Abstract
Health self-monitoring information and communication technologies (ICTs) need to consider the impact of the technology competencies and attitudes of their users. Through this lens, we explored positive user experience in babyTRACKS, a mobile application for tracking early child development, while also considering the influence of users’ actual use of the system and their children’s developmental evaluations within the application. Mothers of 260 young children used babyTRACKS for two weeks, documenting their children’s developmental milestone histories and receiving personal developmental percentile evaluations computed based on the existing 3500+ user population. Questionnaires assessed their experience with the application and their individual approaches towards technology. Positive user experience with babyTRACKS was associated with user attitude toward solving technological problems, mediated by frequency of engagement in internet activity. Users who have a proactive approach toward solving technology problems, engage in a wide range of internet activities, and/or view the internet as integral to their lives had a better experience with babyTRACKS than users who did not. Positive user experience was not associated with the children’s developmental evaluation results nor the mother’s level of usage of the system. User technology competences and attitudes can impact experience in ICTs for health self-monitoring. Screening evaluation results, whether poor or reassuring, do not necessarily lower nor raise user satisfaction and can assist users in communicating their concerns with their healthcare providers.
Similar content being viewed by others
Notes
Formerly known as Baby CROINC, CROwd INtelligence Curation.
Milestone percentiles were calculated with respect to the whole population babyTRACKS children reporting the same milestone, out of over 3500 users. For example, a percentile of 100 for the “started walking” milestone meant the child walked earlier than all other babyTRACKS children who recorded that milestone (several hundred out of the 3500+); a percentile of 50 meant the child started walking at the median age for babyTRACKS children. Overall, higher percentiles indicated faster (better) developmental progress than lower percentiles.
Even Likert Scaling was chosen for reducing respondents’ central bias tendency [49].
References
Calvillo J, Román I, Roa LM. How technology is empowering patients? A literature review. Health Expect. 2015;18(5):643–52.
Lupton D. The digitally engaged patient: self-monitoring and self-care in the digital health era. Soc Theory Health. 2013;11(3):256–70. https://doi.org/10.1057/sth.2013.10.
Swan M. Crowdsourced health research studies: an important emerging complement to clinical trials in the public health research ecosystem. J Med Internet Res. 2012;14(2):e46. https://doi.org/10.2196/jmir.1988.
Brubaker JR, Lustig C, Hayes GR. PatientsLikeMe: Empowerment and representation in a patient-centered social network. Proceedings of the 2010 ACM Conference on Computer Supported Cooperative Work; February 6–10, 2010; Savannah, GA. New York, Association for Computing Machinery. 2010. ISBN: 978-1-60558-795-0.
Wicks P, Massagli M, Frost J, Brownstein C, Okun S, Vaughan T, et al. Sharing health data for better outcomes on PatientsLikeMe. J Med Internet Res. 2010;12(2):e19.
Rooksby J, Rost M, Morrison A, Chalmers M. Personal tracking as lived informatics. CHI ‘14 Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. 2014. 1163–1172. https://doi.org/10.1145/2556288.2557039.
Mendiola MF, Kalnicki M, Lindenauer S. Valuable features in mobile health apps for patients and consumers: content analysis of apps and user ratings. JMIR mHealth uHealth. 2015;3(2):e40.
Wazny K. Applications of crowdsourcing in health: an overview. J Glob Health. 2018;8(1):1–20. https://doi.org/10.7189/jogh.08.010502.
Ranard BL, Ha YP, Meisel ZF, Asch DA, Hill SS, Becker LB, et al. Crowdsourcing—harnessing the masses to advance health and medicine, a systematic review. J Gen Intern Med. 2014;29(1):187–203. https://doi.org/10.1007/s11606-013-2536-8.
O’Leary K, Vizer L, Eschler J, Ralston J, Pratt W. Understanding patients’ health and technology attitudes for tailoring self-management interventions. American medical informatics association annual symposium proceedings; 14–18 November; San Francisco, AMIA. 2015. 991–1000.
