University of Oulu

Rantala, A, Pikkarainen, M, Miettunen, J, He, H‐G, Pölkki, T. The effectiveness of web‐based mobile health interventions in paediatric outpatient surgery: A systematic review and meta‐analysis of randomized controlled trials. J Adv Nurs. 2020; 76: 1949– 1960. https://doi.org/10.1111/jan.14381

The effectiveness of web‐based mobile health interventions in pediatric outpatient surgery : a systematic review and meta‐analysis of randomized controlled trials

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Author: Rantala, Arja1; Pikkarainen, Minna2; Miettunen, Jouko3;
Organizations: 1Research Unit of Nursing Science and Health Management, Faculty of Medicine Research Group of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland
2Research Group of Medical Imaging, Physics and Technology, University of Oulu. Martti Ahtisaari Institute, Oulu Business School, Oulu University. VTT, Technical Research Centre of Finland, Oulu, Finland
3Center for Life Course Health Research, University of Oulu, Oulu, Finland. Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
4Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore
5Department of Children and Women, Oulu University Hospital, Medical Research Center, The Finnish Centre for Evidence‐Based Health Care: A Joanna Briggs Institute Centre of Excellence, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 1.9 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2020042019306
Language: English
Published: John Wiley & Sons, 2020
Publish Date: 2020-04-20
Description:

Abstract

Aims: To evaluate the effectiveness of web‐based mobile health interventions on pediatric patients and their parents in the day surgery context, where the primary outcome was children’s preoperative anxiety and secondary outcomes were postoperative pain and parents’ anxiety and satisfaction with entire course of the day surgery.

Design: A systematic review and meta‐analysis of randomized controlled trials.

Data Sources: CENTRAL, CINAHL, Scopus, Ovid MEDLINE and Web of Science were systematically searched without time limits (up to December 2018).

Review Methods: Studies were appraised using the Cochrane risk of bias tool. A random effect meta‐analysis of children’s preoperative anxiety was performed.

Results: Eight studies with a total of 722 patients were included in the analysis. The effectiveness of web‐based mobile health interventions, including age‐appropriate videos, web‐based game apps and educational preparation games made for the hospital environment, was examined in preoperative settings. A meta‐analysis (N=560 children) based on six studies found a statistically significant reduction in preoperative anxiety measured by the Modified Yale Preoperative Anxiety Scale with a moderate effect size. Three studies reported parental satisfaction.

Conclusions: Web‐based mobile health interventions can reduce children’s preoperative anxiety and increase parental satisfaction. Web‐based mobile health interventions could be considered as nonpharmacological distraction tools for children in nursing. There is not enough evidence regarding the effectiveness of reducing children’s postoperative pain and parental anxiety using similar interventions.

Impact: Web‐based mobile health interventions reduce children´s preoperative anxiety and could therefore be considered as non‐pharmacological distraction tools for children in nursing.

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Series: Journal of advanced nursing
ISSN: 0309-2402
ISSN-E: 1365-2648
ISSN-L: 0309-2402
Volume: 76
Issue: 8
Pages: 1949 - 1960
DOI: 10.1111/jan.14381
OADOI: https://oadoi.org/10.1111/jan.14381
Type of Publication: A2 Review article in a scientific journal
Field of Science: 316 Nursing
Subjects:
Funding: The research was carried out as part of the ICory (An Intelligent Customer-driven Solution for Orthopedic and Pediatric Surgery Care) project, which was funded by Business Finland, the Finnish Funding agency, between 2018 and 2020. This research was funded also by the Rosa Instrumentarium Foundation.
Copyright information: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  https://creativecommons.org/licenses/by/4.0/