scholarly journals A Web-Based Interactive Tool to Reduce Childhood Obesity Risk in Urban Minority Youth: Usability Testing Study

2018 ◽  
Vol 2 (2) ◽  
pp. e21 ◽  
Author(s):  
Sandra Verdaguer ◽  
Katrina F Mateo ◽  
Katarzyna Wyka ◽  
Tracy A Dennis-Tiwary ◽  
May May Leung
Keyword(s):  
Childhood Obesity ◽  
Usability Testing ◽  
Minority Youth ◽  
Obesity Risk ◽  
Web Based ◽  
Interactive Tool ◽  
Urban Minority

scholarly journals A Web-Based Interactive Tool to Reduce Childhood Obesity Risk in Urban Minority Youth: Usability Testing Study (Preprint)

2017 ◽  
Author(s):  
Sandra Verdaguer ◽  
Katrina F Mateo ◽  
Katarzyna Wyka ◽  
Tracy A Dennis-Tiwary ◽  
May May Leung
Keyword(s):  
Childhood Obesity ◽  
Usability Testing ◽  
Minority Youth ◽  
Obesity Risk ◽  
Web Based ◽  
Black African ◽  
Interactive Tool ◽  
Urban Minority ◽  
Field Notes ◽  
The Web

BACKGROUND Childhood obesity is a serious public health issue among minority youth in the United States. Technology-enhanced approaches can be effective for promoting healthy behavior change. OBJECTIVE The purpose of this study was to test the usability of prototypes of a Web-based interactive tool promoting healthy dietary behaviors to reduce childhood obesity risk in urban minority youth. The Web-based tool comprised a manga-style comic with interactive features (eg, sound effects, clickable pop-ups), tailored messaging, and goal setting, and was optimized for use on tablet devices. METHODS Latino and black/African American children ages 9 to 13 years were recruited to participate in two rounds of usability testing. A modified think-aloud method was utilized. Self-reported surveys and field notes were collected. Audio recordings and field notes from usability testing sessions were systematically reviewed by extracting and coding user feedback as either positive comments or usability or negative issues. The quantitative data from self-reported questionnaires were analyzed using descriptive statistics. RESULTS Twelve children (four female; eight black/African American) with a mean age of 10.92 (SD 1.16) years participated. Testing highlighted overall positive experiences with the Web-based interactive tool, especially related to storyline, sound effects, and color schemes. Specific usability issues were classified into six themes: appearance, content, special effects, storyline, terminology, and navigation. Changes to the Web-based tool after round 1 included adding a navigation guide, making clickable icons more visible, improving graphic designs, and fixing programming errors. In round 2 of testing (after modifications to the Web-based tool were incorporated), many of the usability issues that were identified in round 1 did not emerge. CONCLUSIONS Results of testing will inform further development and finalization of the tool, which will be tested using a two-group pilot randomized study, with the goal of reducing childhood obesity risk in minority, low-income youth.

User-Centered Design and Development of a Web-based Tool to Support Healthy Feeding Behaviors by Parents of Urban Minority Youth (Preprint)

2018 ◽  
Author(s):  
Katrina F Mateo ◽  
Sandra Verdaguer ◽  
Abigail Fuqua ◽  
Kris Hoyt ◽  
Jacquelyn Bucci ◽  
...  
Keyword(s):  
Health Promotion ◽  
Childhood Obesity ◽  
Technology Use ◽  
Usability Testing ◽  
The United States ◽  
Formative Research ◽  
Feeding Behaviors ◽  
Web Based ◽  
Urban Minority ◽  
User Centered

