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. 2018 Sep 4;6(9):e11432. doi: 10.2196/11432

Table 1.

Best and worst case examples of usability by heuristic domain.

Heuristic Best case Worst case
Appropriate functionality
  • Has a comprehensive set of persuasive health features such as a toothbrush timer, goal tracking, and reminders that run smoothly

  • Is intuitive and easy to use

  • Free of errors and crashes

  • Primary function is a toothbrush timer, which doesn’t work

  • Lacks basic features such as reminders, sound controls, etc.

  • Has frequent errors and crashes repeatedly

Not irritating or embarrassing
  • Free of ads and other unnecessary interruptions

  • Functions smoothly, navigation is intuitive, and screens and features load quickly

  • Gives user the ability to customize settings and controls such as sound, timer length, and privacy

  • Frequently interrupts user with full-screen ads, flashing banners, and solicitations

  • Slow loading times; disorganized, inconsistent navigational controls

  • No user guides, assistance, or help of any kind provided

Protects user’s privacy
  • Log-in/password protected

  • Informs/reassures user about privacy protections and rights

  • Allows user to control their data permissions/usage

  • No log-in/password option

  • No mention of privacy policy or what happens to data

  • Shares data publicly or with third parties such as advertisers

Use of positive motivation strategies
  • Primarily uses gain-framed messaging and positive imagery throughout

  • Positively reinforces achievement of target behavior: “Great job! Keep it up!”

  • Rewards user with badges, points, or other incentives when achieving target behaviors/goals

  • No positive motivation strategies are used at all; says nothing when you complete a tooth brushing session

  • Primarily uses loss-framed messaging and negative imagery (eg, cartoon of person suffering from bad breath)

  • Warns potential mates will run from you if you have bad breath

Usable and aesthetically appealing design
  • Interface is well designed and professional looking

  • High-quality, attractive images and graphics are used

  • Navigational elements and controls are intuitive and easy to use, keep the user well oriented

  • Unappealing color choices, such as a puke-green background

  • Poor image quality; pixelated, unattractive imagery and graphics; reuses the same image for different sections

  • Disorganized, disorienting, and inconsistent navigation controls

Accuracy of user information
  • Option to track multiple aspects of user information and behavior

  • Tracking features are accurate, editable, and function appropriately

  • Allows user to manually input, edit, or delete their information

  • Has no ability to track or store user information/behavior

  • Tracking features do not function properly or are highly inaccurate

  • Does not provide a way to input, edit, or delete existing user information

Appropriate time and place
  • Information is coherent and well organized for consumption

  • Provides user with mini-tutorials when accessing new features

  • Simply shaking the device allows the user to easily report an issue

  • Textual information is plagued by spelling, grammatical, or syntax errors; difficult to consume

  • No guides, assistance, or help of any kind is provided for the user

  • App randomly asks user to solve math problems

Visibility of user’s status
  • Provides summary data of user’s stats on home screen

  • Provides more in-depth explanation of user progression data with historical graphs/charts

  • Shows progression bars as user works toward goals

  • No user data is tracked, so there is no feedback on status or progress towards goals

  • Does not let the user know which content they’ve reviewed; doesn’t provide option to do so

  • Toothbrush timer is tiny; difficult to see progress

Customizability
  • Provides ability to customize colors, sounds, and notifications

  • Provides ability to choose from among several oral hygiene goals

  • Provides ability to create multiple user profiles so a family can share the device, for instance

  • No ability to customize colors, sounds, or notifications

  • No ability to set personalized goals or tailor oral hygiene strategies, such as timer length

  • No ability to customize privacy settings or control user data

Educates users
  • Provides educational material on the benefits of oral hygiene practices

  • Provides videos that explain how to properly brush, floss, and perform other types of oral care

  • Positively reinforces target behaviors by reminding user of end-goal benefits

  • No educational, instructional, or persuasive content whatsoever

  • No clear goals for the user to achieve

  • Does not attempt to engage the user in any process or explain why user should perform certain types of behaviors