Table 4.

Examples of actions taken during phase III (implementation) based on patient insights generated in phase 2.

Insights	Actions	Page
Information, Emotion, Clarity	Better explanation of our tool, its origins, and its cost	Tagline on first page
Information, Education, Clarity	Better explanation of how the tool works Bring down perceived barrier for cognitively impaired patients	Chevron design on the front page
Information, Data, Clarity	Easy entry into the tool Clearer navigation	Get Started button
Information, Education, Clarity, Perception	Explanation of how to use the tool Provide guidance to the capabilities of the tool	Tutorial page
Information, Education, Emotion, Perception	Clear disclaimer	Edited headers on the Disclaimer page
Information, Education, Clarity	Frequently asked questions and glossary Definitions and explanations page	Questions and Answers page
Information, Education, Data, Clarity, Perception	Information about how this tool uses patient data, and where it came from Better explanation of our mission Better awareness campaign	About Us
Information, Education, Data	Explanation of what is being tracked	Contextualization introduction page
Information, Education, Data, Clarity	Simple data entry Preset options so patients will not have to think of what fields would be useful	Enter your information page
Information, Education, Data, Emotion, Clarity, Perception	More intuitive charts Icons that reflect the words they represent Clearer marking for parts that are important to bring to clinic Explain what it means to “progress”	Clearer design, iterated by patient interactions
Information, Education, Data, Clarity, Perception	Clarity about the difference between your data and the contextualized data of others Clarity about how the curves are generated Careful wording about “similar patients” Filters for demographics	Labels at the top of the screen More explanation about the cohort being compared
Education, Clarity, Emotion	Education about complex topics—EDSSa, HIPAAb algorithms, and cohorts	Educational modules
Information, Education, Data, Emotion, Clarity, Perception	Clear labels and instructions for the patient-reported EDSS section	Clearer design, iterated by patient interactions
Information, Education, Data, Emotion, Clarity, Perception	Clearer language Blue-on-white visualization of symptom severity Print-friendly interface	All pages

^aEDSS: expanded disability status scale.

^bHIPAA: Health Insurance Portability and Accountability Act.