Using concurrent think-aloud and protocol analysis to explore student nurses' social learning information communication technology knowledge and skill development

Todhunter, Fern

doi:10.1016/j.nedt.2015.01.010

Cited by 16 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Semistructured individual ethnographic interviews were conducted before and after the usability study to understand the context of our findings. We employed a concurrent think-aloud protocol for the usability study, conducted in the University of Washington (UW) Health Sciences Library [9]. Surgeons, fellows, and residents were invited to participate in our study.…”

Section: Methodsmentioning

confidence: 99%

Advancing Cardiac Surgery Case Planning and Case Review Conferences Using Virtual Reality in Medical Libraries: Evaluation of the Usability of Two Virtual Reality Apps

2019

View full text Add to dashboard Cite

BackgroundCare providers and surgeons prepare for cardiac surgery using case conferences to review, discuss, and run through the surgical procedure. Surgeons visualize a patient’s anatomy to decide the right surgical approach using magnetic resonance imaging and echocardiograms in a presurgical case planning session. Previous studies have shown that surgical errors can be reduced through the effective use of immersive virtual reality (VR) to visualize patient anatomy. However, inconsistent user interfaces, delegation of view control, and insufficient depth information cause user disorientation and interaction difficulties in using VR apps for case planning.ObjectiveThe objective of the study was to evaluate and compare the usability of 2 commercially available VR apps—Bosc (Pyrus Medical systems) and Medical Holodeck (Nooon Web & IT GmbH)—using the Vive VR headset (HTC Corporation) to evaluate ease of use, physician attitudes toward VR technology, and viability for presurgical case planning. The role of medical libraries in advancing case planning is also explored.MethodsAfter screening a convenience sample of surgeons, fellows, and residents, ethnographic interviews were conducted to understand physician attitudes and experience with VR. Gaps in current case planning methods were also examined. We ran a usability study, employing a concurrent think-aloud protocol. To evaluate user satisfaction, we used the system usability scale (SUS) and the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). A poststudy questionnaire was used to evaluate the VR experience and explore the role of medical libraries in advancing presurgical case planning. Semistructured interview data were analyzed using content analysis with feedback categorization.ResultsParticipants were residents, fellows, and surgeons from the University of Washington with a mean age of 41.5 (SD 11.67) years. A total of 8 surgeons participated in the usability study, 3 of whom had prior exposure to VR. Users found Medical Holodeck easier to use than Bosc. Mean adjusted NASA-TLX score for Medical Holodeck was 62.71 (SD 18.25) versus Bosc’s 40.87 (SD 13.90). Neither app passed the mean SUS score of 68 for an app to be considered usable, though Medical Holodeck (66.25 [SD 12.87]) scored a higher mean SUS than Bosc (37.19 [SD 22.41]). One user rated the Bosc usable, whereas 3 users rated Medical Holodeck usable.ConclusionsInterviews highlighted the importance of precise anatomical conceptualization in presurgical case planning and teaching, identifying it as the top reason for modifying a surgical procedure. The importance of standardized user interaction features such as labeling is justified. The study also sheds light on the new roles medical librarians can play in curating VR content and promoting interdisciplinary collaboration.

show abstract

Section: Methodsmentioning

confidence: 99%

Advancing Cardiac Surgery Case Planning and Case Review Conferences Using Virtual Reality in Medical Libraries: Evaluation of the Usability of Two Virtual Reality Apps

2019

View full text Add to dashboard Cite

show abstract

“…The Think Aloud technique is an established observational method (Fonteyn et al, 1993) that has been widely used in health research to evaluate digital interventions (e.g. Todhunter, 2015). In this study, individual participants viewed the mRLOs and were required to reflect upon, describe and summarise the content in their own words.…”

Section: Labelling the Mrlosmentioning

confidence: 99%

The development of an mHealth educational intervention for first-time hearing aid users: combining theoretical and ecologically valid approaches

