Feasibility and Acceptability of Pediatric Smartphone Lung Auscultation by Parents: Cross-Sectional Study.
JMIR Pediatr Parent
; 7: e52540, 2024 Apr 08.
Article
em En
| MEDLINE
| ID: mdl-38602309
ABSTRACT
Background:
The use of a smartphone built-in microphone for auscultation is a feasible alternative to the use of a stethoscope, when applied by physicians.Objective:
This cross-sectional study aims to assess the feasibility of this technology when used by parents-the real intended end users.Methods:
Physicians recruited 46 children (male n=33, 72%; age mean 11.3, SD 3.1 y; children with asthma n=24, 52%) during medical visits in a pediatric department of a tertiary hospital. Smartphone auscultation using an app was performed at 4 locations (trachea, right anterior chest, and right and left lung bases), first by a physician (recordings n=297) and later by a parent (recordings n=344). All recordings (N=641) were classified by 3 annotators for quality and the presence of adventitious sounds. Parents completed a questionnaire to provide feedback on the app, using a Likert scale ranging from 1 ("totally disagree") to 5 ("totally agree").Results:
Most recordings had quality (physicians' recordings 253/297, 85.2%; parents' recordings 266/346, 76.9%). The proportions of physicians' recordings (34/253, 13.4%) and parents' recordings (31/266, 11.7%) with adventitious sounds were similar. Parents found the app easy to use (questionnaire median 5, IQR 5-5) and were willing to use it (questionnaire median 5, IQR 5-5).Conclusions:
Our results show that smartphone auscultation is feasible when performed by parents in the clinical context, but further investigation is needed to test its feasibility in real life.
acceptance; adoption; app; applications; apps; asthma; attitude; attitudes; auscultation; breathing; child; children; crackle; crackles; ease of use; intent; lung; lungs; mHealth; mobile applications; mobile health; mobile phone; opinion; parent; parenting; parents; participation; patient participation; pediatric; pediatrics; perception; perceptions; pulmonary; questionnaire; questionnaires; respiration; respiratory; respiratory sounds; smartphone; smartphones; sound; sounds; survey; surveys; usability; wheeze; wheezes; wheezing; willingness
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Base de dados:
MEDLINE
Idioma:
En
Revista:
JMIR Pediatr Parent
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Portugal