Development and Systematic Evaluation of a Progressive Web Application for Women With Cardiac Pain: Usability Study
BackgroundCardiac pain has been widely considered to be the primary indicator of coronary artery disease. The presentation of cardiac pain and associated symptoms vary in women, making it challenging to interpret as cardiac, possibly cardiac, or noncardiac. Women prefer to co...
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JMIR Publications
2025-04-01
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| Series: | JMIR Human Factors |
| Online Access: | https://humanfactors.jmir.org/2025/1/e57583 |
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| author | Monica Parry Tony Huang Hance Clarke Ann Kristin Bjørnnes Paula Harvey Laura Parente Colleen Norris Louise Pilote Jennifer Price Jennifer N Stinson Arland O’Hara Madusha Fernando Judy Watt-Watson Nicole Nickerson Vincenza Spiteri DeBonis Donna Hart Christine Faubert |
| author_facet | Monica Parry Tony Huang Hance Clarke Ann Kristin Bjørnnes Paula Harvey Laura Parente Colleen Norris Louise Pilote Jennifer Price Jennifer N Stinson Arland O’Hara Madusha Fernando Judy Watt-Watson Nicole Nickerson Vincenza Spiteri DeBonis Donna Hart Christine Faubert |
| author_sort | Monica Parry |
| collection | DOAJ |
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BackgroundCardiac pain has been widely considered to be the primary indicator of coronary artery disease. The presentation of cardiac pain and associated symptoms vary in women, making it challenging to interpret as cardiac, possibly cardiac, or noncardiac. Women prefer to consult with family and friends instead of seeking immediate medical care.
ObjectiveThis study aimed to assess the user performance (ie, ease of use, efficiency, and errors) and user satisfaction (System Usability Scale; SUS) of a progressive web application for women with cardiac pain.
MethodsFollowing ethics approval, a purposive sample of women aged >18 years with cardiac pain or associated symptoms lasting >3 months and able to speak and read English was recruited to participate in 2 iterative usability testing cycles. The first cycle assessed the performance of and satisfaction with at heart using a web application, and the second cycle assessed the performance of and satisfaction with at heart across various Android and iOS devices. In total, 2 investigators recorded user comments and documented problems. At the end of the testing session, the participants completed the SUS and 4 semistructured interview questions.
ResultsIn total, 10 eligible women participated in usability testing from March 31, 2020, to April 17, 2020 (cycle 1), and from November 17, 2020, to November 30, 2020 (cycle 2). Women across usability testing cycles had a mean age of 55.6 (SD 7.3) years, and most (9/10, 90%) were well educated. In total, 50% (5/10) were employed full or part time, and 60% (6/10) earned >CAD $70,000 (US $48,881.80) annually. Participants across 2 testing cycles reported the overall usability of the at heart progressive web application as highly acceptable (mean SUS score 81.75, SD 10.41). In total, 90% (9/10) of participants rated the user-friendliness of at heart as good or excellent. All participants (10/10, 100%) thought at heart was easy to use and efficient. Only 2 testing errors were noted as high priority; these were low contrast or small font and clarification that the chatbot was not a real person. User satisfaction was assessed using themes that emerged from the debrief and 4 semistructured interview questions; at heart was engaging, comprehensive, understandable, credible, relevant, affirming, personalized, and innovative.
ConclusionsThis study provides initial support for the at heart progressive web application for women living with cardiac pain and symptoms. Ongoing evaluations in phases 3 and 4 should aim to examine the feasibility and acceptability of and the extent of engagement with the at heart core feature set: Heart Check, Wellness Check, and the library. In addition to assessing effectiveness in the phase-4 effectiveness-implementation hybrid trial (type I), describing and better understanding the context for implementation (eg, race and ethnicity and geography) will be necessary.
