A Mobile Phone App for the Self-Management of Pediatric Concussion: Development and Usability Testing

Sandhu, Harminder; Wilson, Katherine; Reed, Nick; Mihailidis, Alex

doi:10.2196/12135

Cited by 18 publications

(16 citation statements)

References 40 publications

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“…The participants' group P, C and S mentioned the screening exam reminder, sharing button and prompt, and it is perceived as cues to action. In accordance with the present results, previous studies have demonstrated that the reminder system is an effective and acceptable intervention (Brown and Rahman, 2018;Heo et al, 2013;Sandhu et al, 2019). Meanwhile, a sharing button matches those observed in earlier studies for resource sharing, social engagement, providing support and promotion to others (Anderson et al, 2016;Baumel and Muench, 2016;Lapointe et al, 2013).…”

Section: Discussionsupporting

confidence: 93%

Development of Mobile App for Breast Examination Awareness Using Health Belief Model: A Qualitative Study

Nasution

Yusuf

Keng

et al. 2021

Asian Pac J Cancer Prev

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Background: Mobile health technologies are widely being used for delivering health behaviour interventions. However, there is insufficient evidence that they are integrating theory and only a few researchers utilized a qualitative approach in their study. Objectives: This paper aims to identify requirements in developing a breast examination awareness mobile app based on the component of the Health Belief Model (HBM) for integration in health promotion strategy. Methods: A qualitative approach using semi-structured in-depth interview was utilized in this study. A purposive sampling method was conducted among public women attending hospital services, software and content experts in a tertiary teaching hospital in the East coast of Peninsular Malaysia. These interviews were recorded, transcribed and organized using NVIVO 11. The main themes were identified through thematic analysis of the interview transcripts. Results: A total of 37 participants recruited in this study. The themes that emerged from the analysis are vulnerability, forecasting, reactive, influence, outcome and obstacles. The sub-themes findings supported the HBM’s component in terms of the requirement for are an infographic risk factor, video (symptoms, self-examination), info (metastasis, survival, screening, triple assessment, treatment, myth and facts, benefit of early treatment, support groups), features (screening reminder, sharing button, prompt) and mobile app’s design. Conclusion: The research findings could provide a guide for future app development from public women, content and software experts. The information will be used to develop a breast examination awareness mobile app integrated with health theories.

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Section: Discussionsupporting

confidence: 93%

Development of Mobile App for Breast Examination Awareness Using Health Belief Model: A Qualitative Study

Nasution

Yusuf

Keng

et al. 2021

Asian Pac J Cancer Prev

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“…Although there were limited search results specific to paediatric overweight and obesity, the broader search identified further methods of testing usability and engagement of mHealth interventions for other paediatric health conditions including concussion [53] and mild traumatic brain injury [54]. The most extensively used measure of usability function is task success; it is highly probable that issues exist with a digital tool if the user is unable to complete a given task [46].…”

Section: Comparison With Usability and Engagement Testing In Other Ar...mentioning

confidence: 99%

“…One method of measuring efficiency or the level of effort that users provide to achieve tasks is by assessing task completion time, including error and correction time [46]. Tasks completed in less time indicate that less effort was required to complete them, which is believed to enhance the overall experience [53]. However, the length of time required will depend on the nature of the task which means time comparisons and efficiency can only be evaluated if the same task is performed [55].…”

Section: Comparison With Usability and Engagement Testing In Other Ar...mentioning

confidence: 99%

“…This form of usability testing is useful for identifying possible usability gaps between novice users and expert users [55]. More recent usability testing with youth employed the "think aloud" method, which gathers information on both usability and content of apps as participants engage with them [53,54]. Applying "think aloud" during usability testing of an app with adolescents revealed specific barriers in one study and enabled researchers to adapt the app, including increasing the text size and making it more intuitive [54].…”

Section: Comparison With Usability and Engagement Testing In Other Ar...mentioning

confidence: 99%

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Usability and Engagement Testing of mHealth Apps in Paediatric Obesity: A Narrative Review of Current Literature

Arthurs

Tully²,

O’Malley

et al. 2022

IJERPH

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Mobile health (mHealth) platforms have become increasingly popular for delivering health interventions in recent years and particularly in light of the COVID-19 pandemic. Childhood obesity treatment is an area where mHealth interventions may be useful due to the multidisciplinary nature of interventions and the need for long-term care. Many mHealth apps targeting youth exist but the evidence base underpinning the methods for assessing technical usability, user engagement and user satisfaction of such apps with target end-users or among clinical populations is unclear, including for those aimed at paediatric overweight and obesity management. This review aims to examine the current literature and provide an overview of the scientific methods employed to test usability and engagement with mHealth apps in children and adolescents with obesity. A narrative literature review was undertaken following a systematic search. Four academic databases were searched. Inclusion criteria were studies describing the usability of mHealth interventions for childhood obesity treatment. Following the application of inclusion and exclusion criteria, fifty-nine articles were included for full-text review, and seven studies met the criteria for usability and engagement in a clinical paediatric population with obesity. Six apps were tested for usability and one for engagement in childhood obesity treatment. Sample sizes ranged from 6-1120 participants. The included studies reported several heterogenous measurement instruments, data collection approaches, and outcomes. Recommendations for future research include the standardization and validation of instruments to measure usability and engagement within mHealth studies in this population.

