scholarly journals How Mighty Girls Became the Mighty Teens: Using Multi-Cultural Adaptation and App Development to Take an Evidenced-Based Intervention to Scale (Preprint)

2020 ◽  
Author(s):  
Anne E. Norris ◽  
Michael L. Hecht ◽  
Roxana Delcampo Thalasinos
Keyword(s):  
Pilot Study ◽  
Focus Groups ◽  
Program Effectiveness ◽  
Usability Testing ◽  
Self Report ◽  
Research Activities ◽  
Sexual Pressure ◽  
Multicultural Program ◽  
System Usability Scale ◽  
Pressure Resistance

BACKGROUND Taking evidence-based interventions to scale is a primary challenge for prevention science. Adapting an intervention to be multi-cultural is a useful pathway for scaling up interventions, particularly those that are school based. So too is finding simpler but powerful technological components to reduce overall cost without jeopardizing effectiveness. Mighty Girls is a sexual pressure resistance program developmentally and culturally tailored for 7th grade Latinas. The program combines classroom sessions with an interactive videogame that reinforces program concepts. However, both the exclusive focus on Latinas and game cost (currently relies on digital puppetry by trained inter-actors) limit dissemination. OBJECTIVE Create a multi-cultural program that uses a narrative phone app to reinforce program concepts and build resistance skills. Specific, adaptation goals included: (1) modify classroom lessons; (2) conduct a pilot study to evaluate feasibility and preliminary efficacy of classroom lessons; (3) develop a narrative app to reinforce curriculum content and build resistance skills; (4) conduct usability test of the app; and (5) assess parents’ views of lesson content and activities, and the app as well as their supervision of child's cell phone use. METHODS Consultation with 4 adult key informants, and a series of research activities involving 7th grade girls attending either a “development school” (n=14) or “pilot study school” (n=23), and parents (n=6) addressed adaptation goals. Activities included: focus groups, pilot study (one group pre-test post-test design), and usability testing. Pilot study self-report measures assessed resistance self-efficacy and intentions, and sexual intentions (including intention to delay intercourse). Usability testing self-report measures included the System Usability Scale (SUS), adapted for use with an app and for teens, an open-ended question soliciting suggestions for improving usability, and a 5-item Like scale for assessing engagement. RESULTS Qualitative analyses of interviews, focus groups, and responses to open-ended questions supported multicultural content, and identified simple changes to improve engagement and learning. These changes were supported by quantitative findings from the pilot study school. Preliminary program effectiveness was supported by a significant pre-post difference in intention to delay sexual intercourse (P=.04). A SUS score of 76 (exceeding 68, industry standard) and a “liking” score of 3.2 on a 4-point scale (SD=.60) supported usability and appeal. CONCLUSIONS Our multi-step adaptation process resulted in a multicultural program that is now paired with an app with good usability and engagement properties. Pilot study findings provided preliminary support for program effectiveness. Modifications identified for the app will be addressed in building out of the app as we move toward commercialization and are expected to increase intervention potency. The resulting program is suitable for universal uptake due to its focus on sexual pressure resistance rather than abstinence or comprehensive sex education.

scholarly journals Mobile App to Help People With Chronic Illness Reflect on Their Strengths: Formative Evaluation and Usability Testing

10.2196/16831 ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. e16831 ◽  
Author(s):  
Olöf Birna Kristjansdottir ◽  
Elin Børøsund ◽  
Marianne Westeng ◽  
Cornelia Ruland ◽  
Una Stenberg ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Illness ◽  
Health Care Providers ◽  
Formative Evaluation ◽  
Usability Testing ◽  
Mobile App ◽  
Self Report ◽  
Care Providers ◽  
Personal Strengths ◽  
System Usability Scale

