The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis
BackgroundInhaled medications or inhalers provide first-line pharmacotherapeutic treatment for patients with asthma for both acute symptomatic relief and long-term management to keep symptoms under control. A good technique requires only basic instruction and training; howeve...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2023-01-01
|
| Series: | JMIR Pediatrics and Parenting |
| Online Access: | https://pediatrics.jmir.org/2023/1/e40231 |
| _version_ | 1827857717444739072 |
|---|---|
| author | Antonia O'Connor Andrew Tai Malcolm Brinn Amy Nguyen Thuc Hien Hoang Daniele Cataldi Kristin Carson-Chahhoud |
| author_facet | Antonia O'Connor Andrew Tai Malcolm Brinn Amy Nguyen Thuc Hien Hoang Daniele Cataldi Kristin Carson-Chahhoud |
| author_sort | Antonia O'Connor |
| collection | DOAJ |
| description |
BackgroundInhaled medications or inhalers provide first-line pharmacotherapeutic treatment for patients with asthma for both acute symptomatic relief and long-term management to keep symptoms under control. A good technique requires only basic instruction and training; however, a recent study identified that 92% of children do not follow all correct steps when using inhalers. There is a growing interest in technology-enhanced asthma education, with evidence demonstrating improvements in knowledge and treatment adherence. Subsequently, there are calls to explore the role of technology-based solutions in improving asthma management and disease outcomes from public health experts, health professionals, and patients with asthma. Augmented reality (AR) technology is an information delivery mechanism with proven efficacy in educational settings. AR displays digital content in a real-world environment using the camera on a smartphone or tablet device to create an immersive learning experience.
ObjectiveThe study aimed to evaluate the acceptability of AR as a mechanism for delivering asthma inhaler technique education from the perspective of children with asthma and their parents and health professionals, examined through the theoretical framework of acceptability (TFA).
MethodsAn asthma education resource enhanced with AR technology was created to provide inhaler technique education to children. An iterative co-design process was undertaken with target end users for a qualitative evaluation. The participants were 8 to 12 years old with asthma, their caregivers, and health professionals who had experience in managing asthma. Qualitative data were obtained through semistructured one-on-one interviews. Deductive thematic analysis using TFA was undertaken using NVivo software 2020 to assess the acceptability of AR as a delivery modality for asthma inhaler technique education.
ResultsOverall, 6 health care professionals, 5 asthmatic children, and 5 caregivers of children with asthma totaled a sample of 16. The use of AR in the asthma inhaler resource was found to be acceptable when responses were examined in accordance with TFA. Each of the 7 component constructs of TFA was coded throughout the 16 interviews, with perceived effectiveness (157 times) and affective attitude (63 times) coded most frequently. Positive responses included the intervention being accessible, easy to use, interesting, and fitting within the users’ value systems. Negative responses included the need to maintain an interest in children and concerns about the loss of face-to-face interaction with health professionals.
ConclusionsAR appears to be an acceptable modality for delivering asthma education to children when explored using TFA constructs. Although some challenges were identified with the use of AR, the results were predominantly positive. Future designs of asthma education interventions involving AR should consider the results of this study, and further research should focus on the feasibility, usability, and barriers and facilitators of behavior change to ensure the successful implementation and uptake of AR into clinical settings.