Or CKL, Karsh B. A systematic review of patient acceptance of consumer health information technology. J Am Med Inform Assoc. 2009;16(4):550–60. https://doi.org/10.1197/jamia.M2888.
Sharif SP, Ahadzadeh AS, Wei KK. A moderated mediation model of internet use for health information. J Soc Sciences. 2018;4(1):611–25. https://doi.org/10.25255/jss.2015.4.1.611.625.
Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. J Med Internet Res. 2006;8(2):e9.
Wang BR, Park JY, Chung K, Choi IY. Influential factors of smart health users according to usage experience and intention to use. Wireless Pers Commun. 2014;79(4):2671–83. https://doi.org/10.1007/s11277-014-1769-0.
Meyers N, Glick AF, Mendelsohn AL, Parker RM, Sanders LM, Wolf MS, et al. Parents’ use of technologies for health management: a health literacy perspective. Acad Pediatr. 2020;20(1):23–30. https://doi.org/10.1016/j.acap.2019.01.008.
Wang J, O’Kane AA, Newhouse N, Sethu-Jones GR, de Barbaro K. Quantified baby: Parenting and the use of a baby wearable in the wild. Proceedings of the ACM on Human-Computer Interaction 1, CSCW. 2017. 108. https://doi.org/10.1145/3134743
Westeyn TL, Abowd GD, Starner TE, Johnson JM, Presti PW, Weaver KA. Monitoring children's developmental progress using augmented toys and activity recognition. Pers Ubiquit Comput. 2012;16(2):69–191. https://doi.org/10.1007/s00779-011-0386-0.
Marcroft C, Khan A, Embleton ND, Trenell M, Plötz T. Movement recognition technology as a method of assessing spontaneous general movements in high risk infants. Front Neurol. 2015;5:284. https://doi.org/10.3389/fneur.2014.00284.
Roy DK. New horizons in the study of child language acquisition. INTERSPEECH 2009, Brighton, United Kingdom, September 6–10, 2009. URI: http://hdl.handle.net/1721.1/65900.
Bernhardt JM, Felter EM. Online pediatric information seeking among mothers of young children: results from a qualitative study using focus groups. J Med Internet Res. 2004;6(1):e7.
Gibson L, Hanson VL. Digital motherhood: How does technology help new mothers? Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. April 27–May 2, 2013; Paris, France. New York, Association for Computing Machinery. 2013. pp. 313–322. https://doi.org/10.1145/2470654.2470700.
Khoo K, Bolt P, Babl FE, Jury S, Goldman RD. Health information seeking by parents in the internet age. J Paediatr Child Health. 2008;44:7–8. https://doi.org/10.1111/j.1440-1754.2008.01322.x.
Jang J, Dworkin J, Hessel H. Mothers' use of information and communication technologies for information seeking. Cyberpsychol Behav Soc Netw. 2015;18(4):221–7. https://doi.org/10.1089/cyber.2014.0533.
Kientz JA, Arriaga RI, Chetty M, Hayes GR, Richardson J, Patel SN, Abowd, GD. Grow and know: Understanding record-keeping needs for tracking the development of young children. Proceedings of the SIGCHI conference on Human Factors in Computing Systems; April 30–May 3, 2013; San Jose, CA. New York, Association for Computing Machinery. 2013. 1351–1360 https://doi.org/10.1145/1240624.1240830.
Boyle CA, Boulet S, Schieve LA, Cohen RA, Blumberg SJ, Yeargin-Allsopp M, et al. Trends in the prevalence of developmental disabilities in US children, 1997–2008. Pediatr. 2011;127(6):1034–42.
Glascoe FP. Early detection of developmental and behavioral problems. Pediatr Rev. 2000;21(8):272–80.
Bailey DB, Hebbeler K, Scarborough A, Spiker D, Mallik S. First experiences with early intervention: a national perspective. Pediatr. 2004;113(4):887–96.
Dawson G. Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Dev Psychopathol. 2008;20(3):775–803. https://doi.org/10.1017/S0954579408000370.
