Design and development of an eHealth intervention to support self-management in people with musculoskeletal disorders: 'eHealth: it's TIME'.

IF 2.6 3区 医学 Q1 REHABILITATION
Clinical Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-10-14 DOI:10.1177/02692155241289097
Marie Kelly, Brona M Fullen, Denis Martin, Colin Bradley, Eoghan O'Riain, Joseph G McVeigh
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引用次数: 0

Abstract

Objective: This study aimed to co-design and develop a user-centred, theory-based eHealth-mediated self-management support follow-up prototype for adults with musculoskeletal disorders.

Design: A three-step system development cycle was employed. Step 1 involved creating intervention features and content, with two focus groups reviewing prioritised eHealth intervention elements based on earlier research. Step 2 involved heuristic testing using Nielsen's 10 heuristic principles. Step 3 incorporated qualitative think-aloud interviews and the System Usability Scale.

Setting: Republic of Ireland.

Participants: Step 1 included adults with musculoskeletal disorders (n = 12). Step 2 involved five reviewers. Step 3 included people with musculoskeletal disorders (n = 5) and musculoskeletal physiotherapists (n = 5).

Results: Participants in step 1 approved four main intervention components, which map to recognised theoretical frameworks, and suggested increased use of visual and interactive elements. Heuristic testing in step 2 identified design and navigation issues. In Step 3, usability testing, additional navigation, content and design recommendations were identified. The overall median system usability score (interquartile range) was 75 (0) out of 100 for adults with musculoskeletal disorders and 77.5 (2.5) out of 100 for musculoskeletal physiotherapists, indicating good usability.

Conclusion: A theory-based, user-centred eHealth-mediated follow-up self-management support prototype has been developed for people with musculoskeletal disorders, with the next steps focusing on feasibility testing in clinical practice, with a more diverse population.

设计和开发一项电子健康干预措施,以支持肌肉骨骼疾病患者的自我管理:"电子健康:是时候了"。
目的:本研究旨在共同设计和开发以用户为中心、以理论为基础、以电子健康为媒介的自我管理支持原型:本研究旨在为患有肌肉骨骼疾病的成年人共同设计和开发一个以用户为中心、以理论为基础、以电子健康为媒介的自我管理支持后续原型:设计:采用三步系统开发周期。第 1 步包括创建干预功能和内容,由两个焦点小组根据早期研究审查优先考虑的电子健康干预要素。第 2 步是利用尼尔森的 10 条启发式原则进行启发式测试。第 3 步包括定性思考访谈和系统可用性量表:环境:爱尔兰共和国:步骤 1 包括患有肌肉骨骼疾病的成年人(n = 12)。第 2 步包括五位评审员。第 3 步包括肌肉骨骼疾病患者(5 人)和肌肉骨骼理疗师(5 人):结果:第 1 步的参与者批准了四个主要干预内容,这些内容与公认的理论框架相吻合,并建议增加视觉和互动元素的使用。第 2 步的启发式测试发现了设计和导航方面的问题。第 3 步是可用性测试,确定了更多的导航、内容和设计建议。对于患有肌肉骨骼疾病的成年人来说,系统可用性总得分的中位数(四分位之间的范围)为 75(0)分(满分 100 分),对于肌肉骨骼物理治疗师来说,系统可用性总得分的中位数(满分 100 分)为 77.5(2.5)分(满分 100 分),这表明系统具有良好的可用性:结论:针对肌肉骨骼疾病患者开发出了以理论为基础、以用户为中心、以电子健康为媒介的后续自我管理支持原型,下一步的重点是在临床实践中对更多样化的人群进行可行性测试。
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来源期刊
Clinical Rehabilitation
Clinical Rehabilitation 医学-康复医学
CiteScore
5.60
自引率
6.70%
发文量
117
审稿时长
4-8 weeks
期刊介绍: Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)
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