Development of a mHealth Real-Time Pain Self-Management App for Adolescents With Cancer: An Iterative Usability Testing Study

被引：71

作者：

Jibb, Lindsay A. ^{[1
,7
]}

Cafazzo, Joseph A. ^{[7
,8
]}

Nathan, Paul C. ^{[2
,7
]}

Seto, Emily ^{[7
,9
]}

Stevens, Bonnie J. ^{[3
,7
]}

Nguyen, Cynthia ^{[4
]}

Stinson, Jennifer N. ^{[5
,6
,7
]}

机构：

[1] Hosp Sick Children, Div Haematol Oncol, Toronto, ON, Canada

[2] Hosp Sick Children, Div Haematol Oncol, Aftercare Program, Toronto, ON, Canada

[3] Hosp Sick Children, Nursing Res, Toronto, ON, Canada

[4] Hosp Sick Children, Dept Child Hlth Evaluat Sci, Toronto, ON, Canada

[5] Hosp Sick Children, Child Hlth, Toronto, ON, Canada

[6] Hosp Sick Children, Dept Anesthesia & Pain Med, Toronto, ON, Canada

[7] Univ Toronto, Toronto, ON, Canada

[8] Univ Hlth Network, Ctr Global EHlth Innovat, Toronto, ON, Canada

[9] Univ Hlth Network, Toronto, ON, Canada

来源：

JOURNAL OF PEDIATRIC ONCOLOGY NURSING | 2017年 / 34卷 / 04期

关键词：

adolescent with cancer; pain self-management; mHealth; smartphone; usability; PEDIATRIC ONCOLOGY PATIENTS; QUALITY-OF-LIFE; SYMPTOM OCCURRENCE; MYELOSUPPRESSIVE CHEMOTHERAPY; CHILDREN; PARENTS; HEALTH; INTERVENTIONS; DISTRESS; FEASIBILITY;

D O I：

10.1177/1043454217697022

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose: A user-centered design approach was used to refine the mHealth Pain Squad+ real-time pain self-management app for adolescents with cancer for its usability (defined as being easy to use, easy to understand, efficient to complete, and acceptable). Method: Three iterative usability testing cycles involving adolescent observation and interview were used to achieve this objective. During each cycle, adolescents used the app while thinking aloud about issues encountered. Observed difficulties and errors were recorded and a semistructured interview about the experience was conducted. Using a qualitative conventional content analysis approach, themes related to app usability were identified. Results: Participants required an average of 4.3 minutes to complete the pain assessment component of Pain Squad+. Overall, the app was acceptable. Problematic issues related to software malfunction, interface design flaws, and confusing text. Software revisions were made to address each issue. Conclusion: The multifaceted usability approach used provided insight into how a real-time app can be made acceptable to adolescents with cancer and succeeded in developing a Pain Squad+ app that is fit for future effectiveness testing.

引用

页码：283 / 294

页数：12

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