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Development of Goal-Achievement Support App to Assist Children and Families in Participating in Meaningful
Koki Kura1,2, Jumpei Oba1, Satoru Amano2,3
1Department of Occupational Therapy, Faculty of Rehabilitation, Kobe Gakuin University, Kobe, Japan.
JMIR Rehabilitation and Assistive Technologies
|August 20, 2025
Summary
A new mobile app, the Children's Occupation Support Mobile System (COSMO), was developed to aid occupational therapists and parents in achieving pediatric intervention goals collaboratively. COSMO was validated for legibility, visibility, and accessibility, aiming to support parenting goals in daily life.
Area of Science:
- Pediatric Occupational Therapy
- Digital Health Interventions
- Family-Centered Care
Background:
- Occupational therapy emphasizes collaborative intervention planning with families.
- Pediatric occupational therapy identifies families as primary clients, necessitating active involvement.
- Existing tools lack comprehensive support for parents in achieving daily parenting goals.
Purpose of the Study:
- To develop the Children's Occupation Support Mobile System (COSMO).
- To validate the content of the COSMO mobile app for legibility, visibility, and accessibility.
Main Methods:
- A two-stage study involving prototype design and content validation using the Delphi method.
- Prototype development based on a parenting strategies model derived from interviews with mothers of children with developmental disabilities.
- Content validation by 10 Japanese pediatric occupational therapists via a web-based Delphi survey.
Main Results:
- The COSMO prototype features collaborative goal setting, home strategies, self-reflection, and progress reports.
- Delphi rounds achieved high mean scores for legibility (4.44), visibility (4.86), and accessibility (4.84).
- Content revisions improved wording clarity and simplified app usage to reduce parental burden.
Conclusions:
- COSMO is a comprehensive tool designed to reduce parental burden and enhance app usability.
- Further research is needed to evaluate the generalizability and effectiveness of COSMO as an intervention.
- Study limitations include lack of end-user testing and a geographically restricted expert panel.
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