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Licensed Unlicensed Requires Authentication Published by De Gruyter November 25, 2019

DIAMONT: a bilingual Android-based application to assist parents in the home-based management of childhood diarrhea – a concept

  • Vita Arfiana Nurul Fatimah , Hindayati Mustafidah ORCID logo EMAIL logo and Ardhista Shabrina Fitri

Abstract

Diarrhea, defined as passing watery stool for three times or more per 24 h, may affect children’s growth and development and possesses a high mortality rate, particularly among children under 5 years old. Those poor outcomes result from water and electrolyte imbalance and poor nutrition status in children suffering from diarrhea. Management of childhood diarrhea, aiming to prevent dehydration and malnutrition, encompasses those covered in LINTAS DIARE (“Lima Langkah Tuntaskan Diare”) – guidance from the Ministry of Health of Indonesia to overcome childhood diarrhea in five steps. A concept of an Android-based application is designed in both English and Bahasa versions to guide parents as users in a home-based approach to recognize the dehydration status and danger signs of children with diarrhea. The application may also allow users to monitor water balance as well as management adequacy during the diarrhea period. Data such as child’s birth date, weight, and height; stool’s characteristics and frequency; and dehydration and warning signs are required to be input by users to allow the program to classify the dehydration status and suggest recommendation of actions. The advice provided is based on the LINTAS DIARE principles.

  1. Ethical Approval: The conducted research is not related to either human or animal use.

  2. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  3. Research funding: None declared.

  4. Employment or leadership: None declared.

  5. Honorarium: None declared.

  6. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

  7. Conflict of interests: The authors declare no conflict of interest.

References

[1] Ikatan Dokter Anak Indonesia. Pedoman Pelayanan Medis. In: Pudjiadi AH, Hegar B, Handryastuti S, Idris NS, Gandaputra EP, Harmoniati ED, editors. 1st ed. Jakarta: Ikatan Dokter Anak Indonesia, 2010.Search in Google Scholar

[2] Yusuf S. Profil Diare di Ruang Rawat Inap Anak. Sari Pediatr 2011;13:265–70.10.14238/sp13.4.2011.265-70Search in Google Scholar

[3] World Health Organization. Pocket book of hospital care for children: guidelines for the management of common childhood illnesses, 2nd ed. Geneva: WHO Press, 2013.Search in Google Scholar

[4] Lee KS, Kang DS, Yu J, Chang YP, Park WS. How to do in persistent diarrhea of children?: concepts and treatments of chronic diarrhea. Pediatr Gastroenterol Hepatol Nutr 2012;15:229–36.10.5223/pghn.2012.15.4.229Search in Google Scholar

[5] Troeger C, Forouzanfar M, Rao PC, Khalil I, Brown A, Reiner JR. Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Infect Dis 2017;17:909–48.10.1016/S1473-3099(17)30276-1Search in Google Scholar

[6] Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar (Riskesdas) 2013. Jakarta: Kementerian Kesehatan RI, 2013.Search in Google Scholar

[7] World Health Organization/The United Nations Children’s Fund. Ending preventable child deaths from pneumonia and diarrhoea by 2025: the integrated Global Action Plan for Pneumonia and Diarrhoea (GAPPD). Geneva: WHO Press, 2013.Search in Google Scholar

[8] Simon JL, Daelmans B, Boschi-Pinto C, Aboubaker S, Were W. Child health guidelines in the era of sustainable development goals. Br Med J 2018;362:k3151.10.1136/bmj.k3151Search in Google Scholar PubMed PubMed Central

[9] Das JK, Salam RA, Bhutta ZA. Global burden of childhood diarrhea and interventions. Curr Opin Infect Dis 2014;27:451–8.10.1097/QCO.0000000000000096Search in Google Scholar PubMed

[10] Bennett A, Eisele T, Keating J, Yukich J. Global trends in care seeking and access to diagnosis and treatment of childhood illnesses. Rockville, MD, USA, 2015. (DHS Working Papers). Report No.: 116.Search in Google Scholar

[11] Geldsetzer P, Williams TC, Kirolos A, Mitchell S, Ratcliffe LA, Kohli-Lynch MK. The recognition of and care seeking behaviour for childhood illness in developing countries: a systematic review. PLoS One 2014;9:e93427.10.1371/journal.pone.0093427Search in Google Scholar PubMed PubMed Central

[12] Kementerian Kesehatan Republik Indonesia. Buku Saku Lintas Diare untuk Petugas Kesehatan. Jakarta: Kementerian Kesehatan RI, 2015.Search in Google Scholar

[13] Wearesocial. Digital in 2018: essential insight into Internet, social media, mobile, and e-commerce use around the world. Hootsuite, 2018.Search in Google Scholar

[14] Abaza H, Marschollek M. mHealth application areas and technology combinations: a comparison of literature from high and low/middle income countries. Methods Inf Med 2017;56:e105–22.10.3414/ME17-05-0003Search in Google Scholar PubMed PubMed Central

[15] World Health Organization. mHealth: new horizons for health through mobile technologies. Global Obs. Geneva: WHO Press, 2011.Search in Google Scholar

[16] Recio GM, García-Hernández L, Luque RM, Salas-Morera L. The role of interdisciplinary research team in the impact of health apps in health and computer science publications: a systematic review. BioMed Eng OnLine 2016;15(Suppl 1):S77.10.1186/s12938-016-0185-ySearch in Google Scholar PubMed PubMed Central

[17] Whittaker R, Merry S, Dorey E, Maddison R. A development and evaluation process for mHealth interventions: examples from New Zealand. J Health Commun 2012;17:11–21.10.1080/10810730.2011.649103Search in Google Scholar PubMed