Background Supporting patient engagement and empowerment is increasingly seen as essential in providing person-centered health care to people with chronic illness. Mobile apps helping patients reflect on their concerns as preparation for consultations with their health care providers can have beneficial effects on the consultation quality. However, apps focusing on empowerment and personal strengths are still scarce. Objective This study aimed to (1) develop a mobile app to support patients with rheumatic diseases in reflecting on their strengths in preparation for consultations with health care providers and (2) explore patients’ perceived usability of the app in a nonclinical test setting. Methods A prototype app was developed based on input from patients and health care providers, as reported in previous studies. The app was designed for use in self-management support settings aiming to promote awareness of strengths and to focus attention on strengths in the patient-health care provider dialogue. The features included in the prototype were as follows: (1) introduction to the topic of strengths, (2) list of examples of strengths to promote reflection and registration of own strengths, (3) summary of registered strengths, (4) value-based goal setting, (5) linking of strengths to goals, (6) summary of all registrations, and (7) options to share summary digitally or as a print version. In this study, the app was refined through a formative evaluation with patients and health care providers recruited from a specialized rheumatology hospital unit. Patients’ perceptions of the app’s usability were explored in a test setting with self-report measurements and semistructured interviews. The interviews were audiotaped, transcribed, and analyzed with directed content analysis. Data from questionnaires were analyzed with descriptive statistics. Results Developmental and formative evaluation included 18 patients and 7 health care providers. The evaluation resulted in minor adjustments to the prototype but no major changes in features. The usability testing included 12 patients. All participants found the usability acceptable; the median score on the System Usability Scale was 86.3 (range 70-100). All reported that it was meaningful and relevant to use the app. Out of 12 participants, 9 (75%) reported becoming more aware of their own strengths by using the app; 1 (8%) disagreed and 2 (17%) provided a neutral response. The results on the goal-related feature were mixed, with half of the patients finding it useful to link strengths to concrete goals. A statistically significant positive change from pre- to postintervention was identified on measures of self-efficacy and negative emotions. Conclusions In this formative evaluation of a mobile app to promote patients’ reflections on their strengths, patients perceived the app as meaningful and supporting awareness. The results suggest the usefulness of building in functionality to support use of strengths and goal attainment. Further studies on efficacy and usability in a clinical setting, including health care providers, are needed.

scholarly journals Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study

2020 ◽  
Vol 27 (1) ◽  
pp. 107327482091720
Author(s):  
Jessica L. Krok-Schoen ◽  
Michelle J. Naughton ◽  
Anne M. Noonan ◽  
Janell Pisegna ◽  
Jennifer DeSalvo ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Pilot Study ◽  
Focus Groups ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Survivorship Care Plan ◽  
Survivorship Care ◽  
Care Providers ◽  
Term Care

The Commission on Cancer’s standard 3.3 represents a paradigm shift in the care of cancer survivors, recommending that survivors receive a treatment summary and survivorship care plan (SCPs). A focus on older breast cancer survivors is needed, as they are the majority of the breast cancer population and their experiences and perspectives of SCPs is limited in the literature. This pilot study utilized a mixed methods approach (focus groups and self-report questionnaire data) to gather information on older (≥65 years) breast cancer survivors’ perspectives of their SCPs, cancer survivorship, and communication with their health-care providers. The questionnaire was completed individually by the participants prior to the focus group and contained items on basic demographics and their health status following cancer treatment. The focus groups indicated that only a minority of women actually developed a SCP. Those who developed a SCP in collaboration with their providers valued the personal care and attention received. However, some participants reported poor communication with their providers and within their health-care team, resulting in frustration and confusion. Participants’ suggestions for ideal SCPs included better education and personalization, particularly in appropriate nutrition and exercise, and managing side effects and comorbidities. Lastly, the women believed that additional long-term care resources, such as health coaches, were important in improving their survivorship. These findings provide insight into enhancing the content, communication, and application of SCPs to improve the survivorship experience of older breast cancer survivors.

