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首页> 外文期刊>BMC Medical Informatics and Decision Making >Initial development of Supportive care Assessment, Prioritization and Recommendations for Kids (SPARK), a symptom screening and management application
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Initial development of Supportive care Assessment, Prioritization and Recommendations for Kids (SPARK), a symptom screening and management application

机译：初步开发支持性儿童评估，优先次序和建议（SPARK），一种症状筛查和管理应用程序

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We developed Supportive care Prioritization, Assessment and Recommendations for Kids (SPARK), a web-based application designed to facilitate symptom screening by children receiving cancer treatments and access to supportive care clinical practice guidelines primarily by healthcare providers. The objective was to describe the initial development and evaluation of SPARK from the perspective of children. Development and evaluation occurred in three phases: (1) low fidelity focused on functionality, (2) design focused on “look and feel” and (3) high fidelity confirmed functionality and design. Cognitive interviews were conducted with children receiving cancer treatments 8–18?years of age. Evaluation occurred after every five interviews and changes were guided by a Review Panel. Quantitative evaluation included SPARK ease of use and understandability of SPARK reports. The number of children included by phase were: low fidelity (n?=?30), design (n?=?30) and high fidelity (n?=?30). Across phases, the median age was 13.2 (range 8.5 to 18.4) years. During low-fidelity and design phases, iterative refinements to SPARK improved website navigation, usability and likability from the perspective of children and established symptom report design. Among the last 10 children enrolled to high-fidelity testing, all (100%) understood how to complete symptom screening, access reports and interpret reports. Among these 10 respondents, all (100%) found SPARK easy to use and 9 (90%) found SPARK reports were easy to understand. SPARK is a web-based application which is usable and understandable, and it is now appropriate to use for research. Future efforts will focus on clinical implementation of SPARK.
机译：我们开发了针对儿童的支持护理优先级，评估和建议（SPARK），这是一种基于网络的应用程序，旨在帮助接受癌症治疗的儿童进行症状筛查，并主要通过医疗保健提供者获得支持性护理临床实践指南。目的是从儿童的角度描述SPARK的初步开发和评估。开发和评估分为三个阶段：（1）以功能为中心的低保真度;（2）以“外观和感觉”为重点的设计;（3）以高保真度确认的功能和设计。对接受8至18岁癌症治疗的儿童进行了认知访谈。每五次面试后进行评估，并在审核小组的指导下进行更改。定量评估包括SPARK的易用性和SPARK报告的可理解性。按阶段包括的孩子数量为：低保真度（n？=？30），设计（n？=？30）和高保真度（n？=？30）。在各个阶段中，中位年龄为13.2岁（8.5至18.4）。在低保真度和设计阶段，对SPARK的迭代改进从儿童的角度和确定的症状报告设计角度改善了网站导航，可用性和可爱性。在参加高保真度测试的最后10名儿童中，所有人（100％）都知道如何完成症状筛查，访问报告和解释报告。在这10位受访者中，所有（100％）都认为SPARK易于使用，而9位（90％）则发现SPARK报告易于理解。 SPARK是一个基于Web的应用程序，可以使用并且易于理解，现在适合用于研究。未来的工作将集中在SPARK的临床实施上。

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