{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T22:10:35Z","timestamp":1789078235817,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100014840","name":"Federal Joint Committee (Gemeinsamer Bundesausschuss, G-BA), Germany","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014840","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute childhood fever can lead to parental anxiety which contributes to the overcrowding of pediatric emergency care. Mobile health (mHealth) applications offer support to empower caregivers. Real-world evidence regarding usage disparities and their actual impact on user empowerment remains scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This observational study investigates the sociodemographic determinants of mHealth usage and evaluates its effect on parental confidence as parent-reported outcome measure (PROM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A FeverApp registry data analysis was conducted. An ecological momentary assessment tool regarding fever management of parents. The main sample (N=24,800) was analyzed to identify sociodemographic usage disparities and thematic navigation patterns using correlation clustering. A subsample (n=3,825) completed a 5-point questionnaire regarding perceived safety in managing fever, as the primary PROM. The relationship between interaction frequency and the PROM was evaluated using an ordinal logistic regression model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Highly educated parents demonstrate the highest engagement (mean = 14.1 interactions) compared to those with lower education (9.8 interactions). The PROM analysis revealed a clear dose-response relationship: higher interaction frequencies strongly predicted higher levels of self-reported safety. Parents with lower educational backgrounds frequently fell below the usage threshold. Furthermore, correlation analysis indicated that parents navigate information in highly structured, action-oriented clusters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Linking objective data with PROMs suggests that mHealth interventions are positively associated with enhanced parental self-efficacy. The identified equity gap highlights that some designs may leave vulnerable populations behind. To serve as equitable public health tools, future digital health systems must integrate adaptive, low-threshold pathways to ensure the necessary engagement for confident decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076261473743","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T04:23:12Z","timestamp":1788841392000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating childhood fever: A registry-based analysis of parental engagement patterns and information needs in mHealth"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4104-8823","authenticated-orcid":false,"given":"Moritz","family":"Gwiasda","sequence":"first","affiliation":[{"name":"Witten\/Herdecke University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4279-3032","authenticated-orcid":false,"given":"David D.","family":"Martin","sequence":"additional","affiliation":[{"name":"Witten\/Herdecke University"},{"name":"Eberhard-Karls University T\u00fcbingen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5415-8784","authenticated-orcid":false,"given":"Ekkehart","family":"Jenetzky","sequence":"additional","affiliation":[{"name":"Witten\/Herdecke University"},{"name":"University Medical Center of the Johannes-Gutenberg-University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14739"},{"issue":"2","key":"e_1_3_6_3_2","first-page":"154","article-title":"Low health literacy is associated with increased fever phobia in a pediatric emergency department","volume":"52","author":"Wallenstein MB","year":"2013","unstructured":"Wallenstein MB. Low health literacy is associated with increased fever phobia in a pediatric emergency department. Clin Pediatr (Phila). 2013;52(2):154\u2013159, others. https:\/\/doi.org\/10.1177\/0009922812467433","journal-title":"Clin Pediatr (Phila)"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.33963\/KP.a2021.0112"},{"issue":"1","key":"e_1_3_6_5_2","first-page":"11","article-title":"Digital health interventions in patient management following acute coronary syndrome: a meta-analysis of the literature","volume":"27","author":"\u00c7\u0131nar T","year":"2023","unstructured":"\u00c7\u0131nar T, Hay\u0131ro\u011flu M\u0130, \u00c7i\u00e7ek V, et al. Digital health interventions in patient management following acute coronary syndrome: a meta-analysis of the literature. 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