Evaluasi Usability pada Aplikasi Mobile ACC.ONE menggunakan System Usability Scale (SUS) dan Usability Testing

2021 ◽  
Vol 7 (1) ◽  
pp. 1-10
Author(s):  
Veni Manik ◽  
Clara Hetty Primasari ◽  
Yohanes Priadi Wibisono ◽  
Aloysius Bagas Pradipta Irianto
Keyword(s):  
Usability Testing ◽  
Low Grade ◽  
Percentile Rank ◽  
System Usability Scale ◽  
System Usability ◽  
Grade Scale

Perusahaan pembiayaan kendaraan mobil saat ini semakin banyak dan berkembang begitu pesat. Setiap perusahaan berusaha untuk menarik perhatian pelanggan dengan berbagai cara, terutama peningkatan teknologi untuk mendukung dan memudahkan proses kegiatan pembiayaan mobil. Perusahaan Astra Credit Company memanfaatkan teknologi dengan menyediakan aplikasi mobile acc.one yang dapat digunakan oleh pelanggan untuk membantu segala kegiatan proses pembiayaan mobil di Perusahaan ACC. Namun aplikasi ini terdapat beberapa masalah yang dapat diketahui dari ulasan pengguna di play store seperti aplikasi tiba-tiba error, aplikasi tidak dapat dibuka, fitur tidak berfungsi dengan semestinya, dll. Sehingga dilakukan pengujian aplikasi untuk mengetahui tingkat usability aplikasi dengan menggunakan metode system usability scale dan usability testing untuk mengetahui pengalaman pengguna. Hasil yang diperoleh tingkat usability aplikasi dengan tingkat kemudahan sebesar 73,33% yang masuk dalam kategori buruk, tingkat kecepatan pengguna sebesar 0,0467 goals/sec yang termasuk kategori normal, tingkat kesalahan pengguna sebesar 0,1230 total defect yang masuk dalam kategori kecil, dan tingkat kepuasan pengguna menggunakan kuesioner SUS memperoleh rerata SUS sebesar 54,45945946 yang artinya tingkat kepuasan pengguna rendah terhadap aplikasi berdasarkan penentuan nilai SUS yaitu Acceptability atau tingkat penerimaan penggunaan masuk dalam kategori marginal low, Grade Scale atau tingkat grade skala masuk dalam kategori F dan Adjective Rating masuk dalam kategori OK. Selain itu, pada SUS skor percentile rank masuk kedalam grade D.

scholarly journals Leveraging Electronic Tablets for General Pediatric Care

2015 ◽  
Vol 06 (01) ◽  
pp. 1-15 ◽  
Author(s):  
S. McKee ◽  
T.M. Dugan ◽  
S.M. Downs ◽  
V. Anand
Keyword(s):  
Decision Support ◽  
User Interface ◽  
Pilot Study ◽  
Clinical Decision Support ◽  
Clinical Decision ◽  
Self Report ◽  
Pediatric Care ◽  
Patient Questionnaire ◽  
Health Improvement ◽  
Completion Rates

SummaryBackground: We have previously shown that a scan-able paper based interface linked to a computerized clinical decision support system (CDSS) can effectively screen patients in pediatric waiting rooms and support the physician using evidence based care guidelines at the time of clinical encounter. However, the use of scan-able paper based interface has many inherent limitations including lacking real time communication with the CDSS and being prone to human and system errors. An electronic tablet based user interface can not only overcome these limitations, but may also support advanced functionality for clinical and research use. However, use of such devices for pediatric care is not well studied in clinical settings.Objective: In this pilot study, we enhance our pediatric CDSS with an electronic tablet based user interface and evaluate it for usability as well as for changes in patient questionnaire completion rates.Methods: Child Health Improvement through Computers Leveraging Electronic Tablets or CHICLET is an electronic tablet based user interface. It is developed to augment the existing scan-able paper interface to our CDSS. For the purposes of this study, we deployed CHICLET in one outpatient pediatric clinic. Usability factors for CHICLET were evaluated via caregiver and staff surveys.Results: When compared to the scan-able paper based interface, we observed an 18% increase or 30% relative increase in question completion rates using CHICLET. This difference was statistically significant. Caregivers and staff survey results were positive for using CHICLET in clinical environment.Conclusions: Electronic tablets are a viable interface for capturing patient self-report in pediatric waiting rooms. We further hypothesize that the use of electronic tablet based interfaces will drive advances in computerized clinical decision support and create opportunities for patient engagement.Citation: Anand V, McKee S, Dugan TM, Downs SM. Leveraging electronic tablets for general pediatric care – a pilot study. Appl Clin Inf 2015; 6: 1–15http://dx.doi.org/10.4338/ACI-2014-09-RA-0071

