Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods Study
Abstract BackgroundYoung survivors of childhood cancer diagnosed and treated before the age of 7 years are at heightened risk of developmental difficulties. As a result, their caregivers may experience stress as they navigate various educational and health care systems while a...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2025-08-01
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| Series: | JMIR Pediatrics and Parenting |
| Online Access: | https://pediatrics.jmir.org/2025/1/e70055 |
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| author | Emily L Moscato Eva Darow Jessica Quach Adrien M Winning Matthew Schmidt Shari L Wade Cynthia A Gerhardt Emre Sezgin |
| author_facet | Emily L Moscato Eva Darow Jessica Quach Adrien M Winning Matthew Schmidt Shari L Wade Cynthia A Gerhardt Emre Sezgin |
| author_sort | Emily L Moscato |
| collection | DOAJ |
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Abstract
BackgroundYoung survivors of childhood cancer diagnosed and treated before the age of 7 years are at heightened risk of developmental difficulties. As a result, their caregivers may experience stress as they navigate various educational and health care systems while advocating for their child’s needs. To our knowledge, there are no tailored early interventions or support programs to address the unique and multifaceted needs of young survivors of childhood cancer and their caregivers. Digital platforms can provide anticipatory guidance and developmental resources, which may be especially impactful for families at increased risk for health and educational disparities, particularly in underserved rural and Appalachian areas.
ObjectiveThis mixed methods study describes the usability testing of an internet-based responsive parenting program for caregivers of young survivors of childhood cancer, called the Preparing for Life and Academics for Young Survivors (PLAY) program.
MethodsTwelve caregivers of young survivors of childhood cancer (9 biological parents, 2 grandfathers, and 1 legal guardian; 33% rural, 33% Appalachian, and 83% White) participated in an online usability session with a task-based, think-aloud method. This session was followed by completion of the System Usability Scale (SUS), responses to reaction cards to describe their experiences with the platform, and a semistructured interview. Two trained coders used rapid analysis and consensus methods to identify themes.
ResultsOverall, caregivers found the platform easy to use (92% SUS >”
ConclusionsWith further improvements, digital platforms such as PLAY may be a promising avenue to bridge access to care for high-need groups and ultimately improve child neurodevelopmental outcomes. |
| format | Article |
| id | doaj-art-38eb1faed54f44c89cea8a737eed20ef |
| institution | Kabale University |
| issn | 2561-6722 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Pediatrics and Parenting |
| spelling | doaj-art-38eb1faed54f44c89cea8a737eed20ef2025-08-20T04:00:45ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222025-08-018e70055e7005510.2196/70055Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods StudyEmily L Moscatohttp://orcid.org/0000-0002-0207-0251Eva Darowhttp://orcid.org/0000-0003-4236-0023Jessica Quachhttp://orcid.org/0009-0004-9991-0369Adrien M Winninghttp://orcid.org/0000-0002-5286-4121Matthew Schmidthttp://orcid.org/0000-0002-8110-4367Shari L Wadehttp://orcid.org/0000-0003-3764-7126Cynthia A Gerhardthttp://orcid.org/0000-0002-4376-3652Emre Sezginhttp://orcid.org/0000-0001-8798-9605 Abstract BackgroundYoung survivors of childhood cancer diagnosed and treated before the age of 7 years are at heightened risk of developmental difficulties. As a result, their caregivers may experience stress as they navigate various educational and health care systems while advocating for their child’s needs. To our knowledge, there are no tailored early interventions or support programs to address the unique and multifaceted needs of young survivors of childhood cancer and their caregivers. Digital platforms can provide anticipatory guidance and developmental resources, which may be especially impactful for families at increased risk for health and educational disparities, particularly in underserved rural and Appalachian areas. ObjectiveThis mixed methods study describes the usability testing of an internet-based responsive parenting program for caregivers of young survivors of childhood cancer, called the Preparing for Life and Academics for Young Survivors (PLAY) program. MethodsTwelve caregivers of young survivors of childhood cancer (9 biological parents, 2 grandfathers, and 1 legal guardian; 33% rural, 33% Appalachian, and 83% White) participated in an online usability session with a task-based, think-aloud method. This session was followed by completion of the System Usability Scale (SUS), responses to reaction cards to describe their experiences with the platform, and a semistructured interview. Two trained coders used rapid analysis and consensus methods to identify themes. ResultsOverall, caregivers found the platform easy to use (92% SUS >” ConclusionsWith further improvements, digital platforms such as PLAY may be a promising avenue to bridge access to care for high-need groups and ultimately improve child neurodevelopmental outcomes.https://pediatrics.jmir.org/2025/1/e70055 |
| spellingShingle | Emily L Moscato Eva Darow Jessica Quach Adrien M Winning Matthew Schmidt Shari L Wade Cynthia A Gerhardt Emre Sezgin Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods Study JMIR Pediatrics and Parenting |
| title | Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods Study |
| title_full | Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods Study |
| title_fullStr | Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods Study |
| title_full_unstemmed | Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods Study |
| title_short | Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods Study |
| title_sort | usability testing of an internet based responsive parenting program for caregivers of young survivors of childhood cancer living in rural and appalachian communities mixed methods study |
| url | https://pediatrics.jmir.org/2025/1/e70055 |
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