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“…This involvement is a way of ensuring the validity of the content of the mobile app [ 15 ] and that it meets the users’ needs and requirements [ 16 ], increasing its likelihood of being usable. Usability is an essential criterion in the evaluation of mHealth apps [ 17 , 18 ] and has been defined as the extent to which a product can be used by users to achieve specific goals with effectiveness, efficiency, and satisfaction and in a specific context of use [ 19 ]. Nevertheless, a systematic review that synthesized and evaluated existing studies on the assessment of the usability of pain-related apps found 31 manuscripts on the usability of 32 pain apps [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

User-Centered Development of a Mobile App for Biopsychosocial Pain Assessment in Adults: Usability, Reliability, and Validity Study

Lopes¹,

Rodrigues²,

Silva³

2021

JMIR Mhealth Uhealth

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Background Pain-related mobile apps targeting pain assessment commonly limit pain assessment to pain behaviors and physiological aspects. However, current guidelines state that pain assessment should follow the biopsychosocial model, clearly addressing biological, psychological, and social aspects of the pain experience. Existing reviews also highlight that pain specialists and end users are not commonly involved in the development process of mobile apps for pain assessment, negatively affecting the quality of the available apps. Objective This study aimed to develop a mobile app for pain assessment (AvaliaDor) and assess its usability, validity, reliability, and measurement error in a sample of real patients with chronic pain recruited from a physiotherapy clinic. Methods This study was divided into 2 phases: phase 1—development of the AvaliaDor app; and phase 2—assessment of the apps’ usability, reliability, measurement error, and validity. AvaliaDor was developed (phase 1) based on the literature and the recommendations of physiotherapists and patients with pain in cycles of evaluation, inclusion of recommendations, and reevaluation until no further changes were required. The final version of the app was then tested in patients with musculoskeletal pain attending a private physiotherapy practice (phase 2) who were asked to use the app twice on 2 consecutive days for reliability purposes. In addition, participants had to complete a set of paper-based scales (Brief Pain Inventory, painDETECT, Pain Catastrophizing Scale, and Tampa Scale for Kinesiophobia), which were used to assess the validity (criterion validity and hypothesis testing) of the app, and the Post-Study System Usability Questionnaire was used to assess its usability. Results The development process (phase 1) included 5 physiotherapists external to the research team and 5 patients with musculoskeletal pain, and it resulted in the creation of an app named AvaliaDor, which includes an assessment of pain intensity, location, and phenotype; associated disability; and the issues of pain catastrophizing and fear of movement. A total of 52 patients with pain (mean age 50.12 years, SD 11.71 years; 39 females) participated in phase 2 and used the app twice. The Pearson correlation coefficient between the scores on the paper-based scales and the app ranged between 0.81 and 0.93 for criterion validity and between 0.41 and 0.59 for hypothesis testing. Test-retest reliability was moderate to good (intraclass correlation coefficient between 0.67 and 0.90) and the score for usability was 1.16 (SD 0.27), indicating good usability. Conclusions A mobile app named AvaliaDor was developed to assess the intensity, location, and phenotype of pain; associated disability; and the issues of pain catastrophizing and fear of movement in a user-centered design process. The app was shown to be usable, valid, and reliable for assessing pain from a biopsychosocial perspective in a heterogeneous group of patients with pain. Future work can explore the long-term use of AvaliaDor in clinical contexts and its advantages for the assessment and management of patients with pain.

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A Mobile Phone App for the Self-Management of Pediatric Concussion: Development and Usability Testing

Cited by 18 publications

References 40 publications

Development of Mobile App for Breast Examination Awareness Using Health Belief Model: A Qualitative Study

Development of Mobile App for Breast Examination Awareness Using Health Belief Model: A Qualitative Study

Usability and Engagement Testing of mHealth Apps in Paediatric Obesity: A Narrative Review of Current Literature

User-Centered Development of a Mobile App for Biopsychosocial Pain Assessment in Adults: Usability, Reliability, and Validity Study

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