Table 3.

Summary of user satisfaction with design aesthetics and changes made to the site

Design Aesthetics	Examples of Comments by Adolescents	Examples of Comments by Parents	Subsequent Changes Made to the Site Based on Comments
Layout: the compilation and placement of text and graphics on each page	“I really like the layout. I really like how it looks; I find it easy to go through everything.” (A05) “It’s good because it is…visually broken up so it doesn’t seem like a big block of text, but it’s still giving you everything you need to know.” (A04) “Yeah, if they just moved this part up [session goals] and they could do like half above the video and then they would know to like keep going after the video.” (A10)	“I don’t think it is too much. I am always of the opinion....the more information for me the better.” (P08) “Like this, it looks like a lot of stuff to read, and I probably, as a teenager…wouldn’t take the time to read it.” (P11) “I’m not sure how important these bottom links are…but if they are, I would bring them up…that is the only thing because you don’t really see them.” (P01)	- Moved session outlines to appear before the video clip at the start of each module - Moved the discussion forum, “Ask an Expert”, and “My Journal” tool bar from the bottom to top of the page - chunked up the text more in the teen introduction module
Visual assets: the illustrations, graphics, and animations in the website	“Oh, I liked the animation [about] taking drugs, and what arthritis is because it showed me what happens and I didn’t know that”(A11) “Alright, the only thing is that if you hadn’t told me I wouldn’t have seen the next and back buttons [stress animation].” (A01)	“They don’t know what’s happening because they never see their x-rays, that’s a great idea.”(P04) “I don’t think it [x-ray image] is necessarily clear, for someone who has medical knowledge, yes it works. But otherwise it is difficult.” (P03F)	-Labeled the images of the normal x-rays and MRIs more clearly so users could better understand the differences between images of diseased and normal joints. -Highlighted the control buttons more clearly on the stress and thinking animation so users could stop it if they wanted to.
Visual appeal: the overall look and feel of the website	“User friendly and inviting. I liked everything. It’s very jolly; it doesn’t look too scientifical.”(A04) I’d have to say it would be these pictures…as soon as–like when I walked in, right, I saw that, and I’m like, ‘wow, that’s fairly depressing’…like I look at her and she doesn’t look happy…she doesn’t look like she’s gotten over this.” (A11)	“Oh. I think its dynamite. I really can’t say enough positive things about it. It’s very impressive.” (P08) “Here, for example, I find that [font] hard to read. Maybe make it a bit bigger.” (P06)	-Photo of teen was replaced on the homepage with a more upbeat looking teen. -Not able to increase font as the health portal needed to conform to the hosting site’s (AboutKidsHealth.ca) design suite which features a 12pt Trebuchet, Arial, sans-serif font.
Navigation: the ability of the end user to easily move around the site to find the information they were interested in	“Everything that came up was really well labeled, and you know what you were going to be reading, and you could choose because everything was broken down.” (A04) “It’s pretty simple…it’s easy to find what you want to look at.” (A05)	“It—it works like every kind of website where you’re looking stuff up. You know it’s really simple.” (P03) “I know, um, the napr—what the naproxen is that she takes. But I wouldn’t have a clue where to look under Avara, or methotrexate... like I wouldn’t even know which one of those it is. So, I think…if you could list some of them like examples, or something.” (P05)	- The medication section was changed as per the user performance section.