title: CHILDSPLA: a collaboration between children and researchers to design and animate health states.
abstract: OBJECTIVE
  The children's health state preferences learnt from animation (CHILDSPLA) project developed an interactive application presented on a touch screen device using an animated character to collect information from children about their health.
  
  
  BACKGROUND
  The underlying hypothesis was that health information could be directly collected from children as young as 4 years old by the use of animated characters. This paper describes in detail how children were involved in the development of the application, and recounts both the challenges and benefits of that process. A child psychologist and an animation filmmaker worked closely with children to design a character and to animate it to represent different health states. Children were recruited from a local primary school (n = 38) and a paediatric specialist hospital (n = 36). Diverse interactive activities were organized to help children give feedback and guide the design process. The activities for each session were adjusted to the children's needs, based on the experience of previous sessions.
  
  
  RESULTS
  The character and the animations were modified according to the feedback provided by the children.
  
  
  CONCLUSIONS
  Developing the CHILDSPLA app in collaboration with children was a worthwhile and enriching experience, despite the required iteration and extension of the design process, as it enabled us to adjust the tool to the children's needs.
authors.affiliation: London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: N
authors.initials: N
authors.lastname: Abrines Jaume
authors.affiliation: Animation, Royal College of Art, London, UK.
authors.forename: M
authors.initials: M
authors.lastname: Abbiss
authors.affiliation: Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
authors.forename: J
authors.initials: J
authors.lastname: Wray
authors.affiliation: Animation, Royal College of Art, London, UK.
authors.forename: J
authors.initials: J
authors.lastname: Ashworth
authors.affiliation: Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.|Institute of Cardiovascular Science, University College London, London, UK.
authors.forename: K L
authors.initials: KL
authors.lastname: Brown
authors.affiliation: London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: J
authors.initials: J
authors.lastname: Cairns
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003299:Cooperative Behavior; D005246:Feedback; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D063731:Mobile Applications; D011369:Professional-Patient Relations; D012606:Scotland; D014584:User-Computer Interface; D018910:Video Games
keywords: animation; children; design; health states; patient and public involvement