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Designing and Developing an eHealth Program for Patients With Persistent Physical Symptoms: Usability Study.

Oliver Rønn Christensen1, Leonora Hedegaard2, Mette Trøllund Rask1

  • 1Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Aarhus N, Denmark.

JMIR Human Factors
|February 8, 2023
PubMed
Summary
This summary is machine-generated.

This study evaluated the "My Symptoms" self-help program for persistent physical symptoms. User testing revealed usability issues in functionality and navigation, guiding improvements for better digital symptom management.

Keywords:
digital healtheHealthmedically unexplained symptompersistent physical symptompersistent symptomphysical symptomself-managementsymptom managementthink aloudthinking aloudunexplained symptomunguidedusability

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Area of Science:

  • Digital health interventions
  • Human-computer interaction
  • Primary care medicine

Background:

  • Persistent physical symptoms significantly impact patient functioning and incur high healthcare costs.
  • There is a critical need for innovative interventions addressing both patient needs and healthcare system constraints.
  • Developing accessible self-help tools is crucial for managing complex symptom presentations.

Purpose of the Study:

  • To assess the usability of the unguided, self-help digital program "My Symptoms."
  • To identify areas for improvement in symptom management tools for patients and general practitioners.
  • To explore the translation of therapeutic knowledge into a digital format.

Main Methods:

  • Web-based thinking-aloud interviews were conducted with 11 users (4 patients, 7 laypeople).
  • Users performed predefined tasks within the "My Symptoms" program.
  • Thematic analysis categorized usability issues, cross-referenced with general usability heuristics.

Main Results:

  • Key usability challenges were identified in program functionality, navigation, and content.
  • The study highlighted how therapeutic knowledge can be lost during digital translation.
  • User testing revealed the critical role of digital elements and navigation in accessing treatment.

Conclusions:

  • Patients and laypeople identified crucial usability issues in program functionality, navigation, and content.
  • Findings will inform program redesign to enhance therapeutic value and accessibility.
  • The study underscores the importance of user feedback in optimizing digital health tools.