AB -背景:幼儿神经发育障碍(ndd)和母亲产后抑郁症(PND)的诊断延迟是主要的公共卫生问题。在这两种情况下，早期干预都至关重要。目的:我们旨在评估一款名为Malo的移动应用程序是否可以减少NDD和PND的识别延迟。方法:我们进行了一项观察性、横断面、基于数据的研究，研究对象为在入选时至少有一个3岁以下孩子的年轻父母，并定期使用Malo。我们纳入了符合标准并同意在2021年11月11日至2022年1月14日期间参与的前4000名用户。家长每月通过该应用程序收到问卷调查，评估他们婴儿的社交能力、听力、视力、运动能力、语言能力，以及可能的自闭症谱系障碍。母亲们还被要求在分娩后4-28周内定期回答关于产后抑郁的问卷。当任何患者报告的结果符合预定义的标准时，应用程序内的通知就会发送给用户，建议与他们的家庭医生或儿科医生预约。主要结果是婴儿在通知可能的NDD时的中位年龄和分娩后通知PND的中位时间。 One secondary outcome was the relevance of the NDD notification for a consultation as assessed by the physicians. Results: Among 4242 children assessed by 5309 questionnaires, 613 (14.5%) had at least 1 disorder requiring a consultation. The median age of notification for possible autism spectrum, vision, audition, socialization, language, or motor disorders was 11, 9, 17, 12, 22, and 4 months, respectively. The sensitivity of the alert notifications of suspected NDDs as assessed by the physicians was 100%, and the specificity was 73.5%. Among 907 mothers who completed a PND questionnaire, highly probable PND was detected in 151 (16.6%) mothers, and the median time of detection was 8-12 weeks. Conclusions: The algorithm-based alert suggesting NDD was highly sensitive with good specificity as assessed by real-life practitioners. The app was also efficient in the early detection of PND. Our results suggest that the regular use of this multidomain familial smartphone app would permit the early detection of NDD and PND. Trial Registration: ClinicalTrials.gov NCT04958174; https://clinicaltrials.gov/ct2/show/NCT04958174 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/5/e38181 UR - https://doi.org/10.2196/38181 UR - http://www.ncbi.nlm.nih.gov/pubmed/35576565 DO - 10.2196/38181 ID - info:doi/10.2196/38181 ER -