Abstract：
Determine the feasibility of a gamified therapy (occupational therapy, physiotherapy, speech pathology) prescription app developed for children with neurodisability for delivering school and home therapy programs (the Zingo app).
A mixed-methods feasibility study was conducted with children (and their parents, therapists, and teachers) with neurodisability (n = 8, female= 5) who were prescribed a 4-week individualized therapy program by their usual treating therapist using Zingo. Primary outcome measures were program adherence, engagement, app quality, and user experience, collected with quantitative and qualitative methods.
Mean adherence to the program was 58.0% (SD 27.2). Our combined Engagement Index (EI) score was 74.4% (SD 11.7). App quality measured using Mobile Application Rating Scale- User version was 4.6/5 (SD 0.7, n = 6) for parents, 4.6/5 (SD 0.5, n = 5) for teachers, and 4.4/5 (SD 0.6, n = 6) for therapists. Thematic analysis of semi-structured interviews yielded a primary theme of \"app as motivator\" for therapy.
Adherence findings were affected by COVID-19 outbreak however remain comparable with other studies in this cohort. EI findings compared favorably with other studies. The findings are supportive of the feasibility of Zingo for delivering home and school therapy programs for children with neurodisability and was found to motivate therapy program completion.
A mixed-methods feasibility study was conducted with children (and their parents, therapists, and teachers) with neurodisability (n = 8, female= 5) who were prescribed a 4-week individualized therapy program by their usual treating therapist using Zingo. Primary outcome measures were program adherence, engagement, app quality, and user experience, collected with quantitative and qualitative methods.
Mean adherence to the program was 58.0% (SD 27.2). Our combined Engagement Index (EI) score was 74.4% (SD 11.7). App quality measured using Mobile Application Rating Scale- User version was 4.6/5 (SD 0.7, n = 6) for parents, 4.6/5 (SD 0.5, n = 5) for teachers, and 4.4/5 (SD 0.6, n = 6) for therapists. Thematic analysis of semi-structured interviews yielded a primary theme of \"app as motivator\" for therapy.
Adherence findings were affected by COVID-19 outbreak however remain comparable with other studies in this cohort. EI findings compared favorably with other studies. The findings are supportive of the feasibility of Zingo for delivering home and school therapy programs for children with neurodisability and was found to motivate therapy program completion.
摘要：
■确定游戏化疗法的可行性（职业疗法，物理治疗,言语病理学）为神经残疾儿童开发的处方应用程序，用于提供学校和家庭治疗计划（Zingo应用程序）。
■对儿童（及其父母，治疗师,和老师）患有神经残疾（n=8，女性=5），他们通常使用Zingo治疗的治疗师为他们开了为期4周的个性化治疗计划。主要结果指标是计划依从性，订婚,应用程序质量，和用户体验，用定量和定性的方法收集。
■对该程序的平均依从性为58.0％（SD27.2）。我们的综合参与指数（EI）得分为74.4%（SD11.7）。使用移动应用程序评级量表测量的应用程序质量-父母的用户版本为4.6/5（SD0.7，n=6），4.6/5（SD0.5，n=5）的教师，治疗师为4.4/5（SD0.6，n=6）。半结构化访谈的主题分析得出的主要主题是“应用作为激励因素”。
■依从性结果受COVID-19爆发的影响，但与该队列中的其他研究仍具有可比性。EI的发现与其他研究相比是有利的。研究结果支持Zingo为神经残疾儿童提供家庭和学校治疗计划的可行性，并被发现可以激发治疗计划的完成。
■对儿童（及其父母，治疗师,和老师）患有神经残疾（n=8，女性=5），他们通常使用Zingo治疗的治疗师为他们开了为期4周的个性化治疗计划。主要结果指标是计划依从性，订婚,应用程序质量，和用户体验，用定量和定性的方法收集。
■对该程序的平均依从性为58.0％（SD27.2）。我们的综合参与指数（EI）得分为74.4%（SD11.7）。使用移动应用程序评级量表测量的应用程序质量-父母的用户版本为4.6/5（SD0.7，n=6），4.6/5（SD0.5，n=5）的教师，治疗师为4.4/5（SD0.6，n=6）。半结构化访谈的主题分析得出的主要主题是“应用作为激励因素”。
■依从性结果受COVID-19爆发的影响，但与该队列中的其他研究仍具有可比性。EI的发现与其他研究相比是有利的。研究结果支持Zingo为神经残疾儿童提供家庭和学校治疗计划的可行性，并被发现可以激发治疗计划的完成。
