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. 2024 Sep 25;8:e53224. doi: 10.2196/53224

Table 2.

Positive and negative qualitative feedback on eNav website from user test 1 study sample (n=10).

Themes Example quotes or behavioral observations
User test 1: positive feedback

Content


  • The content was interesting, informative, and important

  • The content was easy to understand

  • The website had diverse representation

  • “I like it. You can’t get no plainer than that. You explained everything. You know why you need to do it and how it needs to be done, you know, in all different kinds of ways...it’s very, very interesting, Like I said, there’s a lot of stuff I learned for myself just watching this, that I didn’t even know. I’m grateful that I took the time to watch it, and I guarantee that anybody that watches this, they’re going to learn a lot from it, and change their life.”

  • “The fact that it is such a step by step showing the individual tests that are available and how applicable it is to each, how different it is to each individual...is great...”

  • “This is wonderful. I like the different races in here to show...Beautiful, bravo, that video was outstanding. Outstanding in so many ways. Hitting the ethnic groups, you know, different cultures, everybody.”


Usability and acceptability


  • The website was user-friendly and easy to navigate

  • “It is easy to navigate, and the videos are very attractive and educative.”

  • “I believe that even the person that is not tech savvy will be able to...it’s pretty straightforward.”

  • “It’s ideal for a person that’s busy on the go, so you are stopping for a minute, you’re going through a video, and you can fill out a form. One two three.”


Design


  • The style and design of the website was appealing

  • “I like the website, and the color is perfect...the videos are very attractive and educative.”

  • “It feels great...You know, the welcoming faces. They are not frowning or anything. They’re quite content, which is nice.”

  • “I like the animated [videos]. I think it’s cute. It’s like it’s friendly.”


Motivation


  • The website would motivate people to get screened for CRCa

  • Individuals wanted to share the website with others

  • “I’m interested more than ever before to get checked out.”

  • “It’s really good, I like it, it will make you get less scared. And it helps you to be more, you know, let me go and do this, it is encouraging. Now I’m going home now to talk to my husband, because you know, he needed to do a colonoscopy...”

  • “...this right here conveys the convenience and the ease of testing so that people won’t be scared of the process.”

User test 1: negative feedback and suggestions for change

Content


  • The content should include more information

  • The content should use lay-language and avoid medical jargon

  • The content should address ambivalence about completing CRC screening

  • “I think there should be a little more information about what is cancer...That’s what seems to be missing, you know what I’m saying? Because this right here also assumes the listener and the reader knows what cancer is”

  • “What I want to know is like some people like to get the colonoscopy, right, you have to pay for it, you have to have the medical insurance, some people don’t have medical insurance, so how do they get it done if they don’t have medical insurance?”

  • “What does [CRC] look like, how does it start? Where does it come from? How does it develop?...And there are food products that you eat, and you don’t know they’re harming you…I want to see how it is? how does it start?” Translated from Spanish: [“¿Cómo se ve, como empieza [el cáncer colorrectal? ¿De donde proviene? ¿Cómo se desarrolla? Y hay productos alimenticios que tú comes y no sabes que te están haciendo daño...Yo quiero ver ¿cómo es? ¿ Cómo empieza?”]


Usability and acceptability


  • The website should be more accessible for those with limited technology skills or ownership

  • Alternate versions of the eNav website should be offered

  • Not all participants requested a CRC screening test (behavioral observation)

  • “Most people, a lot of people, like older people, they don’t have experience with the computer. To know more, they have to go on the computer, there should be other ways for them to learn about this...[Doing it on the phone] would be perfect.”

  • “I am tech savvy to navigate through it, however, there are a lot of individuals that are not. And remember when you’re hitting the low-income areas, that’s a toughie right there. It would be great to put it in the hospital and have like some volunteers walk them through it.”


Design


  • The style and design of the website should be bolder and more engaging

  • “You want to keep it comprehensive and concise, you know, appealing, you know, wonderful, friendly, you know? So this is just a little bland right now. It can be jazzed up a little bit.”

  • “Maybe a little cute card at the end thanking them for that? You know, a very nice little card that opens, a virtual card, thanking them for caring, for caring about yourselves with something like that.”


Motivation


  • The website should emphasize the urgency of screening for CRC

  • “Should be a little more dramatic, with more emphasis on the seriousness of symptoms...not enough drama here about the actual condition, the harmful condition like blood, vomiting and pain.”

  • “I also think that you should put somebody that has cancer and somebody that don’t have the cancer, so you could compare how the how it looks...You know, some people need to get scared because a lot of people don’t do the test.”

aCRC: colorectal cancer.