JMIR Pediatrics and Parenting最新文献

{"title":"A Companion Robot for Children With Asthma: Descriptive Development and Feasibility Pilot Study.","authors":"Jinnaphat Sangngam, Somsiri Rungamornrat, Rungnapa Santipipat, Kunchira Ponthanee","doi":"10.2196/68943","DOIUrl":"10.2196/68943","url":null,"abstract":"<p><strong>Background: </strong>Consistent medication use and proper inhaler technique are essential in pediatric asthma, and young children require supportive tools to maintain these practices.</p><p><strong>Objective: </strong>This study aimed to investigate the caregivers' ability to use a companion robot-assisted app for children with asthma, their attitudes toward the usage, and the characteristics that hinder or facilitate the implementation.</p><p><strong>Methods: </strong>This study employed a descriptive design. The sample group consisted of 30 children with asthma aged 3-6 years who received treatment at an asthma clinic and their caregivers. The companion robot for children with asthma called \"Pukkabot,\" which is an innovation that is developed to teach inhalation techniques and to raise awareness about consistent medication administration through positive reinforcement, was examined. Data collection included personal information questionnaires, the System Usability Scale (SUS) for evaluating usage and overall satisfaction, and interviews to gather attitudes toward apps and characteristics that hinder or facilitate. Data were analyzed with descriptive statistics and content analysis.</p><p><strong>Results: </strong>The study revealed that the scores for usability and overall satisfaction were 80.6, which is above the standard threshold and rated at grade A or an excellent level. Additionally, caregivers stated that the companion robots were easy to use, not complicated, had appropriately sized screens, and demonstrated clear images and sounds. The detailed steps for inhalation were exhibited, and reminders included those of medication times. The children with asthma enjoyed the app and were very interested, making most caregivers want to continue their use.</p><p><strong>Conclusions: </strong>Caregivers were generally satisfied with the usability, finding it easy to use and engaging, which successfully attracted the interest of the children with asthma. Therefore, the companion robot may be used further, with the following recommendations: improving its physical design, adding content, incorporating tracking and symptom assessment systems, and creating a downloadable mobile app for greater accessibility and convenience.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e68943"},"PeriodicalIF":2.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Online Family Literacy and Wellness Program for Latino Dual Language Learners: Pilot Randomized Waitlist Controlled Trial.","authors":"Kevin D Guerrero, Lucia Lakata, Daniel Lima, Caroline Mendoza, Nila Uthirasamy, Lesley M Morrow, Silvia Perez-Cortes, Maria Pellerano, Alicja Bator, Pamela Ohman Strickland, Benjamin F Crabtree, Manuel E Jimenez","doi":"10.2196/60764","DOIUrl":"10.2196/60764","url":null,"abstract":"<p><strong>Background: </strong>Early childhood interventions can simultaneously promote positive health and early language experiences, but implementation and health equity often receive insufficient attention during the development process.</p><p><strong>Objective: </strong>We apply a health equity lens to refine and pilot-test a family literacy and wellness program designed for Latino dual language learners (DLLs) entering kindergarten and their caregivers.</p><p><strong>Methods: </strong>In collaboration with a parent and community advisory board, we refined an 8-week family literacy and wellness program and conducted a pilot randomized controlled trial (RCT) with a waitlist control. The program, specifically designed by our interprofessional team for Latino DLLs, uses health topics (ie, nutrition, physical activity, sleep, and social-emotional development) to (1) introduce foundational language and literacy skills to children; (2) empower families to engage in health and home literacy activities using a strengths-based approach; and (3) encourage maintenance of families' home language. We assessed reach by collecting sociodemographic information; attendance and acceptability using a parent survey; and preliminary effects on home literacy activities through a validated parent-report instrument (StimQ2 quantity, quality, content, and concepts subdomains) and on child literacy skills using investigator-developed assessments. We analyzed quantitative data using descriptive statistics and regression analyses.</p><p><strong>Results: </strong>Parents and community advisors informed the program content. A total of 32 parent-child dyads were enrolled in the pilot RCT. All parents identified as Latino, and half had not completed high school, indicating that we reached the intended audience. Parents rated the program as highly acceptable, and 23 (72%) participants attended at least half of the sessions. After participation, group 1 had higher StimQ2 quality scores (effect size 0.99, P=.02) and higher quantity scores (effect size 1.01, P=.04) compared with group 2.