Usability, acceptability, and feasibility of the Implementation of Infant Pain Practice Change (ImPaC) Resource

Abstract

The Implementation of Infant Pain Practice (ImPaC) Resource is an eHealth tool designed to support infant pain practice change and ultimately enhance pain outcomes. The aim of this study was to determine users' perspectives on usability, acceptability, and feasibility of the ImPaC Resource. A descriptive prospective mixed‐methods quality improvement study was conducted at a pediatric hospital in Canada. Individual “think aloud” interviews were conducted in a nonclinical environment (Phase A); “near live” testing was conducted while users interacted with the Resource in clinical setting (Phase B); individual “think‐aloud” interviews were conducted in a nonclinical environment (Phase C). Outcomes included usability (System Usability Scale—SUS), acceptability (Acceptability E‐Scale—AES), and feasibility. Interview transcripts were coded per a priori themes using deductive content analysis to create a structured categorization matrix. In Phase A, 10 clinicians interacted with the Resource in individual sessions. Median SUS score was 73.75 (range 52.5‐92.5). In Phase B, four clinicians implemented the Resource in the neonatal intensive care unit (NICU) over 4 months. Median SUS score was 85 (82.5‐92.5), and median AES score was 24 (21‐24). In Phase C, an enhanced prototype was produced, and the same users from Phase B navigated the Resource in individual sessions. Median SUS score was 88.75 (85‐95), and median AES score was 27.5 (25‐29). Users considered the Resource as feasible for implementation, easy to navigate, engaging, intuitive, comprehensive, and evidence‐based. Users highlighted the potential transferability of the Resource to other contexts and settings. The enhanced version of the ImPaC Resource was usable, acceptable, feasible, and met users' expectations and requirements. Results lead the way for evaluation of the Resource in a nationwide cluster randomized trial including 18 NICUs. This knowledge‐rich platform is expected to enhance infant pain practices and outcomes in diverse clinical settings.

An Integrative Review on the Feasibility and Acceptability of Delivering an Online Training and Mentoring Module to Volunteers Working in Community Organizations

“…Feasibility promoting factors were defined as factors that enable success of a program through compatibility with available resources (21)(22)(23)(24)(25) and included topic relevancy, preventing attrition/promoting engagement of volunteers, and a leadership/mentorship component.…”

“…Furthermore, gauging feasibility before launching a new program is essential for identifying and planning to address logistical challenges (17). Perhaps most importantly, assessing feasibility can help ensure the program is compatible with the available resources of those who intend to implement the training (21)(22)(23)(24)(25). Feasibility is an important aspect to measure given the limited resources most community-based organizations have available.…”

Special issue on knowledge mobilization: Neonatal pain

“…The team reports a very large number of views, and 930 completed surveys, highlighting the huge potential of conducting knowledge mobilization research using nontraditional research methods. Finally, Bueno, Stevens, and the large ImPaC (Implementation of Infant Pain Practice Change) team's paper reports on the usability, acceptability, and feasibility testing of an online resource, targeted at clinicians, in a NICU in Canada 9 . This resource is now being used as the intervention in a nationwide cluster randomized trial including 18 NICUs in Canada.…”

“…The four papers in this special neonatal edition (Part 1) highlight how evidence about effective neonatal pain management can be mobilized via interprofessional interventions and social media. 6 , 7 , 8 , 9 Firstly, Balice‐Bourgois and her team report on the processes of developing a theoretically informed interprofessional intervention aimed at improving procedural pain management in a NICU in Switzerland. 6 The content of the proposed intervention was then evaluated and approved by a panel of experts, healthcare providers, and parents.…”

“…Finally, Bueno, Stevens, and the large ImPaC (Implementation of Infant Pain Practice Change) team's paper reports on the usability, acceptability, and feasibility testing of an online resource, targeted at clinicians, in a NICU in Canada. 9 This resource is now being used as the intervention in a nationwide cluster randomized trial including 18 NICUs in Canada.…”