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Digital Technologies for Children and Parents Sharing Self-Management in Childhood Chronic or Long-Term Conditions: A
Jill Edwards1, Jenny Waite-Jones1, Toni Schwarz2
1School of Healthcare, University of Leeds, Leeds LS2 9JT, UK.
Insights
Digital technologies like mobile apps and websites can help children and parents manage long-term childhood conditions. These tools are acceptable and improve self-management skills, but user involvement in design is crucial.
Area of Science:
- Pediatric Health
- Digital Health
- Chronic Disease Management
Background:
- Increasing prevalence of chronic conditions in children necessitates effective self-management strategies.
- Development of self-management skills, including digital technology use, is vital for treatment adherence and quality of life.
- Parent and child engagement in self-management is essential for successful long-term condition management.
Purpose of the Study:
- To identify primary research on digital technologies for shared self-management of childhood chronic illnesses.
- To explore the feasibility, acceptability, usability, and impact of digital technologies in pediatric chronic disease self-management.
- To synthesize findings on how digital tools can support parents and children in managing long-term health conditions.
Main Methods:
- A comprehensive scoping review of electronic databases was conducted.
- Nineteen primary research papers were included, assessed for quality using the Hawker tool.
- Thematic analysis was performed to identify key themes related to technology use.
Main Results:
- Three themes emerged: feasibility/acceptability, usability, and effects on adherence/self-management.
- Mobile apps and websites are feasible and acceptable for delivering information and supporting self-management.
- Technologies can assist in managing long-term conditions and promote self-management skills in children and parents.
Conclusions:
- Digital technologies show promise in aiding the self-management of chronic childhood illnesses.
- Involving children and parents throughout the technology design process is critical for future development.
- Further research and development should focus on co-design to optimize digital health interventions for pediatric chronic conditions.
Abstract:
Worldwide, the prevalence of chronic (or long-term) conditions in children and young people from birth to 18 years (children) is increasing. Promoting competent and effective self-management skills early in the trajectory is important to improve adherence to treatment and optimise quality of life. Successful self-management, therefore, requires parents and children who are developmentally able to develop a range of complex skills, including the use of digital technologies. This scoping review aimed to identify primary research investigating digital technologies for children and parents sharing self-management in childhood chronic illnesses. A comprehensive search of electronic databases was conducted. Nineteen papers were included, assessed for quality and methodological rigour using the Hawker tool and thematically analysed. Three themes were identified: (i) the feasibility and acceptability of using technology, (ii) the usability of technologies and (iii) the effect of technologies on adherence and self-management skills. The results indicate that technologies such as mobile apps and websites can assist the management of long-term conditions, are an acceptable method of delivering information and can promote the development of effective self-management skills by parents and children. However, future technology design must include children and parents in all stages of development.
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