Myers SM, Johnson CP. Management of children with autism spectrum disorders. Pediatr. 2007;120(5):1162–82. https://doi.org/10.1542/peds.2007-2362.
Zwaigenbaum L, Bauman ML, Choueiri R, Kasari C, Carter A, Granpeesheh D, et al. Early intervention for children with autism spectrum disorder under 3 years of age: Recommendations for practice and research. Pediatr. 2015;136(Supplement 1):S60–81. https://doi.org/10.1542/peds.2014-3667E.
Peacock-Chambers E, Ivy K, Bair-Merritt M. Primary care interventions for early childhood development: a systematic review. Pediatr. 2017;140(6):e20171661.
Siklos S, Kerns KA. Assessing the diagnostic experiences of a small sample of parents of children with autism spectrum disorders. Res Dev Disabil. 2007;28(1):9–22.
Ellingson KD, Briggs-Gowan MJ, Carter AS, Horwitz SM. Parent identification of early emerging child behavior problems: predictors of sharing parental concern with health providers. Arch Pediatr Adolesc Med. 2004;158(8):766–72. https://doi.org/10.1001/archpedi.158.8.766.
Kientz JA. Embedded capture and access: encouraging recording and reviewing of data in the caregiving domain. Pers Ubiquit Comput. 2012;16(2):209–21. https://doi.org/10.1007/s00779-011-0380-6.
Kientz JA. Understanding parent-pediatrician interactions for the design of health technologies. Proceedings of the 1st ACM International Health Informatics Symposium, November 11–12, Arlington, VA. New York, Association for Computing Machinery. 2010. 230–239. https://doi.org/10.1145/1882992.1883025.
Scott KM, Gome GA, Richards D, Caldwell PH. How trustworthy are apps for maternal and child health? Health Technol. 2015;4(4):329–36. https://doi.org/10.1007/s12553-015-0099-x.
Ramaekers S, Hodgson N. Parenting apps and the depoliticisation of the parent. FRS. 2019;9:107–24. https://doi.org/10.1332/204674319X15681326073976.
Trixie Tracker™. https://www.trixietracker.com Accessed 7 Aug 2018.
What to Expect. https://www.whattoexpect.com Accessed 7 Aug 2018.
Doron MW, Trenti-Paroli E, Linden DW. Supporting parents in the NICU: A new app from the US,‘MyPreemie’: A tool to provide parents of premature babies with support, empowerment, education and participation in their infant's care. J Neonatal Nurs. 2013;19(6):303–7. https://doi.org/10.1016/j.jnn.2013.08.005.
Hayes GR, Cheng KG, Hirano SH, Tang KP, Nagel MS, Baker DE. Estrellita: a mobile capture and access tool for the support of preterm infants and their caregivers. Transactions on Computer-Human Interaction (TOCHI). 2014;21(3):19–28. https://doi.org/10.1145/2617574.
Kientz JA, Arriaga RI, Abowd GD. Baby steps: Evaluation of a system to support record-keeping for parents of young children. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems; 2009 April 4–9; Boston, Massachusetts. New York, Association for Computing Machinery. 1713–17e22. https://doi.org/10.1145/1518701.1518965.
Suh H, Porter JR, Hiniker A, Kientz JA. @BabySteps: Design and evaluation of a system for using twitter for tracking children's developmental milestones. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 2014 April 26–May 1, Toronto, Canada. New York, Association for Computing Machinery. 2014. 2279–2288. https://doi.org/10.1145/2556288.2557386.
Watkins SW, Chen EZ, Swec K, Huskins J, Lee J, Miller AD, Bauer NS. BabyNoggin pre-implementation phase: Understanding how clinical teams and parents will respond to BabyNoggin. Proceedings of IMPRS. 2018;1(1). https://doi.org/10.18060/22803.
