Development and usability evaluation of a nutrition and lifestyle guidance application for people living with and beyond cancer

There is a need to provide accessible information for health care professionals and for people living beyond treatment. Mobile and digital health technologies provide an ideal platform to access diet and nutrition guidance that is both trusted and evidence-based and so that people know how to alter and monitor eating patterns and behaviours to improve the quality of life. Participatory design and usability evaluation approaches have been utilised to develop a nutrition and lifestyle guidance smartphone application for both people living with and beyond cancer, and for health care professionals involved in advising such patients. The challenges centred on the design, development and evaluation of the first version of a new mobile application named ‘Life Beyond’ are presented. This proof of concept application aims to centralise evidence-based nutrition and lifestyle guidance for those living beyond cancer. It enables users to obtain guidance and information, create and track nutrition and activity related goals and track their progress in the completion of these goals. Consistent feedback from participatory design and usability evaluations drove this research and helped to create an initial solution that met the user expectations. The System Usability Scale (SUS) score of 67.69 denotes an ‘average’ usability and hence further development. More research of extensive end user engagement is needed before an optimal solution is disseminated

Structured Inspections of Search Interfaces: A Practitioners Guide

In this paper we present a practitioners guide on how to apply a new inspection framework that evaluates search interfaces for their support of different searcher types. Vast amounts of money are being invested into search, and so it is becoming increasingly important to identify problems in design early, while it is relatively cheap to rectify them. The inspection method presented here can be applied quickly to early prototypes, as well as existing systems, and goes beyond other inspection methods, like Cognitive Walkthroughs, to produces rich analyses, including the support provided for different search tactics and user types. The guide is presented as a detailed example, assessing a previously unevaluated search interface: the Tabulator, and so also provides design recommendations for improving it. We conclude with a summary of the benefits of the evaluation framework, and discuss our plans for future enhancements

Methodological development

Book description: Human-Computer Interaction draws on the fields of computer science, psychology, cognitive science, and organisational and social sciences in order to understand how people use and experience interactive technology. Until now, researchers have been forced to return to the individual subjects to learn about research methods and how to adapt them to the particular challenges of HCI. This is the first book to provide a single resource through which a range of commonly used research methods in HCI are introduced. Chapters are authored by internationally leading HCI researchers who use examples from their own work to illustrate how the methods apply in an HCI context. Each chapter also contains key references to help researchers find out more about each method as it has been used in HCI. Topics covered include experimental design, use of eyetracking, qualitative research methods, cognitive modelling, how to develop new methodologies and writing up your research

Understanding safety-critical interactions with a home medical device through Distributed Cognition

As healthcare shifts from the hospital to the home, it is becoming increasingly important to understand how patients interact with home medical devices, to inform the safe and patient-friendly design of these devices. Distributed Cognition (DCog) has been a useful theoretical framework for understanding situated interactions in the healthcare domain. However, it has not previously been applied to study interactions with home medical devices. In this study, DCog was applied to understand renal patients’ interactions with Home Hemodialysis Technology (HHT), as an example of a home medical device. Data was gathered through ethnographic observations and interviews with 19 renal patients and interviews with seven professionals. Data was analyzed through the principles summarized in the Distributed Cognition for Teamwork methodology. In this paper we focus on the analysis of system activities, information flows, social structures, physical layouts, and artefacts. By explicitly considering different ways in which cognitive processes are distributed, the DCog approach helped to understand patients’ interaction strategies, and pointed to design opportunities that could improve patients’ experiences of using HHT. The findings highlight the need to design HHT taking into consideration likely scenarios of use in the home and of the broader home context. A setting such as home hemodialysis has the characteristics of a complex and safety-critical socio-technical system, and a DCog approach effectively helps to understand how safety is achieved or compromised in such a system

Evaluating the usability of a tablet application to support adults with mild intellectual disabilities during primary care consultations

Patients with mild intellectual disabilities (ID) face significant communication barriers when attending primary care consultations. Yet there is a lack of two-way communication aids available to support them in conveying medical symptoms to General Practitioners (GPs). Based on a multi-stakeholder co-design process including GPs, domain experts, people with mild ID and carers, our previous work developed prototype technology to support people with mild ID in GP consultations. This paper discusses the findings of a usability study performed on the resulting prototype. Five experts in ID/usability, four caregivers, and five GPs participated in cognitive and post-task walkthroughs. They found that the application has the potential to increase communication, reduce time constraints, and overcome diagnostic overshadowing. Nevertheless, the participants also identified accessibility barriers relating to: medical imagery; the abstract nature of certain conditions; the use of adaptive questionnaires; and the overloading of information. Potential solutions to overcome these barriers were also discussed