International Registered Report Identifier (IRRID)RR2-10.1136/bmjopen-2019-033092 |
| format | Article |
| id | doaj-art-b6758c511a1e4f9fa3c49c7787c0b145 |
| institution | DOAJ |
| issn | 2292-9495 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Human Factors |
| spelling | doaj-art-b6758c511a1e4f9fa3c49c7787c0b1452025-08-20T03:18:52ZengJMIR PublicationsJMIR Human Factors2292-94952025-04-0112e5758310.2196/57583Development and Systematic Evaluation of a Progressive Web Application for Women With Cardiac Pain: Usability StudyMonica Parryhttps://orcid.org/0000-0002-6941-1380Tony Huanghttps://orcid.org/0009-0007-6708-0972Hance Clarkehttps://orcid.org/0000-0003-4975-3823Ann Kristin Bjørnneshttps://orcid.org/0000-0002-5356-3873Paula Harveyhttps://orcid.org/0000-0003-2073-1540Laura Parentehttps://orcid.org/0000-0002-7631-5987Colleen Norrishttps://orcid.org/0000-0002-6793-9333Louise Pilotehttps://orcid.org/0000-0002-6159-0628Jennifer Pricehttps://orcid.org/0000-0003-1069-3245Jennifer N Stinsonhttps://orcid.org/0000-0002-9969-8052Arland O’Harahttps://orcid.org/0000-0002-7915-3522Madusha Fernandohttps://orcid.org/0009-0008-5918-5528Judy Watt-Watsonhttps://orcid.org/0000-0001-5537-2491Nicole Nickersonhttps://orcid.org/0009-0000-1666-5291Vincenza Spiteri DeBonishttps://orcid.org/0009-0006-9225-5036Donna Harthttps://orcid.org/0009-0009-9974-3659Christine Fauberthttps://orcid.org/0009-0009-2984-2985 BackgroundCardiac pain has been widely considered to be the primary indicator of coronary artery disease. The presentation of cardiac pain and associated symptoms vary in women, making it challenging to interpret as cardiac, possibly cardiac, or noncardiac. Women prefer to consult with family and friends instead of seeking immediate medical care. ObjectiveThis study aimed to assess the user performance (ie, ease of use, efficiency, and errors) and user satisfaction (System Usability Scale; SUS) of a progressive web application for women with cardiac pain. MethodsFollowing ethics approval, a purposive sample of women aged >18 years with cardiac pain or associated symptoms lasting >3 months and able to speak and read English was recruited to participate in 2 iterative usability testing cycles. The first cycle assessed the performance of and satisfaction with at heart using a web application, and the second cycle assessed the performance of and satisfaction with at heart across various Android and iOS devices. In total, 2 investigators recorded user comments and documented problems. At the end of the testing session, the participants completed the SUS and 4 semistructured interview questions. ResultsIn total, 10 eligible women participated in usability testing from March 31, 2020, to April 17, 2020 (cycle 1), and from November 17, 2020, to November 30, 2020 (cycle 2). Women across usability testing cycles had a mean age of 55.6 (SD 7.3) years, and most (9/10, 90%) were well educated. In total, 50% (5/10) were employed full or part time, and 60% (6/10) earned >CAD $70,000 (US $48,881.80) annually. Participants across 2 testing cycles reported the overall usability of the at heart progressive web application as highly acceptable (mean SUS score 81.75, SD 10.41). In total, 90% (9/10) of participants rated the user-friendliness of at heart as good or excellent. All participants (10/10, 100%) thought at heart was easy to use and efficient. Only 2 testing errors were noted as high priority; these were low contrast or small font and clarification that the chatbot was not a real person. User satisfaction was assessed using themes that emerged from the debrief and 4 semistructured interview questions; at heart was engaging, comprehensive, understandable, credible, relevant, affirming, personalized, and innovative. ConclusionsThis study provides initial support for the at heart progressive web application for women living with cardiac pain and symptoms. Ongoing evaluations in phases 3 and 4 should aim to examine the feasibility and acceptability of and the extent of engagement with the at heart core feature set: Heart Check, Wellness Check, and the library. In addition to assessing effectiveness in the phase-4 effectiveness-implementation hybrid trial (type I), describing and better understanding the context for implementation (eg, race and ethnicity and geography) will be necessary. International Registered Report Identifier (IRRID)RR2-10.1136/bmjopen-2019-033092https://humanfactors.jmir.org/2025/1/e57583 |
| spellingShingle | Monica Parry Tony Huang Hance Clarke Ann Kristin Bjørnnes Paula Harvey Laura Parente Colleen Norris Louise Pilote Jennifer Price Jennifer N Stinson Arland O’Hara Madusha Fernando Judy Watt-Watson Nicole Nickerson Vincenza Spiteri DeBonis Donna Hart Christine Faubert Development and Systematic Evaluation of a Progressive Web Application for Women With Cardiac Pain: Usability Study JMIR Human Factors |
| title | Development and Systematic Evaluation of a Progressive Web Application for Women With Cardiac Pain: Usability Study |
| title_full | Development and Systematic Evaluation of a Progressive Web Application for Women With Cardiac Pain: Usability Study |
| title_fullStr | Development and Systematic Evaluation of a Progressive Web Application for Women With Cardiac Pain: Usability Study |
| title_full_unstemmed | Development and Systematic Evaluation of a Progressive Web Application for Women With Cardiac Pain: Usability Study |
| title_short | Development and Systematic Evaluation of a Progressive Web Application for Women With Cardiac Pain: Usability Study |
| title_sort | development and systematic evaluation of a progressive web application for women with cardiac pain usability study |
| url | https://humanfactors.jmir.org/2025/1/e57583 |
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