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  1. 1
    دورية أكاديمية

    المصدر: JMIR Pediatrics and Parenting, Vol 5, Iss 4, p e35510 (2022)

    مصطلحات موضوعية: Pediatrics, RJ1-570

    الوصف: BackgroundThe FeverApp registry uses ecological momentary assessment (EMA) to collect parental data on pediatric fever for scientific research. The mobile app FeverApp educates parents on safe fever management and serves as a fever diary. ObjectiveThe focus of this study was to evaluate the completeness and concordance of the EMA-based FeverApp registry with regard to its data quality from a multilevel perspective. MethodsStructured descriptions of fever episodes by health care professionals from an office were used as reference. The number of children, their sociodemographic data, and agreement of fever episodes, with maximum temperature, intake of antipyretics and antibiotics, and physician visits, were compared with the entries in the corresponding physician’s reference records. The data quality indicators for completeness, meaning the extent to which the necessary data for the registry has actually been submitted, and concordance, which is the correspondence of the value of a data element with a reference source, were chosen to analyze whether EMA may be a suitable method for this kind of registry. ResultsIn both data sources, 1012 children were available for comparison over 16 months. The completeness of gender (1012/1012, 100%) and date of birth (1004/1012, 99.2%) information was high, and the mismatches were 0.69% (7/1012) and 1.19% (12/1012), respectively, between the sources. Of these 1012 children, 668 (66%) registered fever episodes in FeverApp. They relate to 534 families with 953 fever episodes in the reference records and 1452 episodes in the FeverApp registry. Of the 534 families, 183 (34.3%) refrained from visiting the office during fever episodes but nevertheless documented them in FeverApp. Largest part (766/1452, 52.75%) episodes were recorded exclusively in the FeverApp registry by 371 (371/534, 69.5%) families. The remaining 686 (47.2%) episodes of 391 (58.5%) children from 351 (65.7%) families were comparable with the reference data source in terms of physician visits, medication, and temperature. The completeness ranged, depending on the kind of variable, from 11.5% to 65% in the registry and from 7.6% to 42.6% in the office. The 953 fever episodes reported by the reference office consisted of 681 (71.5%) acute and 272 (28.5%) past episodes. In FeverApp, most past (262/272, 96.3%) but less acute (424/681, 62.3%) episodes have been entered. The concordance rates were varied: 90.2% for antibiotic use, 66.6% for antipyretic use, 61.7% for physician visits, and 16% for the highest temperature during the fever episode. ConclusionsBoth sources delivered only partial data, and the rates of completeness and concordance depended on the kind of variable. However, the FeverApp registry showed higher documentation and precision rates than professional records for all considered variables. Therefore, EMA may play a unique supplement for research in ambulatory care. FeverApp could support pediatric offices, especially during the pandemic.

    وصف الملف: electronic resource

  2. 2

    المصدر: Das Gesundheitswesen. 83:S4-S11

    الوصف: Zusammenfassung Ziel der Studie Die Machbarkeit und Modellhaftigkeit eines App-basierten Eltern-Registers ist aufzuzeigen. Methodik Die FeverApp als interaktives Erfassungsinstrument und die zugrundeliegende Datenstruktur des Registers werden vorgestellt. Die bisherigen Rekrutierungsbemühungen werden veranschaulicht und die Temperaturverteilung, sowie die Verteilung von Fieberereignissen im Jahr 2020 werden analysiert. Ergebnisse Die FeverApp sammelt erfolgreich Daten in ein zentrales Register. Wie jede Studie informiert sie zudem über das aktuelle Wissen. Die naturalistisch erfassten, aktuellen Werte können auf die Krankheitssituation mehrere Ebenen (Messung, Fieberphase, Individuum, Familie, Praxis, Land) in Bezug auf die Krankheitssituation darstellen. Die Methoden zur Datensammlung müssen Pandemie-bedingt flexibel entwickelt werden. Das erste Rekrutierungsziel von 2400 Fieberphasen in den ersten zwei Jahren wurde erreicht, die landesweite Verbreitung steht noch aus. Es zeigt sich, dass die Körpertemperatur nicht unbegrenzt steigt; Fieber erreicht im Mittel 39 Grad auch ohne Antipyretika, wobei in seltenen Fällen auch Temperaturen jenseits von 41 Grad ohne Schäden erreicht werden. Weiterhin lässt sich im Vergleich mit einer Referenzpraxis zeigen, dass Fieberphasen in der App umfassender erfasst werden können, d. h. inklusive Infekte, die nicht zur Vorstellung in der Kinderpraxis kommen. So erfüllt die FeverApp den Einsatz von Registern modellhaft bei an sich Gesunden mit Infekten und bildet eine Mehrebenendiagnostik ab. Schlussfolgerung Die FeverApp konnte sich als unterstützendes Werkzeug grundsätzlich etablieren, das Register kann mit der eingesetzten Methode reliabel Daten erfassen und bildet die aktuelle Infektlage ab. Bei der Erforschung der Frage, wie sich Infekte in der Post-Covid- Zeit entwickeln, könnte die App eine wertvolle Aufgabe leisten.