[18] Ginsburg AS, Tawiah T, Agyemang C, Ambler G, Delarosa J, Brunette W, et al. mPneumonia, an innovation for diagnosing and treating childhood pneumonia in low-resource settings: a feasibility, usability, and acceptability study in Ghana. PLoS One 2016;11:e0165201.10.1371/journal.pone.0165201Search in Google Scholar PubMed PubMed Central

[19] Franke KH, Krumkamp R, Mohammed A, Sarpong N, Owusu-Dabo E, Brinkel J. A mobile phone based tool to identify symptoms of common childhood diseases in Ghana: development and evaluation of the integrated clinical algorithm in a cross-sectional study. BMC Med Inform Decis Mak 2018;18:23.10.1186/s12911-018-0600-3Search in Google Scholar PubMed PubMed Central

[20] Haque F, Ball RL, Khatun S, Ahmed M, Kache S, Chisti MJ. Evaluation of a smartphone decision-support tool for diarrheal disease management in a resource-limited setting. PLoS Negl Trop Dis 2017;11:e0005290.10.1371/journal.pntd.0005290Search in Google Scholar PubMed PubMed Central

[21] Wearesocial. Digital in 2018 in Southeast Asia: essential insight into Internet, social media, mobile, and E-commerce use around the world. Hootsuite, 2018.Search in Google Scholar

[22] Shneiderman B, Plaisant C, Cohen M, Jacobs S, Elmqvist N, Diakopoulos N. Designing the user interface: strategies for effective human-computer interaction. Malaysia: Pearson, 2018.Search in Google Scholar

[23] Heimgärtner R. Intercultural user interface design. Human–Computer Interaction Series. Switzerland: Springer, 2019.10.1007/978-3-030-17427-9Search in Google Scholar

[24] World Health Organization. The WHO child growth standards [Internet]. 2018 [cited 2018 Sep 14]. http://www.who.int/childgrowth/standards/en/.Search in Google Scholar

[25] World Health Organization. Integrated management of childhood illness: chart booklet. Geneva: WHO Press, 2014.Search in Google Scholar

[26] Silva BM, Rodrigues JJ, de la Torre Díez I, López-Coronado M, Saleem K. Mobile-health: a review of current state in 2015. J Biomed Inform 2015;56:265–72.10.1016/j.jbi.2015.06.003Search in Google Scholar PubMed

[27] Koletzko S, Osterrieder S. Acute infectious diarrhea in children. Dtsch Arztebl Int 2009;106:539–48.10.3238/arztebl.2009.0539Search in Google Scholar PubMed PubMed Central

[28] Alexakis LC. Cholera – “rice water stools”. Pan Afr Med J 2017;26:147.10.11604/pamj.2017.26.147.11874Search in Google Scholar PubMed PubMed Central

[29] Gastrointestinal Society: Canadian Society of Intestinal Research. The scoop on poop [Internet]. 2018 [cited 2018 Sep 14]. https://www.badgut.org/information-centre/a-z-digestive-topics/the-scoop-on-poop/.Search in Google Scholar

[30] Elliott EJ. Acute gastroenteritis in children. BMJ Br Med J 2007;334:35–40.10.1136/bmj.39036.406169.80Search in Google Scholar PubMed PubMed Central

[31] Kelly CP, Lamont JT. Patient education: antibiotic-associated diarrhea caused by Clostridium difficile (beyond the basics) [Internet]. 2017 [cited 2018 Sep 14]. https://www.uptodate.com/contents/antibiotic-associated-diarrhea-caused-by-clostridium-difficile-beyond-the-basics.Search in Google Scholar

[32] Hoekstra JH. Toddler diarrhoea: more a nutritional disorder than a disease. Arch Dis Child 1998;79:2–5.10.1136/adc.79.1.2Search in Google Scholar PubMed PubMed Central

[33] Heyman MB. Lactose intolerance in infants, children, and adolescents. Pediatrics 2006;118:1279–86.10.1542/9781581108613-part05-lactoseSearch in Google Scholar

[34] World Health Organization. Leaflet: first steps for managing an outbreak of acute diarrhoea. Geneva: WHO Press, 2010.Search in Google Scholar

[35] Meyers RS. Pediatric fluid and electrolyte therapy. J Pediatr Pharmacol Ther JPPT 2009;14:204–11.10.5863/1551-6776-14.4.204Search in Google Scholar PubMed PubMed Central

[36] Matthew-Maich N, Harris L, Ploeg J, Markle-Reid M, Valaitis R, Ibrahim S, et al. Designing, implementing, and evaluating mobile health technologies for managing chronic conditions in older adults: a scoping review. JMIR Mhealth Uhealth 2016;4:e29.10.2196/mhealth.5127Search in Google Scholar PubMed PubMed Central

[37] Franc S, Dardari D, Boucherie B, Riveline JP, Biedzinski M, Petit C. Real-life application and validation of flexible intensive insulin-therapy algorithms in type 1 diabetes patients. Diabetes Metab 2009;35:463–8.10.1016/j.diabet.2009.05.006Search in Google Scholar PubMed

[38] Charpentier G, Benhamou P-Y, Dardari D, Clergeot A, Franc S, Schaepelynck-Belicar P. The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 Study). Diabetes Care 2011;34:533–9.10.2337/dc10-1259Search in Google Scholar PubMed PubMed Central

[39] Debevc M, Milošević D, Kožuh I. A comparison of comprehension processes in sign language interpreter videos with or without captions. PLoS One 2015;10:1–15.10.1371/journal.pone.0127577Search in Google Scholar PubMed PubMed Central

Received: 2019-08-03
Accepted: 2019-10-28
Published Online: 2019-11-25

© 2019 Walter de Gruyter GmbH, Berlin/Boston

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