PMID- 33707268
OWN - NLM
STAT- MEDLINE
DCOM- 20210519
LR  - 20220531
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 11
IP  - 3
DP  - 2021 Mar 11
TI  - 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.
PG  - e042547
LID - 10.1136/bmjopen-2020-042547 [doi]
LID - e042547
AB  - 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 
      interviews SETTING: Two referral hospitals in Mozambique and Pakistan 
      PARTICIPANTS: 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.
CI  - (c) Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published 
      by BMJ.
FAU - Riaz, Atif
AU  - Riaz A
AD  - Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
FAU - Cambaco, Olga
AU  - Cambaco O
AD  - Centro de Investigacao em Saude de Manhica, Manhica, Maputo, Mozambique.
FAU - Ellington, Laura Elizabeth
AU  - Ellington LE
AUID- ORCID: 0000-0001-7904-4249
AD  - Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA 
      lelling@uw.edu.
FAU - Lenahan, Jennifer L
AU  - Lenahan JL
AD  - Save the Children Federation, Seattle, Washington, USA.
FAU - Munguambe, Khatia
AU  - Munguambe K
AD  - Centro de Investigacao em Saude de Manhica, Manhica, Maputo, Mozambique.
FAU - Mehmood, Usma
AU  - Mehmood U
AD  - Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
FAU - Lamorte, Alessandro
AU  - Lamorte A
AD  - Emergency Medicine, Umberto Parini Hospital, Aosta, Valle d'Aosta, Italy.
FAU - Qaisar, Sana
AU  - Qaisar S
AD  - Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
FAU - Baloch, Benazir
AU  - Baloch B
AD  - Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
FAU - Kanth, Neel
AU  - Kanth N
AD  - Children's Hospital-Poverty Eradication Initiative, Sindh Government Hospital 
      Karachi, Karachi, Sindh, Pakistan.
FAU - Nisar, Muhammad Imran
AU  - Nisar MI
AD  - Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
FAU - Volpicelli, Giovanni
AU  - Volpicelli G
AD  - Emergency Medicine, San Luigi Gonzaga University Hospital, Orbassano, Italy.
FAU - Bassat, Quique
AU  - Bassat Q
AD  - ISGLOBAL, Barcelona, Spain.
AD  - Universitat de Barcelona, Barcelona, Catalunya, Spain.
FAU - Jehan, Fyezah
AU  - Jehan F
AUID- ORCID: 0000-0002-5874-4358
AD  - Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
FAU - Ginsburg, Amy Sarah
AU  - Ginsburg AS
AUID- ORCID: 0000-0002-2291-2276
AD  - Clinical Trial Center, University of Washington, Seattle, Washington, USA.
LA  - eng
SI  - ClinicalTrials.gov/NCT03187067
GR  - K12 HL137940/HL/NHLBI NIH HHS/United States
GR  - MR/L004283/1/MRC_/Medical Research Council/United Kingdom
PT  - Clinical Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210311
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - *Caregivers
MH  - Child
MH  - Feasibility Studies
MH  - Health Personnel
MH  - Humans
MH  - Lung/diagnostic imaging
MH  - Mozambique
MH  - Pakistan
MH  - *Pneumonia/diagnostic imaging
MH  - Prospective Studies
MH  - Ultrasonography
PMC - PMC7957133
OTO - NOTNLM
OT  - international health services
OT  - paediatric thoracic medicine
OT  - public health
OT  - qualitative research
OT  - respiratory infections
OT  - ultrasonography
COIS- Competing interests: None declared.
EDAT- 2021/03/13 06:00
MHDA- 2021/05/20 06:00
PMCR- 2021/03/11
CRDT- 2021/03/12 06:26
PHST- 2021/03/12 06:26 [entrez]
PHST- 2021/03/13 06:00 [pubmed]
PHST- 2021/05/20 06:00 [medline]
PHST- 2021/03/11 00:00 [pmc-release]
AID - bmjopen-2020-042547 [pii]
AID - 10.1136/bmjopen-2020-042547 [doi]
PST - epublish
SO  - BMJ Open. 2021 Mar 11;11(3):e042547. doi: 10.1136/bmjopen-2020-042547.