Accessibility needs and challenges of a mHealth system for patients with dexterity impairments

Yu, Daihua X.; Parmanto, Bambang; Dicianno, Brad E.; Watzlaf, Valerie J.M.; Seelman, Katherine D.

doi:10.3109/17483107.2015.1063171

Cited by 36 publications

(54 citation statements)

References 22 publications

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“…Standard deviations were calculated to reveal any possible dispersion patterns. The results from the previous evaluation study of the originally designed iMHere app [15] were used here for comparison.…”

Section: Discussionmentioning

confidence: 99%

“…Inclusion criteria were as follows: users must have participated in the prior usability study [15], be between the ages of 18-55, have dexterity issues in the fingers or hands, have active or past history of skin breakdown from using a wheelchair or having insensate areas of skin, and taking at least one prescription or nonprescription medication. Exclusion criteria were as follows: having any problem in vision, hearing, or conversation that completely precluded the use of a mobile phone.…”

Section: Usability Study Methodsmentioning

confidence: 99%

“…All participants were asked to provide informed consent. Nine participants (100%) from the prior evaluation study [15] were enrolled. All of these individuals can be classified as experienced participants, but had abstained from using the iMHere app for more than four months before participating in this study.…”

Section: Usability Study Methodsmentioning

confidence: 99%

“…Our prior work [15] revealed that the personalized user interface (UI) design may improve accessibility. This work also generated a list of design requirements for the next iteration of the software.…”

Section: Figure 1 Architecture Of Imhere Systemmentioning

confidence: 99%

“…In general, users expressed a desire to have a simpler app that is easy to understand and physically use [15,16]. Because an mHealth app is a user's data point of input (POI), such accessibility is essential for users in performing their self-managementrelated activities and reporting/communicating with their clinicians.…”

Section: Figure 1 Architecture Of Imhere Systemmentioning

confidence: 99%

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An mHealth App for Users with Dexterity Impairments: Accessibility Study (Preprint)

Yu¹,

Parmanto²,

Dicianno³

2018

Preprint

Self Cite

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Background: A mobile health system called iMHere (interactive Mobile Health and Rehabilitation) was developed to support individuals with chronic conditions and disability in their self-management regimens. The initial design of iMHere, however, lacked sufficient accessibility for users with a myriad of dexterity impairments. The accessibility of self-management apps is essential in ensuring usability. Objective: This study aims to increase the usability of the iMHere system for users with dexterity impairments by increasing the app's accessibility. Methods: We targeted accessibility redesign by focusing on the physical presentation and the navigability of the iMHere apps. Six participants presenting with dexterity impairments were included in the usability study of the original and redesigned apps. Results: We report a trend toward a lower number of touches needed to complete tasks (p=0.088) and time to complete individual tasks (p=0.057) in the redesigned app compared to the original app. Significantly lower time for users to complete all tasks (p=0.006) and significantly lower error rate (p=0.013) was seen with use of the redesigned app compared to the original app. In fact, no errors occurred with use of the redesigned app. Participant-reported overall average usability of the redesigned app (p=0.007) and usability of individual modules (p<0.001) were significantly higher than that of the original app due mostly to better ease of use and learnability, interface quality, and reliability. Conclusion: Improved usability was achieved with the use of a redesigned app. This study offers insight regarding the importance of personalization in enhancing accessibility and also identifies strategies for improving usability in app development.

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Section: Discussionmentioning

confidence: 99%

Section: Usability Study Methodsmentioning

confidence: 99%

Section: Usability Study Methodsmentioning

confidence: 99%

Section: Figure 1 Architecture Of Imhere Systemmentioning

confidence: 99%

Section: Figure 1 Architecture Of Imhere Systemmentioning

confidence: 99%

See 3 more Smart Citations

An mHealth App for Users with Dexterity Impairments: Accessibility Study (Preprint)

Yu¹,

Parmanto²,

Dicianno³

2018

Preprint

Self Cite

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Unerwünschte Effekte digitaler Gesundheitstechnologien: Eine Public-Health-Perspektive

Schüz

Urban

2020

Bundesgesundheitsbl

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Satisfaction with new patient telehealth visits for reproductive endocrinology patients in the era of COVID-19

Anderson

Coskun

Jimenez

et al. 2022

J Assist Reprod Genet

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Purpose To study patient satisfaction with new patient telehealth visits in a reproductive endocrinology and infertility (REI) office. Methods A cross-sectional study in a university-based fertility clinic was completed including all new patients seen via telehealth between March 1, 2021, and August 19, 2021. Primary outcomes were perceived patient satisfaction, access, and preferences to telehealth visits. Results A total of 351 participants were contacted, 61.8% (n = 217) agreed to participate in the study, and 28.8% (n = 101) completed the survey. There were no significant differences in age, BMI, distance from clinic, or length of infertility with response to survey. Ninety-three percent of responders would use telehealth services again and were satisfied with the telehealth system. Telehealth improved access to healthcare for 88% and travel time for 96%. The median distance from clinic was 24 miles, and there was no significance difference in preference for telehealth visits over in person visits (p = 0.696). Conclusions In the era of COVID-19, healthcare implementation has dramatically changed with a drastic increase in telehealth services. Based on our survey, majority of patients were satisfied with telehealth visits and believed it saved travel time while improving access to REI care. Despite no differences in patient preference for in person versus telehealth depending on their distance from clinic, this is reassuring because patients are satisfied with telehealth for reasons other than distance from clinic.

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Accessibility needs and challenges of a mHealth system for patients with dexterity impairments

Cited by 36 publications

References 22 publications

An mHealth App for Users with Dexterity Impairments: Accessibility Study (Preprint)

An mHealth App for Users with Dexterity Impairments: Accessibility Study (Preprint)

Unerwünschte Effekte digitaler Gesundheitstechnologien: Eine Public-Health-Perspektive

Satisfaction with new patient telehealth visits for reproductive endocrinology patients in the era of COVID-19

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