Monitored Home-based Exercise Rehabilitation for Patient with Chronic Respiratory and Cardiovascular Diseases During Covid-19 Pandemic: A Case Report

Nazir, Arnengsih; Moeliono, Marina Annette

doi:10.36803/ijpmr.v9i2.300

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…This approach aims to train and enhance pulmonary capacity, thereby extending life expectancy [20,26]. To ensure that home-based pulmonary exercise rehabilitation meets clinical requirements, digital health (e-health) tools are considered potential aids in the treatment of chronic diseases, given their facilitation in self-managing their condition [27,28]. Simultaneously, these tools can provide real-time assistance to patients, caregivers, and healthcare professionals in achieving the vision of individual disease management and monitoring [29,30].…”

Section: Introductionmentioning

confidence: 99%

Mobile App for Patients With Chronic Obstructive Pulmonary Diseases During Home-Based Exercise Care: Usability Study (Preprint)

Chien

2024

Preprint

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BACKGROUND Digital health tools have demonstrated promise for treating and self-managing chronic diseases while also serving as an important medium for reducing the workload of healthcare professionals and enhancing quality of care. However, these tools often merely undergo large-scale testing or enter the market without undergoing rigorous user experience analysis in the early stages of development, leading to frequent instances of low usage or failure. OBJECTIVE This study aimed to assess the usability of and satisfaction with a mobile app designed for the clinical monitoring of patients with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation at home. METHODS This study employed a mixed methods approach, focusing on two key stakeholders - patients and healthcare professionals - with direct involvement in three phases: (i) design of mobile app mockups, (ii) development of a usability test for the two groups, and (iii) evaluation of satisfaction regarding the usability of the app. Participants were selected through non-probability convenience sampling and divided into two groups: healthcare professionals (n = 12) and patients (n = 18). Each participant was provided with a tablet containing mockup designs, and usability tests were conducted through interviews. Audio recordings of the participants were transcribed anonymously and analyzed using NVivo12.0 software, with the focus being on mockup characteristics and usability test fragments. Task difficulty was assessed on a scale from 1 (very easy) to 5 (very difficult); task non-completion was considered a critical mistake. Satisfaction with usability testing was evaluated using a 5-point Likert scale ranging from 1 (totally disagree) to 5 (totally agree). RESULTS Perceptions of app difficulty varied significantly between the two groups of participants; while 66.7% of healthcare professionals described most tasks as "very easy", only 22.2% of patients thought this was the case. Note that no participants made critical mistakes or withdrew from the experiment during the trial. In terms of usability variables, both groups reported high satisfaction levels. On average, the healthcare professionals completed their assigned tasks in approximately 20 minutes, whereas the patients required around 30 minutes to complete the patient-specific tasks. CONCLUSIONS For most healthcare professionals, the application was intuitive and easy to use; however, for most patients, operating the app alone and navigating tablet interfaces were challenging. Nevertheless, both groups reported high satisfaction levels in usability surveys. The patients expressed willingness to learn and would recommend the app to others. These positive usability evaluation outcomes, derived from satisfaction surveys and qualitative data analysis, contribute to a deeper understanding of the usage patterns of mobile healthcare applications. Additionally, with design adjustments, these applications have the potential for enhanced utilization in home care settings. CLINICALTRIAL IRB NO. 202200070B0

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Section: Introductionmentioning

confidence: 99%

Mobile App for Patients With Chronic Obstructive Pulmonary Diseases During Home-Based Exercise Care: Usability Study (Preprint)

Chien

2024

Preprint

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Mobile App for Patients With Chronic Obstructive Pulmonary Diseases During Home-Based Exercise Care: Usability Study

Chien

2024

JMIR Hum Factors

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Background Digital health tools have demonstrated promise in the treatment and self-management of chronic diseases while also serving as an important means for reducing the workload of health care professionals (HCPs) and enhancing the quality of care. However, these tools often merely undergo large-scale testing or enter the market without undergoing rigorous user experience analysis in the early stages of their development, leading to frequent instances of low use or failure. Objective This study aims to assess the usability of and satisfaction with a mobile app designed for the clinical monitoring of patients with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation at home. Methods This study used a mixed methods approach involving two key stakeholders—patients with chronic obstructive pulmonary disease and HCPs—across three phases: (1) mobile app mock-up design, (2) usability testing, and (3) satisfaction evaluation. Using convenience sampling, participants were grouped as HCPs (n=12) and patients (n=18). Each received a tablet with mock-ups for usability testing through interviews, with audio recordings transcribed and analyzed anonymously in NVivo12.0, focusing on mock-up features and usability insights. Task difficulty was rated from 1 (very easy) to 5 (very difficult), with noncompletion deemed a critical error. Usability satisfaction was measured on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). Results The research indicated a notable difference in app usability perceptions: 66% (8/12) of HCPs found tasks “very easy,” compared to only 22% (4/18) of patients. Despite this, no participant made critical errors or withdrew, and satisfaction was high. HCPs completed tasks in about 20 minutes, while patients took 30. Older adults faced challenges with touch screens and scroll menus, suggesting the need for intuitive design aids like auditory support and visual health progress indicators, such as graphs. HCPs noted potential data delays affecting service, while non–native-speaking caregivers faced interpretation challenges. A secure pairing system for privacy in teleconsultations proved difficult for older users; a simpler icon-based system is recommended. This study highlights the need to consider stakeholder abilities in medical app design to enhance function implementation. Conclusions Most HCPs (11/12, 91%) found the app intuitive, though they recommended adding icons to show patient progress to support clinical decisions. In contrast, 62% (11/18) of patients struggled with tablet navigation, especially with connectivity features. To ensure equitable access, the design should accommodate older users with diverse abilities. Despite challenges, both groups reported high satisfaction, with patients expressing a willingness to learn and recommending the app. These positive usability evaluations suggest that, with design improvements, such apps could see increased use in home-based care.

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Monitored Home-based Exercise Rehabilitation for Patient with Chronic Respiratory and Cardiovascular Diseases During Covid-19 Pandemic: A Case Report

Cited by 2 publications

References 22 publications

Mobile App for Patients With Chronic Obstructive Pulmonary Diseases During Home-Based Exercise Care: Usability Study (Preprint)

Mobile App for Patients With Chronic Obstructive Pulmonary Diseases During Home-Based Exercise Care: Usability Study (Preprint)

Mobile App for Patients With Chronic Obstructive Pulmonary Diseases During Home-Based Exercise Care: Usability Study

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