BACKGROUND In the United States, childhood obesity prevalence is highest among preadolescents and adolescents. Research has increasingly highlighted the role of parenting, parental modeling and feeding practices, and the home environment in behavioral interventions for childhood obesity. OBJECTIVE As part of the development of a technology-enhanced intervention to promote healthy eating among urban minority preadolescents, research was concurrently conducted to develop a parent-focused health promotion tool to support positive feeding behaviors and the home food environment. METHODS Parents (n=25; 96% female; mean age=41 years; 60% Hispanic/Latino, 40% Black/African-American) were recruited from a child-focused community-based organization in New York City. Formative research (focus groups and parent-child dyad interviews) was conducted to identify barriers/facilitators to healthy feeding behaviors and characterize technology use (Summer 2016). Findings informed the design of a web-based health promotion tool, which was iteratively developed and assessed utilizing user-centered approaches to: confirm/finalize content (Fall 2016), assess the website wireframe (Winter 2016), and conduct usability testing (Spring-Summer 2017). Session notes and audio-recordings were reviewed throughout development to design and improve prototypes. RESULTS From formative research, parents preferred reading/looking up health-related information on larger laptop/tablet screens, but preferred smartphones when reading “on-the-go.” Suggestions for an online health tool included quick/easy/low-cost recipes, healthy tips for health feeding and involving their children around healthy dietary-related behaviors, clear tool navigation, and using pictures/visuals. When finalizing the tool wireframe and content, parents preferred a variety of motivational healthy feeding tips that encouraged positive interaction with their child, local family-oriented community events, and a simple, colorful layout with minimal clicking to access links. During usability testing, parents responded positively to the content (healthy feeding tips, recipes, coupon, and free community event) and clean layout, especially the use of bright color schemes and easy navigation. Suggestions included incorporating more fruit/vegetable images and directed action words (“click here”) to draw attention to coupon/community event links. CONCLUSIONS Formative research and user-centered approaches with parents of at-risk preadolescents resulted in a web-based, mobile-friendly health promotion tool. It will be tested as part of a larger technology-enhanced intervention using a two-group pilot randomized study, with the aim of reducing childhood obesity risk.

scholarly journals Testing a Web-Based Interactive Comic Tool to Decrease Obesity Risk Among Minority Preadolescents: Protocol for a Pilot Randomized Control Trial (Preprint)

2018 ◽  
Author(s):  
May May Leung ◽  
Katrina F Mateo ◽  
Sandra Verdaguer ◽  
Katarzyna Wyka
Keyword(s):  
At Risk ◽  
Childhood Obesity ◽  
Low Income ◽  
Feeding Practices ◽  
Dietary Behaviors ◽  
Controlled Study ◽  
Obesity Risk ◽  
Web Based ◽  
Randomized Controlled ◽  
Potential Impact

BACKGROUND Childhood obesity is a public health crisis, particularly in low-income, minority populations in the United States. Innovative and technology-enhanced interventions may be an engaging approach to reach at-risk youth and their parents to improve dietary behaviors and feeding practices. However, such tools are limited, especially ones that are theory-based; co-developed with user-centered approaches; tailored to low-income, minority preadolescents; and include parent-focused content. OBJECTIVE The objectives of this study include assessing the feasibility and acceptability and exploring the potential impact of the Intervention INC (Interactive Nutrition Comics for urban, minority preadolescents) Web-based tool, which is focused on decreasing childhood obesity risk in black/African American and Latino children aged 9 to 12 years. METHODS Intervention INC is underpinned by the narrative transportation theory, social cognitive theory, and health belief model, and it was co-developed by children and parents from the intended population. The child component consists of a 6-chapter interactive nutrition comic optimized for use on tablet devices, a goal-setting and self-assessment feature, and weekly text/email messages and reminders. The parental component consists of 6 Web-based newsletters, access to the child comic, and weekly text/email messages and reminders. The tool was evaluated using a pilot, single-blind, 2-group randomized controlled study design. Child-parent dyads were randomized to either the experimental or comparison group and assigned to a targeted behavior (increase fruit/vegetable or water intake) based on initial screening questions. Data were collected at 4 time points: baseline (T1), intervention midpoint (T2), intervention endpoint (T3), and 3 months postintervention (T4). Primary measures comprise usage, usability, and feasibility of the Web-based tool. Secondary measures comprise dietary knowledge, preferences, and intake and anthropometric measures (for child) and feeding practices and home food environment (for parent). RESULTS Study enrollment was completed in November 2017. A total of 89 child-parent dyads were randomized to either the experimental (n=44) or comparison (n=45) group. Data analysis is currently being conducted. CONCLUSIONS This study aims to implement and assess an innovative approach to deliver health messages and resources to at-risk minority preadolescents and their parents. If found to be acceptable, engaging, feasible, and a potential approach to improve dietary behaviors, a full-fledged randomized controlled trial will be conducted to assess its efficacy and potential impact. CLINICALTRIAL ClinicalTrials.gov NCT03165474; https://clinicaltrials.gov/ct2/show/NCT03165474 (Archived by WebCite at http://www.webcitation.org/73122IjgP) INTERNATIONAL REGISTERED REPOR RR1-10.2196/10682

scholarly journals Key recruitment and retention strategies for a pilot web-based intervention to decrease obesity risk among minority youth

