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，和许多干预计划，哮喘仍然是缺课的主要原因和住院儿童的第三大原因。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。如生物行为模型所示，有效的儿童哮喘管理需要来自家庭、学校、同伴和卫生保健提供者等一系列资源的持续影响，其目标是促进儿童的自我保健。OK with Asthma，v.2.0，建立在生物行为模型的基础上，是一个针对8至11岁儿童的创新计划，教授哮喘管理心理社会策略，促进自我护理行为。OK with Asthma v.2.0将允许儿童构建故事或叙述并与之互动（互动叙事）在电脑上通过选择场景，人物和文字的故事，从一个数据库专门建立支持它。由于有限的互动性的第一版好与哮喘，儿童不倾向于观看和制作不同的故事，因此他们从故事中获得的哮喘信息没有得到加强。基于OKWA第一版的试点测试结果和引人入胜的多媒体设计模型，更具互动性的计划将鼓励儿童重新访问该计划，加强哮喘内容，从而导致更多的自我护理行为。这项可行性研究的具体目标是开发OKWAv.2.0，并通过有儿童参加的重点小组测试其可用性和参与程度。具体目标是用途：（1）极限编程（XP），一种增强测试的软件开发方法，（2）Nielsen的可用性测试模型（NUM）8，9和Said的吸引人的多媒体设计模型（EMDM）10来指导OKWAv.2.0的可行性测试。由8至11岁哮喘儿童组成的六个焦点小组（每组n=5）将在修改过程中分阶段评估该计划。每个焦点小组的结果将指导下一阶段的开发和修改。未来的研究将探讨OKWAv.2.0如何影响儿童的自我照顾行为，这是该计划的总体目标。公共卫生相关性：今天被广泛接受的生物行为模式促进了孩子的自我照顾，当这些孩子有来自家庭的指导和来自学校、同龄人和社区的支持时。好的哮喘，v.2.0，建立在生物行为模型上，是一个针对8至11岁儿童的创新项目，教授包括心理社会策略在内的哮喘管理。该可行性测试通过8至11岁哮喘儿童的焦点小组检查了该计划的可用性（设计，交互性，功能和界面）和参与度。可行性测试是由尼尔森的可用性模型和赛义德的从事多媒体设计模型。

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.