The Canadian Congenital Diaphragmatic Hernia Collaborative Mobile App: A National Guideline Implementation Strategy

Kathryn LaRusso1, Pramod S Puligandla2, Guilherme Sant' Anna3

  • 1Harvey E. Beardmore Division of Pediatric Surgery, McGill University Health Centre, The Montreal Children's Hospital, Montreal, Quebec, Canada.

Insights

A new mobile app for congenital diaphragmatic hernia (CDH) clinical practice guidelines (CPG) successfully increased guideline utilization. The app demonstrated significant international reach, highlighting the global relevance of CDH care standards.

Area of Science:

  • Medical Informatics
  • Digital Health
  • Clinical Practice Guidelines

Background:

  • Congenital diaphragmatic hernia (CDH) requires complex, multi-phase care.
  • Dissemination of clinical practice guidelines (CPG) is crucial for standardized care.
  • Mobile technology offers a platform for accessible knowledge translation.

Purpose of the Study:

  • To develop and evaluate a mobile smartphone application for the Canadian CDH Collaborative's CPG.
  • To enhance the utilization of CDH guidelines among healthcare professionals.
  • To promote knowledge translation in the management of CDH.

Main Methods:

  • Development of a mobile app with 22 evidence-based recommendations across CDH care phases.
  • Inclusion of evidence summaries, PubMed links, and expert consensus.
  • Collection and analysis of download statistics, user data, and session details from September 2018 to June 2020.

Main Results:

  • The app attracted 1,586 users globally, with significant reach in Canada, the US, and Brazil.
  • The Android version enhanced visibility, particularly in Brazil.
  • The guideline compliance checklist and postnatal ventilation sections were highly accessed, indicating utility.

Conclusions:

  • The mobile app serves as an effective platform for disseminating CDH guidelines.
  • The app's international adoption underscores the global importance of CDH CPG.
  • Future development will focus on patient and family resources to support CDH management.
Abstract

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