Usability evaluation and adaptation of the e-health Personal Patient Profile-Prostate decision aid for Spanish-speaking Latino men

BMC Medical Informatics and Decision Making

Research Article

Donna L. Berry¹  Martin G. Sanda²  John Bruyere³  Jaclyn L. F. Bosco⁴  Barbara Halpenny⁴ 

[1] Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA;The Phyllis F. Cantor Center, Dana-Farber Cancer Institute, Boston, MA, USA;Department of Urology, Emory University School of Medicine, Atlanta, USA;Joan C. Edwards School of Medicine- Marshall University, Huntington, WV, USA;The Phyllis F. Cantor Center, Dana-Farber Cancer Institute, Boston, MA, USA;

关键词: Usability;    Adaptation;    Spanish;    Localized prostate cancer;    Disparities;    Decision aid;   

DOI  :  10.1186/s12911-015-0180-4

 received in 2014-12-11, accepted in 2015-07-08,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThe Personal Patient Profile-Prostate (P3P), a web-based decision aid, was demonstrated to reduce decisional conflict in English-speaking men with localized prostate cancer early after initial diagnosis. The purpose of this study was to explore and enhance usability and cultural appropriateness of a Spanish P3P by Latino men with a diagnosis of prostate cancer.MethodsP3P was translated to Spanish and back-translated by three native Spanish-speaking translators working independently. Spanish-speaking Latino men with a diagnosis of localized prostate cancer, who had made treatment decisions in the past 24 months, were recruited from two urban clinical care sites. Individual cognitive interviews were conducted by two bilingual research assistants as each participant used the Spanish P3P. Notes of user behavior, feedback, and answers to direct questions about comprehension, usability and perceived usefulness were analyzed and categorized.ResultsSeven participants with a range of education levels identified 25 unique usability issues in navigation, content comprehension and completeness, sociocultural appropriateness, and methodology. Revisions were prioritized to refine the usability and cultural and linguistic appropriateness of the decision aid.ConclusionsUsability issues were discovered that are potential barriers to effective decision support. Successful use of decision aids requires adaptation and testing beyond translation. Our findings led to revisions further refining the usability and linguistic and cultural appropriateness of Spanish P3P.

【 授权许可】

CC BY   
© Berry et al. 2015