Characteristics of Acute Childhood Illness Apps for Parents: Environmental Scan

BackgroundProviding parents with resources that aid in the identification and management of acute childhood illnesses helps those parents feel better equipped to assess their children’s health and significantly changes parental health-seeking behaviors. Some of these resource...

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Main Authors: James Benoit, Lisa Hartling, Michelle Chan, Shannon Scott
Format: Article
Language:English
Published: JMIR Publications 2021-10-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2021/10/e29441
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author James Benoit
Lisa Hartling
Michelle Chan
Shannon Scott
author_facet James Benoit
Lisa Hartling
Michelle Chan
Shannon Scott
author_sort James Benoit
collection DOAJ
description BackgroundProviding parents with resources that aid in the identification and management of acute childhood illnesses helps those parents feel better equipped to assess their children’s health and significantly changes parental health-seeking behaviors. Some of these resources are limited by accessibility and scalability. Remote locations and staffing limitations create challenges for parents aiming to access their child’s health information. Mobile health apps offer a scalable, accessible solution for improving health literacy by enabling access to health information through mobile devices.  ObjectiveThe aim of our study is to create an inventory of acute childhood illness apps that are available to North American parents and caregivers, assess their quality, and identify the areas in which future apps can be improved. MethodsWe conducted an environmental scan to identify and summarize app information for parents and digital health researchers. The Google and Apple app marketplaces were used as search platforms. We built a list of search terms and searched the platforms for apps targeted at parents and related to acute pediatric illnesses in the United States and Canada. We assessed apps meeting the inclusion criteria using the Mobile App Rating Scale (MARS), a validated tool for assessing the quality of health apps. The MARS examines apps on 5 subscales: engagement, functionality, aesthetics, information quality, and subjective quality. Data were analyzed by MARS subscale averages and individual item scores. ResultsOverall, 650 unique apps were screened, and 53 (8.2%) were included. On a scale of 1-5, apps had an average engagement score of 2.82/5 (SD 0.86), functionality score of 3.98/5 (SD 0.72), aesthetics score of 3.09/5 (SD 0.87), information quality score of 2.73/5 (SD 1.32), and subjective quality score of 2.20/5 (SD 0.79). On the same scale of 1-5, app scores ranged from 2.2/5 to 4.5/5 (mean 3.2, SD 0.6). The top 3 MARS-scored apps were Baby and Child First Aid (4.5/5), Ada (4.5/5), and HANDi Paediatric (4.2/5). Taken together, the top 3 apps covered topics of emergency pediatric first aid, identification of (and appropriate response to) common childhood illnesses, a means of checking symptoms, and a means of responding to emergency situations. There was a lack of Canadian-based app content available to parents in both marketplaces; this space was filled with content originating primarily in the United Kingdom and the United States. In addition, published evidence of the impact of the included apps was poor: of 53 apps, only 5 (9%) had an evidence base showing that the app had been trialed for usability or efficacy. ConclusionsThere is a need for evidence-based acute childhood illness apps of Canadian origin. This environmental scan offers a comprehensive picture of the health app landscape by examining trends in acute childhood illness apps that are readily available to parents and by identifying gaps in app design.
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spelling doaj.art-e59f16b849fd44c1a2379016e40988df2023-08-28T19:33:29ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-10-012310e2944110.2196/29441Characteristics of Acute Childhood Illness Apps for Parents: Environmental ScanJames Benoithttps://orcid.org/0000-0002-0651-2125Lisa Hartlinghttps://orcid.org/0000-0001-8341-3991Michelle Chanhttps://orcid.org/0000-0003-4412-3785Shannon Scotthttps://orcid.org/0000-0002-2251-3742 BackgroundProviding parents with resources that aid in the identification and management of acute childhood illnesses helps those parents feel better equipped to assess their children’s health and significantly changes parental health-seeking behaviors. Some of these resources are limited by accessibility and scalability. Remote locations and staffing limitations create challenges for parents aiming to access their child’s health information. Mobile health apps offer a scalable, accessible solution for improving health literacy by enabling access to health information through mobile devices.  ObjectiveThe aim of our study is to create an inventory of acute childhood illness apps that are available to North American parents and caregivers, assess their quality, and identify the areas in which future apps can be improved. MethodsWe conducted an environmental scan to identify and summarize app information for parents and digital health researchers. The Google and Apple app marketplaces were used as search platforms. We built a list of search terms and searched the platforms for apps targeted at parents and related to acute pediatric illnesses in the United States and Canada. We assessed apps meeting the inclusion criteria using the Mobile App Rating Scale (MARS), a validated tool for assessing the quality of health apps. The MARS examines apps on 5 subscales: engagement, functionality, aesthetics, information quality, and subjective quality. Data were analyzed by MARS subscale averages and individual item scores. ResultsOverall, 650 unique apps were screened, and 53 (8.2%) were included. On a scale of 1-5, apps had an average engagement score of 2.82/5 (SD 0.86), functionality score of 3.98/5 (SD 0.72), aesthetics score of 3.09/5 (SD 0.87), information quality score of 2.73/5 (SD 1.32), and subjective quality score of 2.20/5 (SD 0.79). On the same scale of 1-5, app scores ranged from 2.2/5 to 4.5/5 (mean 3.2, SD 0.6). The top 3 MARS-scored apps were Baby and Child First Aid (4.5/5), Ada (4.5/5), and HANDi Paediatric (4.2/5). Taken together, the top 3 apps covered topics of emergency pediatric first aid, identification of (and appropriate response to) common childhood illnesses, a means of checking symptoms, and a means of responding to emergency situations. There was a lack of Canadian-based app content available to parents in both marketplaces; this space was filled with content originating primarily in the United Kingdom and the United States. In addition, published evidence of the impact of the included apps was poor: of 53 apps, only 5 (9%) had an evidence base showing that the app had been trialed for usability or efficacy. ConclusionsThere is a need for evidence-based acute childhood illness apps of Canadian origin. This environmental scan offers a comprehensive picture of the health app landscape by examining trends in acute childhood illness apps that are readily available to parents and by identifying gaps in app design.https://www.jmir.org/2021/10/e29441
spellingShingle James Benoit
Lisa Hartling
Michelle Chan
Shannon Scott
Characteristics of Acute Childhood Illness Apps for Parents: Environmental Scan
Journal of Medical Internet Research
title Characteristics of Acute Childhood Illness Apps for Parents: Environmental Scan
title_full Characteristics of Acute Childhood Illness Apps for Parents: Environmental Scan
title_fullStr Characteristics of Acute Childhood Illness Apps for Parents: Environmental Scan
title_full_unstemmed Characteristics of Acute Childhood Illness Apps for Parents: Environmental Scan
title_short Characteristics of Acute Childhood Illness Apps for Parents: Environmental Scan
title_sort characteristics of acute childhood illness apps for parents environmental scan
url https://www.jmir.org/2021/10/e29441
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