Maidment

Coulson

Wharrad

et al. 2020

International Journal of Audiology

View full text Add to dashboard Cite

Objective. This paper describes the development of a novel mobile health (mHealth) educational intervention designed for first-time hearing aid users based on previously developed educational multimedia videos, or reusable learning objects (RLOs), branded C2Hear.Design. The development of m2Hear used theoretical and ecologically valid approaches. The COM-B model and associated Theoretical Domains Framework were employed to identify specific components (or "active ingredients") of the original RLOs that facilitate hearing aid use. An mHealth platform was then developed following an iterative, user-centred and participatory design approach.Study sample. Fifteen existing hearing aid users completed synchronous, real-time Think Aloud interviews. A sub-group of these participants (n=5), along with patient and public involvement panel members (n=4), subsequently reviewed the usability of the mHealth platform.Results. While factors associated with Capability featured strongly across all RLOs, topics relating to Opportunity and Motivation were also incorporated. The RLOs were broken-down into 42 shorter mobile-enhanced RLOs (or mRLOs). Each mRLO was labelled with a specific user-centred question generated from the Think Aloud interviews. The final mHealth platform was developed following four separate usability iterations. Conclusions.Overall, m2Hear provides greater opportunities for individualised learning and encourages greater interaction to facilitate self-management in first-time hearing aid users.

show abstract

“…To ensure that m2Hear met the needs of the end user, a think-aloud technique was used to label each mRLO. This technique is an established observational method [ 34 ], which has been widely used in health research to develop and evaluate digital interventions [ 35 ]. We completed the think-aloud interviews with existing hearing aid users who watched the mRLOs and concurrently described their views on the content in their own words.…”

Section: Introductionmentioning

confidence: 99%

Evaluating a Theoretically Informed and Cocreated Mobile Health Educational Intervention for First-Time Hearing Aid Users: Qualitative Interview Study

Maidment¹,

Heyes²,

Gomez³

et al. 2020

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background Adults living with hearing loss have highly variable knowledge of hearing aids, resulting in suboptimal use or nonuse. This issue can be addressed by the provision of high-quality educational resources. Objective This study aims to assess the everyday experiences of first-time hearing aid users when using a newly developed, theoretically informed cocreated mobile health (mHealth) educational intervention called m2Hear. This intervention aims to deliver greater opportunities for individualization and interactivity compared with our previously developed multimedia intervention, C2Hear. Methods A total of 16 first-time hearing aid users trialed m2Hear for a period of 10-weeks in their everyday lives, after which individual semistructured interviews were completed. The data were analyzed using an established deductive thematic analysis procedure underpinned by the Capability, Opportunity, Motivation-Behavior model. The model stipulates that to engage in a target behavior, an individual must have physical and psychological capability, physical and social opportunity, and automatic and reflective motivation. Results Capability—m2Hear was viewed as a concise and comprehensive resource, suitable for a range of digital literacy skills. It was stated that m2Hear could be conveniently reused to provide useful reminders that facilitate knowledge of hearing aids and communication. Opportunity—m2Hear was simple and straightforward to use, enabling greater individualization and independence. The availability of m2Hear via mobile technologies also improved accessibility. Motivation—m2Hear provided greater support and reassurance, improving confidence and empowering users to self-manage their hearing loss. Conclusions Overall, this qualitative study suggests that m2Hear supports first-time hearing aid users to successfully self-manage their hearing loss postfitting. Furthermore, this study demonstrates the utility of employing a combined theoretical and ecologically valid approach in the development of mHealth educational resources to meet the individual self-management needs of adults living with hearing loss. Trial Registration ClinicalTrials.gov NCT03136718; https://clinicaltrials.gov/ct2/show/NCT03136718

show abstract

Using concurrent think-aloud and protocol analysis to explore student nurses' social learning information communication technology knowledge and skill development

Cited by 16 publications

References 24 publications

Advancing Cardiac Surgery Case Planning and Case Review Conferences Using Virtual Reality in Medical Libraries: Evaluation of the Usability of Two Virtual Reality Apps

Advancing Cardiac Surgery Case Planning and Case Review Conferences Using Virtual Reality in Medical Libraries: Evaluation of the Usability of Two Virtual Reality Apps

The development of an mHealth educational intervention for first-time hearing aid users: combining theoretical and ecologically valid approaches

Evaluating a Theoretically Informed and Cocreated Mobile Health Educational Intervention for First-Time Hearing Aid Users: Qualitative Interview Study

Contact Info

Product

Resources

About