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Usability and User Experience Testing of a Co-Designed Electronic Patient-Reported Outcomes App ("MyPal for Adults")
Panos Bonotis1,2, Pantelis Angelidis2, Pantelis Natsiavas1
1Institute of Applied Biosciences, Centre for Research and Technology Hellas, 6th km Charilaou-Thermi Road, Thessaloniki, 57001, Greece, 30 2310257606.
JMIR Human Factors
|April 25, 2025
Summary
The MyPal mobile app offers valuable palliative care support for cancer patients, demonstrating satisfactory usability and a positive user experience. This study highlights the importance of user-centered design for improving digital health tools in cancer care.
Area of Science:
- Digital Health
- Oncology
- Palliative Care
Background:
- Mobile health technologies can improve cancer patient management and quality of life.
- The MyPal project utilizes participatory design to create an eHealth platform for palliative care support.
- This platform focuses on electronic patient-reported outcomes for cancer patients.
Purpose of the Study:
- To evaluate the usability and user experience of the "MyPal for adults" mobile application.
- To assess the app's effectiveness in supporting adults with cancer undergoing palliative care.
- To gather user feedback for iterative improvement of the co-designed palliative care app.
Main Methods:
- A 4-step usability study involving representative users and a "think-aloud" protocol.
- Quantitative feedback collected via System Usability Scale, User Experience Questionnaire, and Post-Study System Usability Questionnaire.
- Qualitative data gathered through feature satisfaction surveys, perceived difficulty, design impression surveys, and interviews, analyzed using the ISO 9241-210 framework.
Main Results:
- All participants found the intervention content useful, reporting satisfactory usability.
- High scores were achieved on the Post-Study System Usability Questionnaire (mean 2.458) and System Usability Scale (68.9).
- All aspects of the User Experience Questionnaire exceeded usability benchmarks, though 43 usability issues related to effectiveness and efficiency were identified.
Conclusions:
- The "MyPal for adults" app demonstrates a user-friendly interface and positive patient experiences in palliative care.
- Usability evaluation identified real-world issues, enabling iterative design improvements for the eHealth platform.
- The study underscores the need for enhanced mobile health usability to improve digital palliative care delivery.

