Development of a novel mobile application, HBB Prompt, with human factors and user-centred design for Helping Babies Breathe skills retention in Uganda

BMC Medical Informatics and Decision Making

Santorino Data¹  Shaun K. Morris²  Natalie Hoi-Man Chan³  Douglas M. Campbell⁴  Niraj Mistry⁵  Hasan S. Merali⁶  Ryan Kealey⁷ 

[1] Department of Pediatrics and Child Health, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda;Consortium for Affordable Medical Technologies in Uganda (CAMTech Uganda), Mbarara, Uganda;Division of Infectious Diseases and Centre for Global Child Health, The Hospital for Sick Children, 555 University Avenue, M5G 1X8, Toronto, ON, Canada;Department of Pediatrics, University of Toronto, Toronto, ON, Canada;Division of Neonatology, British Columbia Women’s Hospital, 1N55-4480 Oak Street, V6H 3V4, Vancouver, BC, Canada;Division of Neonatology, The Hospital for Sick Children, Toronto, ON, Canada;Neonatal Intensive Care Unit, St. Michael’s Hospital, 15014 - 30 Bond St, M5B 1W8, Toronto, ON, Canada;Department of Pediatrics, University of Toronto, Toronto, ON, Canada;Division of Paediatric Medicine, Department of Pediatrics, The Hospital for Sick Children, 555 University Avenue, M5G 1X8, Toronto, ON, Canada;Department of Pediatrics, University of Toronto, Toronto, ON, Canada;Division of Pediatric Emergency Medicine, Department of Pediatrics, McMaster Children’s Hospital, 1280 Main Street West, HSC-2R104, L8S 4K1, Hamilton, ON, Canada;Interactive Media Lab, University of Toronto, 5 King’s College Road, M5S 3G8, Toronto, ON, Canada;Design Research, TD Bank Group, Toronto, ON, Canada;

关键词: Newborn resuscitation;    Helping babies breathe;    Mobile application;    Uganda;    Simulation;    Human factors;    User-centred design;    mHealth;   

DOI  :  10.1186/s12911-021-01406-z

来源: Springer

【 摘 要 】

BackgroundHelping Babies Breathe (HBB) is a life-saving program that has helped reduce neonatal morbidity and mortality, but knowledge and skills retention after training remains a significant challenge for sustainability of impact. User-centred design (UCD) can be used to develop solutions to target knowledge and skills maintenance.MethodsWe applied a process of UCD beginning with understanding the facilitators of, and barriers to, learning and retaining HBB knowledge and skills. HBB Master Trainers and frontline HBB providers participated in a series of focus group discussions (FGDs) to uncover the processes of skills acquisition and maintenance to develop a mobile application called “HBB Prompt”. Themes derived from each FGD were identified and implications for development of the HBB Prompt app were explored, including feasibility of incorporating strategies into the format of an app. Data analysis took place after each iteration in Phase 1 to incorporate feedback and improve subsequent versions of HBB Prompt.ResultsSix HBB trainers and seven frontline HBB providers participated in a series of FGDs in Phase 1 of this study. Common themes included lack of motivation to practise, improving confidence in ventilation skills, ability to achieve the Golden Minute, fear of forgetting knowledge or skills, importance of feedback, and peer-to-peer learning. Themes identified that were not feasible to address pertained to health system challenges. Feedback about HBB Prompt was generally positive. Based on initial and iterative feedback, HBB Prompt was created with four primary functions: Training Mode, Simulation Mode, Quizzes, and Dashboard/Scoreboard.ConclusionsDeveloping HBB Prompt with UCD to help improve knowledge and skills retention was feasible and revealed key concepts, including drivers for successes and challenges faced for learning and maintaining HBB skills. HBB Prompt will be piloted in Phase 2 of this study, where knowledge and skills retention after HBB training will be compared between an intervention group with HBB Prompt and a control group without the app.Trial registration Clinicaltrials.gov (NCT03577054). Retrospectively registered July 5, 2018, https://clinicaltrials.gov/ct2/show/study/NCT03577054.

【 授权许可】

CC BY