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首页> 外文期刊>BMC Medical Informatics and Decision Making >Development of a novel mobile application, HBB Prompt, with human factors and user-centred design for Helping Babies Breathe skills retention in Uganda
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Development of a novel mobile application, HBB Prompt, with human factors and user-centred design for Helping Babies Breathe skills retention in Uganda

机译：开发新型移动应用，HBB提示，具有人类因素和以用户为中心的设计，帮助婴儿在乌干达呼吸技能保留

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Helping Babies Breathe (HBB) is a life-saving program that has helped reduce neonatal morbidity and mortality, but knowledge and skills retention after training remains a significant challenge for sustainability of impact. User-centred design (UCD) can be used to develop solutions to target knowledge and skills maintenance. We applied a process of UCD beginning with understanding the facilitators of, and barriers to, learning and retaining HBB knowledge and skills. HBB Master Trainers and frontline HBB providers participated in a series of focus group discussions (FGDs) to uncover the processes of skills acquisition and maintenance to develop a mobile application called “HBB Prompt”. Themes derived from each FGD were identified and implications for development of the HBB Prompt app were explored, including feasibility of incorporating strategies into the format of an app. Data analysis took place after each iteration in Phase 1 to incorporate feedback and improve subsequent versions of HBB Prompt. Six HBB trainers and seven frontline HBB providers participated in a series of FGDs in Phase 1 of this study. Common themes included lack of motivation to practise, improving confidence in ventilation skills, ability to achieve the Golden Minute, fear of forgetting knowledge or skills, importance of feedback, and peer-to-peer learning. Themes identified that were not feasible to address pertained to health system challenges. Feedback about HBB Prompt was generally positive. Based on initial and iterative feedback, HBB Prompt was created with four primary functions: Training Mode, Simulation Mode, Quizzes, and Dashboard/Scoreboard. Developing HBB Prompt with UCD to help improve knowledge and skills retention was feasible and revealed key concepts, including drivers for successes and challenges faced for learning and maintaining HBB skills. HBB Prompt will be piloted in Phase 2 of this study, where knowledge and skills retention after HBB training will be compared between an intervention group with HBB Prompt and a control group without the app. Trial registration Clinicaltrials.gov (NCT03577054). Retrospectively registered July 5, 2018, https://clinicaltrials.gov/ct2/show/study/NCT03577054 .
机译：帮助婴儿呼吸（HBB）是一种救命计划，有助于减少新生儿发病率和死亡率，但培训后的知识和技能保留仍然是对兴奋可持续性的重大挑战。用户居中的设计（UCD）可用于开发解决方案以实现目标知识和技能维护。我们应用了一个UCD的过程，从理解，学习和保留HBB知识和技能的促进者。 HBB主培训师和前线HBB提供商参与了一系列焦点小组讨论（FGDS）来揭示技能获取和维护的流程，以开发一个名为“HBB提示”的移动应用程序。探讨了源自每个FGD的主题，并探讨了对HBB提示应用程序的开发的影响，包括将策略纳入应用程序格式的可行性。在阶段1中的每次迭代后进行数据分析以合并反馈并改进后续版本的HBB提示。六位HBB培训师和七个前线HBB提供商参加了本研究第1阶段的一系列FGD。普通主题包括缺乏练习的动力，提高通风技能的信心，实现黄金分钟的能力，害怕忘记知识或技能，反馈的重要性以及对等学习的同伴学习。确定的主题不可能与健康系统挑战有关。关于HBB提示的反馈通常是积极的。基于初始和迭代反馈，使用四个主要功能创建了HBB提示：培训模式，仿真模式，测验和仪表板/记分牌。通过UCD开发HBB提示来帮助提高知识和技能保留是可行的，并揭示了关键概念，包括学习和维护HBB技能的成功和挑战的司机。将在本研究第2阶段试点HBB提示，其中HBB培训后的知识和技能保留将在与HBB提示符和未经应用程序的控制小组之间进行比较。试验登记ClinicalTrials.gov（NCT03577054）。回顾性注册2018年7月5日，https://clinicaltrials.gov/ct2/show/study/nct03577054。

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