Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people

This study aimed to evaluate the usability (ease of use) and utility (impact on user’s decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of maki...

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Main Authors: Lee, Yew Kong, Lee, Ping Yein, Ng, Chirk Jenn, Teo, Chin Hai, Abu Bakar, Ahmad Ihsan, Abdullah, Khatijah Lim, Khoo, Ee Ming, Hanafi, Nik Sherina, Low, Wah Yun, Chiew, Thiam Kian
Format: Article
Published: Taylor & Francis 2018
Subjects:
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author Lee, Yew Kong
Lee, Ping Yein
Ng, Chirk Jenn
Teo, Chin Hai
Abu Bakar, Ahmad Ihsan
Abdullah, Khatijah Lim
Khoo, Ee Ming
Hanafi, Nik Sherina
Low, Wah Yun
Chiew, Thiam Kian
author_facet Lee, Yew Kong
Lee, Ping Yein
Ng, Chirk Jenn
Teo, Chin Hai
Abu Bakar, Ahmad Ihsan
Abdullah, Khatijah Lim
Khoo, Ee Ming
Hanafi, Nik Sherina
Low, Wah Yun
Chiew, Thiam Kian
author_sort Lee, Yew Kong
collection UM
description This study aimed to evaluate the usability (ease of use) and utility (impact on user’s decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of making a decision about starting insulin from a tertiary teaching hospital in Malaysia in 2014. Computer screen recording software was used to record the website browsing session and in-depth interviews were conducted while playing back the website recording. The interviews were analyzed using the framework approach to identify usability and utility issues. Three cycles of iteration were conducted until no more major issues emerged. Thirteen patients participated: median age 65 years old, 10 men, and nine had secondary education/diploma, four were graduates/had postgraduate degree. Four usability issues were identified (navigation between pages and sections, a layout with open display, simple language, and equipment preferences). For utility, participants commented that the website influenced their decision about insulin in three ways: it had provided information about insulin, it helped them deliberate choices using the option-attribute matrix, and it allowed them to involve others in their decision making by sharing the PDA summary printout.
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spelling um.eprints-214942019-06-17T08:31:26Z http://eprints.um.edu.my/21494/ Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people Lee, Yew Kong Lee, Ping Yein Ng, Chirk Jenn Teo, Chin Hai Abu Bakar, Ahmad Ihsan Abdullah, Khatijah Lim Khoo, Ee Ming Hanafi, Nik Sherina Low, Wah Yun Chiew, Thiam Kian QA76 Computer software R Medicine This study aimed to evaluate the usability (ease of use) and utility (impact on user’s decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of making a decision about starting insulin from a tertiary teaching hospital in Malaysia in 2014. Computer screen recording software was used to record the website browsing session and in-depth interviews were conducted while playing back the website recording. The interviews were analyzed using the framework approach to identify usability and utility issues. Three cycles of iteration were conducted until no more major issues emerged. Thirteen patients participated: median age 65 years old, 10 men, and nine had secondary education/diploma, four were graduates/had postgraduate degree. Four usability issues were identified (navigation between pages and sections, a layout with open display, simple language, and equipment preferences). For utility, participants commented that the website influenced their decision about insulin in three ways: it had provided information about insulin, it helped them deliberate choices using the option-attribute matrix, and it allowed them to involve others in their decision making by sharing the PDA summary printout. Taylor & Francis 2018 Article PeerReviewed Lee, Yew Kong and Lee, Ping Yein and Ng, Chirk Jenn and Teo, Chin Hai and Abu Bakar, Ahmad Ihsan and Abdullah, Khatijah Lim and Khoo, Ee Ming and Hanafi, Nik Sherina and Low, Wah Yun and Chiew, Thiam Kian (2018) Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people. Informatics for Health and Social Care, 43 (1). pp. 73-83. ISSN 1753-8157, DOI https://doi.org/10.1080/17538157.2016.1269108 <https://doi.org/10.1080/17538157.2016.1269108>. https://doi.org/10.1080/17538157.2016.1269108 doi:10.1080/17538157.2016.1269108
spellingShingle QA76 Computer software
R Medicine
Lee, Yew Kong
Lee, Ping Yein
Ng, Chirk Jenn
Teo, Chin Hai
Abu Bakar, Ahmad Ihsan
Abdullah, Khatijah Lim
Khoo, Ee Ming
Hanafi, Nik Sherina
Low, Wah Yun
Chiew, Thiam Kian
Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people
title Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people
title_full Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people
title_fullStr Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people
title_full_unstemmed Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people
title_short Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people
title_sort usability and utility evaluation of the web based should i start insulin patient decision aid for patients with type 2 diabetes among older people
topic QA76 Computer software
R Medicine
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