Table 5.

Summary of Cognitive Interviews

Strengths of Framework

Easy to read/good layout (15 of 22)

Participants easily responded to framework (20 of 22)

Participants liked questions or thought it was good to think about the questions (7 of 22)

Weaknesses of Framework

Difficult to locate message in MyChart (14 of 22)

Discomfort in answering questions (5 of 22)

Difficulty accessing my chart—couldn’t remember log-in info (10 of 22)

Re-wording of second and third questions (13 of 22)

Unsure how framework would be used/needs more introduction (5 of 22)

Need for provider follow-up/contact (5 of 22)

Permanence, fitting with existing advance directives (5 of 22)