105 Development and evalutation of the Hospital Hero app 4 caregivers and has the potential to diminish stress and anxiety. This pilot evaluation study should thus be considered a first step in the eHealth evaluation cycle (41). Future research should be directed at assessing the app’s impact on patient outcomes (i.e. stress and anxiety, procedural knowledge, patient satisfaction), healthcare professionals (i.e. satisfaction) and healthcare as a whole (i.e. cost-benefit). The impact method guided by the Quadruple Aim framework could be a useful way to evaluate impact on the short and long term for all stakeholders (42). Conclusion Applying a PD approach, we developed a novel child-centred eHealth intervention that was evaluated positively on use and user experience and has the potential to reduce pre-procedural stress and anxiety by focusing on all anxiety-heightening moments before and during an outpatient visit. The real-world pilot setting helped us to identify three important design improvement opportunities. It also helped us to understand the interaction between the child, caregiver and the Hospital Hero app and provided in-depth insight into implementation issues to address in future research and implementation. As such, the Hospital Hero app can be considered an important addition to the toolbox that healthcare professionals use in their comfort care.
RkJQdWJsaXNoZXIy MTk4NDMw