{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T02:29:42Z","timestamp":1775183382851,"version":"3.50.1"},"reference-count":30,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Pediatr Parent"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec sec-type=\"background\"><jats:title>Background<\/jats:title><jats:p>The use of a smartphone built-in microphone for auscultation is a feasible alternative to the use of a stethoscope, when applied by physicians.<\/jats:p><\/jats:sec><jats:sec sec-type=\"objective\"><jats:title>Objective<\/jats:title><jats:p>This cross-sectional study aims to assess the feasibility of this technology when used by parents\u2014the real intended end users.<\/jats:p><\/jats:sec><jats:sec sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Physicians recruited 46 children (male: n=33, 72%; age: mean 11.3, SD 3.1 y; children with asthma: n=24, 52%) during medical visits in a pediatric department of a tertiary hospital. Smartphone auscultation using an app was performed at 4 locations (trachea, right anterior chest, and right and left lung bases), first by a physician (recordings: n=297) and later by a parent (recordings: n=344). All recordings (N=641) were classified by 3 annotators for quality and the presence of adventitious sounds. Parents completed a questionnaire to provide feedback on the app, using a Likert scale ranging from 1 (\u201ctotally disagree\u201d) to 5 (\u201ctotally agree\u201d).<\/jats:p><\/jats:sec><jats:sec sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Most recordings had quality (physicians\u2019 recordings: 253\/297, 85.2%; parents\u2019 recordings: 266\/346, 76.9%). The proportions of physicians' recordings (34\/253, 13.4%) and parents' recordings (31\/266, 11.7%) with adventitious sounds were similar. Parents found the app easy to use (questionnaire: median 5, IQR 5-5) and were willing to use it (questionnaire: median 5, IQR 5-5).<\/jats:p><\/jats:sec><jats:sec sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Our results show that smartphone auscultation is feasible when performed by parents in the clinical context, but further investigation is needed to test its feasibility in real life.<\/jats:p><\/jats:sec>","DOI":"10.2196\/52540","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T11:30:01Z","timestamp":1712835001000},"page":"e52540-e52540","source":"Crossref","is-referenced-by-count":5,"title":["Feasibility and Acceptability of Pediatric Smartphone Lung Auscultation by Parents: Cross-Sectional Study"],"prefix":"10.2196","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7600-9190","authenticated-orcid":false,"given":"Catarina","family":"Santos-Silva","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0854-3585","authenticated-orcid":false,"given":"Henrique","family":"Ferreira-Cardoso","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9920-1184","authenticated-orcid":false,"given":"S\u00f3nia","family":"Silva","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4174-2820","authenticated-orcid":false,"given":"Pedro","family":"Vieira-Marques","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3967-3838","authenticated-orcid":false,"given":"Jos\u00e9 Carlos","family":"Valente","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7755-5002","authenticated-orcid":false,"given":"Rute","family":"Almeida","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0887-8796","authenticated-orcid":false,"given":"Jo\u00e3o","family":"A Fonseca","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7109-1101","authenticated-orcid":false,"given":"Cristina","family":"Santos","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0090-8612","authenticated-orcid":false,"given":"In\u00eas","family":"Azevedo","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1151-8791","authenticated-orcid":false,"given":"Cristina","family":"J\u00e1come","sequence":"additional","affiliation":[]}],"member":"1010","published-online":{"date-parts":[[2024,4,8]]},"reference":[{"issue":"6","key":"R1","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1016\/S2213-2600(20)30105-3","article-title":"Prevalence and attributable health burden of chronic respiratory diseases, 1990\u20132017: a systematic analysis for the Global Burden of Disease Study 2017","volume":"8","author":"GBD Chronic Respiratory Disease Collaborators","journal-title":"Lancet Respir Med"},{"issue":"10159","key":"R2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32858-7","article-title":"GBD 2017: a fragile world","volume":"392","author":"The Lancet","journal-title":"Lancet"},{"issue":"3","key":"R3","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1183\/09031936.00105513","article-title":"Respiratory health and disease in Europe: the new European Lung White Book","volume":"42","author":"Gibson","journal-title":"Eur Respir J"},{"issue":"1","key":"R4","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.2416","article-title":"Pediatric asthma: a global epidemic","volume":"85","author":"Serebrisky","journal-title":"Ann Glob Health"},{"key":"R5","unstructured":"Chronic respiratory diseases. 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