scholarly journals A pilot study of the Italian adaptation of the Session Evaluation Questionnaire fourth version

2017 ◽  
Vol 20 (2) ◽  
Author(s):  
Diego Rocco ◽  
Silvia Salcuni ◽  
Elena Antonelli
Keyword(s):  
Pilot Study ◽  
Convergent Validity ◽  
Self Report ◽  
Dimensional Structure ◽  
Italian Population ◽  
Evaluation Questionnaire ◽  
Perceived Satisfaction ◽  
Clinical Session ◽  
Session Evaluation ◽  
The Impact

The Session Evaluation Questionnaire (SEQ) measures the impact of counselling and psychotherapy sessions; it may be conceived as a bridge between psychotherapy process and outcome. Even if the original American SEQ has been translated into many languages, only a few translations have been validated. This is a pilot study that attempted to replicate the five-dimensional structure of the fourth version of the Anglo-American SEQ, for the Italian population. The SEQ is a self-report tool asking patients about their experience with the clinical session just ended; it consists of 27 adjectives in semantic differential scale, divided into three thematic parts: evaluation of the session itself, feelings after the session, and evaluation of the therapist. Data were collected on 111 outpatients attending the Dynamic Psychological Service for University Students, after their first two clinical interviews. Exploratory factor analyses were performed on each of the three parts of the SEQ. Results confirmed the original factorial structure, for Depth, Smoothness, Positivity and Arousal dimensions; Good Therapist dimension overlapped perfectly with the original one. The Italian SEQ showed adequate internal consistency. Convergent validity measured with an index of perceived satisfaction in the counselling process showed significant positive correlations. This pilot study showed that the Italian SEQ is a reliable instrument to measure the impact of clinical sessions. Validation studies are needed, especially to replicate the factor structure of the instrument and to better assess its validity.

scholarly journals Genotoxicity in Patients on Long-term Proton Pump Inhibitor Therapy in Korea: A Nested Case-control, Prospective, Pilot Study

2020 ◽  
Vol 20 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Youn I Choi ◽  
Jun-Won Chung ◽  
Dong Kyun Park ◽  
Kyoung Oh Kim ◽  
Kwang An Kwon ◽  
...  
Keyword(s):  
Pilot Study ◽  
Medical History ◽  
Proton Pump ◽  
Serum Levels ◽  
Self Report ◽  
Healthy Controls ◽  
Control Subjects ◽  
Increased Risk ◽  
Healthy Control

