INFLUENCING FACTORS FOR THE ADHERENCE TO USING A VIDEO-BASED MOBILE APPLICATION BY PARENTS OF FULL-TERM AND PRETERM INFANTS IN TAIWAN

Yu-Hsuan Tsai, Yohanes Purwanto, Suh-Fang Jeng, Chin-Yi Liao, Yung-Jen Hsu, Po-Nien Tsao, Ting-An Yen, Wei-Chih Liao, Wei-J Chen, Erick Chandra, Chun-Wun Hsieh
Purpose:

This study examined the factors associated with the adherence to using a video-based mobile App by parents of full-term and preterm infants for movement classification.

Methods:

This study enrolled 75 full-term and 47 preterm infants for prospective developmental assessment at a clinical laboratory using the Alberta Infants Motor Scale (AIMS) at 4 to 18 months. Their parents were asked to upload their child’s videos from home via a mobile App, “Baby Go,” developed based on the 58 movements of the AIMS. These video files were later used to create an artificial intelligence model for movement tracking and classification. Infant and socio-environmental variables that may influence parents’ use of the App for video uploading were abstracted from a review of the child’s medical records and parental interviews.

Results:

Eighty-two parents (67.2%) uploaded videos at least once via the “Baby Go” App and contributed 1,406 video files during the follow-up period, whereas 40 parents (32.8%) did not upload any videos. Most parents uploaded videos when their infants were aged 4 to 10 months, and the total number of videos uploaded per age was highest at 7 months for full-term infants (118 videos) and 8 months for preterm infants (110 videos). Univariate logistic regression analyses showed that parents having preterm infants (OR (95% CI) = 2.8 (1.3－6.1)), high annual household income (OR (95% CI) = 0.3 (0.1－0.9)), and more than one child (OR (95% CI) = 3.3 (1.5－7.2)) were likely not to upload videos via the App (all P0.05). Multivariate logistic regression analysis with a forward stepwise procedure revealed that only the child number was significantly associated with parental adherence to the App for video uploading (P0.05). However, no infant or socio-environmental variables were related to the frequency and number of videos uploaded.

Conclusion(s):

Parents of full-term and preterm infants who have a single child are more likely to adhere to uploading videos via the App than those who have more than one child. Future research is warranted to provide innovative support to enhance parental use of video-based digital technology for remote developmental assessment.

Implications:

These findings provide insightful information to improve parental adherence to APP use by families of full-term and preterm infants for developmental assessment.

Funding acknowledgements:
This study was funded by the National Science and Technology Council (MOST 110-2314-B-002-055-MY3).
Keywords:
Mobile application
Motor development
Infant motor assessment
Primary topic:
Paediatrics
Second topic:
Innovative technology: information management, big data and artificial intelligence
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Institution: National Taiwan University Hospital Committee: Research Ethics Committee
Provide the ethics approval number:
202012089RINB
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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