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Making Progress Monitoring Easier and More Motivating: Developing a Client Data Collection App Incorporating User-Centered Design and Behavioral Economics Insights

Author

Listed:
  • Heather J. Nuske

    (Penn Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA)

  • Jacqueline E. Buck

    (Sandra Rosenbaum School of Social Work, University of Wisconsin, Madison, WI 53706, USA)

  • Brinda Ramesh

    (Penn Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA)

  • Emily M. Becker-Haimes

    (Penn Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    Hall Mercer Community Mental Health, University of Pennsylvania Health System, Philadelphia, PA 19104, USA)

  • Kelly Zentgraf

    (Department of Psychiatry, Penn Medicine Nudge Unit, University of Pennsylvania Health System, Philadelphia, PA 19104, USA)

  • David S. Mandell

    (Penn Center for Mental Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA)

Abstract

Data collection is an important component of evidence-based behavioral interventions for children with autism, but many one-to-one aides (i.e., behavioral support staff) do not systemically collect quantitative data that are necessary for best-practice client progress monitoring. Data collection of clients’ behaviors often involves labor-intensive pen-and-paper practices. In addition, the solitary nature of one-to-one work limits opportunities for timely supervisor feedback, potentially reducing motivation to collect data. We incorporated principles from behavioral economics and user-centered design to develop a phone-based application, Footsteps, to address these challenges. We interviewed nine one-to-one aides working with children with autism and seven supervisors to ask for their app development ideas. We then developed the Footsteps app prototype and tested the prototype with 10 one-to-one aides and supervisors through three testing cycles. At each cycle, one-to-one aides rated app usability. Participants provided 76 discrete suggestions for improvement, including 29 new app features (e.g., behavior timer), 20 feature modifications (e.g., numeric type-in option for behavior frequency), four flow modifications (e.g., deleting a redundant form), and 23 out-of-scope suggestions. Of the participants that tested the app, 90% rated usability as good or excellent. Results support continuing to develop Footsteps and testing its impact in a clinical trial.

Suggested Citation

  • Heather J. Nuske & Jacqueline E. Buck & Brinda Ramesh & Emily M. Becker-Haimes & Kelly Zentgraf & David S. Mandell, 2022. "Making Progress Monitoring Easier and More Motivating: Developing a Client Data Collection App Incorporating User-Centered Design and Behavioral Economics Insights," Social Sciences, MDPI, vol. 11(3), pages 1-15, March.
  • Handle: RePEc:gam:jscscx:v:11:y:2022:i:3:p:106-:d:763464
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