Preparing Children for Hearing Examination in a Playful Way-Co-Creation and Evaluation of an App
Signe Wischmann1, Lone Jantzen1, Nete Rudbeck Kamper1
1Ear, Nose and Throat (ENT) and Audiology Clinic, Copenhagen Hearing and Balance Center, Rigshospitalet, Inge Lehmanns Vej 8, 2100 København, Denmark.
Insights
A new app helps prepare children for hearing examinations, with users meeting audiologists' expectations better. However, implementation and maintenance challenges need addressing for digital health solutions.
Area of Science:
- Pediatric audiology
- Digital health interventions
- Child psychology
Background:
- Hospital procedures can cause anxiety in children.
- Providing age-appropriate information can mitigate this.
- Digital tools offer a novel approach to patient preparation.
Purpose of the Study:
- To develop a playful and engaging app for preparing young children and their parents for hearing examinations.
- To evaluate the app's usability and impact on the examination experience.
Main Methods:
- Exploratory study utilizing a participatory design approach.
- Co-creation of the app by children, parents, and clinicians.
- Evaluation through focus groups, dialogue meetings, and surveys.
Main Results:
- The app received positive evaluations from children, parents, and clinicians.
- Children using the app demonstrated better adherence to audiologists' expectations compared to non-users.
- No significant differences were observed in satisfaction, child safety, or parental knowledge between groups.
- Implementation challenges included low app adoption (20%) and inadequate maintenance funding.
Conclusions:
- App-based preparation for pediatric hearing examinations shows promise.
- Addressing implementation and maintenance is crucial for digital healthcare solutions.
- Future research should focus on overcoming these practical challenges for accessibility and sustainability.
Abstract:
Background/Objectives: Providing children with information about their treatment can help reduce uncertainty and anxiety associated with hospital procedures. The aim of this study was to develop and evaluate an app designed to prepare young children and their parents for a hearing examination in a playful and engaging way. Methods: This exploratory study adopted a participatory design approach. Children, parents, and clinicians co-created the app, and evaluations were conducted through focus group meetings, dialogue meetings, and surveys. Results: Children, parents, and clinicians evaluated the app positively. Findings indicated that children who used the app before their hearing examination met audiologists' expectations to a greater extent than those who did not. However, no significant differences were found between the two groups regarding satisfaction with the examination, the children's sense of safety, or parents' prior knowledge of the procedure. The study also revealed implementation challenges: only 20% of children visiting the department had used the app beforehand, and funding for ongoing maintenance was not adequately addressed. Conclusions: Preparing children for hearing examinations with an app appears promising. However, to ensure the quality, accessibility, and sustainability of digital healthcare solutions, challenges related to implementation and maintenance must be considered in future studies.
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