TY  - JOUR
AU  - Kwa, Zhi Yin
AU  - Li, Jinqiu
AU  - Loh, Dale Lincoln
AU  - Lee, Yang Yang
AU  - Liu, Guangyu
AU  - Zhu, Lixia
AU  - Pikkarainen, Minna
AU  - He, Honggu
AU  - Mali, Vidyadhar Padmakar
PY  - 2024
DA  - 2024/2/16
TI  - An Intelligent Customer-Driven Digital Solution to Improve Perioperative Health Outcomes Among Children Undergoing Circumcision and Their Parents: Development and Evaluation
JO  - JMIR Form Res
SP  - e52337
VL  - 8
KW  - circumcision
KW  - self-efficacy
KW  - perioperative anxiety
KW  - postoperative pain
KW  - mobile phone
KW  - postoperative
KW  - pain
KW  - anxiety
KW  - distractions
KW  - distraction
KW  - perioperative
KW  - interview
KW  - interviews
KW  - child
KW  - children
KW  - surgery
KW  - surgical
KW  - recovery
KW  - health outcome
KW  - health outcomes
KW  - pediatric
KW  - pediatrics
KW  - content analysis
KW  - emotional
KW  - mobile health
KW  - app
KW  - apps
AB  - Background: Circumcision as a common elective pediatric surgery worldwide is a stressful and anxiety-inducing experience for parents and children. Although current perioperative interventions proved effective, such as reducing preoperative anxiety, there are limited holistic solutions using mobile apps. Objective: This paper aims to describe the development and primary evaluation of an intelligent customer-driven smartphone-based app program (ICory-Circumcision) to enhance health outcomes among children undergoing circumcision and their family caregivers. Methods: Based on the review of the literature and previous studies, Bandura’s self-efficacy theory was adopted as the conceptual framework. A multidisciplinary team was built to identify the content and develop the apps. Semistructured interviews were conducted to evaluate the ICory-Circumcision. Results: The ICory-Circumcision study was carried out from March 2019 to January 2020 and comprised 2 mobile apps, BuddyCare app and Triumf Health mobile game app. The former provides a day-by-day perioperative guide for parents whose children are undergoing circumcision, while the latter provides emotional support and distraction to children. In total, 6 participants were recruited to use the apps and interviewed to evaluate the program. In total, 4 main categories and 10 subcategories were generated from content analysis. Conclusions: ICory-Circumcision seemed to lean toward being useful. Revisions to ICory-Circumcision are necessary to enhance its contents and features before advancing to the randomized controlled trial. Trial Registration: ClinicalTrials.gov NCT04174404; https://clinicaltrials.gov/ct2/show/NCT04174404 
SN  - 2561-326X
UR  - https://formative.jmir.org/2024/1/e52337
UR  - https://doi.org/10.2196/52337
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38363589
DO  - 10.2196/52337
ID  - info:doi/10.2196/52337
ER  -