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. 2021 Nov 25;5(11):e30495. doi: 10.2196/30495

Table 6.

Summary of health care provider (HCP) feedback from qualitative assessment (N=7).

App feature and areas of high likeability and usability Suggestions for improvement Implications for the patient-HCP visit
Dashboard

  • Helpful summary of symptoms and tracking of goals or activities

  • Visual presentation of graphs and ability to track the completion of activities

  • The features of different events (ie, red flags and activities) could not be identified directly from the dashboard

  • Add additional visual features for ease of reading for patients (eg, add a legend, increase contrast and font size, and reduce reading level)

  • Potentially too detailed to discuss within the scope of a patient visit—should be more usable at a glance

  • Might consider highlighting pain as a main source of discussion during the patient visit (stiffness and functional impairment are less relevant)

Goals

  • Use of the SMARTa goal-setting framework

  • Incorporation of an assessment of confidence in achieving goals (ie, “how confident are you that you will be able to complete this goal?”)—marked on a 5-point Likert scale from not confident (1) to very confident (5)

  • Summary of goals and prompts for next scheduled activity is useful

  • There could be more clarity on how to use the feature—HCPs thought it might be too complex for patients to follow

  • Improve visuals for easier reading—increase font size and color contrast

  • Too many categories of goals

  • Achieved goals should be removed

  • Keep the page to one screen so that scrolling is not required

  • Feature is most relevant for self-management

Activities

User-friendly and straightforward data entry

  • Modify activity categories from drop-down list—make it more relatable for those who are less exercise-oriented

  • Provide definitions for activity categories

  • List of activity categories is limited, and language is too high level

  • Improve readability using color contrast and different coloring

  • Need to include an option to go back to completed activities to discuss with HCP

  • Would be useful to see a percentage of activities completed

Flags

Helpful for capturing activity avoidance
  • Suggestions for updates or modifications to the red flags list were provided

  • Add option to provide notes to accompany a red flag

  • Add option to highlight red flags to be discussed with HCP

  • Add option to highlight red flags intended to be discussed with an HCP

Information

  • Useful feature; considered the best tab by most physicians

  • Information on exercise therapies was simple to understand with appropriate images and videos

  • Reference to evidence-based programs (eg, GLAD Canada) and no equipment requirement

  • Printable format ideal for older patients

  • Provide exercise adaptations for patients who may be mobility-limited

  • Provide more local resources and guidelines

  • Add a frequently asked questions section

  • Separate information page for resources for patients and resources for HCPs

  • Feature is most relevant for self-management

aSMART: specific, measurable, attainable, relevant, time-based.