Title
Design and evaluation of the StartingTogether App for home visits in preventive child health care
Author
Blanson Henkemans, O.A.
Keij, M.
Grootjen, M.
Kamphuis, M.
Dijkshoorn, A.
Publication year
2018
Abstract
Background: The StartingTogether program (in Dutch SamenStarten) is a family-centred method for early identification of social-emotional and behavioural problems in young children. Nurses in preventive child health care find it challenging to: determine family issues and need for care; provide education; refer to social services; increase parent empowerment. To mitigate these challenges, we developed and evaluated the StartingTogether App, offering nurses and parents conversational support, tailored education and information on social services. Methods: A mixed method design, consisting of a qualitative evaluation of the StartingTogether App, with group discussions with nurses (N=14) and a pilot test (N=5), and a randomized controlled trial, evaluating the effectiveness of the app. Nurses (N=33) made home visits to parents (N=194), in teams with or without the app. Nurses were surveyed on the challenges experienced during visits. Parents (N=166) were surveyed on their satisfaction with health care and app. Nurses were interviewed on the benefits and barriers to use the app. Results: Parents with the StartingTogether App were more satisfied with the visits than parents without (p=.002). Parents with a high educational level were more satisfied with the visits than the parents with a low educational level. With the app, their satisfaction level was similar (p
Subject
Family-centred care approach
MHealth intervention
Parent empowerment
Randomized controlled trial
Self-management
Child
Child health care
Comparative effectiveness
Controlled study
Education
Empowerment
Female
Home visit
Human
Human experiment
Major clinical study
Male
Mobile application
Nurse
Qualitative analysis
Randomized controlled trial
Registration
Satisfaction
Self care
Social work
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http://resolver.tudelft.nl/uuid:49dc89fb-466d-4e4f-b951-5313d0c2c204
DOI
https://doi.org/10.1186/s12912-018-0310-2
TNO identifier
842684
ISSN
1472-6955
Source
BMC Nursing, 17 (17)
Document type
article