Imperial College London
Alternate

Mr Colin D Bicknell BM MD FRCS

Faculty of Medicine, Department of Surgery & Cancer

Clinical Reader in Vascular Surgery
 
 
 
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Contact

 

+44 (0)20 3312 6428colin.bicknell

 
 
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Location

 

1020Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Demblon:2023:10.3389/frhs.2023.1103624,
author = {Demblon, M-C and Bicknell, C and Aufegger, L},
doi = {10.3389/frhs.2023.1103624},
journal = {Frontiers in Health Services},
pages = {1--28},
title = {Systematic review of the development and effectiveness of digital health information interventions, compared with usual care, in supporting patient preparation for paediatric hospital care, and the impact on their health outcomes},
url = {http://dx.doi.org/10.3389/frhs.2023.1103624},
volume = {3},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background and aim: Elective surgery can be overwhelming for children, leading to pre-operative anxiety, which is associated with adverse clinical and behavioural outcomes. Evidence shows that paediatric preparation digital health interventions (DHIs) can contribute to reduced pre-operative anxiety and negative behavioural changes. However, this evidence does not consider their design and development in the context of behavioural science. This systematic review used the Theoretical Domains Framework (TDF) to evaluate the design and development of DHIs used to support children up to 14 years of age and their parents, prepare for hospital procedures, and determine any correlation to health outcomes. It also considered whether any behavioural frameworks and co-production were utilised in their design.Methods: A search of the MEDLINE, EMBASE, PsycINFO, and HMIC databases was carried out, looking for original, empirical research using digital paediatric preparation technologies to reduce pre-operative anxiety and behavioural changes. Limitations for the period (2000–2022), English language, and age applied.Results: Seventeen studies were included, sixteen randomised control trials and one before and after evaluation study. The results suggest that paediatric preparation DHIs that score highly against the TDF are (1) associated with improved health outcomes, (2) incorporate the use of co-production and behavioural science in their design, (3) are interactive, and (4) are used at home in advance of the planned procedure.Conclusion: Paediatric preparation DHIs that are co-produced and designed in the context of behavioural science are associated with reduced pre-operative anxiety and improved health outcomes and may be more cost-effective than other interventions.Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier: CRD42022274182.
AU  - Demblon,M-C
AU  - Bicknell,C
AU  - Aufegger,L
DO  - 10.3389/frhs.2023.1103624
EP  - 28
PY  - 2023///
SN  - 2813-0146
SP  - 1
TI  - Systematic review of the development and effectiveness of digital health information interventions, compared with usual care, in supporting patient preparation for paediatric hospital care, and the impact on their health outcomes
T2  - Frontiers in Health Services
UR  - http://dx.doi.org/10.3389/frhs.2023.1103624
UR  - https://www.frontiersin.org/articles/10.3389/frhs.2023.1103624/full
UR  - http://hdl.handle.net/10044/1/103532
VL  - 3
ER  -
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