Health Informatics Conference 2017 Brisbane, Australia Talking to toddlers: Drawing on mothers’ perceptions of using wearable and mobile technology in the home Dawn Choo 1,2,3 Shani Dettman 1,2,3 Richard Dowell 1,2,3 Robert Cowan 1,2,3 1 The HEARing Cooperative Research Centre, Australia 2 The University of Melbourne, Department of Audiology and Speech Pathology, Australia 3 The Royal Victorian Eye and Ear Hospital, Australia creating sound value TM www.hearingcrc.org creating sound value TM
Language and Early Intervention Sensitive period for language learning 1% of child’s waking hours spent in therapy Intervention(s) which extend into child’s everyday life? creating sound value TM
Talking to Toddlers in Everyday Environments Amount of Talk by Parents (VanDam et al., 2012) Adult-Child Turn Taking Interactions (Zimmerman et al., 2009) ? ? VanDam, M., Ambrose, S. E., & Moeller, M. P. (2012). Quantity of parental language in the home environments of hard-of-hearing 2 year-olds. Journal of Deaf Studies and Deaf Education, 17 (4), 402-420. Zimmerman, F. J., Gilkerson, J., Richards, J. A., Christakis, D. A., Xu, D., Gray, S., & Yapanel, U. (2009). Teaching by listening: The importance of adult-child conversations to language development. Pediatrics , 124 (1), 342-349. creating sound value TM
Going Digital 1. Language ENvironment Analysis (LENA) Quantified information about child’s sound and language environment Audio recorder and language processor Speech recognition software Feedback provided to parents (Gilkerson & Richards, 2008) 2. Mobile App Daily reminder for parents Short suggested activities Developmentally appropriate Gilkerson, J., & Richards, J. A. (2008). The LENA Foundation natural language study. Boulder, CO: LENA Foundation . creating sound value TM
Study Aims Trial LENA technology and the mobile app with mother-child dyads in the Australian context Explore factors perceived to impact on mothers’ use of LENA technology and the mobile app in the trial. creating sound value TM
Methods Prospective 8-week trial with mother-child dyads Pragmatic (mixed-methods) approach Weekly LENA recordings of up to 16 hours 3 Conditions: Mothers completed questionnaires a. LENA Recording Only o Family demographic information b. LENA Feedback Provided to Parents o eHealth Literacy Scale (eHEALS; Norman & Skinner, 2006) c. LENA Feedback + Use of Mobile App Thematic analysis of written comments on mother’s trial experience with the o technologies Norman, C. D., & Skinner, H. A. (2006). eHEALS: the eHealth literacy scale. Journal of medical Internet research , 8 (4), e27. creating sound value TM
Participant Demographics 5 Mother-Child Dyads Maternal Education Employment status Mothers were smartphone users o Mean age= 39 years Diploma, Maternity 1 leave, 1 Typically developing children Full-time, 2 Postgraduate o Mean age=15 months Degree, 2 Self employed, 1 English was the main language spoken at home Bachelor's Degree, 2 Part time, 1 Both parents were living at home Lived in areas of greater socio-economic relative advantage (ABS, 2011) o Mean SEIFA decile=7.6 creating sound value TM
eHEALS: The eHealth Literacy Scale (Norman & Skinner, 2006) Mothers’ (n=4) ratings for 8 items I feel confident in using information from the Internet to make Mother Average Score of 8 eHEALS items health decisions I can tell high quality from low quality health resources on the 1 4.13 internet I have the skills I need to evaluate the health resources I find on 2 3.50 the internet Mother 1 I know how to use the health information I find on the internet to 3 4.00 help me Mother 2 Mother 3 4 4.38 I know where to find helpful health resources on the internet Mother 4 I know what health resources are available on the internet I know how to use the internet to answer my health questions Mothers’ (n=4) Overall Average eHEALs Score: 4 I know how to find helpful resources on the internet 1 2 3 4 5 (1= Strongly Disagree 5= Strongly Agree) creating sound value TM
Post- Trial Findings Based on Mothers’ Perceptions Perceived Effect of Perceived Receiving Feedback Usefulness Visual value Simplicity Engagement Effort Feature fatigue Ergonomics creating sound value TM
Would Participants use the LENA system or Mobile App again? YES Mobile App only 1 20% YES Both LENA & App 3 NO 60% 1 20% creating sound value TM
Summary of Findings It was feasible to use the LENA system and a mobile app with mother-child dyad in the home The importance of understanding the target user’s experience What do users value? (e.g. receiving feedback on language behaviours) Considerations: demographic profile(s) self-perceived levels of ehealth literacy creating sound value TM
Next Steps Now that we have described the profile of the participants and their experience… Can we change language behaviours? Further analysis exploring measurable changes in language behaviours Ongoing 12-Week Trial Mothers and their children with significant hearing loss Recruiting Clinicians working in Early Intervention Online survey on the use of technology and the mobile app Venkatesh, V., Thong, J. Y., & Xu, X. (2012). Consumer acceptance and use of Fogg, B. J. (2009, April). A behavior model for persuasive design. In Proceedings of information technology: extending the unified theory of acceptance and use of the 4th international Conference on Persuasive Technology (p. 40). technology. MIS Quarterly, 36(1 ), 157-178. creating sound value TM
Acknowledgements We gratefully acknowledge our collaborative partners and all the families in Melbourne who have volunteered their time to participate in the pilot study. @Dawn_Choo dawn.choo@unimelb.edu.au This research was financially supported by the HEARing CRC established and supported under the Australian Government’s Cooperative Research Centres Programme . creating sound value TM
Members and Acknowledgements The CRC Programme supports industry led end-user driven research collaborations to address the major challenges facing Australia. creating sound value TM
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