{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:00:24Z","timestamp":1787068824380,"version":"build-2736575974"},"reference-count":53,"publisher":"JMIR Publications Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Pediatr Parent"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescents and young adults with spina bifida (AYA-SBs) have unique user needs, given their variable and complex symptom profile. Owing to multiple barriers to prevention and intervention treatments for secondary conditions (eg, obesity), AYA-SBs may benefit from the use of behavioral intervention technologies (BITs). However, as BITs are often designed and tested with typically developing individuals, it is unclear if existing BITs may be usable for AYA-SBs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the usability of a high-quality, publicly available, weight management\u2013focused mobile BIT (smartphone app) for AYA-SBs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Overall, 28 AYA-SBs attending a Young Men\u2019s Christian Association\u2013based summer camp completed 4 structured usability tasks using a weight management app designed for the general public called My Diet Coach (Bending Spoons). Learnability was measured by (1) time to complete task, (2) number of user errors, and (3) correct entry of data when requested by the app. Satisfaction and general usability were measured via self-reported questionnaires and qualitative feedback following interactions with the app.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of the sample were able to complete the tasks, with increased completion rates and improved times on second attempts of the tasks (Ps&lt;.05). Errors were common, and discrepancies emerged between quantitative and qualitative feedback such that self-reported measures indicated dissatisfaction but qualitative feedback was generally positive. Suggested improvements to the app included (1) tutorials, (2) simplifying the design, (3) more activity options for those who ambulate by wheelchair, and (4) notifications to prompt use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AYA-SBs were able to learn how to complete specific tasks independently on a weight management app, but design changes consistent with previously proposed user needs were recommended. Rather than designing entirely new BITs, it may be possible to adapt existing technologies to personalize BITs for specific populations such as AYA-SBs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/15153","type":"journal-article","created":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T20:36:00Z","timestamp":1565987760000},"page":"e15153","source":"Crossref","is-referenced-by-count":7,"title":["Exploring an Existing Weight Management App for Use With Adolescents and Young Adults With Spina Bifida: Usability Study"],"prefix":"10.2196","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6759-8380","authenticated-orcid":false,"given":"Colleen","family":"Stiles-Shields","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7189-764X","authenticated-orcid":false,"given":"Brittney","family":"Garcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3552-7040","authenticated-orcid":false,"given":"Kimberly","family":"Villota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4141-191X","authenticated-orcid":false,"given":"Elicia","family":"Wartman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5286-4121","authenticated-orcid":false,"given":"Adrien M","family":"Winning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2216-1927","authenticated-orcid":false,"given":"Grayson N","family":"Holmbeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2019,10,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.7"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617716000680"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-017-0254-y"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-4887.2005.tb00110.x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2007.05.005"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.2007.tb00162.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/cdev.12548"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsp094"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0420"},{"key":"ref10","first-page":"e6","volume":"8","author":"Bush, RA","year":"2016","journal-title":"J Particip Med"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2013.03.008"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.0042"},{"key":"ref13","first-page":"-","author":"Stiles-Shields, C","year":"2020","journal-title":"Disabil Rehabil"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000400"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.9931"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsy097"},{"key":"ref17","author":"Albert, W","year":"2019","journal-title":"Measuring the User Experience: Collecting, Analyzing, and Presenting Usability Metrics"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-016-0359-9"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1186\/2194-0827-1-1"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.4018\/jmhci.2012100103"},{"key":"ref21","unstructured":"MoranKNielsen Norman Group20162019-08-27Young Adults\/Millennials as Web Users (Ages 18\u201325) https:\/\/www.nngroup.com\/articles\/young-adults-ux\/"},{"key":"ref22","unstructured":"LorangerHNielsenJNielsen Norman Group20132019-08-27Teenage Usability: Designing Teen-Targeted Websites https:\/\/blog.experientia.com\/teenage-usability-designing-teen-targeted-websites\/"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617706060371"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14250"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jst003"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsp125"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.3422"},{"key":"ref28","unstructured":"App Store - 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