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User Experience Testing of My ePRO App in a Diabetes Mellitus Type 2 Focus Group

Received: 5 November 2021     Accepted: 24 November 2021     Published: 20 January 2022
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Abstract

Background: Type 2 Diabetes Mellitus affects patients’ quality of life. The my ePRO app was constructed to collect patient-reported outcomes in an investigator free study - DePRO study. We aimed to describe the qualitative and quantitative feedback received during user experience testing in a diabetes mellitus type 2 focus group. Methods: Metformin containing drug taking patients aged 18 years or older completed a 37-item qualitative questionnaire as the quantitative 6 scales and 26 items containing User Experience Questionnaire (UEQ) in a single focus group interview. The qualitative interview addressed feedback to 1) the download of the app, 2) scanning the 2D matrix code, 3) informed consent form, 4) demographic questionnaire and the 3 PRO instruments EQ-5D-5L, SDSCA and DTSQ. Results: Nine T2DM patients, 3 female and 6 male, aged 55-88 years were interviewed for 45 to 65 minutes. Patients expressed their need of lay language within the app, criticized the length of the informed consent form, the amount of health information, missed pictures of the drugs they scanned and judged the questions to income and education as too indiscreet. As positive feedback patient reported that everything was fine, the questions were self-explaining and could be read without glasses. The UEC scales (mean; variances) Perspicuity (0.722; 1.73), Efficiency (0.5; 0.89) and Novelty (0.25; 1.13) were rated neutral, Attractiveness (0.854: 0.63), Dependability (1.031; 0.1) and Stimulation (1.094; 0.39) represent a positive evaluation. Discussion: User experience testing provided insight into usage, challenges and areas of improvement of my ePRO app in a type 2 Diabetes Mellitus focus group. User experiences were implemented in the final app. The quantitative feedback was compared to a benchmark data set, to which the my ePRO app means were below average in all scales. Understanding patient view, leads to a better design of health apps and study conduct.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 8, Issue 1)
DOI 10.11648/j.ijcems.20220801.11
Page(s) 1-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

User Experience, Diabetes Mellitus, Type 2, Patient Reported Outcome Measures, App

References
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[2] Federation ID. Diabetes Atlas. 2019 [cited; Available from: https://www.diabetesatlas.org/upload/resources/2019/IDF_Atlas_9th_Edition_2019.pdf.
[3] Boyle JP, Thompson TJ, Gregg EW et al. Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence. Population health metrics 2010; 8: 29.
[4] Saleh F, Mumu SJ, Ara F et al. Non-adherence to self-care practices & medication and health related quality of life among patients with type 2 diabetes: a cross-sectional study. BMC public health 2014; 14: 431.
[5] Sun W, Aodeng S, Tanimoto Y et al. Quality of life (QOL) of the community-dwelling elderly and associated factors: a population-based study in urban areas of China. Archives of gerontology and geriatrics 2015; 60: 311-6.
[6] Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes care 2000; 23: 943-50.
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[14] Anderson K, Burford O, Emmerton L. Mobile Health Apps to Facilitate Self-Care: A Qualitative Study of User Experiences. PloS one 2016; 11: e0156164.
[15] Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today 2004; 24: 105-12.
[16] Laugwitz B, Held T, Schrepp M. Construction and Evaluation of a User Experience Questionnaire 2008.
[17] Schrepp M, Hinderks A, Thomaschewski J. Applying the User Experience Questionnaire (UEQ) in Different Evaluation Scenarios 2014.
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Cite This Article
  • APA Style

    Christian Mueller, Isabel Schauerte, Stephan Martin. (2022). User Experience Testing of My ePRO App in a Diabetes Mellitus Type 2 Focus Group. International Journal of Clinical and Experimental Medical Sciences, 8(1), 1-8. https://doi.org/10.11648/j.ijcems.20220801.11

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    ACS Style

    Christian Mueller; Isabel Schauerte; Stephan Martin. User Experience Testing of My ePRO App in a Diabetes Mellitus Type 2 Focus Group. Int. J. Clin. Exp. Med. Sci. 2022, 8(1), 1-8. doi: 10.11648/j.ijcems.20220801.11

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    AMA Style

    Christian Mueller, Isabel Schauerte, Stephan Martin. User Experience Testing of My ePRO App in a Diabetes Mellitus Type 2 Focus Group. Int J Clin Exp Med Sci. 2022;8(1):1-8. doi: 10.11648/j.ijcems.20220801.11

