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Patients’ Perspectives on the Usability of a Mobile App for Self-Management following Spinal Cord Injury

  • Mobile & Wireless Health
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Abstract

With decreasing inpatient lengths of stay following spinal cord injury (SCI), newly injured patients may be discharged into the community without the self-management skills needed to prevent secondary conditions. A mobile app was developed to facilitate self-management skills following SCI in the inpatient rehabilitation and early community settings. The objective of this study was to explore patients’ perspectives on the usability of this self-management app. A mixed-methods study design was implemented. The app was trialed at a local rehabilitation centre with 20 inpatient participants who experienced a SCI. They received mobile app training sessions throughout their inpatient rehabilitation. A thematic analysis was performed on qualitative data from post-discharge exit questionnaires and researchers’ field notes. Quantitative data (in the form of participants’ tool usage data and self-reported system usability scale scores) were collected at discharge and 3 months post-discharge. Three main themes emerged from the qualitative analysis: (1) being accessible to users (i.e., being easy to adopt and compatible with assistive technologies), (2) being intuitive to navigate (i.e., incorporating a simple app layout and a system of alert notifications), and (3) offering users flexibility (i.e., providing users with control over their data). The mobile app received above average mean system usability scale scores, both at discharge (78.1/100) and 3 months post-discharge (71.6/100). Given that participants found the app acceptable for use in inpatient rehabilitation and following discharge into the community, further testing is warranted to explore its efficacy in preventing secondary complications.

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Authors and Affiliations

  1. International Collaboration on Repair Discoveries, Blusson Spinal Cord Centre–ICORD, 3rd Floor, 818 West 10th Ave, Vancouver, BC, V5Z 1M9, Canada

    Gurkaran Singh, Megan MacGillivray, Bonita Sawatzky & W. Ben Mortenson

  2. Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, Canada

    Gurkaran Singh & Megan MacGillivray

  3. G.F. Strong Rehabilitation Centre, Vancouver, Canada

    Patricia Mills & W. Ben Mortenson

  4. Faculty of Medicine, University of British Columbia, Vancouver, Canada

    Patricia Mills

  5. Self Care Catalysts Inc., Toronto, Canada

    Jared Adams

  6. Department of Orthopaedics, Faculty of Medicine, University of British Columbia, Vancouver, Canada

    Bonita Sawatzky

  7. Department of Occupational Sciences and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada

    W. Ben Mortenson

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  1. Gurkaran Singh
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  2. Megan MacGillivray
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  3. Patricia Mills
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  4. Jared Adams
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  6. W. Ben Mortenson
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Corresponding author

Correspondence to W. Ben Mortenson.

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Declaration of Interest

The authors WBM, GS, MKM, MS, PBM, BJS report no real or perceived conflicts of interest. JA has a conflict of interest as he works as a research and development officer for Self Care Catalysts, a company that may benefit from the mobile app. Conflict of interest was mitigated by Self Catalysts (including JA) having no access to any research data, which remained on the University of British Columbia premises. JA was not involved in the analysis of the data but was involved in reviewing the final draft of the paper. Funding for the research study was provided by the Rick Hansen Institute’s ‘Emerging Interventions & Innovative Technologies’ grant (Grant No. G2015–11). Dr. Mortenson’s work was supported by a New Investigator Award from the Canadian Institutes of Health Research.

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Appendix

Appendix

Table 1 App Tool Usage and Data Entry
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Table 2 Participants enrolled versus screened (in total, 72 participants’ charts were screened)
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Singh, G., MacGillivray, M., Mills, P. et al. Patients’ Perspectives on the Usability of a Mobile App for Self-Management following Spinal Cord Injury. J Med Syst 44, 26 (2020). https://doi.org/10.1007/s10916-019-1487-y

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