Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study
Objectives Paediatric pneumonia burden and mortality are highest in low-income and middle-income countries (LMIC). Paediatric lung ultrasound (LUS) has emerged as a promising diagnostic tool for pneumonia in LMIC. Despite a growing evidence base for LUS use in paediatric pneumonia diagnosis, little...
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| Format: | Article |
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BMJ Publishing Group
2021-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/3/e042547.full |
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| author | Khatia Munguambe Jennifer L Lenahan Giovanni Volpicelli Alessandro Lamorte Fyezah Jehan Quique Bassat Amy Sarah Ginsburg Atif Riaz Muhammad Imran Nisar Benazir Baloch Olga Cambaco Laura Elizabeth Ellington Usma Mehmood Sana Qaisar Neel Kanth |
| author_facet | Khatia Munguambe Jennifer L Lenahan Giovanni Volpicelli Alessandro Lamorte Fyezah Jehan Quique Bassat Amy Sarah Ginsburg Atif Riaz Muhammad Imran Nisar Benazir Baloch Olga Cambaco Laura Elizabeth Ellington Usma Mehmood Sana Qaisar Neel Kanth |
| author_sort | Khatia Munguambe |
| collection | DOAJ |
| description | Objectives Paediatric pneumonia burden and mortality are highest in low-income and middle-income countries (LMIC). Paediatric lung ultrasound (LUS) has emerged as a promising diagnostic tool for pneumonia in LMIC. Despite a growing evidence base for LUS use in paediatric pneumonia diagnosis, little is known about its potential for successful implementation in LMIC. Our objectives were to evaluate the feasibility, usability and acceptability of LUS in the diagnosis of paediatric pneumonia.Design Prospective qualitative study using semistructured interviewsSetting Two referral hospitals in Mozambique and PakistanParticipants A total of 21 healthcare providers (HCPs) and 20 caregivers were enrolled.Results HCPs highlighted themes of limited resource availability for the feasibility of LUS implementation, including perceived high cost of equipment, maintenance demands, time constraints and limited trained staff. HCPs emphasised the importance of policymaker support and caregiver acceptance for long-term success. HCP perspectives of usability highlighted ease of use and integration into existing workflow. HCPs and caregivers had positive attitudes towards LUS with few exceptions. Both HCPs and caregivers emphasised the potential for rapid, improved diagnosis of paediatric respiratory conditions using LUS.Conclusions This was the first study to evaluate HCP and caregiver perspectives of paediatric LUS through qualitative analysis. Critical components impacting feasibility, usability and acceptability of LUS for paediatric pneumonia diagnosis in LMIC were identified for initial deployment. Future research should explore LUS sustainability, with a particular focus on quality control, device maintenance and functionality and adoption of the new technology within the health system. This study highlights the need to engage both users and recipients of new technology early in order to adapt future interventions to the local context for successful implementation.Trial registration number NCT03187067. |
| format | Article |
| id | doaj-art-ae9698400df04dad9f0dd25c5ee2eae9 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ae9698400df04dad9f0dd25c5ee2eae92024-11-20T17:50:09ZengBMJ Publishing GroupBMJ Open2044-60552021-03-0111310.1136/bmjopen-2020-042547Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative studyKhatia Munguambe0Jennifer L Lenahan1Giovanni Volpicelli2Alessandro Lamorte3Fyezah Jehan4Quique Bassat5Amy Sarah Ginsburg6Atif Riaz7Muhammad Imran Nisar8Benazir Baloch9Olga Cambaco10Laura Elizabeth Ellington11Usma Mehmood12Sana Qaisar13Neel Kanth14Centro de Investigação em Saúde de Manhiça, Manhica, MozambiqueSave the Children Federation, Seattle, Washington, USAEmergency Medicine, San Luigi Gonzaga University Hospital, Orbassano, ItalyEmergency Medicine, Umberto Parini Hospital, Aosta, Valle d`Aosta, ItalyPediatrics and Child Health, Aga Khan University, Karachi, PakistanCentro de Investigação em Saúde de Manhiça, Manhica, Mozambique6 Clinical Trials Center, University of Washington, Seattle, Washington, USAPediatrics and Child Health, Aga Khan University, Karachi, PakistanPediatrics and Child Health, Aga Khan University, Karachi, PakistanPediatrics and Child Health, Aga Khan University, Karachi, PakistanEpidemiology and Public Health Department, Swiss Tropical and Public Health Institute, Allschwil, SwitzerlandPediatrics, University of Washington School of Medicine, Seattle, Washington, USABiorepository and Omics Research Group, Department of Pediatrics and Child Health, Faculty of Health Sciences, Medical College, The Aga Khan University, Karachi, Sindh, PakistanPediatrics and Child Health, Aga Khan University, Karachi, PakistanChildren`s Hospital-Poverty Eradication Initiative, Sindh Government Hospital Karachi, Karachi, Sindh, PakistanObjectives Paediatric pneumonia burden and mortality are highest in low-income and middle-income countries (LMIC). Paediatric lung ultrasound (LUS) has emerged as a promising diagnostic tool for pneumonia in LMIC. Despite a growing evidence base for LUS use in paediatric pneumonia diagnosis, little is known about its potential for successful implementation in LMIC. Our objectives were to evaluate the feasibility, usability and acceptability of LUS in the diagnosis of paediatric pneumonia.Design Prospective qualitative study using semistructured interviewsSetting Two referral hospitals in Mozambique and PakistanParticipants A total of 21 healthcare providers (HCPs) and 20 caregivers were enrolled.Results HCPs highlighted themes of limited resource availability for the feasibility of LUS implementation, including perceived high cost of equipment, maintenance demands, time constraints and limited trained staff. HCPs emphasised the importance of policymaker support and caregiver acceptance for long-term success. HCP perspectives of usability highlighted ease of use and integration into existing workflow. HCPs and caregivers had positive attitudes towards LUS with few exceptions. Both HCPs and caregivers emphasised the potential for rapid, improved diagnosis of paediatric respiratory conditions using LUS.Conclusions This was the first study to evaluate HCP and caregiver perspectives of paediatric LUS through qualitative analysis. Critical components impacting feasibility, usability and acceptability of LUS for paediatric pneumonia diagnosis in LMIC were identified for initial deployment. Future research should explore LUS sustainability, with a particular focus on quality control, device maintenance and functionality and adoption of the new technology within the health system. This study highlights the need to engage both users and recipients of new technology early in order to adapt future interventions to the local context for successful implementation.Trial registration number NCT03187067.https://bmjopen.bmj.com/content/11/3/e042547.full |
| spellingShingle | Khatia Munguambe Jennifer L Lenahan Giovanni Volpicelli Alessandro Lamorte Fyezah Jehan Quique Bassat Amy Sarah Ginsburg Atif Riaz Muhammad Imran Nisar Benazir Baloch Olga Cambaco Laura Elizabeth Ellington Usma Mehmood Sana Qaisar Neel Kanth Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study BMJ Open |
| title | Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study |
| title_full | Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study |
| title_fullStr | Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study |
| title_full_unstemmed | Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study |
| title_short | Feasibility, usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource-constrained settings: a qualitative study |
| title_sort | feasibility usability and acceptability of paediatric lung ultrasound among healthcare providers and caregivers for the diagnosis of childhood pneumonia in resource constrained settings a qualitative study |
| url | https://bmjopen.bmj.com/content/11/3/e042547.full |
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