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Article

“In a Way We Took the Hospital Home”—A Descriptive Mixed-Methods Study of Parents’ Usage and Experiences of eHealth for Self-Management after Hospital Discharge Due to Pediatric Surgery or Preterm Birth

by
Rose-Marie Lindkvist
1,*,
Annica Sjöström-Strand
1,
Kajsa Landgren
1,
Björn A. Johnsson
2,
Pernilla Stenström
3,4 and
Inger Kristensson Hallström
1
1
Department of Health Sciences, Faculty of Medicine, Lund University, 221 00 Lund, Sweden
2
Department of Computer Science, Lund University, 221 00 Lund, Sweden
3
Department of Clinical Sciences, Pediatrics, Lund University, 221 00 Lund, Sweden
4
Department of Pediatric Surgery, Skåne University Hospital, Lasarettsgatan 48, 221 85 Lund, Sweden
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(12), 6480; https://doi.org/10.3390/ijerph18126480
Submission received: 27 April 2021 / Revised: 11 June 2021 / Accepted: 12 June 2021 / Published: 15 June 2021
(This article belongs to the Special Issue Home-Based Healthcare for Children with Illness)

Abstract

The costly and complex needs for children with long-term illness are challenging. Safe eHealth communication is warranted to facilitate health improvement and care services. This mixed-methods study aimed to describe parents’ usage and experiences of communicating with professionals during hospital-to-home-transition after their child’s preterm birth or surgery for colorectal malformations, using an eHealth device, specifically designed for communication and support via nurses at the hospital. The eHealth devices included the possibility for daily reports, video calls, text messaging, and sending images. Interviews with 25 parents were analyzed with qualitative content analysis. Usage data from eHealth devices were compiled from database entries and analyzed statistically. Parents using the eHealth device expressed reduced worry and stress during the initial period at home through effective and safe communication. Benefits described included keeping track of their child’s progress and having easy access to support whenever needed. This was corroborated by usage data indicating that contact was made throughout the day, and more among families living far away from hospital. The eHealth device potentially replaced phone calls and prevented unnecessary visits. The eHealth technique can aid safe self-treatment within child- and family-centered care in neonatal and pediatric surgery treatment. Future research may consider organization perspectives and health economics.
Keywords: app; eHealth; home-based care; hospital-to-home transition; neonatal care; pediatric surgery; preterm born; tablet app; eHealth; home-based care; hospital-to-home transition; neonatal care; pediatric surgery; preterm born; tablet

Share and Cite

MDPI and ACS Style

Lindkvist, R.-M.; Sjöström-Strand, A.; Landgren, K.; Johnsson, B.A.; Stenström, P.; Hallström, I.K. “In a Way We Took the Hospital Home”—A Descriptive Mixed-Methods Study of Parents’ Usage and Experiences of eHealth for Self-Management after Hospital Discharge Due to Pediatric Surgery or Preterm Birth. Int. J. Environ. Res. Public Health 2021, 18, 6480. https://doi.org/10.3390/ijerph18126480

AMA Style

Lindkvist R-M, Sjöström-Strand A, Landgren K, Johnsson BA, Stenström P, Hallström IK. “In a Way We Took the Hospital Home”—A Descriptive Mixed-Methods Study of Parents’ Usage and Experiences of eHealth for Self-Management after Hospital Discharge Due to Pediatric Surgery or Preterm Birth. International Journal of Environmental Research and Public Health. 2021; 18(12):6480. https://doi.org/10.3390/ijerph18126480

Chicago/Turabian Style

Lindkvist, Rose-Marie, Annica Sjöström-Strand, Kajsa Landgren, Björn A. Johnsson, Pernilla Stenström, and Inger Kristensson Hallström. 2021. "“In a Way We Took the Hospital Home”—A Descriptive Mixed-Methods Study of Parents’ Usage and Experiences of eHealth for Self-Management after Hospital Discharge Due to Pediatric Surgery or Preterm Birth" International Journal of Environmental Research and Public Health 18, no. 12: 6480. https://doi.org/10.3390/ijerph18126480

APA Style

Lindkvist, R.-M., Sjöström-Strand, A., Landgren, K., Johnsson, B. A., Stenström, P., & Hallström, I. K. (2021). “In a Way We Took the Hospital Home”—A Descriptive Mixed-Methods Study of Parents’ Usage and Experiences of eHealth for Self-Management after Hospital Discharge Due to Pediatric Surgery or Preterm Birth. International Journal of Environmental Research and Public Health, 18(12), 6480. https://doi.org/10.3390/ijerph18126480

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