TY - JOUR AU - Bray, Lucy AU - Sharpe, Ashley AU - Gichuru, Phillip AU - Fortune, Peter-Marc AU - Blake, Lucy AU - Appleton, Victoria PY - 2020 DA - 2020/8/11 TI - Xploro数字治疗平台在医院为儿童提供信息和准备的可接受性和影响:健康素养增强现实儿童程序健康人工智能背景:人们对寻找新方法来改善儿童在医院程序(如手术、x光检查和血液检查)前的准备工作越来越感兴趣。准备充分和知情的儿童有更好的结果(较少的程序焦虑和更高的满意度)。与儿童一起开发的数字治疗(DTx)平台(Xploro)通过游戏化、严肃游戏、聊天机器人和增强现实化身提供健康信息。目的:本研究旨在评估Xploro DTx的可接受性，并研究其对儿童及其父母的手术知识、手术焦虑以及在医院接受计划手术时报告的经历的影响。方法:采用混合方法设计，从接受标准医院信息的儿童组(治疗前组)和接受DTx干预的儿童组(治疗后组)中依次收集定量测量和定性数据。参与者是年龄在8到14岁之间的儿童和他们的父母，他们在英格兰西北部的一家儿童医院接受计划的临床手术。儿童及其父母在基线、手术前和手术后完成了自我报告测量(感知知识、手术焦虑、手术满意度和手术介入)。结果:共有80名儿童(标准护理组n=40，干预组n=40)及其父母参与研究;这些儿童的年龄在8至14岁之间(平均10.4岁，标准差2.27岁)，并在医院接受一系列手术。 The children in the intervention group reported significantly lower levels of procedural anxiety before the procedure than those in the standard group (two-tailed t63.64=2.740; P=.008). The children in the intervention group also felt more involved in their procedure than those in the standard group (t75=−2.238; P=.03). The children in the intervention group also reported significantly higher levels of perceived procedural knowledge preprocedure (t59.98=−4.892; P=.001) than those in the standard group. As for parents, those with access to the Xploro intervention reported significantly lower levels of procedural anxiety preprocedure than those who did not (t68.51=1.985; P=.05). During the semistructured write and tell interviews, children stated that they enjoyed using the intervention, it was fun and easy to use, and they felt that it had positively influenced their experiences of coming to the hospital for a procedure. Conclusions: This study has shown that the DTx platform, Xploro, has a positive impact on children attending a hospital for a procedure by reducing levels of procedural anxiety. The children and parents in the intervention group described Xploro as improving their experiences and being easy and fun to use. SN - 1438-8871 UR - //www.mybigtv.com/2020/8/e17367/ UR - https://doi.org/10.2196/17367 UR - http://www.ncbi.nlm.nih.gov/pubmed/32780025 DO - 10.2196/17367 ID - info:doi/10.2196/17367 ER -