Published online March 1, 2007
PEDIATRICS Vol. 119 No. 3 March 2007, pp. 427-434 (doi:10.1542/peds.2006-2669)
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ARTICLE

Parent Use of Touchscreen Computer Kiosks for Child Health Promotion in Community Settings

Darcy A. Thompson, MD, MPHa, Paula Lozano, MD, MPHb,c,d and Dimitri A. Christakis, MD, MPHb,c,e

a Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland
b Department of Pediatrics
c Child Health Institute, University of Washington, Seattle, Washington
d Center for Health Studies, Group Health Cooperative, Seattle, Washington
e Children's Hospital and Regional Medical Center, Seattle, Washington

OBJECTIVES. The goals were to evaluate the use of touchscreen computer kiosks, containing only child health–promoting information, in urban, low-income, community settings and to characterize the users of these kiosks.

METHODS. Three user-driven touchscreen computer kiosks were placed in low-income urban locations in Seattle, Washington, from March 2005 to October 2005. The locations included a public library, a Department of Motor Vehicles office, and a McDonald's restaurant. Users selected age-appropriate modules with prevention information and screening tools. Users entered the age of the child and were presented with age-appropriate modules. On exiting, users were asked to rate their experience and to provide basic demographic data.

RESULTS. In total, there were 1846 kiosk sessions. Almost one half occurred at McDonald's. Seventy-eight percent of users identified themselves as first-time users. Users sought information for children of all ages. Sixty-one percent of first-time users explored 1 module. First-time users were most interested in television/media use (16%), smoke exposure (14%), attention-deficit/hyperactivity disorder screening (12%), and asthma assessment (11%). At-risk children were identified in 52% of sessions. Eighty-seven percent of first-time users who completed the asthma assessment had children whose asthma was uncontrolled. Twenty-eight percent of users responded to ≥1 question on the exit survey. Of those, 48% had less than a high school education, and 26% had never used the Internet. Approximately one half found the kiosk easy to use (57%) and the information easy to understand (55%); 66% said there was at least some new information. Fifty-five percent planned to try some of the things they had learned, and 49% intended to talk to their child's doctor about what they had learned.

CONCLUSIONS. User-driven computer kiosks were used in community settings to obtain child health information. Users found the kiosks easy to use. Additional study on improving use and understanding the impact is needed.

Key Words: health promotion • computers • community pediatrics • prevention

Abbreviations: ADHD—attention-deficit/hyperactivity disorder • DMV—Department of Motor Vehicles

Accepted Nov 8, 2006.




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