Evidence map›Paper›PMID 39441626›Full record

ArticleJMIR human factors2024

Development of a Digital Health Intervention for the Secondary Prevention of Cardiovascular Disease (INTERCEPT): Co-Design and Usability Testing Study.

Irene Gibson, Lis Neubeck, Marissa Corcoran, Chris Morland, Steve Donovan, Jennifer Jones, Caroline Costello, Lisa Hynes, Aisling Harris, Mary Harrahill and 9 more

Abstract read
In one paragraph

Article in JMIR human factors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

19 authors.

Irene GibsonSchool of Medicine, University of Galway, Galway, Ireland.ORCID 0000-0002-5700-2280
Lis NeubeckSchool of Health and Social Care, Edinburgh Napier University, Edinburgh, United Kingdom.ORCID 0000-0001-5852-1034
Marissa CorcoranSt James's Hospital, Dublin, Ireland.ORCID 0000-0002-5646-5603
Chris MorlandCitrus Suite, Liverpool, United Kingdom.ORCID 0000-0003-1328-4383
Steve DonovanCitrus Suite, Liverpool, United Kingdom.ORCID 0009-0008-8396-8477
Jennifer JonesSchool of Medicine, University of Galway, Galway, Ireland.ORCID 0000-0001-8388-9025
Caroline CostelloNational Institute for Prevention and Cardiovascular Health, Galway, Ireland.ORCID 0009-0005-2327-093X
Lisa HynesCroí, West of Ireland Cardiac and Stroke Foundation, Galway, Ireland.ORCID 0000-0003-0419-2188
Aisling HarrisCroí, West of Ireland Cardiac and Stroke Foundation, Galway, Ireland.ORCID 0009-0003-7220-2664
Mary HarrahillPublic and Patient Involvement Panel, Croí, West of Ireland Cardiac and Stroke Foundation, Galway, Ireland.ORCID 0009-0002-0409-8220
Mary LillisPublic and Patient Involvement Panel, Croí, West of Ireland Cardiac and Stroke Foundation, Galway, Ireland.ORCID 0009-0009-8224-5215
Alison AtreyNational Institute for Prevention and Cardiovascular Health, Galway, Ireland.ORCID 0009-0003-7634-5005
Chantal F SkiSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, United Kingdom.ORCID 0000-0003-1324-2933
Vilius SavickasSchool of Chemistry, Pharmacy and Pharmacology, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0002-8059-5619
Molly ByrneHealth Behaviour Change Research Group, University of Galway, Galway, Ireland.ORCID 0000-0001-8900-4320
Andrew W MurphyHealth Research Board Primary Care Clinical Trials Network Ireland, University of Galway, Galway, Ireland.ORCID 0000-0001-5549-8246
John William McEvoySchool of Medicine, University of Galway, Galway, Ireland.ORCID 0000-0001-6530-5479
David WoodSchool of Medicine, University of Galway, Galway, Ireland.ORCID 0000-0003-1009-0882
Catriona JenningsSchool of Medicine, University of Galway, Galway, Ireland.ORCID 0000-0002-9143-1425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecondary prevention is an important strategy to reduce the burden of cardiovascular disease (CVD), a leading cause of death worldwide. Despite the growing evidence for the effectiveness of digital health interventions (DHIs) for the secondary prevention of CVD, the majority are designed with minimal input from target end users, resulting in poor uptake and usage.

objectiveThis study aimed to optimize the acceptance and effectiveness of a DHI for the secondary prevention of CVD through co-design, integrating end users' perspectives throughout.

methodsA theory-driven, person-based approach using co-design was adopted for the development of the DHI, known as INTERCEPT. This involved a 4-phase iterative process using online workshops. In phase 1, a stakeholder team of health care professionals, software developers, and public and patient involvement members was established. Phase 2 involved identification of the guiding principles, content, and design features of the DHI. In phase 3, DHI prototypes were reviewed for clarity of language, ease of navigation, and functionality. To anticipate and interpret DHI usage, phase 4 involved usability testing with participants who had a recent cardiac event (<2 years). To assess the potential impact of usability testing, the System Usability Scale was administered before and after testing. The GUIDED (Guidance for Reporting Intervention Development Studies in Health Research) checklist was used to report the development process.

resultsFive key design principles were identified: simplicity and ease of use, behavioral change through goal setting and self-monitoring, personalization, system credibility, and social support. Usability testing resulted in 64 recommendations for the app, of which 51 were implemented. Improvements in System Usability Scale scores were observed when comparing the results before and after implementing the recommendations (61 vs 83; P=.02).

conclusionsCombining behavior change theory with a person-based, co-design approach facilitated the development of a DHI for the secondary prevention of CVD that optimized responsiveness to end users' needs and preferences, thereby potentially improving future engagement.

Indexed as

Cardiovascular DiseasesSecondary PreventionAdultDigital HealthFemaleHumansMaleMiddle AgedMobile ApplicationsTelemedicineUser-Centered Designbehavioral changecardiovascular diseaseco-designconline workshopdesigndigital healthintervention developmentmobile healthsecondary preventionself-monitoringsocial supportusabilityusability testing

Identifiers

PMID39441626
PMCPMC11541151

What OpenQuestion holds

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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.