Journal Article

Usability and User Experience of a Digital Platform Prototype (Healthy Bone) to Promote Pharmacological and Nonpharmacological Treatment in Patients With Osteoporosis: Mixed Methods Study

Henriques, Ana Rita, F Almeida, Mafalda, Moreto, Maiara, Costa, Daniela, Moniz, Alexandre, F Gonçalves, Cátia, Rodrigues, Ana Maria, Frazão Mateus, Elsa, Barcelos, Anabela, Domingos, Pedro, Canhão, Helena, Mendonça, Nuno, Dias, Sónia, Mazeda, Carolina, Nesme, Yoann, M Marques, Marta, Machado, Ana

2025

Overview

Osteoporosis-related fractures significantly impact older adults, often leading to disability and even premature death. While pharmacological and nonpharmacological interventions are widely recommended for managing osteoporosis, adherence to these interventions remains low. To address this challenge, we developed the Healthy Bone digital platform (desktop, mobile app, and smart TV internet-based) for use in clinical settings to improve disease management and treatment adherence. It integrates a multimedia health-related behavioral change program with a patient monitoring and management system. This study aimed to evaluate the usability and user experience of the desktop version of the Healthy Bone digital platform prototype from the patients' perspective. The findings will provide valuable insights into optimizing the digital platform and enhancing its functionality. A mixed-methods study was conducted. During usability testing, patients completed tasks simulating real-world use of the platform while using a Think-Aloud approach. After each task, participants filled out an After Scenario Questionnaire to assess task satisfaction. Subsequently, participants completed the System Usability Scale (SUS) and the eHealth Usability Benchmarking Instrument (HUBBI) to measure usability quantitatively. Following this, semistructured interviews were conducted to explore participants' experiences with the platform in greater depth. Descriptive statistics were used for quantitative analysis. Qualitative data analysis involved a combined deductive and inductive approach, ensuring a comprehensive evaluation of the platform's usability and user experience. Deductive content analysis was guided by an ontology of eHealth usability components, while thematic analysis adhered to Braun and Clarke's method to identify emerging themes. Seven participants evaluated the digital platform, reporting high usability with a mean overall SUS score of 87.1 (SD 13.3). Similarly, good usability was reported across all categories of the HUBBI, except for the guidance and support category, which presented moderate levels of usability (mean 3.3, SD 1.1). Patients reported high levels of task satisfaction and identified 24 unique usability issues, predominantly related to the basic system performance, interface design, and navigation and structure categories of the eHealth usability ontology. Overall, patients had positive perceptions and acceptability of the digital platform, highlighting its simplicity, accessibility, utility, and potential to empower those with osteoporosis. Barriers to usage included limited skills, lack of suitable equipment, and time, while facilitators included motivation for behavior change, health benefits, and the decrease of potential inequalities. This study provided valuable insights into the usability and user experience of the desktop version of the Healthy Bone digital platform prototype. These findings will play a key role in optimizing the platform to ensure it is effectively tailored to the needs of the target population. This platform adds an understanding of how various information and communication technology tools can support and benefit large numbers of osteoporosis patients in society.

• Publisher: JMIR Publications,JMIR Publications Inc
• Subject: Aged / Aged, 80 and over / Behavior / Chronic illnesses / Computer platforms / Consumer & Patient Education and Shared-Decision Making / Content management software / Design and Usability of Consumer Health Tech and Home Monitoring Devices / Disease management / E-Health / Health Services Research and New Models of Care / eHealth / Empowerment / Exercise / Female / Formative Evaluation of Digital Health Interventions / Fractures / Health care / Health Informatics / Human Factors and Environmental Health Implications / Humans / information and communication technologies / Male / Medicine (miscellaneous) / Middle Aged / Mixed methods research / Mobile Applications / Multimedia / Non-pharmacological intervention / older adults / Older people / Original Paper / Osteoporosis / Osteoporosis - psychology / Osteoporosis - therapy / Patient Satisfaction / Patients / Physical fitness / Prototypes / Public health / Surveys and Questionnaires / Telemedicine / Usability / Usability Evaluation Case Studies / User experience / User Needs and Competencies / User-Computer Interface