Evidence map›Paper›PMID 36112405›Full record

ArticleJMIR formative research2022

The Usability of a Smartphone-Based Fall Risk Assessment App for Adult Wheelchair Users: Observational Study.

Mikaela Frechette, Jason Fanning, Katherine Hsieh, Laura Rice, Jacob Sosnoff

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

5 authors at 2 institutions in 1 country.

Mikaela FrechetteDepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL, United States.ORCID https://orcid.org/0000-0001-7967-833X
Jason FanningDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, United States.ORCID https://orcid.org/0000-0002-5527-1698
Katherine HsiehDepartment of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States.ORCID https://orcid.org/0000-0003-2005-4519
Laura RiceDepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL, United States.ORCID https://orcid.org/0000-0003-3902-1151
Jacob SosnoffIllinois Multiple Sclerosis Research Collaborative, University of Illinois at Urbana-Champaign, Urbana, IL, United States.ORCID https://orcid.org/0000-0002-0286-9207
University of Illinois Urbana-Champaign · USWake Forest University · US

Funding

ACL HHS 90REGE0006
6 · The paper itself

Abstract

backgroundIndividuals who use wheelchairs and scooters rarely undergo fall risk screening. Mobile health technology is a possible avenue to provide fall risk assessment. The promise of this approach is dependent upon its usability.

objectiveWe aimed to determine the usability of a fall risk mobile health app and identify key technology development insights for aging adults who use wheeled devices.

methodsTwo rounds (with 5 participants in each round) of usability testing utilizing an iterative design-evaluation process were performed. Participants completed use of the custom-designed fall risk app, Steady-Wheels. To quantify fall risk, the app led participants through 12 demographic questions and 3 progressively more challenging seated balance tasks. Once completed, participants shared insights on the app's usability through semistructured interviews and completion of the Systematic Usability Scale. Testing sessions were recorded and transcribed. Codes were identified within the transcriptions to create themes. Average Systematic Usability Scale scores were calculated for each round.

resultsThe first round of testing yielded 2 main themes: ease of use and flexibility of design. Systematic Usability Scale scores ranged from 72.5 to 97.5 with a mean score of 84.5 (SD 11.4). After modifications were made, the second round of testing yielded 2 new themes: app layout and clarity of instruction. Systematic Usability Scale scores improved in the second iteration and ranged from 87.5 to 97.5 with a mean score of 91.9 (SD 4.3).

conclusionsThe mobile health app, Steady-Wheels, has excellent usability and the potential to provide adult wheeled device users with an easy-to-use, remote fall risk assessment tool. Characteristics that promoted usability were guided navigation, large text and radio buttons, clear and brief instructions accompanied by representative illustrations, and simple error recovery. Intuitive fall risk reporting was achieved through the presentation of a single number located on a color-coordinated continuum that delineated low, medium, and high risk.

Indexed as

device usabilityelderly populationfall riskhealth applicationsmHealthmobile devicemobile healtholder adultssmartphonetelehealthusability testingwheeled device user

Identifiers

PMID36112405
PMCPMC9526126
OpenAlexW4285382856

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.