Development of a mobile application based on the salutogenic model for self-management in adolescents with Moyamoya disease

Personal and family factors for emotional distress in adolescents with chronic disease

“…This is evident in the works of Arrondo et al (2022) ; Cobham et al (2020) ; Ferro et al (2016) ; Lacomba-Trejo et al (2020) ; Määttä et al (2022) ; Pagerols et al (2022) ; and Zheng et al (2020) . The salutogenic perspective ( Antonovsky, 1987 ; Braun-Lewensohn et al, 2017 ) focuses on general psychological resources such as self-esteem and contextual factors such as family members that make significant life experiences and greater resilience against disease possible ( Roehrich et al, 2021 ; Shorey and Nebby, 2021 ; Oh et al, 2023 ), of which this study provides evidence. In general, the results are consistent with the theory (Hypothesis 2); that is, self-esteem serves as a positive personal resource, reducing emotional distress, and perceived threat of the disease predicts greater discomfort.…”

“…Likewise, it would be interesting to investigate in greater depth the relationship between adolescents’ perceived threat of the disease and greater psychological and behavioral control by parents. It is possible that personal salutogenic factors play mediating roles over family factors, as evidenced by a previous study on the perceived quality of life of adolescent children with asthma ( Valero-Moreno et al, 2023 ), or that the activation of personal resources can only occur in this vital stage if favorable contextual factors (family in this case) are present ( Roehrich et al, 2021 ; Shorey and Nebby, 2021 ; Oh et al, 2023 ). Future research could further explore this relationship to achieve a greater understanding of the role of contextual factors in the activation of personal psychological resources of salutogenesis in the chronically ill pediatric population and, more specifically, in adolescence.…”

“…From this perspective, if a person has these resources, he or she has more opportunities to face the challenges of life. This approach has been used in different studies in health psychology and in the child and adolescent population ( Roehrich et al, 2021 ; Shorey and Nebby, 2021 ; Oh et al, 2023 ). However, more importantly, individuals must have the ability to use these resources, that is, have a sense of coherence, to maintain health and promote quality of life; since illness is perceived as a threat or stressor also in childhood and adolescence ( Braun-Lewensohn et al, 2017 ).…”

Digital healthcare for child health nursing

“…Mobile healthcare is currently one of the most active areas of interest in nursing research and practice. Various apps have been developed, ranging from those that aim to prevent safety accidents for children in hospital settings [ 5 , 6 ] to those that support and promote health for children with chronic conditions such as pediatric cancer [ 7 ] or moyamoya disease [ 8 ]. Increasingly many studies are also integrating AI technology into chatbots for intervention or educational training.…”