Related Experiment Video
Updated: May 16, 2026

A Vibrotactile Feedback Device for Seated Balance Assessment and Training
Published on: January 20, 2019
Balance appointment information leaflets: employing performance-based user-testing to improve understanding
Ruth E Brooke1, Nicholas C Herbert, Sarah Isherwood
1School of Healthcare, University of Leeds, UK. r.e.brooke@leeds.ac.uk
Objective:
To use performance-based user-testing to evaluate the effectiveness of balance appointment patient information leaflets (PILs) in conveying important information.
Design:
The study used a sequential groups design. Twenty participants were asked to find and demonstrate understanding of 11 key points of information contained within two NHS leaflets, A and B (10 participants each), through individual structured-interviews. Participants' views of the leaflets were explored through a short semi-structured interview. Following analysis, a revised leaflet was developed and tested on a further 20 participants.
Study Sample:
40 participants (25F/15M, aged 46-72) with no experience of balance problems or balance assessment appointments.
Results:
Participants exhibited difficulties with finding and/or understanding 5/11 and 6/11 points of information within leaflets A and B, respectively. Five out of eleven points of the revised leaflet also posed problems. Ten out of eleven points were understood by > 90% of participants testing the revised leaflet compared with 6/11 points for leaflets A and B.
Conclusions:
Some balance appointment PILs contain information which is difficult to find and/or understand for some readers. PILs should be evaluated prior to use using performance-based methods, since poor information provision may lead to increased patient anxiety and appointment non-attendance, cancellation, or postponement.
