Understanding Engagement in Home-Based Interactive Computer Play: Perspectives of Children With Unilateral Cerebral Palsy and Their Caregivers

Aims: This study aimed to understand engagement of children in a home-based computer program, “Move it to improve it” (Mitii™), designed to enhance motor, cognitive and visual perceptual skills. Methods: Participants were 10 children with unilateral cerebral palsy involved in the 20-week Mitii™ prog...

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Main Authors: James, S., Ziviani, J., King, G., Boyd, Roslyn
Format: Journal Article
Published: Informa Healthcare 2015
Online Access:http://hdl.handle.net/20.500.11937/15971
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author James, S.
Ziviani, J.
King, G.
Boyd, Roslyn
author_facet James, S.
Ziviani, J.
King, G.
Boyd, Roslyn
author_sort James, S.
building Curtin Institutional Repository
collection Online Access
description Aims: This study aimed to understand engagement of children in a home-based computer program, “Move it to improve it” (Mitii™), designed to enhance motor, cognitive and visual perceptual skills. Methods: Participants were 10 children with unilateral cerebral palsy involved in the 20-week Mitii™ program (mean age = 11 years; 5 males) and their caregivers. Semi-structured interviews were audio recorded, transcribed verbatim and analyzed independently by two researchers. Themes were identified using an inductive approach to identify themes, and mapped against an engagement framework. (King et al., 2014). Results: Key themes were: (1) Child/family characteristics: children's interest captured through novelty and technology, motivation declines as novelty wears off, children require “finely tuned” programs, strong family support facilitates engagement, and children develop confidence and ownership; (2) Intervention characteristics: increased therapy frequency with reduced caregiver involvement, Mitii™ “becomes therapy” and competes with other interests; convenience within family routine, lack of real-time feedback and technical issues, and therapist guidance is essential; and (3) Service provider characteristics: initial and ongoing therapist input, family-friendly therapy approach, and tailored strategies to sustain engagement. Conclusions: Therapists should be cognisant of factors that may impact on children's engagement in home-based computer programs and devise individual strategies with families to support sustained engagement.
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spelling curtin-20.500.11937-159712017-09-13T14:08:01Z Understanding Engagement in Home-Based Interactive Computer Play: Perspectives of Children With Unilateral Cerebral Palsy and Their Caregivers James, S. Ziviani, J. King, G. Boyd, Roslyn Aims: This study aimed to understand engagement of children in a home-based computer program, “Move it to improve it” (Mitii™), designed to enhance motor, cognitive and visual perceptual skills. Methods: Participants were 10 children with unilateral cerebral palsy involved in the 20-week Mitii™ program (mean age = 11 years; 5 males) and their caregivers. Semi-structured interviews were audio recorded, transcribed verbatim and analyzed independently by two researchers. Themes were identified using an inductive approach to identify themes, and mapped against an engagement framework. (King et al., 2014). Results: Key themes were: (1) Child/family characteristics: children's interest captured through novelty and technology, motivation declines as novelty wears off, children require “finely tuned” programs, strong family support facilitates engagement, and children develop confidence and ownership; (2) Intervention characteristics: increased therapy frequency with reduced caregiver involvement, Mitii™ “becomes therapy” and competes with other interests; convenience within family routine, lack of real-time feedback and technical issues, and therapist guidance is essential; and (3) Service provider characteristics: initial and ongoing therapist input, family-friendly therapy approach, and tailored strategies to sustain engagement. Conclusions: Therapists should be cognisant of factors that may impact on children's engagement in home-based computer programs and devise individual strategies with families to support sustained engagement. 2015 Journal Article http://hdl.handle.net/20.500.11937/15971 10.3109/01942638.2015.1076560 Informa Healthcare restricted
spellingShingle James, S.
Ziviani, J.
King, G.
Boyd, Roslyn
Understanding Engagement in Home-Based Interactive Computer Play: Perspectives of Children With Unilateral Cerebral Palsy and Their Caregivers
title Understanding Engagement in Home-Based Interactive Computer Play: Perspectives of Children With Unilateral Cerebral Palsy and Their Caregivers
title_full Understanding Engagement in Home-Based Interactive Computer Play: Perspectives of Children With Unilateral Cerebral Palsy and Their Caregivers
title_fullStr Understanding Engagement in Home-Based Interactive Computer Play: Perspectives of Children With Unilateral Cerebral Palsy and Their Caregivers
title_full_unstemmed Understanding Engagement in Home-Based Interactive Computer Play: Perspectives of Children With Unilateral Cerebral Palsy and Their Caregivers
title_short Understanding Engagement in Home-Based Interactive Computer Play: Perspectives of Children With Unilateral Cerebral Palsy and Their Caregivers
title_sort understanding engagement in home-based interactive computer play: perspectives of children with unilateral cerebral palsy and their caregivers
url http://hdl.handle.net/20.500.11937/15971