Development and evaluation of a co-designed website for delivering interactive self-directed cardiac rehabilitation

Date

2024

Authors

Nesbitt, K.
Beleigoli, A.
Champion, S.
Gebremichael, L.G.
Bulamu, N.
Tirimacco, R.
Clark, R.A.

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Citation

European Journal of Cardiovascular Nursing, 2024; 23(1):81-89

Statement of Responsibility

Katie Nesbitt, Alline Beleigoli, Stephanie Champion, Lemlem G. Gebremichael, Norma Bulamu, Rosy Tirimacco, and Robyn A. Clark, on behalf of the NHMRC Country Heart Attack Prevention (CHAP) Project Team

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Abstract

Aims: The aim of this study is to report on the development and evaluation of the co-designed website for delivering interactive selfdirected cardiac rehabilitation (CR). Methods and results: Multi-method user experience design framework was used to co-design the web application and complete usability testing. Participants were recruited based on their eligibility for CR. Thematic analysis collected the participants’ design specifications and lived experiences. The System Usability Scale (SUS) was administered at the completion of the website development and the usability testing workshops. This collected the participants’ perceptions of the website’s effectiveness, efficiency, and their satisfaction. Website development and usability testing workshops included 39 and 35 participants with a mean age of 66.5 (SD 11.7) and 68.6 (SD 11.2), respectively. Both genders were equally represented across both workshops with 19 (48.7%) and 16 (45.7%) women. Workshop themes guided the design process. The mean SUS scores increased from 66.7 (SD 16.8) to 73.6 (21), P = 0.26. Easiness of use (P = 0.03), integration of the website functions (P ≤ 0.001), and consistency (P = 0.038) significantly improved from website development to usability testing. The proportion of participants rating it as excellent increased from 20.5% to 42.9%, P = 0.11. Conclusion: The evolution of our CR website development was completed with an improvement in usability. Upcoming evaluation of this intervention will report on its effectiveness.

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© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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