@Article{info:doi/10.2196/34117,
author="Sonney, Jennifer
and Cho, Emily E
and Zheng, Qiming
and Kientz, Julie A",
title="Refinement of a Parent--Child Shared Asthma Management Mobile Health App: Human-Centered Design Study",
journal="JMIR Pediatr Parent",
year="2022",
month="Feb",
day="17",
volume="5",
number="1",
pages="e34117",
keywords="parent--child shared management; school-age children; asthma; participatory design; mHealth; prototype; usability; family health informatics",
abstract="Background: The school-age years, approximately ages 7 through 11, represent a natural transition when children begin assuming some responsibility for their asthma management. Previously, we designed a theoretically derived, tailored parent--child shared asthma management mobile health app prototype, Improving Asthma Care Together (IMPACT). Objective: The purpose of this study was to use human-centered design (HCD) to iteratively refine IMPACT to optimize user experience and incorporate evidence-based longitudinal engagement strategies. Methods: This study used a mixed methods design from December 2019 to April 2021. Our app refinement used the HCD process of research, ideation, design, evaluation, and implementation, including 6 cycles of design and evaluation. The design and evaluation cycles focused on core app functionality, child engagement, and overall refinement. Evaluation with parent--child dyads entailed in-person and remote concept testing and usability testing sessions, after which rapid cycle thematic analyses identified key insights that informed future design refinement. Results: Twelve parent--child dyads enrolled in at least one round of this study. Eight of the 12 child participants were male with a mean age of 9.9 (SD 1.6) years and all parent participants were female. Throughout evaluation cycles, dyads selected preferred app layouts, gamification concepts, and overall features with a final design prototype emerging for full-scale development and implementation. Conclusions: A theoretically derived, evidence-based shared asthma management app was co-designed with end users to address real-world pain points and priorities. An 8-week pilot study testing app feasibility, acceptability, and preliminary efficacy is forthcoming. ",
issn="2561-6722",
doi="10.2196/34117",
url="https://pediatrics.jmir.org/2022/1/e34117",
url="https://doi.org/10.2196/34117",
url="http://www.ncbi.nlm.nih.gov/pubmed/35175214"
}