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  • @article{10.11648/j.ijcems.20220801.11,
      author = {Christian Mueller and Isabel Schauerte and Stephan Martin},
      title = {User Experience Testing of My ePRO App in a Diabetes Mellitus Type 2 Focus Group},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {8},
      number = {1},
      pages = {1-8},
      doi = {10.11648/j.ijcems.20220801.11},
      url = {https://doi.org/10.11648/j.ijcems.20220801.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20220801.11},
      abstract = {Background: Type 2 Diabetes Mellitus affects patients’ quality of life. The my ePRO app was constructed to collect patient-reported outcomes in an investigator free study - DePRO study. We aimed to describe the qualitative and quantitative feedback received during user experience testing in a diabetes mellitus type 2 focus group. Methods: Metformin containing drug taking patients aged 18 years or older completed a 37-item qualitative questionnaire as the quantitative 6 scales and 26 items containing User Experience Questionnaire (UEQ) in a single focus group interview. The qualitative interview addressed feedback to 1) the download of the app, 2) scanning the 2D matrix code, 3) informed consent form, 4) demographic questionnaire and the 3 PRO instruments EQ-5D-5L, SDSCA and DTSQ. Results: Nine T2DM patients, 3 female and 6 male, aged 55-88 years were interviewed for 45 to 65 minutes. Patients expressed their need of lay language within the app, criticized the length of the informed consent form, the amount of health information, missed pictures of the drugs they scanned and judged the questions to income and education as too indiscreet. As positive feedback patient reported that everything was fine, the questions were self-explaining and could be read without glasses. The UEC scales (mean; variances) Perspicuity (0.722; 1.73), Efficiency (0.5; 0.89) and Novelty (0.25; 1.13) were rated neutral, Attractiveness (0.854: 0.63), Dependability (1.031; 0.1) and Stimulation (1.094; 0.39) represent a positive evaluation. Discussion: User experience testing provided insight into usage, challenges and areas of improvement of my ePRO app in a type 2 Diabetes Mellitus focus group. User experiences were implemented in the final app. The quantitative feedback was compared to a benchmark data set, to which the my ePRO app means were below average in all scales. Understanding patient view, leads to a better design of health apps and study conduct.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - User Experience Testing of My ePRO App in a Diabetes Mellitus Type 2 Focus Group
    AU  - Christian Mueller
    AU  - Isabel Schauerte
    AU  - Stephan Martin
    Y1  - 2022/01/20
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    DO  - 10.11648/j.ijcems.20220801.11
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 1
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.ijcems.20220801.11
    AB  - Background: Type 2 Diabetes Mellitus affects patients’ quality of life. The my ePRO app was constructed to collect patient-reported outcomes in an investigator free study - DePRO study. We aimed to describe the qualitative and quantitative feedback received during user experience testing in a diabetes mellitus type 2 focus group. Methods: Metformin containing drug taking patients aged 18 years or older completed a 37-item qualitative questionnaire as the quantitative 6 scales and 26 items containing User Experience Questionnaire (UEQ) in a single focus group interview. The qualitative interview addressed feedback to 1) the download of the app, 2) scanning the 2D matrix code, 3) informed consent form, 4) demographic questionnaire and the 3 PRO instruments EQ-5D-5L, SDSCA and DTSQ. Results: Nine T2DM patients, 3 female and 6 male, aged 55-88 years were interviewed for 45 to 65 minutes. Patients expressed their need of lay language within the app, criticized the length of the informed consent form, the amount of health information, missed pictures of the drugs they scanned and judged the questions to income and education as too indiscreet. As positive feedback patient reported that everything was fine, the questions were self-explaining and could be read without glasses. The UEC scales (mean; variances) Perspicuity (0.722; 1.73), Efficiency (0.5; 0.89) and Novelty (0.25; 1.13) were rated neutral, Attractiveness (0.854: 0.63), Dependability (1.031; 0.1) and Stimulation (1.094; 0.39) represent a positive evaluation. Discussion: User experience testing provided insight into usage, challenges and areas of improvement of my ePRO app in a type 2 Diabetes Mellitus focus group. User experiences were implemented in the final app. The quantitative feedback was compared to a benchmark data set, to which the my ePRO app means were below average in all scales. Understanding patient view, leads to a better design of health apps and study conduct.
    VL  - 8
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Author Information
  • Bayer Vital GmbH, Leverkusen, Germany

  • Institut Dr. Schauerte, Munich, Germany

  • Westdeutsches Diabetes- und Gesundheitszentrum, Düsseldorf, Germany

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