Acceptability of an mHealth Family Self-management Intervention (myFAMI) for Pediatric Transplantation Families: Qualitative Focus.
Stacee Marie Lerret, Erin Flynn, Rosemary White-Traut and 5 others
PMID 35838761WHAT IT FOUND
Most families found the myFAMI app easy to use and valued nurse calls after daily symptom checks.
They wanted clearer thresholds, more flexible calls, and support beyond 30 days.
Key findings
0131 of 32 family members said the app was easy to use.
02Nurses responded to 162 of 163 trigger alerts within 2 hours, and 21 of 23 family members who received calls described the interactions as positive.
038 of 32 participants reported challenges, most often technology-related, and 2 participants suggested extending the app beyond 30 days.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only family members assigned to the myFAMI group were interviewed, so the paper cannot compare their experiences with standard follow-up care. The intervention combined the smartphone app with nurse video or telephone response, so the contribution of either component to acceptability cannot be separated. The sample was small, convenience based, English speaking, and predominantly White, so findings may not apply to more diverse families. The interview questions focused on app acceptability and did not explore other family support needs. The authors report saturation, but the sample was limited and could not distinguish perspectives of each family member type.
Declared interests
The supplied text states that no conflicts of interest were declared. It does not state a funding source.
The easy way to misread this
Do not conclude that myFAMI improved transplant outcomes. This paper reports family acceptability and improvement suggestions. The intervention combined the app with nurse calls, so the study cannot separate the contribution of either component.