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Nuysink J.1, Ossewaarde R.2
1University of Applied Sciences Utrecht, Institute of Human Movement Studies, Utrecht, Netherlands, 2University of Applied Sciences Utrecht, Institute of Information Technology, Utrecht, Netherlands
Background: Low-threshold technology, like video, plays an increasing role in patient observations, and creates new opportunities. The same applies for use in research and teaching. However, privacy issues, secure store and capacity are challenges. The Alberta Infant Motor Scale (AIMS) is an observation instrument to measure gross motor development in infants. Currently, a new application was studied, namely using home-videos made by parents, instead of live observation of the infant. In this way data can be collected, independent of time and distance, for use in longitudinal research.
Purpose: (1) To design a supportive application, accessible to parents, that allows upload of videos, securely store and viewing by the researchers.
(2) To design a digital scoring tool to teach scoring with the AIMS.
(2) To design a digital scoring tool to teach scoring with the AIMS.
Methods: Within the GODIVA research project (Gross mOtor Development of Infants using home-Video registration with the AIMS), two e-health applications were designed by IT students, in collaboration with researchers and teachers, using ´Design Science Research Cycles´.
(1) During the first half year of the GODIVA project, students designed a prototype of the Godivapp for smartphone and a webapp. The prototype was tried out in a pilot study, during which one of the IT teachers went on improving the app, based on parents´ and researchers´ feedback.
(2) In the second year of the project other students started to design a digital scoring tool. Besides, the videos of the parents who gave in addition permission for use in teaching, needed to be stored in a more accessible video-database. The students designed a tool for digital scoring linked to a video-database, based on the same back-end software, but with a complete different user-interface. The prototype was tried out in workshops. Students, teachers and pediatric physiotherapists commented on the use of it.
Results: (1) The mobile app applies compression to the film, and allows to upload the video to a secured environment. Each film is individually encrypted. The app endured a crash test by ethical hackers. The webapp is applied now in two current studies, but is still prone to instabilities.
(2) The prototype of the scoring tool allows individual and group scores, and records accurately the viewing habits and the scoring of the student. All users were enthusiastic about the design. During presentation both applications will be demonstrated.
Conclusion(s): The limited storage capacity at the University was a bottleneck for the webportal, and had to be extended. The mobile app needs further development to shorten upload time.
Both applications are promising innovations for research and education.
Implications: Feedback from users had a high added value for the IT students. In close collaboration during the research project common faults can be resolved.
However, to realize this e-health application in clinical practice, a follow-up project has started to refine technology, ease of use, and to focus on business- and service modeling.
With the scoring data as a basis, the scoring system can be extended to an e-learning module for teaching analytical skills based on video-observation.
Funding acknowledgements: SIA-RAAK-public (GODIVA 2013-2015). Taskforce for applied research-SIA is part of The Netherlands organization for scientific research (NWO).
Topic: Paediatrics
Ethics approval: No ethics approval was needed.
All authors, affiliations and abstracts have been published as submitted.
