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Children's and Caregivers' Review of a Guided Imagery Therapy Mobile App Designed to Treat Children With Functional Abdominal Pain Disorders: Leveraging a Mixed Methods Approach With User-Centered Design.

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العنوان: Children's and Caregivers' Review of a Guided Imagery Therapy Mobile App Designed to Treat Children With Functional Abdominal Pain Disorders: Leveraging a Mixed Methods Approach With User-Centered Design.
المؤلفون: Hollier JM; Texas Children's Hospital, Houston, TX, United States.; Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States., Strickland TA; Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States., Fordis CM; The Center for Collaborative & Interactive Technologies, Baylor College of Medicine, Houston, TX, United States., van Tilburg MA; Department of Internal Medicine, Marshall University, Huntington, WV, United States.; School of Social Work, University of Washington, Seattle, WA, United States.; Department of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, NC, United States.; Graduate Medical Education, Cape Fear Valley Hospital, Fayetteville, NC, United States., Shulman RJ; Texas Children's Hospital, Houston, TX, United States.; Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States.; Children's Nutrition Research Center, Agricultural Research Service, United States Department of Agriculture, Houston, TX, United States., Thompson D; Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States.; Children's Nutrition Research Center, Agricultural Research Service, United States Department of Agriculture, Houston, TX, United States.
المصدر: JMIR formative research [JMIR Form Res] 2023 Apr 19; Vol. 7, pp. e41321. Date of Electronic Publication: 2023 Apr 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101726394 Publication Model: Electronic Cited Medium: Internet ISSN: 2561-326X (Electronic) Linking ISSN: 2561326X NLM ISO Abbreviation: JMIR Form Res Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto, ON, Canada : JMIR Publications, [2017]-
مستخلص: Background: Functional abdominal pain disorders (FAPDs) are highly prevalent and associated with substantial morbidity. Guided imagery therapy (GIT) is efficacious; however, barriers often impede patient access. Therefore, we developed a GIT mobile app as a novel delivery platform.
Objective: Guided by user-centered design, this study captured the critiques of our GIT app from children with FAPDs and their caregivers.
Methods: Children aged 7 to 12 years with Rome IV-defined FAPDs and their caregivers were enrolled. The participants completed a software evaluation, which assessed how well they executed specific app tasks: opening the app, logging in, initiating a session, setting the reminder notification time, and exiting the app. Difficulties in completing these tasks were tallied. After this evaluation, the participants independently completed a System Usability Scale survey. Finally, the children and caregivers were separately interviewed to capture their thoughts about the app. Using a hybrid thematic analysis approach, 2 independent coders coded the interview transcripts using a shared codebook. Data integration occurred after the qualitative and quantitative data were analyzed, and the collective results were summarized.
Results: We enrolled 16 child-caregiver dyads. The average age of the children was 9.0 (SD 1.6) years, and 69% (11/16) were female. The System Usability Scale average scores were above average at 78.2 (SD 12.6) and 78.0 (SD 13.5) for the children and caregivers, respectively. The software evaluation revealed favorable usability for most tasks, but 75% (12/16) of children and 69% (11/16) of caregivers had difficulty setting the reminder notification. The children's interviews confirmed the app's usability as favorable but noted difficulty in locating the reminder notification. The children recommended adding exciting scenery and animations to the session screen. Their preferred topics were animals, beaches, swimming, and forests. They also recommended adding soft sounds related to the session topic. Finally, they suggested that adding app gamification enhancements using tangible and intangible rewards for listening to the sessions would promote regular use. The caregivers also assessed the app's usability as favorable but verified the difficulty in locating the reminder notification. They preferred a beach setting, and theme-related music and nature sounds were recommended to augment the session narration. App interface suggestions included increasing the font and image sizes. They also thought that the app's ability to relieve gastrointestinal symptoms and gamification enhancements using tangible and intangible incentives would positively influence the children's motivation to use the app regularly. Data integration revealed that the GIT app had above-average usability. Usability challenges included locating the reminder notification feature and esthetics affecting navigation.
Conclusions: Children and caregivers rated our GIT app's usability favorably, offered suggestions to improve its appearance and session content, and recommended rewards to promote its regular use. Their feedback will inform future app refinements.
(©John M Hollier, Tiantá A Strickland, C Michael Fordis, Miranda AL van Tilburg, Robert J Shulman, Debbe Thompson. Originally published in JMIR Formative Research (https://formative.jmir.org), 19.04.2023.)
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معلومات مُعتمدة: L40 DK122430 United States DK NIDDK NIH HHS; R01 NR016786 United States NR NINR NIH HHS; R01 NR013497 United States NR NINR NIH HHS; P30 DK056338 United States DK NIDDK NIH HHS; K23 DK120928 United States DK NIDDK NIH HHS
فهرسة مساهمة: Keywords: app prototype; caregiver; child; children; disorders of gut-brain interaction; feedback; functional abdominal pain disorders; gamification; guided image therapy; guided imagery; guided imagery therapy; mHealth; mixed methods research; mobile app; mobile health; mobile phone; pain; pediatric; prototype; psychotherapy; usability; user-centered design; youths
تواريخ الأحداث: Date Created: 20230419 Latest Revision: 20230710
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10157463
DOI: 10.2196/41321
PMID: 37074773
قاعدة البيانات: MEDLINE
الوصف
تدمد:2561-326X
DOI:10.2196/41321