Friends, Family, and Food: Interactive Virtual Environments for Children with Food Allergies

朋友、家人和食物：为食物过敏儿童提供的交互式虚拟环境

• 批准号: 8831950
• 负责人: Margo Adams Larsen
• 金额: $ 58.82万
• 依托单位: VIRTUALLY BETTER, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8831950
• 关键词: Accident and Emergency department; Adoption; Adult; Affect; Age; Anaphylaxis; Area; Asthma; Behavioral; Celiac Disease; Child; Childhood; Chronic; Chronic Disease; Clinical Psychology; Collaborations; Communication; Computer software; Computers; Crossover Design; Data; Diabetes Mellitus; Disease; Disease Management; Education; Environment; Family; Family member; Feedback; Food; Food Hypersensitivity; Friends; Gastrointestinal tract structure; Goals; Health Professional; Information Dissemination; Ingestion; Internet; Intervention; Knowledge; Knowledge acquisition; Label; Learning; Life; Mediation; Methodology; Motivation; Office Visits; Online Systems; Outcome; Parents; Persons; Phase; Physicians; Play; Prevalence; Psychological reinforcement; Public Health; Quality of life; Randomized Clinical Trials; Reaction; Reading; Relative (related person); Reporting; Resources; Respiratory System; Respiratory tract structure; Rewards; Risk; Role; Sampling; School-Age Population; Schools; Self Efficacy; Self Management; Skin; Small Business Innovation Research Grant; Small Business Technology Transfer Research; Social Environment; Support Groups; Symptoms; System; Tablets; Target Populations; Technology; Telephone; Token Economy; Training and Education; United States; Visit; aged; base; body system; bullying; burden of illness; design; efficacy testing; handheld mobile device; improved; innovation; models and simulation; next generation; parent-child communication; parental involvement; pressure; primary outcome; programs; prototype; psychoeducation; public health relevance; secondary outcome; skills; social; standard care; virtual

DESCRIPTION (provided by applicant): Pediatric Food Allergy (FA) is recognized as a serious public health concern that affects approximately 4-8 percent of children, with symptoms affecting multiple organ systems, including skin, the respiratory tract, and the GI tract. Food-induced anaphylaxis, which is a rapid, potentially life-threatening reaction, can occur in more serious cases. Despite the substantial burden of disease management and associated negative quality of life effects, very few resources exist to promote effective strategies for managing FA. Moreover, most resources targeting this population emphasize information dissemination and education, either in-person or via the web, and typically focus on parents, with few resources designed for affected children. The central goal of Phases I and II of this SBIR/STTR is to develop an engaging, interactive game-based intervention for school-aged children with FA that will increase knowledge, improve self-efficacy to manage the disease, and ultimately reduce risk of negative outcomes. Software-based interventions targeting children for various pediatric conditions have increased in availability and accessibility. Interactive, game-based approaches available on multiple platforms (computer, mobile devices) offer distinct advantages over traditional interventions in providing highly engaging formats of psychoeducation and skills-based practice. This Phase II application builds on the highly promising prototype of the Friends, Family, and Food App (F3A-App), produced through the successful and synergistic collaboration of our Phase I team. The F3A- App consists of four related parts: (a) an interactive, game-based application that is the core of the program, (b) the experiential scenarios in interactive environments (e.g., school cafeteria vignette) that target knowledge and behavioral skills practice in social contexts, (c) two engaging multi-level games to build skills i food avoidance (Label Learning: Like it or Lose it!) and symptom assessment (Reaction Action!), and (d) a multi- tiered reward system that uses token economy-based reinforcement to enhance motivation and engagement (SeaLife Spectacular). Feasibility and efficacy testing of our initial prototype indicated the F3A-App was very well-received by parents and children with FA, facilitated child knowledge acquisition, and increased FA self- efficacy in key areas of FA management. Qualitative reports indicated the F3A-App also enhanced communication between parents and children regarding FA management. In this Phase II project, we propose to produce a fully-developed version of the F3A-App, including added content and enhanced features, to pilot the new version in a small sample (n = 40), and to evaluate the final product in a randomized clinical trial (n=100). This intervention will surpass existing approaches for child-focused software programs in interactivity, ease of use, acceptance by parents, and promotion by health care professionals. We envision that the F3A-App will serve as a template for interactive game-based interventions for children with other chronic conditions requiring self-management, such as asthma, diabetes, and celiac disease. The promise of commercial opportunity is significant in an era in which there is an increasingly widespread access to and everyday use of computers, smart phones, and tablet technologies.

描述（由申请人提供）：小儿食品过敏（FA）被认为是严重的公共卫生问题，影响了大约4-8％的儿童，症状影响了多个器官系统，包括皮肤，呼吸道和胃肠道。在更严重的情况下，食物诱导的过敏反应是一种快速，潜在的威胁生命的反应。尽管疾病管理的重大负担和相关的负面质量影响，但很少有资源来促进管理FA的有效策略。此外，针对该人群的大多数资源都强调了面对面或通过网络的信息传播和教育，通常专注于父母，而为受影响的孩子设计的资源很少。 SBIR/STTR的第I和II阶段的核心目标是为具有FA的学龄儿童开发一种引人入胜的，互动的基于游戏的干预措施，以提高知识，提高自我效能，以控制疾病，并最终降低负面结果的风险。针对各种儿科状况的儿童的基于软件的干预措施在可用性和可及性方面增加了。在多个平台（计算机，移动设备）上提供的基于游戏的互动，基于游戏的方法可提供与传统干预措施的不同优势，以提供高度吸引人的心理教育和基于技能的实践的格式。该第二阶段应用程序建立在朋友，家人和食品应用程序（F3A-APP）的高度有希望的原型上，该原型是通过我们的I阶段团队成功而协同的合作而产生的。 The F3A- App consists of four related parts: (a) an interactive, game-based application that is the core of the program, (b) the experiential scenarios in interactive environments (e.g., school cafeteria vignette) that target knowledge and behavioral skills practice in social contexts, (c) two engaging multi-level games to build skills i food avoidance (Label Learning: Like it or Lose it!) and symptom assessment (Reaction Action!), and (d)一个多层奖励系统，使用基于代币的加强来增强动力和参与度（Sealeife壮观）。对我们最初的原型的可行性和功效测试表明，F3A APP受到了FA的父母和孩子的良好感染，促进儿童知识的获取，并提高了FA管理关键领域的FA自我效能。定性报告表明，F3A-APP还加强了父母和孩子在FA管理方面的沟通。在此II阶段项目中，我们建议生产完全开发的F3A应用版本，包括添加的内容和增强功能，以在小样本（n = 40）（n = 40）中试用新版本，并在随机临床试验中评估最终产品（n = 100）。这种干预措施将超过以儿童为重点的软件程序的现有方法，以互动性，易用性，父母接受以及卫生保健专业人员的晋升。我们设想，F3A-APP将作为基于互动游戏的干预措施的模板，适用于需要自我管理的其他慢性病，例如哮喘，糖尿病和腹腔疾病。在这个时代，商业机会的承诺在一个时代越来越广泛地访问计算机，智能手机和平板电脑技术的时代。