Background/Aims: Although proton pump inhibitors (PPIs) remain a mainstay for the suppression of gastric acid secretion, long-term PPI use is associated with side effects. However, the genotoxicity associated with long-term PPI use is unclear.Materials and Methods: This prospective observational pilot study enrolled patients who had been on PPIs for >1 year and healthy controls from July 2015 to August 2016. The subjects completed self-report questionnaires pertaining to their drug and medical history, and only those with no medical history and a ≥2-year wash-out period (for drugs other than PPIs) were included. We collected peripheral-blood lymphocytes from long-term PPI users and healthy controls and analyzed the genotoxicity by using the cytokinesis-block micronucleus cytome assay; we also determined the fasting serum levels of pyridoxine, folate, cobalamin, and homocysteine.Results: Ten long-term PPI users and 40 healthy control subjects were enrolled. The median serum pyridoxine, folate, cobalamin, and homocysteine levels were not significantly different between the groups. The median frequencies of micronuclei (MNi), nucleoplasmic bridges (NPBs), and nuclear buds (Nbuds) per 1,000 binucleated cells, in long-term PPI users and healthy controls, were 30.3 and 16.3 (<i>P</i><0.005), 2.5 and 1.8 (<i>P</i><0.005), and 9.3 and 5.0 (<i>P</i><0.005), respectively. Even after adjustment for confounding factors, the OR of the MNi, NPBs, and Nbuds for long-term PPI users compared with healthy control subjects were 14.1 (<i>P</i><0.001), 2.0 (<i>P</i>=0.001), and 1.3 (<i>P</i>=0.3), respectively.Conclusions: Long-term PPI use was significantly associated with an increased risk of genotoxicity after adjustment for age, sex, body mass index, medical history, drug history, and the serum levels of vitamins.

scholarly journals Implantable Cardioverter Defibrillator mHealth App for Physician Referrals and eHealth Education: ICD-TEACH Pilot Study (Preprint)

2018 ◽  
Author(s):  
Sumeet Gandhi ◽  
Carlos A Morillo ◽  
Jon-David Schwalm
Keyword(s):  
Decision Support ◽  
Pilot Study ◽  
Implantable Cardioverter Defibrillator ◽  
Smartphone App ◽  
Physician Survey ◽  
Cardioverter Defibrillator ◽  
Feasibility Assessment ◽  
Physician Decision Support ◽  
System Usability Scale ◽  
Direct Referral

BACKGROUND Mobile health (mHealth) decision tools for implantable cardioverter defibrillator may increase physician knowledge and overall patient care. OBJECTIVE The goals of the ICD-TEACH pilot study were to design a smartphone app or mHealth technology with a novel physician decision support algorithm, implement a direct referral mechanism for device implantation from the app, and assess its overall usability and feasibility with physicians involved in the care of patients with an implantable cardioverter defibrillator. METHODS The initial design and development of the mHealth or smartphone app included strategic collaboration from an information technology company and key stakeholders including arrhythmia specialists (electrophysiologists), general cardiologists, and key members of the hospital administrative team. A convenience sampling method was used to recruit general internists or cardiologists that refer to our local tertiary care center. Physicians were asked to incorporate the mHealth app in daily clinical practice and avail the decision support algorithm and direct referral feature to the arrhythmia clinic. Feasibility assessment, in the form of a physician survey, was conducted after initial mHealth app use (within 3 months) addressing the physicians’ overall satisfaction with the app, compliance, and reason for noncompliance; usability assessment of the mHealth app was addressed in the physician survey for technical or hardware problems encountered while using the app and suggestions on improvement. RESULTS A total of 17 physicians agreed to participate in the pilot study with 100% poststudy survey response rate. Physicians worked in an academic practice, which included both inpatient and ambulatory care. System Usability Scale was applied with an average score of 77 including the 17 participants (>68 points is above average). Regarding the novel physician decision support algorithm for implantable cardioverter defibrillator referral, 11% (1/9) strongly agreed and 78% (7/9) agreed that the algorithm for device eligibility was easy to use. Only 1 patient was referred through the direct referral system via the mHealth app during the pilot study of 3 months. Feasibility assessment showed that 46% (5/11) strongly agreed and 55% (6/11) agreed that the mHealth app would be utilized if integrated into an electronic medical record (EMR) where data are automatically sent to the referring arrhythmia clinic. CONCLUSIONS The ICD-TEACH pilot study revealed high usability features of a physician decision support algorithm; however, we received only 1 direct referral through our app despite supportive feedback. A specific reason from our physician survey included the lack of integration into an EMR. Future studies should continue to systematically evaluate smartphone apps in cardiology to assess usability, feasibility, and strategies to integrate into daily workflow.

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