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Table 5 Selected usability issues and proposed revisions

From: Usability evaluation and adaptation of the e-health Personal Patient Profile-Prostate decision aid for Spanish-speaking Latino men

Usability domains and program features

Problems or suggestions

Solutions or revisions

Navigation

• To answer open-ended questions, users must type in a text box

• Participants did not know how to access the text box and enter answers

• Add clearer instruction

• Put focus on the page into the text box

• Add instruction inside the text box to Entre su respusta aquí (Enter your answer here)

• Change year of birth question from textbox entry to radio buttons with a set of age categories

• Text and graphics require scrolling on some pages

• Not all participants were familiar with scrolling using the side scroll bar or down/up arrows

• Add a touch-button when needed directing the user to “go down” on the page to continue reading

Content comprehension and comprehensiveness

• Presentation and order of topics

• Participants wanted definitions and further information about terms and treatment options earlier in the program

• Add pop-up glossary feature for unfamiliar terms

• Provide expanded definition of care options the first time they are encountered

• Revise navigation of intervention to indicate that more general information about prostate cancer will be provided after the tailored content

• Communication coaching provides text with suggested wording and fill-in-the-blanks

• Participants did not understand the coaching text, especially the fill in the blanks

• Revise the interface to visually separate the suggested wording

• Revise the fill in the blank statements to more clearly indicate how to use them

Sociocultural appropriateness

• Query about influential decision factors includes important people, lifestyle factors, current symptoms, and potential treatment outcomes

• Participant referred to God as influential in decision process

• Add a question about how religious belief or faith may influence their decision, in order to provide familiar and comprehensive decision factors

• Infographs illustrate statistics on survival and treatment side effects and teach numeracy

• One participant suggested that statistics specific to Hispanic patients be provided

• Review literature for evidence of survival/outcomes differences by ethnicity; if none found, add wording to indicate figures presented are for all ethnicities