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Grisselle DeFrank ◽  
Sarina Singh ◽  
Katrina F. Mateo ◽  
Laura Harrison ◽  
Alyson Rosenthal ◽  
...  
Keyword(s):  
Minority Youth ◽  
Obesity Risk ◽  
Retention Strategies ◽  
Web Based ◽  
Recruitment And Retention

Comorbid Conduct and Stress Disorder Intervention for Urban Minority Youth

2006 ◽  
Author(s):  
Jaleel K. Abdul-Adil ◽  
Karen Taylor-Crawford ◽  
Patrick Tolan ◽  
Carl Bell ◽  
Johnny Williamson
Keyword(s):  
Stress Disorder ◽  
Minority Youth ◽  
Urban Minority

A Web Based Interactive Tool to Enhance Schools' Capacity to Aid at-Risk Students

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 110A-110A
Author(s):  
Eliot E. Goldman ◽  
Cyrille Adam ◽  
Rachel J. Goldman
Keyword(s):  
At Risk ◽  
At Risk Students ◽  
Web Based ◽  
Interactive Tool

Development and Usability Testing of a Web-Based and Therapist-Assisted Coping Skills Program for Managing Psychosocial Problems in Individuals With Hand and Upper Limb Injuries: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Folarin Omoniyi Babatunde ◽  
Joy MacDermid ◽  
Ruby Grewal ◽  
Luciana Macedo ◽  
Mike Szekeres
Keyword(s):  
Upper Limb ◽  
Coping Skills ◽  
Usability Testing ◽  
Psychosocial Problems ◽  
Skills Training ◽  
Hand Therapy ◽  
Web Based ◽  
Coping Skills Training ◽  
Limb Injuries ◽  
Prolonged Pain

BACKGROUND Ineffective coping has been linked to prolonged pain, distress, anxiety, and depression after a hand and upper limb injury. Evidence shows that interventions based on cognitive behavioral therapy (CBT) may be effective in improving treatment outcomes, but traditional psychological interventions are resource intensive and unrealistic in busy hand therapy practices. Developing web-based, evidence-based psychological interventions specifically for hand therapy may be feasible in clinical practice and at home with reduced training and travel costs. Hand Therapy Online Coping Skills (HOCOS) is a program developed to supplement traditional hand therapy with therapist-assisted coping skills training based on principles from CBT and the Technology Acceptance Model. OBJECTIVE This study aimed to describe the development and assess the usability of HOCOS to support hand therapists in the management of psychosocial problems. METHODS The ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) of system design was applied to create HOCOS. The usability testing of HOCOS involved a 2-stage process. In the first step, heuristic testing with information and communications technology (ICT) experts was completed using two sets of heuristics: Monkman heuristics and the Health Literacy Online (HLO) checklist. The second step involved user testing with hand therapists performing a series of online and face-to-face activities, completing 12 tasks on the website using the think-aloud protocol, completing the system usability scale (SUS) questionnaire, and a semistructured feedback interview in 2 iterative cycles. Descriptive statistics and content analyses were used to organize the data. RESULTS In total, 4 ICT experts and 12 therapists completed usability testing. The heuristic evaluation revealed 15 of 35 violations on the HLO checklist and 5 of 11 violations on the Monkman heuristics. Initially, hand therapists found 5 tasks to be difficult but were able to complete all 12 tasks after the second cycle of testing. The cognitive interview findings were organized into 6 themes: task performance, navigation, design esthetics, content, functionality and features, and desire for future use. Usability issues identified were addressed in two iterative cycles. There was good agreement on all items of the SUS. Overall, therapists found that HOCOS was a detailed and helpful learning resource for therapists and patients. CONCLUSIONS We describe the development and usability testing of HOCOS; a new web-based psychosocial intervention for individuals with a hand and upper limb injuries. HOCOS targets psychosocial problems linked to prolonged pain and disability by increasing access to therapist-guided coping skills training. We actively involved target users in the development and usability evaluation of the website. The final website was modified to meet the needs and preferences of the participants.

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