TY  - JOUR
AU  - Sonney, Jennifer
AU  - Cho, Emily E
AU  - Zheng, Qiming
AU  - Kientz, Julie A
PY  - 2022
DA  - 2022/2/17
TI  - Refinement of a Parent–Child Shared Asthma Management Mobile Health App: Human-Centered Design Study
JO  - JMIR Pediatr Parent
SP  - e34117
VL  - 5
IS  - 1
KW  - parent–child shared management
KW  - school-age children
KW  - asthma
KW  - participatory design
KW  - mHealth
KW  - prototype
KW  - usability
KW  - family health informatics
AB  - 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. 
SN  - 2561-6722
UR  - https://pediatrics.jmir.org/2022/1/e34117
UR  - https://doi.org/10.2196/34117
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35175214
DO  - 10.2196/34117
ID  - info:doi/10.2196/34117
ER  -