Adolescent Preferences and Design Recommendations for an Asthma Self-Management App: Mixed-Methods Study (Preprint)

Abstract

Background: Approximately 10% of adolescents in the United States have asthma. Adolescents widely use applications (apps) on mobile phones and tablet technology for social networking and gaming purposes. Given the increase in recreational app use among adolescents, leveraging apps to support adolescent asthma disease management seems warranted. However, little empirical research has influenced asthma app development; adolescent users are seldom involved in the app design process, including identifying components that meet their needs.Objective: The aim of this mixed-methods study was to assess adolescent preferences and design recommendations for an asthma self-management app.Methods: Twenty adolescents with persistent asthma (aged 12-16) provided feedback on two asthma self-management apps during in person semi-structured interviews following their regularly scheduled asthma clinic visit and via telephone 1-week later. Interviews were audiorecorded, transcribed verbatim, and analyzed using SPSS v24 and coded thematically using MAXQDA 11.Results: Regarding aesthetics, app layout and perceived visual simplicity were important to facilitate initial app use. Adolescents were more likely to continually engage with apps that were deemed useful and met their informational needs. Adolescents also desired app features that fit within their existing paradigm/schema and included familiar components (e.g. medication alerts that appear and sound like Facetime notifications and games modeled after Quiz Up and Minecraft) as well as the ability to customize app components. They also suggested that apps include other features such as an air quality tracker and voice command. Conclusions:Involving adolescents in the early stages of app development is likely to result in an asthma app that meets their self-management needs and design preferences. This may lead to increased user engagement and ultimately the adoption and maintenance of positive asthma selfmanagement behaviors.