Usability evaluation of the Computer-Based Health Evaluation System (CHES) eDiary for patients with faecal incontinence: a pilot study

Abstract

Background Faecal incontinence (FI) is prevalent in 15–20% of elderly individuals and is frequently monitored in clinical trials and practice. Bowel diaries are the most common way to document FI, but, in clinical practice, are mainly used as paper-based versions. Electronic diaries (eDiaries) offer many potential benefits over paper-based diaries. The aim of this study was to develop and test an eDiary to document FI. Methods We migrated a paper FI diary to an eDiary app based on the Computer-based Health Evaluation System (CHES). To assess usability, we conducted functionality and usability tests at two time points in a sample of patients with FI. In the first assessment, the eDiary functionalities were tested, patients completed the System Usability Scale (SUS, range 0–100) and compared the paper diary with the eDiary. We set a threshold for minimum acceptable average usability at 70 points. Patients were then instructed to use the eDiary for 2 days at home and contacted to report on their usage and completed the SUS a second time. Results We recruited a sample of N = 14 patients to use the eDiary. All patients were able to use all functionalities of the eDiary and only a few patients with lower technological literacy or access to devices (n = 3) needed initial assistance. The mean usability rating given at the first time point was high with 88 points (SD 18, 95% CI 78.2–96.8) and most patients (n = 10) reported they would prefer the eDiary over the paper-based version. Nine patients (n = 9) participated in the follow-up assessment and the mean SUS rating at the second time point was 97 points (SD 7, 95% CI 92.8–100). Conclusion The eDiary showed excellent usability scores for the assessment of FI at both assessments. Generally, patients preferred the eDiary over the paper-based version. We recommend the eDiary for usage with patients who own and use a smartphone and discuss potential solutions for patients with lower technological literacy or access.

Pemanfaatan Algoritma Saw Pada Sistem Penunjang Keputusan Untuk Penentuan Strategi Belajar Pada Adaptive Learning

“…Untuk pertanyaan bernomor ganjil, skor diperoleh dengan mengurangi bobot poin dari masing-masing pertanyaan dengan 1. Sementara pertanyaan bernomor genap, skor diperoleh dengan mengurangi nilai 5 dengan bobot poin dari masing-masing pertanyaan (Lehmann et al, 2022). Skor akhir diperoleh dengan menjumlahkan skor dari seluruh pertanyaan kemudian mengalikannya dengan 2.5 (Folador, 2019).…”

The feasibility of using ecological momentary assessment to understand urinary and fecal incontinence experiences in adults with spina bifida: A 30-day study

“…EMA has been utilized to examine a variety of clinical health outcomes in populations both with and without disabilities, including chronic pain [ 25 ], chronic illness in association with disability [ 46 ], hearing aid use among individuals with hearing impairment [ 47 ], neuropathic pain among individuals with spinal cord injury [ 24 ], daily functioning in individuals with schizophrenia [ 48 ] and daily affect following traumatic brain injury [ 49 ]. EMA has also been engaged to examine urinary symptoms among prostate cancer patients [ 50 ] and bowel incontinence among individuals with different conditions [ 51 , 52 ]. EMA has not yet been used in clinical research among individuals with SB.…”