International Registered Report Identifier (IRRID)RR2-10.1177/16094069211042229 |
| first_indexed | 2024-03-12T12:45:38Z |
| format | Article |
| id | doaj.art-9a0522629ef443e7a3a07b7ebd4fdb22 |
| institution | Directory Open Access Journal |
| issn | 2561-6722 |
| language | English |
| last_indexed | 2024-03-12T12:45:38Z |
| publishDate | 2023-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Pediatrics and Parenting |
| spelling | doaj.art-9a0522629ef443e7a3a07b7ebd4fdb222023-08-28T23:26:07ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222023-01-016e4023110.2196/40231The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic AnalysisAntonia O'Connorhttps://orcid.org/0000-0001-8938-3842Andrew Taihttps://orcid.org/0000-0001-9240-5416Malcolm Brinnhttps://orcid.org/0000-0002-4903-4397Amy Nguyen Thuc Hien Hoanghttps://orcid.org/0000-0001-9622-2107Daniele Cataldihttps://orcid.org/0000-0002-6433-3723Kristin Carson-Chahhoudhttps://orcid.org/0000-0001-9966-9289 BackgroundInhaled medications or inhalers provide first-line pharmacotherapeutic treatment for patients with asthma for both acute symptomatic relief and long-term management to keep symptoms under control. A good technique requires only basic instruction and training; however, a recent study identified that 92% of children do not follow all correct steps when using inhalers. There is a growing interest in technology-enhanced asthma education, with evidence demonstrating improvements in knowledge and treatment adherence. Subsequently, there are calls to explore the role of technology-based solutions in improving asthma management and disease outcomes from public health experts, health professionals, and patients with asthma. Augmented reality (AR) technology is an information delivery mechanism with proven efficacy in educational settings. AR displays digital content in a real-world environment using the camera on a smartphone or tablet device to create an immersive learning experience. ObjectiveThe study aimed to evaluate the acceptability of AR as a mechanism for delivering asthma inhaler technique education from the perspective of children with asthma and their parents and health professionals, examined through the theoretical framework of acceptability (TFA). MethodsAn asthma education resource enhanced with AR technology was created to provide inhaler technique education to children. An iterative co-design process was undertaken with target end users for a qualitative evaluation. The participants were 8 to 12 years old with asthma, their caregivers, and health professionals who had experience in managing asthma. Qualitative data were obtained through semistructured one-on-one interviews. Deductive thematic analysis using TFA was undertaken using NVivo software 2020 to assess the acceptability of AR as a delivery modality for asthma inhaler technique education. ResultsOverall, 6 health care professionals, 5 asthmatic children, and 5 caregivers of children with asthma totaled a sample of 16. The use of AR in the asthma inhaler resource was found to be acceptable when responses were examined in accordance with TFA. Each of the 7 component constructs of TFA was coded throughout the 16 interviews, with perceived effectiveness (157 times) and affective attitude (63 times) coded most frequently. Positive responses included the intervention being accessible, easy to use, interesting, and fitting within the users’ value systems. Negative responses included the need to maintain an interest in children and concerns about the loss of face-to-face interaction with health professionals. ConclusionsAR appears to be an acceptable modality for delivering asthma education to children when explored using TFA constructs. Although some challenges were identified with the use of AR, the results were predominantly positive. Future designs of asthma education interventions involving AR should consider the results of this study, and further research should focus on the feasibility, usability, and barriers and facilitators of behavior change to ensure the successful implementation and uptake of AR into clinical settings. International Registered Report Identifier (IRRID)RR2-10.1177/16094069211042229https://pediatrics.jmir.org/2023/1/e40231 |
| spellingShingle | Antonia O'Connor Andrew Tai Malcolm Brinn Amy Nguyen Thuc Hien Hoang Daniele Cataldi Kristin Carson-Chahhoud The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis JMIR Pediatrics and Parenting |
| title | The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis |
| title_full | The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis |
| title_fullStr | The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis |
| title_full_unstemmed | The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis |
| title_short | The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis |
| title_sort | acceptability of using augmented reality as a mechanism to engage children in asthma inhaler technique training qualitative interview study with deductive thematic analysis |
| url | https://pediatrics.jmir.org/2023/1/e40231 |
| work_keys_str_mv | AT antoniaoconnor theacceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT andrewtai theacceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT malcolmbrinn theacceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT amynguyenthuchienhoang theacceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT danielecataldi theacceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT kristincarsonchahhoud theacceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT antoniaoconnor acceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT andrewtai acceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT malcolmbrinn acceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT amynguyenthuchienhoang acceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT danielecataldi acceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis AT kristincarsonchahhoud acceptabilityofusingaugmentedrealityasamechanismtoengagechildreninasthmainhalertechniquetrainingqualitativeinterviewstudywithdeductivethematicanalysis |