Developing BrightHearts: A Pediatric Biofeedback‐Mediated Relaxation App to Manage Procedural Pain and Anxiety.

Abstract: Objective: The objective of this study was to develop a child‐friendly biofeedback‐mediated relaxation device called BrightHearts. Methods: Qualitative data were collected at a tertiary pediatric hospital to inform an iterative design process. Clinicians participated in expert group interv...

Descripción completa

Detalles Bibliográficos
Publicado en:Pain Practice Vol. 18; no. 6; pp. 698 - 709
Autores principales: Morrow, Angela M., Burton, Karen L. O., Watanabe, Melissa M., Cloyd, Benjamin H., Khut, George P.
Formato: pictorial questionnaire/scale research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2018
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130484229&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 130484229
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        15307085
        HYN
      jtl: Pain Practice
      issn: 15307085
      maglogo: Y
    pubinfo:
      dt: Jul2018
      vid: 18
      iid: 6
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        130484229
        130484229
        130484229
        10.1111/papr.12655
        130484229
      ppf: 698
      ppct: 11
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Developing BrightHearts: A Pediatric Biofeedback‐Mediated Relaxation App to Manage Procedural Pain and Anxiety.
      aug:
        au:
          Morrow, Angela M.
          Burton, Karen L. O.
          Watanabe, Melissa M.
          Cloyd, Benjamin H.
          Khut, George P.
        affil: Kids Rehab, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
      sug:
        subj:
          Pain, Procedural Therapy
          Anxiety Therapy
          Relaxation Techniques Methods
          Pediatrics
          Biofeedback
          Mobile Applications
          Human
          Qualitative Studies
          Tertiary Health Care
          Pediatric Care
          Interviews
          Child
          Adolescence
          Computers, Portable
          Cost Benefit Analysis
          Heart Rate
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Abstract: Objective: The objective of this study was to develop a child‐friendly biofeedback‐mediated relaxation device called BrightHearts. Methods: Qualitative data were collected at a tertiary pediatric hospital to inform an iterative design process. Clinicians participated in expert group interviews to identify practical considerations that would facilitate the use of BrightHearts during procedures and provide feedback on prototype designs. Children 7 to 18 years of age participated in interactive exhibitions of the prototypes and were interviewed about their experiences using BrightHearts. Results: Twenty‐four clinicians participated in 6 group interviews. Thirty‐nine children participated in interactive exhibitions, and 21 were interviewed. Clinicians placed high value on the following factors in the management of procedural pain: providing children with an element of control, the use of relaxation techniques, and the use of portable electronic devices such as iPads. They highlighted the need for BrightHearts to be cost effective, portable, and capable of engaging children's interest. They confirmed the utility of developing a biofeedback‐assisted relaxation device for children. Based on the factors identified by clinicians, BrightHearts was developed as an iPad application (app) paired with a wireless heart rate monitor. The BrightHearts heart rate biofeedback app displays digital geometric artwork that responds to changes in heart rate. Children 7 to 17 years of age understood the concept of biofeedback and operated the app by slowing their heart rates. Conclusion: The BrightHearts app can be used to teach children biofeedback‐assisted relaxation. Ongoing studies are evaluating its efficacy for the management of procedural pain in children.
      pubtype: Academic Journal
      doctype:
        pictorial
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N