Web page performance analysis

Computer systems play an increasingly crucial and ubiquitous role in human endeavour by carrying out or facilitating tasks and providing information and services. How much work these systems can accomplish, within a certain amount of time, using a certain amount of resources, characterises the systems’ performance, which is a major concern when the systems are planned, designed, implemented, deployed, and evolve. As one of the most popular computer systems, the Web is inevitably scrutinised in terms of performance analysis that deals with its speed, capacity, resource utilisation, and availability. Performance analyses for the Web are normally done from the perspective of the Web servers and the underlying network (the Internet). This research, on the other hand, approaches Web performance analysis from the perspective of Web pages. The performance metric of interest here is response time. Response time is studied as an attribute of Web pages, instead of being considered purely a result of network and server conditions. A framework that consists of measurement, modelling, and monitoring (3Ms) of Web pages that revolves around response time is adopted to support the performance analysis activity. The measurement module enables Web page response time to be measured and is used to support the modelling module, which in turn provides references for the monitoring module. The monitoring module estimates response time. The three modules are used in the software development lifecycle to ensure that developed Web pages deliver at worst satisfactory response time (within a maximum acceptable time), or preferably much better response time, thereby maximising the efficiency of the pages. The framework proposes a systematic way to understand response time as it is related to specific characteristics of Web pages and explains how individual Web page response time can be examined and improved

Usability and utility evaluation of the web-based "Should I Start Insulin?" patient decision aid for patients with type 2 diabetes among older people

This study aimed to evaluate the usability (ease of use) and utility (impact on user's decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of making a decision about starting insulin from a tertiary teaching hospital in Malaysia in 2014. Computer screen recording software was used to record the website browsing session and in-depth interviews were conducted while playing back the website recording. The interviews were analyzed using the framework approach to identify usability and utility issues. Three cycles of iteration were conducted until no more major issues emerged. Thirteen patients participated: median age 65 years old, 10 men, and nine had secondary education/diploma, four were graduates/had postgraduate degree. Four usability issues were identified (navigation between pages and sections, a layout with open display, simple language, and equipment preferences). For utility, participants commented that the website influenced their decision about insulin in three ways: it had provided information about insulin, it helped them deliberate choices using the option-attribute matrix, and it allowed them to involve others in their decision making by sharing the PDA summary printout

Development of a web-based insulin decision aid for the elderly: usability barriers and guidelines

In recent years, researchers have attempted to shift patient decision aids (PDAs) from paper-based to web-based to increase its accessibility. Insulin decision aids help diabetes patients, most of whom are elderly to make an informed decision to start insulin. However, the lack of usability guidelines applicable for such target group causes developers to struggle to answer the challenging question ‘How can such web service be made usable, and, ultimately, acceptable and accessible for elderly patients?’. Hence, the purpose of this study is to identify the common usability requirements that may facilitate good practices to empower elderly diabetes patients in utilizing a web-based insulin decision aid for their benefit. We set out an approach to use prototyping and retrospective think-aloud techniques to explore web usability barriers that elderly patients may encounter when using an insulin decision aid web site and use the feedback for improving the prototype. Usability requirements were captured iteratively through scoping, brainstorming, prototype, testing and evaluating. The study suggests that the insights from experts and users are equally important to assure the validity of the identified usability guidelines; they reflect the accessibility needs of the aging community while complementing the key requirements of an insulin decision aid. The study contributes to recommend web usability guidelines backed by a series of expert and user evaluations which could be a proactive resource to improve usability, acceptability and accessibility of online insulin decision aids for elderly with diabetes

A Systematic Literature Review of the Design Approach and Usability Evaluation of the Pain Management Mobile Applications

The increasing popularity of mHealth is a promising opportunity for pain self-management. Mobile apps can be easily developed, but understanding the design and usability will result in apps that can retain more users. This research aims at identifying, analyzing, and synthesizing the current state-of-the-art of: (a) the design approach and (b) usability assessment of pain management mobile applications. A systematic literature review was conducted on 27 studies retrieved from Medline, PubMed, EMBASE, Web of Science, and Scopus. The review revealed that most of the apps were for chronic pain. No app was specifically for men or for the elderly. None of the studies involved expert-based system inspection methods. Only one study used two different approaches of automated and empirical evaluation. We mapped the identified usability issues to ISO 9241-11 and ISO/IEC 25010, and aggregated the recommendations for improvement. Moreover, we also identified certain issues that are solely concerned with the patient’s behavior. We organized the issues into taxonomies of design considerations for building usable pain self-management mobile applications. As pain is prevalent among the elderly, pain management will be much needed while moving toward an aging society. However, we found that the involvement of the elderly in the development of pain management mobile apps is very minimal, which may affect the utility and usability of the apps

Gesture interfacing for people with disability of the arm, shoulder and hand (DASH) for smart door controls: goms analysis

People with disabilities may interact with their environment differently from other human beings. This is also the case with people with the disability of the arm, shoulder and hand (DASH). However, most environments do not include supportive design for DASH. This study aimed to explore and analyze the body parts used by people with DASH to open doors in a real-world environment and to find an efficient interface design for people with DASH to open doors through a computer interface. This study was conducted in three parts: interviews of three people with DASH, observation of the videos of people with DASH opening doors, and GOMS analysis of five designed interfaces for people with DASH to open doors/windows through a computer interface. It was found that head gesture was suitable to be used as an interaction medium and through the GOMS analysis that the Type 5 (every task has a different head gesture movement) and Type 3 (positioning heads at different vertical or horizontal positions) are two most efficient designed interfaces for head gesture with regards to opening a door

Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people

This study aimed to evaluate the usability (ease of use) and utility (impact on user’s decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of making a decision about starting insulin from a tertiary teaching hospital in Malaysia in 2014. Computer screen recording software was used to record the website browsing session and in-depth interviews were conducted while playing back the website recording. The interviews were analyzed using the framework approach to identify usability and utility issues. Three cycles of iteration were conducted until no more major issues emerged. Thirteen patients participated: median age 65 years old, 10 men, and nine had secondary education/diploma, four were graduates/had postgraduate degree. Four usability issues were identified (navigation between pages and sections, a layout with open display, simple language, and equipment preferences). For utility, participants commented that the website influenced their decision about insulin in three ways: it had provided information about insulin, it helped them deliberate choices using the option-attribute matrix, and it allowed them to involve others in their decision making by sharing the PDA summary printout