Evidence map›Paper›PMID 40346267›Full record

ArticleNPJ digital medicine2025

Usability testing a web application to support evidence-based commissioning decisions for implementing mobile stroke units.

Lisa Moseley, Anna Laws, Michael Allen, Gary A Ford, Martin James, Stephen McCarthy, Graham McClelland, Laura J Park, Kerry Pearn, Daniel Phillips and 6 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Lisa MoseleyFaculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Anna LawsUniversity of Exeter Medical School, Exeter, UK and NIHR South West Peninsula Applied Research Collaboration (ARC), Exeter, UK.
Michael AllenUniversity of Exeter Medical School, Exeter, UK and NIHR South West Peninsula Applied Research Collaboration (ARC), Exeter, UK.
Gary A FordOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Martin JamesUniversity of Exeter Medical School, Exeter, UK and NIHR South West Peninsula Applied Research Collaboration (ARC), Exeter, UK.
Stephen McCarthyFaculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Graham McClellandFaculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Laura J ParkFaculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Kerry PearnUniversity of Exeter Medical School, Exeter, UK and NIHR South West Peninsula Applied Research Collaboration (ARC), Exeter, UK.
Daniel PhillipsEast of England Ambulance Service NHS Trust, Cambridgeshire, UK.
Christopher PriceStroke Research Group, Population Health Sciences Institute / Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Lisa ShawStroke Research Group, Population Health Sciences Institute / Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Phil WhiteStroke Research Group, Population Health Sciences Institute / Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
David WilsonStroke Service User Voice Group, Newcastle upon Tyne, UK.
Peter McMeekinFaculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Jason ScottFaculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK. jason.scott@northumbria.ac.uk.

Funding

National Institute for Health and Care Research NIHR153982
6 · The paper itself

Abstract

Commissioning of innovations in healthcare is a complex socio-technical process, ideally informed by high quality evidence. However, evidence is not always prepared and presented in a format usable for commissioning decisions. Agile methodology, combined with qualitative co-design, were used to develop a digital web application incorporating machine learning models of stroke outcomes to inform commissioning decisions for the implementation of mobile stroke units (MSUs) in England, followed by usability testing using think aloud methodology. Sixteen stakeholders involved in developing consensus on model parameters and pathways participated with data thematically analysed. Required improvements to the web application were identified and novel insights into the complexity of context-specific commissioning decisions were generated, which also informed participants' views on the viability of MSUs. This study provides empirical evidence in support of developing innovative and accessible digital dissemination methods to engage with commissioning processes and prospectively understand commissioning challenges.

Identifiers

PMID40346267
PMCPMC12064816

What OpenQuestion holds

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Registered trials

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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.