  3. 3
    دورية أكاديمية

    المصدر: MDPI, IJERPH. 18(6):1-13

    الوصف: The FeverApp Registry is a model registry focusing on pediatric fever using a mobile app to collect data and present recommendations. The recorded interactions can clarify the relationship between user documentation and user information. This initial evaluation regarding features of participants and usage intensity of educational video, information library, and documentation of fever events covers the runtime of FeverApp for the first 14 months. Of the 1592 users, the educational opening video was viewed by 41.5%, the Info Library was viewed by 37.5%, and fever events were documented by 55.5%. In the current sample, the role of a mother ( p < 0.0090), having a higher level of education ( p = 0.0013), or being registered at an earlier date appear to be cues to take note of the training video, Info Library, and to document. The FeverApp was used slightly less by people with a lower level of education or who had a migration background, but at the current stage of recruitment no conclusion can be made. The user analyses presented here are plausible and should be verified with further dissemination of the registry. Ecological momentary assessment is used more than the information option, in line with the task of a registry. Data collection via app seems feasible.

  4. 4

    المصدر: Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)). 83(S 01)

    مصطلحات موضوعية: Parents, SARS-CoV-2, Germany, COVID-19, Humans, Documentation, Registries

    الوصف: To demonstrate the feasibility and exemplarity of an app-based parent registry.The app as an elaborated interactive electronic case report form and the underlying data structure of the registry are presented. The initial recruitment efforts are illustrated and the temperature distribution, as well as the distribution of fever events in 2020, are analyzed.The FeverApp successfully collects data into a central registry. Like every study, it also provides information on the current knowledge. The ecological momentary assessment can represent the illness situation at several levels (measurement, fever episode, individual, family, practice, country). Methods for data collection needed to be developed in a flexible manner due to pandemic conditions. The initial recruitment goal of 2400 fever phases in the first two years was met, with nationwide dissemination pending. It is shown that body temperature does not rise indefinitely; fevers reach an average of 39 degrees without antipyretics, although in rare cases temperatures beyond 41 degrees are reached without harm. Furthermore, a comparison with a reference practice shows that fever episodes can be recorded more comprehensively in the app, including infections that do not come to the presentation in a pediatrician's office. Thus, the FeverApp fulfills in a model-like fashion the use of registers in persons basically healthy and maps a multi-level diagnostics.The FeverApp could basically establish itself as a supporting tool, the registry can reliably collect data with the method used and maps the current infection situation. In researching the question of how infections develop in the post-Covid period, the app could perform an important task.Die Machbarkeit und Modellhaftigkeit eines App-basierten Eltern-Registers ist aufzuzeigen.Die FeverApp als interaktives Erfassungsinstrument und die zugrundeliegende Datenstruktur des Registers werden vorgestellt. Die bisherigen Rekrutierungsbemühungen werden veranschaulicht und die Temperaturverteilung, sowie die Verteilung von Fieberereignissen im Jahr 2020 werden analysiert.Die FeverApp sammelt erfolgreich Daten in ein zentrales Register. Wie jede Studie informiert sie zudem über das aktuelle Wissen. Die naturalistisch erfassten, aktuellen Werte können auf die Krankheitssituation mehrere Ebenen (Messung, Fieberphase, Individuum, Familie, Praxis, Land) in Bezug auf die Krankheitssituation darstellen. Die Methoden zur Datensammlung müssen Pandemie-bedingt flexibel entwickelt werden. Das erste Rekrutierungsziel von 2400 Fieberphasen in den ersten zwei Jahren wurde erreicht, die landesweite Verbreitung steht noch aus. Es zeigt sich, dass die Körpertemperatur nicht unbegrenzt steigt; Fieber erreicht im Mittel 39 Grad auch ohne Antipyretika, wobei in seltenen Fällen auch Temperaturen jenseits von 41 Grad ohne Schäden erreicht werden. Weiterhin lässt sich im Vergleich mit einer Referenzpraxis zeigen, dass Fieberphasen in der App umfassender erfasst werden können, d. h. inklusive Infekte, die nicht zur Vorstellung in der Kinderpraxis kommen. So erfüllt die FeverApp den Einsatz von Registern modellhaft bei an sich Gesunden mit Infekten und bildet eine Mehrebenendiagnostik ab.Die FeverApp konnte sich als unterstützendes Werkzeug grundsätzlich etablieren, das Register kann mit der eingesetzten Methode reliabel Daten erfassen und bildet die aktuelle Infektlage ab. Bei der Erforschung der Frage, wie sich Infekte in der Post-Covid- Zeit entwickeln, könnte die App eine wertvolle Aufgabe leisten.

  5. 5

    المصدر: International Journal of Environmental Research and Public Health, Vol 18, Iss 3121, p 3121 (2021)
    International Journal of Environmental Research and Public Health
    Volume 18
    Issue 6

    الوصف: The FeverApp Registry is a model registry focusing on pediatric fever using a mobile app to collect data and present recommendations. The recorded interactions can clarify the relationship between user documentation and user information. This initial evaluation regarding features of participants and usage intensity of educational video, information library, and documentation of fever events covers the runtime of FeverApp for the first 14 months. Of the 1592 users, the educational opening video was viewed by 41.5%, the Info Library was viewed by 37.5%, and fever events were documented by 55.5%. In the current sample, the role of a mother (p <
    0.0090), having a higher level of education (p = 0.0013), or being registered at an earlier date appear to be cues to take note of the training video, Info Library, and to document. The FeverApp was used slightly less by people with a lower level of education or who had a migration background, but at the current stage of recruitment no conclusion can be made. The user analyses presented here are plausible and should be verified with further dissemination of the registry. Ecological momentary assessment is used more than the information option, in line with the task of a registry. Data collection via app seems feasible.

    وصف الملف: application/pdf