Table 4.

Round 1 Coding of Responses to Open-Ended Survey Item “Do you have any comments, feedback, or suggestions about this picture or these characters?” and Oral Feedback.

“Do you have any comments, feedback, or suggestions about this picture or these characters?”
Comment Category	Option 1 Frequency	Option 2 Frequency
	n = 6	n = 5
Theme: Depiction of Disability
Online Survey Responses
Show person with just braces/orthotics	4	1
Show person without any assistive device	1	1
Verbatim Overall Verbal Feedback
	“Include people without obvious outward signs of a disability.”
	“People in manual wheelchairs have a strong upper body. I like that Option 1 reflects that.”
	“Older people with spina bifida don’t tend to use walkers.”
Theme: Other Physical Appearance
Online Survey Responses
Add variation in body type	2	2
Characters appear too young	-	1
Verbatim Overall Verbal Feedback
	“People with Spina Bifida tend to gain weight as they get older. They shouldn’t all look so skinny.”
	“The people in Option 1 look like kids, not adolescents.”
Theme: Non-Disability Diversity
Online Survey Responses
Add ethnic diversity	1	-
Add additional genders	-	1
Verbatim Overall Verbal Feedback
	“Spina bifida is more common in Hispanics. Include a Hispanic youth.”
Theme: Design Style
Characters look more realistic and relatable	-	1
Make colors brighter/deeper	-	1
Change facial features	-	1