title: Parental Evaluation of a Nurse Practitioner-Developed Pediatric Neurosurgery Website.
abstract: BACKGROUND
  Parents often turn to the Internet to seek health information about their child's diagnosis and condition. Information, support, and resources regarding pediatric neurosurgery are scarce, hard to find, and difficult to comprehend. To address this gap, a pediatric nurse practitioner designed a website called the Neurosurgery Kids Fund (NKF). Analyzing the legitimacy of the NKF website for parents seeking health information and fulfilling their social and resource needs is critical to the website's future development and success.
  
  
  OBJECTIVE
  To explore parental usage of the NKF website, track visitor behavior, evaluate usability and design, establish ways to improve user experience, and identify ways to redesign the website. The aim of this study was to assess and evaluate whether a custom-designed health website could meet parents' health information, support, and resource needs.
  
  
  METHODS
  A multimethod approach was used. Google Analytic usage reports were collected and analyzed for the period of April 23, 2013, to November 30, 2013. Fifty-two online questionnaires that targeted the website's usability were collected between June 18, 2014, and July 30, 2014. Finally, a focus group was conducted on August 20, 2014, to explore parents' perceptions and user experiences. Findings were analyzed using an inductive content analysis approach.
  
  
  RESULTS
  There were a total of 2998 sessions and 8818 page views, with 2.94 pages viewed per session, a 56.20% bounce rate, an average session duration of 2 minutes 24 seconds, and a 56.24% new sessions rate. Results from 52 eligible surveys included that the majority of NKF users were Caucasian (90%), females (92%), aged 36-45 years (48%), with a university or college degree or diploma (69%). Half plan to use the health information. Over half reported turning to the Internet for health information and spending 2 to 4 hours a day online. The most common reasons for using the NKF website were to (1) gather information about the 2 summer camps, (2) explore the Media Center tab, and (3) stay abreast of news and events supported by NKF. Parents were unanimous in reporting that the NKF website was pleasing in color and design, very easy to use and navigate, useful, and that they would continue to access it regularly.
  
  
  CONCLUSIONS
  Parents perceive the NKF website to be useful and easy-to-use in meeting their health information needs, finding social support, and learning about resources relevant to their child. A custom-designed website can be used to augment parents' health information needs by reinforcing, supplementing, and improving their understanding of their child's medical needs.
authors.affiliation: Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
authors.forename: Tina Kovacs
authors.identifier: http://orcid.org/0000-0002-3897-3786
authors.initials: TK
authors.lastname: Vogel
authors.forename: Manal
authors.identifier: http://orcid.org/0000-0002-4680-6750
authors.initials: M
authors.lastname: Kleib
authors.forename: Sandra J
authors.identifier: http://orcid.org/0000-0001-7530-5878
authors.initials: SJ
authors.lastname: Davidson
authors.forename: Shannon D
authors.identifier: http://orcid.org/0000-0002-2251-3742
authors.initials: SD
authors.lastname: Scott
keywords: Google analytics; Internet health information needs; Pediatric; children; evaluation; knowledge translation.; neurosurgery; parents; website