Evidence map›Paper›PMID 36753312›Full record

ArticleJMIR human factors2023

Designing and Developing an eHealth Program for Patients With Persistent Physical Symptoms: Usability Study.

Oliver Rønn Christensen, Leonora Hedegaard, Mette Trøllund Rask, Jane Clemensen, Lisbeth Frostholm, Marianne Rosendal

Open access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 23% 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, 7 citations in OpenAlex.

  1. Article
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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

6 authors at 4 institutions in 1 country.

Oliver Rønn Christensen *Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Aarhus N, Denmark.ORCID https://orcid.org/0000-0002-3964-5514
Leonora Hedegaard *Department of Culture and Learning, Aalborg University, Aalborg, Denmark.ORCID https://orcid.org/0000-0002-9127-5899
Mette Trøllund Rask *Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Aarhus N, Denmark.ORCID https://orcid.org/0000-0002-0460-9484
Jane Clemensen *Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0002-6127-1010
Lisbeth Frostholm *Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Aarhus N, Denmark.ORCID https://orcid.org/0000-0002-9683-7416
Marianne Rosendal *Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Aarhus N, Denmark.ORCID https://orcid.org/0000-0002-3257-9665
Aarhus University · DKAarhus University Hospital · DKAalborg University · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with persistent physical symptoms presenting in primary care are often affected by multiple symptoms and reduced functioning. The medical and societal costs of these patients are high, and there is a need for new interventions tailored to both the patients and health care system.

objectiveThis study aimed to examine the usability of an unguided, self-help treatment program, "My Symptoms," developed to assist patients and general practitioners in symptom management.

methodsIn all, 11 users (4 patients with persistent physical symptoms and 7 laypeople) participated in web-based thinking-aloud interviews involving the performance of predefined tasks in the program. Thematic analysis was used to categorize the severity of usability issues. General usability heuristics were cross-referenced with the usability issues.

resultsThe analysis identified important usability issues related to functionality, navigation, and content. The study shows how therapeutic knowledge in some cases was lost in the translation of face-to-face therapy to a digital format. The user testing helped uncover how the functionality of the digital elements and general navigation of the program played a huge part in locating and accessing the needed treatment. Examples of redesign to mediate the therapeutic value in the digital format involving health care professionals, web developers, and users are provided. The study also highlights the differences of involving patients and laypeople in the interviews.

conclusionsTaking the experience of common symptoms as a point of departure, patients and laypeople contributed to finding usability issues on program functionality, navigation, and content to improve the program and make the treatment more accessible to users.

Indexed as

digital healtheHealthmedically unexplained symptompersistent physical symptompersistent symptomphysical symptomself-managementsymptom managementthink aloudthinking aloudunexplained symptomunguidedusability

Identifiers

PMID36753312
PMCPMC9947758
OpenAlexW4319460339

What OpenQuestion holds

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LicenceCC BY
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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.