Surgery Clinical Trial
Official title:
Developing and Testing the Effectiveness of Intelligent Customer-driven Solution for Pediatric Surgery Care on the Improvement of Outcomes of Parents and Their Children Undergoing Circumcision
This study aims to (1) develop an intelligent customer-driven solution for pediatric surgery care for parents of children undergoing circumcision and their children; (2) examine the effectiveness of the intervention on outcomes of parents (self-efficacy in child care, perioperative knowledge, and satisfaction in perioperative care, need for information and anxiety) and children (preoperative anxiety and postoperative pain); and (3) explore users' (parents, children, health care professionals) perceptions of the intervention and suggestions for improvement.
Objectives: The aims of this study are: (1) to develop an intelligent customer-driven
solution for pediatric surgery care for parents of children undergoing circumcision (ICory-
Circumcision) and their children; (2) to examine the effectiveness of the ICory- Circumcision
on outcomes of parents (self-efficacy in child care, perioperative knowledge, and
satisfaction in perioperative care, need for information and anxiety) and children
(preoperative anxiety and postoperative pain), as well as no-show/ delayed show up for
operation cases and health services use; and (3) to explore users' (parents, children, health
care professionals) perceptions of the intervention and suggestions for improvement.
Study design: This study will be a two-group pretest and repeated posttest pilot randomised
controlled trial followed by qualitative process evaluation. A total of 80 dyads of parents
and their primary school-aged children (7-12 years old) will be randomly assigned into the
intervention group which will receive the ICory-Circumcision plus routine care, whereby the
parents will receive the BuddyCare application while the child will receive the Triumf game
application, and the control group, who will just receive routine care provided by the
hospital. An interview guide will be developed and used to interview the parents and
healthcare professionals who used ICory-Circumcision to explore their experiences and
opinions on strengths, weaknesses and areas for improvement. The children who have used the
Triumf game will also be interviewed to explore their experiences about the game application.
Hypothesis: When compared to the control group, (1) parents in the intervention group who
receive the ICory-Circumcision will report a significantly (a) higher level of self-efficacy
in child care; perioperative knowledge and satisfaction (b) lower level of needs for
information and preoperative anxiety. (2) The children in the intervention group will report
a significantly lower level of preoperative anxiety and postoperative pain. (3) The
intervention group will have fewer cases of no-show/ delayed show up for operation, and
reduced health services use (e.g. reduced A & E department or GP attendance for non-medical
reasons) within 2 weeks after the surgery.
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