{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:36:38Z","timestamp":1786988198225,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Wearable newborn\u2010monitoring devices are increasingly popular and widely available for home use. One approach includes the use of accelerometer detection of breathing movements. We investigated the accuracy of breathing and apnoea detection by a wearable accelerometer in a simulated environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      This study used simulation as a method to evaluate the performance of a wearable accelerometer\u2010based breathing detection device. A term mannequin fitted with an accelerometer suit wirelessly linked to a mobile app (Goldilocks) was NeoPuff ventilated through a cuffed endotracheal tube. Peak inspiratory pressure (PIP) levels of 5\u201325\u2009cmH\n                      <jats:sub>2<\/jats:sub>\n                      O were delivered with zero end expiratory pressure. Each trial consisted of 30\u2009s of ventilation, followed by simulated apnoea (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009150). App\u2010based detection and alert times were recorded blinded to ventilation status. Detection accuracy across PIP levels was analyzed using Kruskal\u2013Wallis tests followed by Dunn's multiple comparisons with Bonferroni correction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PIP level affected both apnoea detection (H(4)\u2009=\u200958.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and breathing detection (H(4)\u2009=\u200986.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) with performance reduced at 5\u2009cmH\n                      <jats:sub>2<\/jats:sub>\n                      O compared to higher PIP. Apnoea and breathing detection were most accurate at 20\u2009cmH\n                      <jats:sub>2<\/jats:sub>\n                      O. Mean (SD) apnoea detection alarm times ranged between 31(0) and 60(22.6) seconds, with no difference between PIP group (H(4)\u2009=\u20099.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The accelerometer displayed pressure\u2010dependent accuracy, increasing with higher PIP, suggesting a minimum pressure threshold is needed for reliable monitoring. App alert times varied greatly, compounding the accuracy of adverse event detection. To determine their true utility, rigorous investigation of neonatal wearable home\u2010monitoring devices is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70471","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:32:48Z","timestamp":1781526768000},"page":"1509-1519","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Accuracy of a Commercial Wearable Neonatal Home\u2010Monitoring Device: A Simulation Study"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1174-1870","authenticated-orcid":false,"given":"Amelia N.","family":"Noone","sequence":"first","affiliation":[{"name":"Robinson Research Institute, College of Health, Adelaide University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle N.","family":"Bailey","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, College of Health, Adelaide University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara M.","family":"Crawford","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, College of Health, Adelaide University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shem","family":"Richards","sequence":"additional","affiliation":[{"name":"Goldilocks Suit  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad C.","family":"Andersen","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, College of Health, Adelaide University  Adelaide South Australia Australia"},{"name":"Department of Neonatal Medicine Women\u2019s and Children\u2019s Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1835-8679","authenticated-orcid":false,"given":"Michael J.","family":"Stark","sequence":"additional","affiliation":[{"name":"Robinson Research Institute, College of Health, Adelaide University  Adelaide South Australia Australia"},{"name":"Department of Neonatal Medicine Women\u2019s and Children\u2019s Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.9018"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1049\/iet-cds.2018.5447"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.19137"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X17742751"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-2938"},{"key":"e_1_2_11_7_1","unstructured":"\u201cGoldilocks \u201d(2024) https:\/\/www.goldilockssuit.com\/."},{"key":"e_1_2_11_8_1","article-title":"SQUIRE\u2010SIM (Standards for Quality Improvement Reporting Excellence for SIMulation): Publication Guidelines for Simulation\u2010Based Quality Improvement Projects","author":"Stone K. P.","year":"2024","journal-title":"Simulation in Healthcare"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-057990"},{"key":"e_1_2_11_10_1","unstructured":"O. B.Care \u201cOwlet \u201d(2024) https:\/\/owletcare.com.au\/."},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2011.02464.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3928\/19382359-20170725-01"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2025-328983"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.60.11.1055"},{"key":"e_1_2_11_15_1","first-page":"e1606","article-title":"Accuracy of Wireless Pulse Oximeter on Preterm or <2.5\u2009kg Infants","volume":"41","author":"Thomas M.","year":"2023","journal-title":"American Journal of Perinatology"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2025-328540"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70471","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.70471","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:17:51Z","timestamp":1786987071000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.70471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,15]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/jpc.70471"],"URL":"https:\/\/doi.org\/10.1111\/jpc.70471","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,15]]},"assertion":[{"value":"2025-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}