</p><p><strong>Conclusions: </strong>Similar interprofessional collaborations may be a promising strategy to promote equity in early language experiences for Latino DLLs and their families.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e60764"},"PeriodicalIF":2.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Characteristics and Outcomes of Acute Pharmaceutical Exposure in Children: 5-Year Retrospective Study.","authors":"Zhu Yan Duan, Yan Ning Qu, Rui Tang, Jun Ting Liu, Hui Wang, Meng Yi Sheng, Liang Liang Wang, Shuang Liu, Jiao Li, Lin Ying Guo, Si Zheng","doi":"10.2196/66951","DOIUrl":"10.2196/66951","url":null,"abstract":"<p><strong>Background: </strong>Acute pharmaceutical exposure in children can lead to severe health outcomes and contribute to the inefficient use of medical resources.</p><p><strong>Objective: </strong>This study aimed to investigate the clinical characteristics and outcomes of children with acute pharmaceutical exposure to guide the development of preventive strategies and educational initiatives.</p><p><strong>Methods: </strong>We analyzed real-world data from electronic medical records of children admitted to the emergency department of a pediatric hospital for acute pharmaceutical exposure between January 2019 and December 2023. Clinical data, including laboratory test results, interventions, and outcomes, were collected. We compared different exposure events and conducted logistic regression analysis to identify risk factors for hospitalization.</p><p><strong>Results: </strong>A total of 653 children were included in the study. The most common drugs involved in exposure were vitamins (149/653, 22.8%), nonsteroidal anti-inflammatory drugs (92/653, 14.1%), and psychiatric drugs (74/653, 11.3%). In total, 74.3% (469/631) of patients with complete clinical manifestation data showed no symptoms after exposure, and 68.1% (445/653) of patients did not require specific therapy. Toxicology screening was performed for 11% (72/653) of the children, and 69.4% (50/72) of these tests were positive. Independent risk factors for hospitalization included multisystem involvement (odds ratio [OR] 4.575, 95% CI 1.709-12.251, P=.002), psychiatric drugs (OR 6.280, 95% CI 2.189-18.020, P=.001), and intentional poisoning (OR 12.892, 95% CI 2.222-74.796, P=.004).</p><p><strong>Conclusions: </strong>Children with acute pharmaceutical exposure exhibit diverse clinical characteristics and outcomes, with most requiring no specific treatment. However, immediate toxicology screening and clinical intervention are essential for those exhibiting rapidly developing or multisystem symptoms, as well as those with intentional exposure or exposure to known highly toxic substances. Future pediatric health care policies should emphasize safe storage practices and public education on the prevention of pharmaceutical exposure.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e66951"},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between the Parenting Competence and Quality of Life of Family Caregivers of Children Aged 0-3 Years: Cross-Sectional Study.","authors":"Wei He, Le-Shan Zhou, Long-Yi Hu","doi":"10.2196/67872","DOIUrl":"10.2196/67872","url":null,"abstract":"<p><strong>Background: </strong>The quality of life (QoL) for family caregivers significantly influences not only their own well-being but also the well-being of children aged 0-3 years. Competence stands out as a crucial subjective factor that impacts this QoL.</p><p><strong>Objective: </strong>This study aimed to examine the factors affecting the QoL of caregivers of children aged 0-3 years and its correlation with parenting competency.</p><p><strong>Methods: </strong>Caregivers of children aged 0-3 years from the child health department of a tertiary hospital in Changsha, Hunan Province, were chosen as the study sample through convenience sampling. The study investigated the relationship between parenting competency and the caregivers' QoL, utilizing general information, the parenting competency scale, and the family caregiver quality of life scale.</p><p><strong>Results: </strong>In this study, 291 family caregivers, including 13 fathers and 278 mothers of children aged 0-3 years, were evaluated. The mean (SD) parenting competence score was 68.70 (9.816) and the mean (SD) QoL score was 56.81 (8.922). It was found that higher caregiver QoL scores were significantly associated with greater parenting competence (R=0.665, P<.001). Furthermore, each dimension of parenting competence demonstrated a significant positive correlation with each dimension of the QoL (P<.001).</p><p><strong>Conclusions: </strong>The data suggest a notable association between parenting competence and QoL among family caregivers of children aged 0-3 years. This association has implications for improving fertility rates, as enhancing parenting competence may reduce childcare-related stress and thereby enhance the overall QoL.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e67872"},"PeriodicalIF":2.