Leveraging Interactive Patient Care Technology to Improve Pain Management Engagement

Rao-Gupta, Suma; Kruger, David; Leak, Lonna; Tieman, Lisa; Manworren, Renee C.B.

doi:10.1016/j.pmn.2017.11.002

Cited by 10 publications

(8 citation statements)

References 10 publications

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“…In fact, most of the App participants used their smartphones and this could have facilitated the timely monitoring and reporting of pain. This finding is in line with that of other scholars who have underlined the important role of care technology in engaging patients and families in conducting pain assessment (Rao-Gupta et al, 2018).…”

Section: Discussionsupporting

confidence: 92%

Using an App to monitor postoperative pain at home in pediatric patients

Tiozzo

Biagioli

Brancaccio

et al. 2021

J Child Health Care

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A prospective comparative study was conducted in 487 pediatric patients (69% male, mean age = 6.4 ± 4.0) to evaluate (a) the incidence, intensity, and characteristics of pain in pediatric patients at home during the first 24 hours and 5 days after surgery and (b) the factors associated with higher pain intensity, including the impact of an application (App) compared to the paper-and-pencil approach. Postoperative pain was assessed by patients or their parents at home using the ‘Bambino Gesù’ Children’s Hospital (Ospedale Pediatrico Bambino Gesù, OPBG) tool for participants aged 4–17 years or the Faces, Legs, Arms, Cry, and Consolability scale for participants less than four years old. Participants were assigned to two groups: those who used the paper-and-pencil version of the pain scale and those who used the App. Overall, 209 of the 472 (44%) participants reported pain during the first 24 hours, and 92 of the 420 (22%) reported pain between one and five days after surgery. Higher pain intensity scores were associated with being in the App group, directly assessing own pain, and using the OPBG tool. The App was effective in facilitating pain assessment. Health professionals could empower pediatric patients and their parents in assessing pain at home through a dedicated App.

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Section: Discussionsupporting

confidence: 92%

Using an App to monitor postoperative pain at home in pediatric patients

Tiozzo

Biagioli

Brancaccio

et al. 2021

J Child Health Care

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“…The digitalisation of the falls prevention strategies in care homes is part of a broader objective of health and social care systems integration as a priority policy for the NHS (2) and for the Boroughs in our study. The integrated systems approach of the intervention tted with the concept of improving the health outcomes, quality of care, quality of life, safety and patient experience of the older residents of these boroughs (16, 29,30). The use of this systematic approach to falls risk-assessment and falls prevention highlighted the de ciencies of the existing approaches used and data available in 'standard' care (3).…”

Section: Discussionmentioning

confidence: 99%

Reducing care home falls: A real-world data validation of a multifactorial falls- intervention digital application

Ganga

Fitzsimmons

Smith

et al. 2022

Preprint

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Background: Preventing falls in elderly care homes is a significant public health policy goal in the the United Kingdom. The 2004 National Institute for Health and Care Excellence Clinical Guideline (CG21) recommends risk detection and multifactorial fall prevention interventions. Digital technology allows individualised monitoring and interventions. However, there is no certainty of the impact of multifactorial interventions on the rate of falls. One in three adults over the age of 65 and one in two adults over the age of 80 will experience a fall a year. Falls account for a considerable cost burden for the National Health Services. Methods: A retrospective multi-centre case-control study using real-world data was developed to trial the effectiveness of a falls prevention application in 32 care homes in the Northwest of England. The study aims to assess if a multifactorial fall-prevention digital app leads to a reduction in falls and injurious falls in care homes. Main outcomes measures were the rate of patient falls per 1000 occupied bed days in care homes for 12 months. A digital multifactorial risk assessment, and a tailored fall prevention plan linking each risk factor with the appropriate preventive interventions were implemented/reviewed monthly. Results: The secondary outcome was the rate of injurious falls per 1000 occupied bed days.There were 22.30% fewer falls in the Intervention group (M=6.46, SD=3.65) compared with Control (M=8.69, SD=6.38) (t(142.67)=-2.686, p=0.008). The intervention had 35% lower low harm injurious falls ratio per 1000 occupied bed days (M=3.14, SD=4.08) (M=6.64, SD=6.22) (t(144)=-3588, p<0.01). There were significant differences between Intervention and Control on injurious falls resulting in ambulance calls (t(31.18)=-3.09, p=0.04); and patients arriving at Accident & Emergency (t(17.25)=-3.71, p=0.002). Conclusions: In this real-world validation, the implementation of a multifactorial fall-prevention digital app was associated with a significant reduction in falls and injurious falls.

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“…The app could also facilitate health professionals in addressing the information needs of pediatric patients and their families (Richards et al, 2018). To improve pain management and ensure the appropriate administration of analgesics at home (Rao-Gupta et al, 2018), nurses should empower pediatric patients and their families in performing pain assessment by using technology combined with education (Bettle et al, 2018;Kusi Amponsah et al, 2019;Lalloo et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Electronic Assessment and Tracking of Pain at Home: A Prospective Study in Children With Hematologic or Solid Tumors

Tiozzo

Fondi

Biagioli

et al. 2020

J Pediatr Oncol Nurs

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This study aimed to evaluate the intensity and characteristics of pain, which was assessed at home by children with cancer or their parents using an app for mobile devices, for a 1-month poststudy enrollment. The participants of this observational prospective study were outpatients at the hematology/oncology department of an academic hospital in Italy, aged between 0 and 21 years, and receiving hospital-at-home care. Patients or their parents were asked to assess pain levels for one month at home using the Faces, Legs, Arms, Cry, and Consolability (FLACC) scale for patients aged <4 years and the Ospedale Pediatrico Bambino Gesù (OPBG) tool for patients aged 4 to 21 years. At study conclusion, parents were asked to complete a survey about their satisfaction with the app and to rate their child’s health in general, pain intensity, and frequency in the past 4 weeks. Of the 124 participants using the app, 94 (75.8%) reported pain (≥1) at least once during the 1 month. Of these, 53 (56.4%) at most reported mild pain, 33 (35.1%) moderate pain, and eight (8.5%) severe pain. The abdomen was identified as the most frequent (56.3%) pain site by patients aged 4 to 21 years. The child’s maximum pain intensity during the study period was negatively correlated with the parent’s report of the child’s health during the past month ( r = −.29, p < .01). Most of the participants were satisfied with the app and the information received about app usage. In conclusion, the app facilitated pain assessment and tracking in patients receiving hospital-at-home care.

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Leveraging Interactive Patient Care Technology to Improve Pain Management Engagement

Cited by 10 publications

References 10 publications

Using an App to monitor postoperative pain at home in pediatric patients

Using an App to monitor postoperative pain at home in pediatric patients

Reducing care home falls: A real-world data validation of a multifactorial falls- intervention digital application

Electronic Assessment and Tracking of Pain at Home: A Prospective Study in Children With Hematologic or Solid Tumors

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