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An art-based mixed-methods study exploring children's environmental preferences in home-based nursing research
Elizabeth Anne Johnson1, Nicole Holt2, Jordan Zignego3
1Montana State University College of Nursing, Bozeman, MT, US.
Nurse Researcher
|May 29, 2026
Summary
Art-based play and AI modeling effectively capture children's home environment preferences for research visits. This child-centered approach enhances participation and informs better research design in underserved communities.
Area of Science:
- Child Health Research
- Environmental Psychology
- Participatory Design
Background:
- Limited evidence exists for designing effective paediatric clinical research home visits, especially in low-resource settings.
- Child-centered methods are crucial for incorporating children's environmental preferences to improve research experiences.
Purpose of the Study:
- To pilot a participatory design study using mixed methods to explore children's environmental preferences.
- To assess the feasibility and value of art-based play, artificial intelligence (AI) modeling, and narrative elicitation for informing home visit design.
Main Methods:
- A pilot study involved 86 children aged 5-8 years using the 'Design Your World' storybook and art activity.
- Iterative thematic analysis integrated visual and verbal data.
- Cross-modal triangulation involved AI and child health experts.
Main Results:
- The study revealed children's preferences for spatial arrangements, colors, imagery, and sensory elements in their home environments.
- Insights were gained that are difficult to obtain through traditional questioning methods.
- The art-based play integrated with narrative elicitation proved effective in capturing these preferences.
Conclusions:
- Art-based play and narrative elicitation offer a replicable, child-centered method for understanding children's environmental preferences during research home visits.
- This participatory approach demonstrates an art and AI-enabled triangulation method for child-led home environment design.
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