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Early Engagement in a Self-Directed, Digital Mental Health Intervention for Adolescent Anxiety: Moderated Regression Analysis.","authors":"Emma-Leigh Senyard, Arlen Rowe, Govind Krishnamoorthy, Susan H Spence, Caroline Donovan, Sonja March","doi":"10.2196/60523","DOIUrl":"10.2196/60523","url":null,"abstract":"<p><strong>Background: </strong>Digital mental health (dMH) interventions offer the ability to reach many more adolescents with anxiety than face-to-face therapy. While efficacious dMH interventions are available for adolescents, premature dropout and low engagement are common, especially if delivered on a self-help basis without any form of therapist guidance. This is concerning, given that higher engagement, in terms of the number of sessions completed, has been repeatedly associated with improved clinical outcomes. The reasons for poor adolescent engagement in dMH programs are unclear. A clear understanding of when and why disengagement occurs is important in order to seek to improve engagement rates. Contemporary models consider engagement as multifaceted, comprising both \"use\" (eg, amount of content completed, frequency of use, duration spent logged into the dMH program, and depth of use, such as word or character count) and \"user experience\" (eg, interest and satisfaction in the program and affect and attention whilst engaging in the program).</p><p><strong>Objective: </strong>This study investigated the role of demographic and early engagement (EE) factors, specifically program use, in predicting overall program engagement and continued engagement, respectively, in a self-directed, internet-based cognitive behavioral therapy program for adolescent anxiety, namely, BRAVE Self-Help. It examined multiple measures of program use, including task completion, homework completion, and depth of response (character count of responses typed into program tasks). It also examined the moderating role of baseline anxiety severity.</p><p><strong>Methods: </strong>Data collected between July 2014 and May 2020 from 2850 adolescents aged 12 to 18 years who participated in BRAVE Self-Help were analyzed via a series of moderated regressions.</p><p><strong>Results: </strong>Results showed that EE (in terms of program use) was associated with continued engagement, demonstrated by early tasks (tasks completed in the first two sessions; R2=0.035; P<.001) and early depth (characters written in the first two sessions; R2=0.08; P<.001) predicting continued depth of program response (total character count of responses typed into all program tasks from sessions 3 to 10). Demographic factors and anxiety severity did not directly impact adolescents' engagement in BRAVE Self-Help.</p><p><strong>Conclusions: </strong>These findings highlight the need to investigate ways to (1) enhance EE and (2) better understand how to measure and capture all aspects of program engagement.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e60523"},"PeriodicalIF":2.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of COVID-19 on Dutch General Practitioner Prenatal Primary Care: Retrospective, Observational Cohort Study Using an Interrupted Time-Series Approach.","authors":"Wikje Berends-Hoekstra, Maarten Homburg, Anke Oenema, Matthijs Simeon Berends, Lilian Peters","doi":"10.2196/64831","DOIUrl":"10.2196/64831","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The COVID-19 pandemic significantly impacted primary health care-seeking behavior of the general population. The extent to which health care-seeking behavior of pregnant women in general practitioner (GP) care was affected remains largely unknown. The unique health care needs of pregnant women necessitate regular monitoring and care to ensure the well-being of expectant mothers, fetuses, and neonates, as timely interventions and screenings can profoundly influence the long-term health outcomes. Understanding how pandemic-related changes have influenced pregnant women's primary health care-seeking behavior is essential for developing targeted interventions and informing policy decisions to improve health outcomes for expectant mothers, fetuses, and neonates, both during public health emergencies and in routine health care settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to examine the impact of different COVID-19 pandemic phases on health care-seeking behavior among pregnant women in Dutch GP practices throughout 2020 and 2021. By analyzing clinical electronic health record (EHR) GP data, we aim to evaluate the health care consumption, occurrence of pregnancy-relevant symptoms and diagnoses, and types of contact (ie, regular consultations, phone consultations, home visits, and digital consultations) during different pandemic phases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using a retrospective cohort design, EHRs of selected pregnant women from 3 Dutch GP networks between 2019 and 2021 were analyzed, comparing 6 pandemic phases divided into 13 subphases with a prepandemic phase. Contact rates were analyzed by interrupted time-series analyses, pregnancy-relevant symptoms, and diagnoses by comparing the frequency of pregnancy-relevant International Classification of Primary Care (ICPC) code registrations and type of contact by descriptive statistics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 10,985 pregnant women were included, yielding 39,023 patient-GP contacts. Contact rates fluctuated significantly across pandemic phases, with the sharpest declines at the onset and the end of the pandemic. Pregnancy-relevant symptoms and diagnosis in the category related to pregnancy showed the highest variability across the pandemic phases, such as an increase in the frequency of health care consumption concerning gestational diabetes mellitus and nausea or vomiting of pregnancy. Detailed statistical results are reported in the main text. Contacts for symptoms and diagnosis like digestive or urinary tract problems did not fluctuate across the pandemic phases. The number of physical contacts decreased, while telephone contacts increased.