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Design and Redesign of the IACTA App, an Interactive Communication Tool Intended to Facilitate Young Children's Participation in Healthcare Situations

      Highlights

      • Knowledge deficit in children as for hospital visits might cause fear and anxiety.
      • Information provided by interactive solutions is usable and likeable by children.
      • The child's perspective is needed when developing tools for children.

      Abstract

      Purpose

      To develop the storyboard of IACTA further, based on the child’'s perspective, by testing and evaluating both re-designed and newly designed scenes.

      Design and method

      A participatory design was used involving preschool children (n = 18) aged three to five who tested and evaluated evolving prototypes of the IACTA application. Think aloud and Active intervention were used to elicit verbal responses from the children. Additionally, observational protocols were used to capture, in a structured way, the children's interaction with the app.

      Results

      By testing evolving prototypes, the children confirmed previous developments and challenged the newly added scenes of the app. By their interaction, important information regarding the children's ways of navigating the storyboard was obtained. Ways of becoming immersed in the storyboard and the eagerness of dealing with each scene provided information regarding likeability.

      Conclusions

      Overall, this article presents a participatory design process in which preschool aged children were involved in testing and evaluating prototypes of the re-designed IACTA app. In the process, the children provided their perspective on the design and content and eventually, based on their feedback, IACTA was proven to be an age-appropriate tool.

      Practical implications

      Children are frequent visitors to healthcare services. Lack of knowledge might trigger fear and anxiety, whereas information provides understanding. Interactive, mobile solutions enable children to receive information within paediatric healthcare contexts. The IACTA application intends to provide children a situated understanding that facilitates their participation in healthcare situations.

