By: Qing-Qing Liu, Min Wang, Feng Chen, Xing Ji, Jin Xu, Zhi-Yu Wang
Keywords: Pediatric, caregiver, ambulatory care, patient counseling, mobile health application, questionnaire
DOI : 10.36721/PJPS.2025.38.3.REG.13011.1
Abstract: To improve a pediatric mHealth app for patient counselling, we developed a multi-dimensional evaluation method assessing caregivers' feedback via a cross-sectional survey. Using random questionnaires at a children's hospital outpatient department (967 valid: 478 pre-upgrade, 489 post-upgrade), we evaluated the app across five dimensions (transmission, accuracy, accessibility, completeness, experience). Validity was excellent (I-CVI/S-CVI=1.000), reliability acceptable (ICC 0.806-0.869), with no significant demographic differences between groups (p>0.826). Pre-upgrade, transmission, accuracy, accessibility, and completeness scored >3.50, but experience scored <2.50. All caregivers valued accuracy but reported poor experience. Those over 50 struggled with transmission/accessibility; caregivers <29 and >50 were dissatisfied with completeness. Post-upgrade significantly improved completeness across all ages. The revised app demonstrates excellent accuracy and satisfactory completeness, but requires time for adaptation among caregivers over 50 to transmission/accessibility, and still needs substantial user experience improvements. This multi-dimensional evaluation effectively identified targeted enhancements and ongoing challenges.
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