Ben-Sasson A, Ben-Sasson E, Jacobs K, Saig, E. babyCROINC: An online, crowd-based, expert-curated system for monitoring child development. Proceedings of the 11th EAI International Conference on Pervasive Computing Technologies for Healthcare; 23–26 May; Barcelona, Spain; 2017. New York, Association for Computing Machinery. 2017. pp. 110–119. https://doi.org/10.1145/3154862.3154887
Squires J, Bricker DD, Twombly E. Ages & stages questionnaires. Baltimore: Paul H. Brookes; 2009. ISBN: 978-1-59857-002-1
Ben-Sasson A, Ben-Sasson E, Jacobs K, Rotman Argaman E, Saig, E. Evaluating Expert Curation in a Baby Milestone Tracking App. Proceedings of the the 13th EAI International Conference on Pervasive Computing Technologies for Healthcare; 20–23 May; Trento, Italy; 2019. New York, Association for Computing Machinery.
Brooke J. SUS: a ‘quick and dirty’ usability scale. In: Jordan PW, Thomas B, Weerdmeester A, McClelland II, editors. Usability evaluation in industry. London: Taylor & Francis; 1996. p. 107–14. ISBN: 9780748404605.
Brown JD (2000) What issues affect Likert-scale questionnaire formats? JALT Testing & Evaluation SIG, 4:27–30 http://hostedjaltorg/test/PDF/Brown7pdf Accessed 2018-08-07.
Hayes AF. PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. 2012. http://www.afhayes.com/ public/process2012.pdf. Accessed 7 Aug 2018.
Wixom BH, Todd PA. A theoretical integration of user satisfaction and technology acceptance. Inf Syst Res. 2005;16(1):85–102. https://doi.org/10.1287/isre.1050.0042.
Neter E, Brainin E. eHealth literacy: extending the digital divide to the realm of health information. J Med Internet Res. 2012;14(1):e19.
Bandura A. The explanatory and predictive scope of self-efficacy theory. J Soc Clin Psychol. 1986;4(3):359–73. https://doi.org/10.1521/jscp.1986.4.3.359.
Williamson B. Algorithmic skin: health-tracking technologies, personal analytics and the biopedagogies of digitized health and physical education. Sport Educ Soc. 2015;20(1):133–51. https://doi.org/10.1080/13573322.2014.962494.
Evans WD, Abroms LC, Poropatich R, Nielsen PE, Wallace JL. Mobile health evaluation methods: The Text4baby case study. J Health Commun. 2012;17(sup1):22–9.
Gazmararian JA, Elon L, Yang B, Graham M, Parker R. Text4baby program: an opportunity to reach underserved pregnant and postpartum women? Matern Child Health J. 2014;18(1):223–32.
Jomhari N, Gonzalez VM, Kurniawan SH. See the apple of my eye: Baby storytelling in social space, September 2009. Proceedings of the 23rd British HCI Group Annual Conference on People and Computers: Celebrating People and Technology. Swindon UK, British Computer Society. 2009. 238–243. https://doi.org/10.1145/1671011.1671040
Acknowledgements
We thank the team members for their contribution to the babyTRACKS system design, maintenance, and research: Gal Agmon, Moriah Anouchi, Daniel Moran, Elisheva Rotman Argaman, Eden Saig, Naama Tzur, and Yocheved Zaltz. We are grateful for the data collection of the students of the research seminar course in the Occupational Therapy Department of the University of Haifa, Israel. The research received funding from the Israeli Science Foundation (grants 1501/14 and 1435/18) and the US-Israel Binational Science Foundation (grant 2014-359).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
The authors whose names are listed above certify that all procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The Project went under ethical approval through the University of Haifa IRB.
Informed consent
Informed written consent was obtained from all individual participants included in the study.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
ESM 1
(DOCX 15.2 kb)
Rights and permissions
About this article
Cite this article
Ben-Sasson, A., Ben-Sasson, E., Jacobs, K. et al. The relationship between users’ technology approaches and experiences in a child development mobile application. Health Technol. 10, 1079–1094 (2020). https://doi.org/10.1007/s12553-020-00457-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12553-020-00457-y