      Keywords

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      References

        • Arvidsson S.
        • Gilljam B.-M.
        • Nygren J.
        • Ruland C.M.
        • Nordby-Boe T.
        • Svedberg P.
        Redesign and validation of Sisom, an interactive assessment and communication tool for children with cancer.
        JMIR mHealth and uHealth. 2016; 4: 1-16
        • Blanson Henkemans O.A.
        • Bierman B.P.
        • Janssen J.
        • Neerincx M.A.
        • Looije R.
        • van der Bosch H.
        • van der Giessen J.A.
        Using a robot to personalise health education for children with diabetes type 1: A pilot study.
        Patient Education and Counseling. 2013; 92: 174-181
        • Burbank A.
        • Lewis S.
        • Hewes M.
        • Schellhase D.
        • Rettiganti M.
        • Hall-Barrow J.
        Mobile-based asthma action plans for adolescents.
        Journal of Asthma. 2015; 52: 583-586
        • Coyne I.
        • Gallagher P.
        Participation in communication and decision-making: Children and young people’s experiences in a hospital setting.
        Journal of Clinical Nursing. 2011; 20: 2334-2343
        • Coyne I.
        • Hallström I.
        • Söderbäck M.
        Reframing the focus from a family-centred to a child-centred care approach for children's healthcare.
        Journal of Child Health Care. 2016; 20: 494-502
        • Coyne I.
        • Kirwan L.
        Ascertaining children’s wishes and feelings about hospital life.
        Journal of Child Health Care. 2012; 16: 293-304
        • Davies A.
        • Randall D.
        Perceptions of Children’s participation in their healthcare: A critical review.
        Issues in Comprehensive Pediatric Nursing. 2015; 38: 202-221
        • Druin A.
        The role of children in the design of new technology.
        Behaviour & Information Technology. 2002; 21 (Retrieved from): 1-25
        • Fernandes S.
        • Arriaga P.
        • Esteves F.
        Using an educational multimedia application to prepare children for outpatient surgeries.
        Health Communication. 2015; 30: 1190-1200
        • Fröisland D.
        • Årsand E.
        • Skårderud F.
        Improving diabetes care for young people with type 1 diabetes through visual learning on mobile phones: Mixed methods study.
        Journal of Medical Internet Research. 2012; 14: 111
        • Hanna L.
        • Risden K.
        • Alexander K.J.
        Guidelines for usability testing with children.
        Interactions. 1997; 4: 9-14
        • Hanna L.
        • Risden K.
        • Czerwinski M.
        • Alexander K.J.
        The Role of Usability Research in Designing Children's Computer Products.
        (Retrieved from)
        • Høiseth M.
        • Holm Hopperstad M.
        “Now we are going on a journey”: Meaning-making with a healthcare game during Toddlers’ medical treatment.
        Child Care in Practice. 2016; 22: 257-276
        • van Kesteren I.E.H.
        • Bekker M.M.
        • Vermeeren A.P.O.S.
        • Lloyd P.A.
        Assessing usability evaluation methods on their effectiveness to elicit verbal comments from children subjects. Paper presented at the IDC 2003, Preston, UK.
        2003
        • Williams G.
        • Greene S.
        From analogue to apps - developing an app to prepare children for medical imaging procedures.
        Journal of Visual Communication in Medicine. 2015; 38: 168-176
      1. International standard ISO 9241-11.
        (Retrieved from)
        • Markopoulos P.
        • Bekker M.
        Interaction design and children.
        Interacting with Computers. 2003; 15: 141-149
        • Markopoulos P.
        • Bekker M.
        On the assessment of usability testing methods for children.
        Interacting with Computers. 2003; 15: 227-243
        • Markopoulos P.
        • Read J.C.
        • MacFarlane S.
        • Höysniemi J.
        Evaluating Children’s interactive products: Principles and practices for interaction designers (interactive technologies).
        Morgan Kaufmann Publishers, Burlington2008
        • McMurtry C.M.
        • Ridell R.P.
        • Taddio A.
        • Racine N.
        • Asmundson Gordon J.G.
        • Noel M.
        • Shah V.
        Far from “just a poke”: Common painful needle procedures and the development of needle fear.
        The Clinical Journal of Pain. 2015; 31: S3-S11https://doi.org/10.1097/AJP.0000000000000272
        • Miller K.
        • Rodger S.
        • Bucolo S.
        • Greer R.
        • Kimble R.M.
        Multi-modal distraction. Using technology to combat pain in young children with burn injuries.
        Burns. 2010; 36: 647-658
        • Raaff C.
        • Glazebrook C.
        • Wharras H.A.
        A systematic review of interactive multimedia interventions to promote children’s contribtion with health professionals: Implications for communicating with overweight children.
        BMC Medical Informatics and Decision Making. 2014; 14: 1-21
        • Ruland C.M.
        • Starren J.
        • Vatne T.M.
        Participatory design with children in the development of a support system for patient-centred care in pediatric oncology.
        Journal of Biomedical Informatics. 2008; 41: 624-635
        • Salmela M.
        • Salanterä S.
        • Aronen E.
        Child-reported hospital fears in 4 - to 6-year-old children.
        Pediatric Nursing. 2009; 35: 269-303
        • Schalkers I.
        • Dedding C.W.M.
        • Bunders J.F.G.
        “[I would like] a place to be alone, other than the toilet” - Children’s perspective on paediatric hospital care in the Netherlands.
        Health Expectations. 2015; 18: 2066-2078
        • Schalkers I.
        • Parsons C.S.
        • Bunders J.F.G.
        • Dedding C.W.M.
        Health professionals’ perspective on children’s and young people’s participation in health care: A qualitative multihospital study.
        Journal of Clinical Nursing. 2016; 25
        • SFS 2014:821
        The Patient Act [Patientlagen].
        (Retrieved from)
        • Söderbäck M.
        • Coyne I.
        • Harder M.
        The importance of including both a child perspective and the child’s perspective within health care settings to provide truly child-centred care.
        Journal of Child Health Care. 2011; 15: 99-106https://doi.org/10.1177/1367493510397624
        • Sommer D.
        • Pramling Samuelsson I.
        • Hundeide K.
        Child Perspective and Children's Perspective.
        Theory and Practice, London: Springer2010
        • Stålberg A.
        • Sandberg A.
        • Söderbäck M.
        • Larsson T.
        The child´s perspective as the guiding principle: Young children as co-designers in the design of an interactive application meant to facilitate participation in healthcare situations.
        Journal of Biomedical Informatics. 2016; 61: 149-158https://doi.org/10.1016/j.jbi.2016.03.024
        • Trivedi M.C.
        • Khanum M.A.
        Role of context in usability evaluations: a review.
        (Retrieved from)
        • Tseng R.
        • Chuang K.
        • Hermann K.
        • Koehler J.
        • Do E.Y.L.
        Hard to access the information in the healthcare system? I see! - an innovative touch-screen information board for pediatric hospitals. Paper presented at the PerCom 2011.
        2011
        • Unicef
        The Convention on the Rights of the Child.
        (Retrieved from)