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Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
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Related Experiment Video

Updated: Jul 16, 2025

Iterative Development of an Innovative Smartphone-Based Dietary Assessment Tool: Traqq
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Remote Recruitment Strategy and Structured E-Parenting Support (STEPS) App: Feasibility and Usability Study.

Katarzyna Kostyrka-Allchorne1, Petrina Chu2, Claire Ballard1

  • 1Department of Child & Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.

JMIR Pediatrics and Parenting
|September 11, 2023
PubMed
Summary
This summary is machine-generated.

Remote recruitment for a digital parenting support app (STEPS) is feasible and acceptable for parents awaiting clinical assessment. The app was found to be a useful and easy-to-use tool for managing children

Keywords:
ADHDattention-deficit/hyperactivity disorderbehavior problemschildrenmHealthmobile appmobile healthmobile phoneparenting interventionusability

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Area of Science:

  • Digital health interventions
  • Parenting support
  • Child mental health

Background:

  • The Structured E-Parenting Support (STEPS) app aids parents of children with hyperactivity and conduct issues awaiting assessment.
  • The app is part of the Online Parent Training for the Initial Management of ADHD Referrals (OPTIMA) randomized controlled trial (RCT).
  • Phase 1 of OPTIMA focused on recruitment feasibility and app usability.

Purpose of the Study:

  • Adapt the myHealthE system for research to streamline waitlist recruitment.
  • Test remote screening and assessment methods for efficiency.
  • Evaluate the acceptability of the recruitment and assessment protocol.
  • Explore the usability of the STEPS app.

Main Methods:

  • Adapted myHealthE for patient data screening and conducted clinician/parent feedback.
  • Used myHealthE and non-myHealthE methods to identify potential participants for an observational feasibility study.
  • Summarized demographic and outcome data using descriptive statistics.
  • Assessed STEPS usability with a separate parent group using the System Usability Scale and qualitative coding.

Main Results:

  • 124 potential participants were identified, with 97.6% found via myHealthE.
  • 44.9% of contacted parents consented, and 84% hypothetically agreed to join the OPTIMA RCT.
  • The recruitment rate of 19/month met the RCT's stop-go criterion.
  • Parents found STEPS easy to use, visually appealing, and containing useful, sensitive content.

Conclusions:

  • Remote recruitment and study procedures for a parenting intervention app are feasible and acceptable.
  • The STEPS app is perceived by parents as a useful and user-friendly digital support tool.