Table 1.

Overview of User-Centered Design and Iterative Revision of Materials

Category of Design Issue	Provider Round 1		Provider Round 2
	Concerns	Edits	Concerns	Edits
Specific steps needed or information suggested	How to Download: Need “how to connect to Wi-Fi or use cellular data for download” in first step.	+	How to Download: Some patients may need a cue to use the keyboard to search for app in step 3.	−
	App Guides: Need to define mindfulness. Explain that these products have training paired with them.	+	App Guides: Include instructions on using the “back button” to get to the previous screen(s). PTSD Coach guide mentions this under “things to remember,” but other guides do not.	+
	All: Include mobilementalhealth@va.gov email in addition to mobile helpdesk phone number	+
Clarifying information needed (e.g., descriptions of information, explanation of steps)	How to Download: Make more explicit how Bluetooth is used for accessibility (hearing aid). Improve specific description of steps.	+
	Mobile Ref.: “definitions seem a bit techy.” Edits recommended for definition of cellular plan, data plan, agreeing to EULA, how data are collected (FAQs).	+	Mobile Ref.: Improve readability, use 8th grade level or below. Glossary defines “broad concepts that may or may not be useful for folks who have already gotten as far as getting a cell phone.”	−, Seek Vet. feedback
User/Device Fit	All: Users would have to have good cognitive function. Apps may be better used with iPad as screen is bigger.	+, p	All: Veterans with cognitive support may need additional assistance, some may still benefit from 1:1 assistance (n = 5), particular with downloads	−, p
Layout and copy editing	How to Download: Some Android screenshots have small print. Need for more copy editing and consistency in ordering of steps.	Seek Vet. feedback	How to Download: Improve layout, add white [space]. Consider booklet vs. accordion folded pamphlet (n = 2).	+
	Mobile Ref.: Lost color, pop, engagement.	-	Mobile Ref.: Looks like a user manual.	-
	Only mention App Store in iOS and Play Store in Android. Include pictures of symbols.	+
	App Guides: Spacing is tight on some pages. Needs a table of contents. A lot of content and pictures which may be overwhelming. “Simplify, but may take away from effectiveness of guide.” Need for consistency with copy and terms (post-traumatic vs. posttraumatic). Simplify language.	+	App Guides: Very “busy” pages. Appreciate screen shots in guides, but the font size on the screen shots for the Mindfulness Coach Android version is small. Readability could be improved.	+

Notes. + = change made, − = left as is, p = add to provider manual. Mobile Device pages not ordered correctly with some round 2 booklets.