ArticleJMIR human factors2024
German Version of the Telehealth Usability Questionnaire and Derived Short Questionnaires for Usability and Perceived Usefulness in Health Care Assessment in Telehealth and Digital Therapeutics: Instrument Validation Study.
Article in JMIR human factors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07716475 (A Study to Evaluate the Effectiveness and Safety of At-Home Rehabilitation Gait Training Using a Hip-assisted Wearable Robot in Stroke Patients), which is not on this map. Cited by 10 papers.
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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.
A Study to Evaluate the Effectiveness and Safety of At-Home Rehabilitation Gait Training Using a Hip-assisted Wearable Robot in Stroke Patients: An Investigator-Initiated, Single-Center, Single-Arm Exploratory Trial
Who cites it
10 citing papers in PubMed.
- Large language models enhance diagnostic reasoning of medical students in rheumatology: a randomized controlled trial.BMC medical education · 2026Trial
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- Needs and Concerns Regarding a Pediatric Palliative Telehealth App for Use in Palliative Home Care for Adults Among Providers in Germany: Embedded Mixed Methods Study.JMIR formative research · 2026Article
- Driving Revisit Intentions Through Medical Information and Service Quality in General Hospitals: An Extended Technology Acceptance Model Approach.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Article
- Digital maternity care in Germany: a cross-sectional web-based survey on midwives' perceptions.Archives of gynecology and obstetrics · 2026Article
- The Role of Telemedicine Centers and Digital Health Applications in Home Care: Challenges and Opportunities for Family Caregivers.Healthcare (Basel, Switzerland) · 2026Article
- Patient-reported first-use usability of the noncommercial MyTARGET mobile application among adults with inflammatory bowel disease: a cross-sectional survey.Frontiers in digital health · 2026Article
- Real-World-Evidence of Digital Health Applications (DiGAs) in Rheumatology: Insights from the DiGAReal Registry.Rheumatology and therapy · 2025Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe exponential growth of telehealth is revolutionizing health care delivery, but its evaluation has not matched the pace of its uptake. Various forms of assessment, from single-item to more extensive questionnaires, have been used to assess telehealth and digital therapeutics and their usability. The most frequently used questionnaire is the "Telehealth Usability Questionnaire" (TUQ). The use of the TUQ is limited by its restricted availability in languages other than English and its feasibility.
objectiveThe aims of this study were to create a translated German TUQ version and to derive a short questionnaire for patients-"Telehealth Usability and Perceived Usefulness Short Questionnaire for patients" (TUUSQ).
methodsAs a first step, the original 21-item TUQ was forward and back-translated twice. In the second step, 13 TUQ items were selected for their suitability for the general evaluation of telehealth on the basis of expert opinion. These 13 items were surveyed between July 2022 and September 2023 in 4 studies with patients and family members of palliative care, as well as patients with chronic autoimmune diseases, evaluating 13 health care apps, including digital therapeutics and a telehealth system (n1=128, n2=220, n3=30, and n4=12). Psychometric exploratory factor analysis was conducted.
resultsThe analysis revealed that a parsimonious factor structure with 2 factors ("perceived usefulness in health care" and "usability") is sufficient to describe the patient's perception. Consequently, the questionnaire could be shortened to 6 items without compromising its informativeness.
conclusionsWe provide a linguistically precise German version of the TUQ for assessing the usability and perceived usefulness of telehealth. Beyond that, we supply a highly feasible shortened version that is versatile for general use in telehealth, mobile health, and digital therapeutics, which distinguishes between the 2 factors "perceived usefulness in health care" and "usability" in patients.
trial registrationGerman Clinical Trials Register DRKS00030546; https://drks.de/search/de/trial/DRKS00030546.
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