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;By analyzing EHR data from over 10,000 pregnant women, this study highlights the pandemic's impact on pregnant women's GP health care-seeking behavior, including declining health care consumption trends during the initial and end phases of the pandemic (2020-","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e64831"},"PeriodicalIF":2.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitalization and Mortality in Brazilian Children and Adolescents Due to COVID-19: Retrospective Study.","authors":"Ana Carolina Pereira de Godoy, Reinaldo Bulgarelli Bestetti","doi":"10.2196/67546","DOIUrl":"10.2196/67546","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 is currently one of the most important medical challenges as it affects the entire population, with children and adolescents being infected as easily as adults.</p><p><strong>Objective: </strong>The objective of this study was to evaluate the prevalence of mortality in children and adolescents aged <19 years, compared to that of adults.</p><p><strong>Methods: </strong>This retrospective, observational study analyzed the medical records of all patients diagnosed with COVID-19 by real-time reverse transcription-quantitative polymerase chain reaction who were hospitalized at Hospital de Base and the Infant and Maternal Hospital of São José do Rio Preto, São Paulo, Brazil. Out of a total of 8986 hospitalized patients who were COVID-19 positive, 383 (4.26%) were children and adolescents aged <19 years (group 1), and 8603 (95.74%) were adults (group 2).</p><p><strong>Results: </strong>Overall, mortality was significantly higher (P<.001) in group 2 (2185/8603, 25.4%) compared to group 1 (12/383, 3.1%). A total of 11 (92%) of the 12 patients in group 1 that died had associated diseases. The mortality rates by age group were as follows: infants aged <1 year, 1.6% (2/123); children aged 1-4 years, 4% (4/95); children aged 5-9 years, 2% (1/47); adolescents aged 10-14 years, 2% (1/40); and adolescents aged 15-19 years, 5% (4/78).</p><p><strong>Conclusions: </strong>Mortality from COVID-19 in children and adolescents was significantly lower than that in adults and was associated with other comorbidities.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e67546"},"PeriodicalIF":2.3,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12112252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Covid-19 vaccine uptake, sources of information and side effects reported by pregnant women in Western Australia: A cross-sectional cohort survey.","authors":"Nicole Catalano, Shailender Mehta","doi":"10.2196/66645","DOIUrl":"10.2196/66645","url":null,"abstract":"<p><strong>Background: </strong>Pregnant women are a priority group for COVID-19 vaccination due to their vulnerability as a high-risk cohort. However, the current pregnancy uptake rate for the COVID-19 vaccination in Western Australia remains largely unknown.</p><p><strong>Objective: </strong>This study aimed to explore pregnant women's uptake rates, information sources and experience of vaccination against COVID-19 during pregnancy. We hypothesise that uptake of vaccination among pregnant women is higher than indicated in previous studies given different disease burden and different public health restrictions at time when data was collected.</p><p><strong>Methods: </strong>A cross-sectional survey was administered electronically to maternity patients at a single tertiary metropolitan hospital in Perth, Western Australia.</p><p><strong>Results: </strong>Five hundred and two women participated in the study. Overall, antenatal COVID-19 vaccination rate was 79% [n=398]. One half [51%, n=256] of all the women felt well informed, and information was sourced primarily from their General Practitioner [GP] [60%, n=301], midwives [35%, n=174] and obstetric doctors [13%, n=64]. Women with non-Caucasian ethnicity [34%, n=170 vs. 66%, n=332, p=0.073] and 'country of birth outside Australia' [47%, n=235] reported lower rates of vaccine information provision by hospital staff [34%, n=22 vs 66%, n=42, P = 0.04].</p><p><strong>Conclusions: </strong>The COVID-19 vaccine uptake was encouragingly high in our study with favourable attitudes and acceptance for the vaccine from majority of pregnant women. This self-reported study also identified opportunities for enhanced cultural competence and further education and training for hospital staff on COVID-19 vaccine information provision to ethnically diverse women. Further studies examining such interventions are warranted.