scholarly journals Authors' Response to Peer Reviews of “A Physical Activity Mobile Game for Hematopoietic Stem Cell Transplant Patients: App Design, Development, and Evaluation” (Preprint)

2021 ◽  
Author(s):  
Shannon Cerbas ◽  
Arpad Kelemen ◽  
Yulan Liang ◽  
Cecilia Sik-Lanyi ◽  
Barbara Van de Castle
Keyword(s):  
Physical Activity ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Cell Transplant ◽  
Design Development ◽  
Hematopoietic Stem ◽  
Mobile Game ◽  
Peer Reviews ◽  
Transplant Patients ◽  
App Design

UNSTRUCTURED This is author responses to reviewers

scholarly journals Authors' Response to Peer Reviews of “A Physical Activity Mobile Game for Hematopoietic Stem Cell Transplant Patients: App Design, Development, and Evaluation”

JMIRx Med ◽  
10.2196/28334 ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. e28334
Author(s):  
Shannon Cerbas ◽  
Arpad Kelemen ◽  
Yulan Liang ◽  
Cecilia Sik-Lanyi ◽  
Barbara Van de Castle
Keyword(s):  
Physical Activity ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Cell Transplant ◽  
Design Development ◽  
Hematopoietic Stem ◽  
Mobile Game ◽  
Peer Reviews ◽  
Transplant Patients ◽  
App Design

scholarly journals A Physical Activity Mobile Game for Hematopoietic Stem Cell Transplant Patients: App Design, Development, and Evaluation

JMIRx Med ◽  
10.2196/20461 ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. e20461 ◽  
Author(s):  
Shannon Cerbas ◽  
Arpad Kelemen ◽  
Yulan Liang ◽  
Cecilia Sik-Lanyi ◽  
Barbara Van de Castle
Keyword(s):  
Physical Activity ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Ease Of Use ◽  
Cell Transplant ◽  
Design Development ◽  
Hematopoietic Stem ◽  
Step Counter ◽  
Patients With Cancer ◽  
Item Responses

Background Physical activity mobile apps may encourage patients with cancer to increase exercise uptake, consequently decreasing cancer-related fatigue. While many fitness apps are currently available for download, most are not suitable for patients with cancer due to the unique barriers these patients face, such as fatigue, pain, and nausea. Objective The aim of this study is to design, develop, and perform alpha testing of a physical activity mobile health game for hematopoietic stem cell transplant (HSCT) patients. The ultimate future goal of this project is to motivate HSCT patients to increase physical activity and provide them with a safe and fun way to exercise. Methods A mobile health game called Walking Warrior was designed as a puzzle game where tiles are moved and matched. Walking Warrior interfaces with an open-source step counter and communicates with a central online MySQL database to record game play and walking performance. The game came to fruition after following an iterative process model with several prototypes. Game developers and bone marrow transplant nurses were recruited to perform an expert usability evaluation of the Walking Warrior prototype by completing a heuristic questionnaire and providing qualitative suggestions for improvement. Experts also made qualitative recommendations for improvements on speed, movement of tiles, appearance, and accuracy of the step counter. We recruited 5 additional usability evaluators who searched for and compared 4 open-source step counter programs, then qualitatively compared them for accuracy, robustness, cheat proofing, ease of use, and battery drain issues. Patient recruitment is planned at a later stage in this project. This paper only describes software design, development, and evaluation, rather than behavioral evaluation (ie, impact on physical activity), which is the long-term goal of this project. Results Internal consistency and the instrument’s reliability evaluation results from 1 clinical expert and 4 technical experts were deemed excellent (Cronbach α=.933). A hierarchical cluster analysis of the questionnaire item responses for similarity/dissimilarity among the experts indicated that the two expert groups were not clustered into two separate groups in the dendrogram. This indicates that the item responses were not affected by profession. Factor analyses indicate that responses from the 40-item questionnaire were classified into five primary factors. The associated descriptive statistics for each of these categories were as follows (on a scale of 1 to 5): clarity and ease (median 4; mean 3.7, SD 0.45), appropriateness (median 4; mean 3.7, SD 0.49), game quality (median 3.5; mean 3.3, SD 0.42), motivation to walk (median 3; mean 3.1, SD 0.58), and mental effort (median 3.5; mean 3.1, SD 1.27). Conclusions The evaluation from experts and clinicians provided qualitative information to further improve game design and development. Findings from the expert usability evaluation suggest the game’s assets of clarity, ease of use, appropriateness, quality, motivation to walk, and mental effort were all favorable. This mobile game could ultimately help patients increase physical activity as an aid to recovery.

scholarly journals Perceptions on Exercise is Associated with Self-Reported Physical Activity in Hematopoietic Stem Cell Transplant Patients

2018 ◽  
Vol 50 (5S) ◽  
pp. 467-468
Author(s):  
Melanie Potiaumpai ◽  
Tamia Medina ◽  
Stacy E. Cutrono ◽  
Denise Pereira ◽  
William F. Pirl ◽  
...  
Keyword(s):  
Physical Activity ◽  
Stem Cell ◽  
Hematopoietic Stem Cell ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Cell Transplant ◽  
Hematopoietic Stem ◽  
Transplant Patients

scholarly journals Changes in Physical Activity Levels in Hematopoietic Stem Cell Transplant Patients

2021 ◽  
Vol 27 (3) ◽  
pp. S389-S390
Author(s):  
Melanie Potiaumpai ◽  
Ashley West ◽  
Tamia Medina ◽  
Stacy Cutrono ◽  
Denise Pereira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Stem Cell ◽  
Hematopoietic Stem Cell ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Cell Transplant ◽  
Activity Levels ◽  
Hematopoietic Stem ◽  
Transplant Patients ◽  
Physical Activity Levels

scholarly journals Development and Usability Testing of a Physical Activity Mobile Game for Hematopoietic Stem Cell Transplant Patients (Preprint)

2020 ◽  
Author(s):  
Yulan Liang ◽  
Shannon Cerbas ◽  
Arpad Kelemen ◽  
Cecilia Sik-Lanyi ◽  
Barbara Van de Castle
Keyword(s):  
Physical Activity ◽  
Stem Cell ◽  
Cancer Patients ◽  
Mobile Health ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Cell Transplant ◽  
Hematopoietic Stem ◽  
Step Counter ◽  
Mobile Game

BACKGROUND Importance Physical activity mobile applications (apps) may encourage cancer patients to increase exercise, consequently decreasing cancer-related fatigue. While many fitness apps are currently available for download, most of them are not well suited for cancer patients due to unique barriers patients face, such as fatigue, pain, and nausea. OBJECTIVE The aim of this paper is to design, develop, and perform Alpha testing of a physical activity mobile health game for hematopoietic stem cell transplant (HSCT) patients. The ultimate goal of this project is to motivate and track HSCT patient and to increase their awareness of the importance of physical activity and provide them with a safe and fun way to exercise. METHODS A mobile health game called Walking Warrior (WW) was designed as a matching puzzle game with an added feature of a step counter. WW came to fruition after following an iterative process model with several prototypes. Computer programmers and bone marrow transplant nurses were recruited to perform expert heuristic usability evaluation of the WW prototype by completing a heuristics questionnaire and providing qualitative suggestions for improvement. RESULTS Findings from the expert heuristic usability evaluation suggest the game’s assets of clarity, ease of use, appropriateness, quality, motivation, and mental effort were moderately favorable. Experts recommend improvements on speed, movement of tiles, appearance, and accuracy of the step counter. CONCLUSIONS The evaluation provided qualitative information to further improve game design and development. This mobile game could ultimately help patients increase physical activity as an aid to recovery.

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