App-based intervention for parents of children with crying, sleeping, and feeding problems: Usability, usefulness and
Michaela Augustin1, Anne Sophie Wenzel1, Maria Licata-Dandel1,2,3
1Social Pediatrics, TUM School of Medicine, Technical University of Munich, Heiglhofstr. 65, 81377 Munich, Germany.
Insights
Parents found a new psychoeducational app helpful for managing infant crying, sleeping, and feeding issues. The app offers useful information and features, with suggestions for future improvements to enhance its effectiveness.
Area of Science:
- Pediatrics
- Digital Health
- Parental Support
Background:
- Lack of evidence-based digital tools for parents facing infant behavioral challenges (crying, sleeping, feeding).
- High burden on parents, often leading to reluctance in seeking professional help.
- Psychoeducational app designed as a low-threshold intervention with scientifically sound information, practical tools, and resources.
Purpose of the Study:
- Evaluate parental perception of a novel psychoeducational app.
- Assess overall impression, usability, and usefulness of specific app functions.
- Gather feedback for potential future app improvements.
Main Methods:
- Convergent parallel mixed methods design.
- Cross-sectional data collection from 137 parents of infants (0-24 months) at a German outpatient clinic.
- App evaluation questionnaire administered after clinical trial use.
Main Results:
- High app usage (86% used weekly) over an average of 19 days.
- Positive ratings for overall impression, usability, informational texts, expert videos, and counseling center directory.
- Diary and chat functions deemed helpful in theory, with requests for enhanced features (e.g., timer).
Conclusions:
- Positive user ratings indicate strong potential for app effectiveness.
- App-based guidance should prioritize user-friendly information delivery.
- The app serves as a valuable secondary preventive tool, complementing professional support for parents.
Background:
There is a lack of evidence-based app guidance for parents of children with crying, sleeping, and feeding problems who are often highly burdened and not likely to seek professional help. A new psychoeducational app for parents providing scientifically sound information via text and videos, a diary function, selfcare strategies, a chat forum and a regional directory of specialized counseling centers may serve as a low-threshold intervention for this target group.
Objective:
We investigated how parents perceived the app in terms of the following: (1) overall impression and usability, (2) feedback on specific app functions regarding usefulness and (3) possible future improvements.
Methods:
Our clinical sample of N = 137 parents of children aged from 0 to 24 months was recruited from a cry baby outpatient clinic in Southern Germany between 2019 and 2022. A convergent parallel mixed methods design was used to collect and analyse cross-sectional data on app evaluation. After app use within the framework of a clinical trial, parents filled in an app evaluation questionnaire.
Results:
Most participants used the app at least once a week (86, 62.8 %) over an average period of 19.06 days (SD = 15.00). Participants rated overall impression and usability as good, and the informational texts, expert videos and regional register of counseling centers as appealing and useful. The diary function and chat forum were found to be helpful in theory, but improvements in implementation were requested, such as a timer function for the diary entry. Regarding future functionality, parents posed several suggestions such as the option to contact counseling centers directly via app, and the inclusion of the profile of their partners.
Conclusions:
Positive ratings of overall impression, usability, and specific app functions are important prerequisites for the app to be effective. App-based guidance for this target group should include easy-to-use information. The app is intended to serve as a secondary preventive low-threshold offer and to complement professional counseling.
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