</p><p><strong>Clinicaltrial: </strong></p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Impact of a Telemedicine Program on Caregivers of Children With Complex Chronic Conditions: Pre-Post Intervention Study.","authors":"Aurora Madrid-Rodríguez, María José Peláez-Cantero, Alfonso Lendínez-Jurado, Ana Suárez-Carrasco, Elena Godoy-Molina, Antonia Gámez-Ruiz, Ana Corripio-Mancera, Yolanda Ramón-Telo, Ana García-Ruiz, Isabel Leiva-Gea","doi":"10.2196/62953","DOIUrl":"10.2196/62953","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic was a paradigm shift in global health care. This situation highlighted the role of telemedicine in adapting to the care requirements of pediatric patients and their families by facilitating remote consultations and ensuring continuity of care.</p><p><strong>Objective: </strong>We aimed to establish the usefulness of a telemedicine program for caregivers of children with complex chronic conditions.</p><p><strong>Methods: </strong>We performed a quasi-experimental pre-post intervention study of a telemedicine program, regarding health care system use and caregiver quality of life while comparing two periods: before and during the COVID-19 pandemic. This study included caregivers of children with complex chronic conditions followed-up in a specialized unit.</p><p><strong>Results: </strong>A total of 34 families were included. The mean number of visits per year was higher in the preintervention period for both primary care consultations (P=.03) and hospital-specialized medical consultations (P=.03). The number of emergency room visits per year was lower in the pandemic period compared to the prepandemic period (P=.01). In both groups, an improvement in caregiver quality of life was detected at 12 months (P=.03). However, the Rosenberg self-esteem scale score for the primary caregiver was significantly lower at 3 months compared to the baseline (P=.03).</p><p><strong>Conclusions: </strong>Our study demonstrates that the use of a telemedicine program resulted in decreased scheduled face-to-face care visits and a reduction in the number of emergency department visits. Regarding the caregiver quality of life, outcomes were poorer among families whose children were affected by neurological conditions or were diagnosed at an older age.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e62953"},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12111483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using WhatsApp for Nutrition Surveillance Among Children Under 5 Years in West Java, Indonesia: Cross-Sectional Survey and Feasibility Study.","authors":"Dewi Nur Aisyah, Chyntia Aryanti Mayadewi, Astri Utami, Fauziah Mauly Rahman, Nathasya Humaira Adriani, Erlangga Al Farozi, Meldi Hafizh Sayoko, Aulia Chairunisa, Liza Restiana, Logan Manikam, Zisis Kozlakidis","doi":"10.2196/58752","DOIUrl":"10.2196/58752","url":null,"abstract":"<p><strong>Background: </strong>Large-scale programs involving nutrition-specific interventions have been carried out in Indonesia as a community-based approach at the primary care level across cities and districts, throughout the age-specific target population (ie, children under 5 years).</p><p><strong>Objective: </strong>The aim of this paper is to describe the potential use of WhatsApp as a tool for recording and monitoring the growth of children under 5 years by Posyandu (Pos Pelayanan Terpadu or community-based health service post), investigating its potential in enhancing health programs and services.</p><p><strong>Methods: </strong>Data were collected from Posyandu cadres in Bogor District, West Java, from March to June 2022. The anthropometric measurement data were reported in real time through a WhatsApp chatbot, automatically analyzed by the system, and presented in a structured dashboard. A qualitative assessment was carried out using a cross-sectional survey conducted from March to July 2022.</p><p><strong>Results: </strong>The study involved 42 Posyandu in 3 villages, engaging 282 staff, and the WhatsApp chatbot recorded anthropometric data for 4571 children under 5 years. The qualitative assessment indicated widespread system utilization, with 50% (45/90) affirming comprehensive data input. Additionally, 66.4% (83/129) found the system easy to use, and 66.7% (82/123) expressed clarity in comprehending variables. Moreover, 75.6% (93/123) found the data input flow easily understood, and 74% (91/123) suggested that the system contributed to enhancing Posyandu activities and the quality of data reporting. Regarding staff proficiency, 63.5% (80/126) affirmed their adeptness in using the system, and 71% (88/124) asserted their high capability in providing training to colleagues.</p><p><strong>Conclusions: </strong>The potential use of WhatsApp as a surveillance tool for recording children's nutritional status is promising, suggesting broader applications within health programs. Nonetheless, this expansion requires additional improvements, including human resource preparation, Posyandu infrastructure development, and strong regulatory support.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e58752"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}