Usability testing Okay with Asthma V.2.0: An interactive narrataive asthmna progr

描述（由申请人提供）：尽管医学进步，资金增加，以及许多干预项目，哮喘仍然是儿童缺课的主要原因，也是儿童住院的第三大原因。这可能部分是由于目前的哮喘护理模式和向儿童提供哮喘信息的方法。正如生物行为模型所提出的那样，有效的儿童哮喘管理需要大量资源的持续影响，包括家庭、学校、同伴和卫生保健提供者，其目标是促进儿童的自我保健。ok with Asthma, v2.0，建立在一个生物行为模型上，是一个针对8到11岁儿童的创新项目，它教授哮喘管理的社会心理策略，促进自我照顾行为。Okay with Asthma v.2.0将允许孩子们在电脑上构建故事或叙述（交互式叙述）并与之互动，他们可以从一个专门为支持故事而建立的数据库中选择故事的场景、人物和单词。由于第一版《接受哮喘》的互动性有限，孩子们不倾向于观看和制作不同的故事，所以他们从故事中获得的哮喘信息没有得到加强。基于第一版OKWA的试点测试结果和引人入胜的多媒体设计模型，一个更具互动性的项目将鼓励儿童重新访问该项目，加强哮喘内容，从而产生更多的自我照顾行为。这项可行性研究的具体目的是开发OKWAv.2.0，并通过儿童焦点小组测试其可用性和参与度。具体目标是使用：(1)极限编程（XP），一种用于软件开发的方法，将增加测试，(2)尼尔森的可用性测试模型（NUM）8,9和Said的参与多媒体设计模型（EMDM）10来指导okwaw .2.0的可行性测试。由8 - 11岁哮喘儿童组成的6个焦点小组（每组n=5）将在项目修改期间分阶段对其进行评估。每个焦点小组的结果将指导下一阶段的开发和修改。未来的研究将检验OKWAv.2.0如何影响儿童的自我照顾行为，这是该项目的总体目标。公共卫生相关性：今天被广泛接受的生物行为模型促进儿童的自我照顾，当这些儿童得到家庭的指导和学校、同伴和社区的支持时。“哮喘好了”2.0版是建立在生物行为模型上的，是一个针对8到11岁儿童的创新项目，教授哮喘管理，包括心理社会策略。这个可行性测试通过对8 - 11岁哮喘儿童的焦点小组来检验项目的可用性（设计、交互性、功能和界面）和参与度。可行性测试以Nielsen的可用性模型和Said的参与式多媒体设计模型为指导。

DESCRIPTION (provided by applicant): Despite medical advancements, increased funding, and numerous intervention programs, asthma remains the leading cause of missed school days and the third leading cause of hospitalizations in children. This may be partly due to current models of asthma care and delivery methods of asthma information to children. As presented in biobehavioral models, effective childhood asthma management requires ongoing influences from a host of resources including families, school, peers, and health care providers with the goal of promoting the child's self-care. Okay with Asthma, v.2.0, built on a biobehavioral model, is an innovative program for children between 8 and 11 years of age that teaches asthma management psychosocial strategies that promote self-care behaviors. Okay with Asthma v.2.0 will allow children to construct and interact with stories or narratives (interactive narratives) on a computer by selecting scenes, characters and words for the story from a database specifically built to support it. Due to the limited interactivity of the first version of Okay with Asthma, children were not inclined to watch and craft different stories so asthma information they received from the stories was not reinforced. Based on pilot test results of the first version of OKWA and the engaging multimedia design model, a more interactive program will encourage children to revisit the program reinforcing asthma content leading to more self-care behaviors. The specific aim of this feasibility study is to develop OKWAv.2.0 and test its usability and engagement through focus groups with children. Specific objectives are to use: (1) eXtreme programming (XP), an approach for software development that will augment testing, and (2) Nielsen's model for usability testing (NUM)8,9 and Said's engaging multimedia design model (EMDM)10 to guide the feasibility testing of OKWAv.2.0. Six focus groups (n=5 in each group) comprised of children between 8 and 11 years of age with asthma, will evaluate the program in stages while it is being modified. The results from each focus group will guide the next stage of development and modifications. Future studies will examine how OKWAv.2.0 influences self-care behaviors in children, which is the overall goal of the program. PUBLIC HEALTH RELEVANCE: Today's widely accepted biobehavioral models promote self-care in children when these children have guidance from families and support from school, peers, and the community. Okay with Asthma, v.2.0, built on a biobehavioral model, is an innovative program for children between 8 and 11 years of age that teaches about asthma management including psychosocial strategies. This feasibility test examines the usability (design, interactivity, functionality, and interface) and engagement of the program through focus groups with 8 to 11 year old children who have asthma. The feasibility testing is guided by Nielsen's usability model and Said's engaging multimedia design model.