Can you see it now? Good : Usability Testing of a Mobile Health Application
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1 Can you see it now? Good : Usability Testing of a Mobile Health Application Sarah Cook, Rita Sembajwe, Emily Geisen, Barbara Massoudi RTI International is a trade name of Research Triangle Institute.
2 Introduction As of the rd quarter, 28% of cell phone owners had smartphones (Nielsen 2010) Trend on the rise Benefits of smartphone applications Daily diary-type methods of data collection Designed for mobile screens, as opposed to web surveys on mobile browsers More convenient Benefits of usability testing Reduce measurement error Reduce respondent burden Faster completion times
3 Usability Findings for Mobile surveys Peytchev and Hill (2010) found that many questionnaire design strategies used on other survey modes can be applied to mobile applications as well with considerations to the small screen size and keyboard functionality. Lai et al (2009) conducted a usability evaluation of mobile devices for a Time Use Survey. They found that while some features were not difficult (such as scrolling) that participants find it frustrating or annoying. Other participants had difficulty with the precision required of a touch-screen device and using the miniature keyboard for openended responses.
4 Study Background Project HealthDesign - national program of the Robert Wood Johnson Foundation s Pioneer Portfolio Support innovation in personal health information technology BreathEasy RTI and Virginia Commonwealth University (VCU) Department of Family Medicine Patients with asthma who are at risk for depression or anxiety Entering Observations of Daily Living (ODLs) on smartphones using Android platform Appear in a dashboard for doctors and nurses After usability testing 3-6 month evaluation period Follow-up interviews Use of application Usability of application
5 Smartphone Application Example
6 Clinician Dashboard
7 Focus Groups Focus groups conducted with patients, predevelopment Excited about the idea Wanted to complete it every day, multiple times a day Wanted to report more information rather than less
8 Usability Testing Application created utilizing smartphone capabilities AT&T Samsung Captivate (Galaxy S) Procedure Entered data themselves Interviewer reviewed data with participant Follow-up questions
9 Usability Testing Findings: Methods Difficult to watch some participants Hold phone facing themselves Large fingers Reviewing data with participants Interviewer holding phone so both can see Best means of both viewing screens However, does not imitate real-life situation
10 Usability Testing Findings: Front Buttons Application used front face buttons Save and Exit All participants used the same phone Given brief tutorial of buttons before testing Participants still not familiar with uses
11 Usability Testing Findings: Slide to Navigate Slide to navigate date entry pages Introduction explains like turning pages in a book Participants really liked sliding Problems Sliding location Checkboxes selected
12 Usability Testing Findings: Scrolling Down Some pages required scrolling down 2 mood screens with emoticons Expected participants to scroll down Problems Did not know they needed to scroll down Only 2 of 4 answer options were visible These were the most positive responses of Happy and Okay
13 Recommendations Usability testing methods Use a video camera when possible Have interviewer hold phone Smartphone application development If using a swipe feature, provide a line for users to trace When possible, follow the same conventions as web Scroll bar Next and back buttons Save and exit buttons
14 Future Research Improving methods of Smartphone usability testing Better way to view simultaneously Ways to assess Smartphone experience during screening Research questions regarding Smartphone applications for data collection Do web-like features help navigation? How long can a Smartphone data collection tool be before respondent fatigue sets in? More or less than web? Phone? How do response rates of Smartphone applications compare to web response rates?
15 References Lai, J., L. Vanno, M. Link, J. Pearson, H. Makowska, K. Benezra, and M. Green (2009). Life360: Usability of Mobile Devices for Time Use Surveys. Paper presented at the American Association for Public Opinion Research annual conference, Ft. Lauderdale, FL. Nielsen Company (2010) "Mobile Snapshot: Smartphones Now 28% of U.S. Cellphone Market Nielsen Wire." Nielsen Wire, 1 Nov Retrieved on 03 May < Peytchev, A. and C. Hill (2010). Experiments in Mobile Web Survey Design Similarities to Other Modes and Unique Considerations. Social Science Computer Review, 28(3):
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