Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures.

Autor: Morgan TL; School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, ON, Canada. t.morgan@queensu.ca., Pletch J; School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, ON, Canada., Faught E; School of Medicine, Queen's University, Kingston, ON, Canada., Fortier MS; School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada., Gazendam MK; Loyalist Family Health Team, Amherstview, ON, Canada., Howse K; School of Medicine, Queen's University, Kingston, ON, Canada., Jain R; Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Lane KN; Canadian Society for Exercise Physiology, Ottawa, ON, Canada.; School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada., Maclaren K; Independent Communication Specialist, Ottawa, ON, Canada., McFadden T; Canadian Medical Association, Ottawa, ON, Canada., Prorok JC; Canadian Frailty Network, Kingston, ON, Canada., Weston ZJ; Canadian Society for Exercise Physiology, Ottawa, ON, Canada., Tomasone JR; School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, ON, Canada.
Jazyk: angličtina
Zdroj: BMC medical informatics and decision making [BMC Med Inform Decis Mak] 2023 Apr 06; Vol. 23 (1), pp. 57. Date of Electronic Publication: 2023 Apr 06.
DOI: 10.1186/s12911-023-02147-x
Abstrakt: Background: Canada's 24-Hour Movement Guidelines for Adults have shifted the focus from considering movement behaviours (i.e., physical activity, sedentary behaviour, and sleep) separately to a 24-h paradigm, which considers how they are integrated. Accordingly, primary care providers (PCPs) have the opportunity to improve their practice to promote all movement behaviours cohesively. However, PCPs have faced barriers to discussing physical activity alone (e.g., time, competing priorities, inadequate training), leading to low frequency of physical activity discussions. Consequently, discussing three movement behaviours may seem challenging. Tools to facilitate primary care discussions about physical activity have been developed and used; however, few have undergone usability testing and none have integrated all movement behaviours. Following a synthesis of physical activity, sedentary behaviour, and sleep tools for PCPs, we developed the Whole Day Matters Tool and User Guide that incorporate all movement behaviours. The present study aimed to explore PCPs' perceptions on the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide to improve their relevancy among PCPs.
Methods: Twenty-six PCPs were observed and audio-video recorded while using the Tool and User Guide in a think-aloud procedure, then in a near-live encounter with a mock service-user. A debriefing interview using a guide informed by Normalization Process Theory followed. Recordings were transcribed verbatim and analysed using content analysis and a critical friend to enhance rigour.
Results: PCPs valued aspects of the Tool and User Guide including their structure, user-friendliness, visual appeal, and multi-behaviour focus and suggested modifications to improve usability and acceptability. Findings are further discussed in the context of Normalization Process Theory and previous literature.
Conclusions: The Tool and User Guide were revised, including adding plain language, reordering and renaming sections, reducing text, and clarifying instructions. Results also informed the addition of a Preamble and a Handout for adults accessing care (i.e., patients/clients/service-users) to explain the evidence underpinning the 24-Hour Movement Guidelines for Adults and support a person-centered approach. These four resources (i.e., Tool, User Guide, Preamble, Handout) have since undergone a consensus building process to arrive at their final versions before being disseminated into primary care practice.
(© 2023. The Author(s).)
Databáze: MEDLINE
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