title: Pilot Development of an Electronic Pediatric Inflammatory Bowel Disease Quiz Game.
abstract: OBJECTIVE
  Data suggest physicians poorly assess disease-specific literacy and transition readiness in pediatric patients with inflammatory bowel disease (IBD). We piloted an electronic, interactive iPad quiz game that could be used in a clinical setting, with the aims of measuring IBD-related knowledge, and concomitant mood and quality of life (QOL) in a pediatric population.
  
  
  METHODS
  Two pediatric IBD clinics developed and tested 2 versions of "Emma." Patients between 10 and 18 years of age played Emma during an office visit. Each patient answered 12 randomly selected disease-related questions and 4 mood-related questions.
  
  
  RESULTS
  Sites 1 and 2 tested Emma v1 between May and August 2013. Emma v2 was tested from November 2013 to January 2014 and from September 2013 to January 2014. A total of 56 patients played Emma v1, whereas 60 played Emma v2. In Emma v2, 73.1% of questions were answered correctly. Patients recognized signs of IBD (88%), causes of diarrhea in addition to IBD (79.4%), and could define lactose intolerance (95.8%), but fewer patients understood serological testing used for disease monitoring (68%) or knew that magnetic resonance enterography did not involve radiation (22.9%). Patients tended to report good functioning in the areas of energy, mood, anxiety, and school-related QOL. Patients with Crohn disease, however, reported higher stress levels compared with patients with ulcerative colitis; older patients reported lower energy levels, and postsurgical patients reported lower QOL.
  
  
  CONCLUSIONS
  The Emma iPad game has the potential to evaluate gaps in IBD knowledge, assess emotional functioning, and increase patient engagement as a transition tool in the clinical setting.
authors: *Division of Pediatric Gastroenterology, Mayo Clinic, Rochester, MN †Division of Pediatric Gastroenterology ‡Department of Pediatrics, Oklahoma University Health Sciences Center, Oklahoma City.
authors: Jeanne
authors: J
authors: Tung
authors: John E
authors: JE
authors: Grunow
authors: Noel
authors: N
authors: Jacobs
mesh_terms: D000293:Adolescent; D000339:Affect; D002648:Child; D003093:Colitis, Ulcerative / Q000175:diagnosis / Q000523:psychology; D003424:Crohn Disease / Q000175:diagnosis / Q000523:psychology; D004644:Emotions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis* / Q000523:psychology; D008297:Male; D010865:Pilot Projects; D011788:Quality of Life; D011795:Surveys and Questionnaires; D063189:Symptom Assessment / Q000379:methods*; D060305:Transition to Adult Care; D018910:Video Games