Evidence map›Paper›PMID 33734090›Full record

ArticleJMIR rehabilitation and assistive technologies2021

Using a Web-Based App to Deliver Rehabilitation Strategies to Persons With Chronic Conditions: Development and Usability Study.

Julie Richardson, Lori Letts, Susanne Sinclair, David Chan, Jordan Miller, Catherine Donnelly, Jenna Smith-Turchyn, Sarah Wojkowski, Janelle Gravesande, Adalberto Loyola Sánchez

Open access · goldAbstract read
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Julie Richardson *School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0001-6356-0492
Lori Letts *School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0003-4770-8797
Susanne Sinclair *School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0002-7754-9507
David ChanProfessor Emeritus, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0003-4743-0967
Jordan MillerSchool of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0002-3819-5283
Catherine DonnellySchool of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0002-0809-3059
Jenna Smith-TurchynSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0002-5309-2856
Sarah WojkowskiSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0002-8103-0281
Janelle GravesandeSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0001-9264-8805
Adalberto Loyola SánchezCummings School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID https://orcid.org/0000-0002-0082-2907
McMaster University · CAQueen's University · CAImpact · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global rise in the incidence of chronic conditions and aging is associated with increased disability. Physiotherapists and occupational therapists can mitigate the resulting burden on the health care system with their expertise in optimizing function. Rehabilitation self-management strategies can assist people with chronic conditions to accept, adjust, and manage different aspects of their daily functioning. Interventions delivered using technology have the potential to increase the accessibility, availability, and affordability of rehabilitation self-management support and services.

objectiveThis study aims to describe the development and usability evaluation of iamable, a web-based app created to provide rehabilitation self-management support for people with chronic conditions.

methodsThe development and evaluation of iamable were undertaken in several phases. We used user-centered design principles and an iterative process that included consultations with rehabilitation experts; developed a prototype; and conducted usability tests, heuristic evaluations, and a focus group analysis.

resultsThe iamable app was developed to provide rehabilitation self-management strategies in the areas of exercise, fall prevention, fatigue management, pain management, physical activity, and stress management. We engaged adults aged ≥45 years with at least one chronic condition (N=11) in usability testing. They identified navigation and the understanding of instructions as the primary issues for end users. During the heuristic evaluation, clinicians (N=6) recommended that some areas of app content should be more succinct and that help should be more readily available. The focus group provided input to help guide clinical simulation testing, including strategies for selecting patients and overcoming barriers to implementation.

conclusionsWe engaged end users and clinicians in the development and evaluation of the iamable app in an effort to create a web-based tool that was useful to therapists and their patients. By addressing usability issues, we were able to ensure that patients had access to rehabilitation strategies that could be used to help them better manage their health. Our app also provides therapists with a platform that they can trust to empower their patients to be more active in the management of chronic conditions. This paper provides a resource that can be used by others to develop and evaluate web-based health apps.

Indexed as

functionoccupational therapyphysiotherapyrehabilitationself-managementusabilityuser-centered designweb-based application

Identifiers

PMID33734090
PMCPMC8294797
OpenAlexW3137563219

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.