User Experience Development in Elderly Heart Patient Monitoring System
Abstract
Heart disease is a major global cause of death, particularly among the elderly. Elderly often face challenges in accessing healthcare due to physical and cognitive limitations, making remote health monitoring systems a crucial solution. However, the effectiveness of these systems depends heavily on a good user experience (UX), which is often a challenge for the elderly. This research aims to develop a user-centered design (UCD) method and design a remote patient monitoring prototype that is specifically tailored to the needs of the elderly. The research employed a design science research methodology (DSRM) and included an in-depth literature review, interviews with five elderly patients and two medical professionals, a needs analysis, and the development of the FlowBeat prototype. The developed UCD method consisted of seven phases, and its validity was assessed by six UI/UX experts using the content validity ratio (CVR) and the content validity index (CVI), including item-CVI (I-CVI) and scale-CVI (S-CVI). The results showed that the research users and test the design phases were rated as the most essential (CVR = 1) and relevant (I-CVI = 1). Conversely, the creating a personal manifesto phase scored the lowest (CVR = -0.33). The overall S-CVI score was 0.93, indicating strong content validity for most of the framework. In conclusion, the creating a personal manifesto and evaluate against requirements phases performed poorly, necessitating their removal. Furthermore, further research requires testing the prototype on elderly to ensure successful implementation in the real world.
References
“Survei Kesehatan Indonesia (SKI) dalam Angka,” Ministry of Health Republic of Indonesia, 2023.
M. Sugiharto, L. Prayitno, and A. Galih, “The case study of heart disease at urban and rural communities by gender and age in Indonesia in 2018,” Medico Legal Update, vol. 22, no. 1, pp. 124–130, Jan.-Mar. 2022, doi: 10.37506/mlu.v22i1.3190.
“Pedoman Nasional Pelayanan Kedokteran Tata Laksana Gagal Jantung,” Ministry of Health Republic of Indonesia, 2021.
R. Hariri, L. Hakim, and R.F. Lestari, “Sistem monitoring detak jantung menggunakan sensor AD8232,” J. Zetroem, vol. 2, no. 2, pp. 1–5, Oct. 2020, doi: 10.36526/ztr.v2i2.1017.
M. Yassir and Agunawan, “Pengembangan aplikasi pantau denyut nadi pasien,” J. Fokus Elektroda, Energi List. Telekomun. Komput. Elektron. Kendali, vol. 8, no. 1, pp. 29–33, Feb. 2023, doi: 10.33772/jfe.v8i1.46.
Y.K. Natanael and A.D. Manuputty, “Analisis penerapan sistem aplikasi redmine pada grup PRDC PT. Anabatic Digital Raya dengan menggunakan pendekatan model UTAUT (unified theory of acceptance and use of technology),” J. SITECH : Sist. Inf. Teknol., vol. 2, no. 1, pp. 31–38, Jun. 2019, doi: 10.24176/sitech.v2i1.3175.
Z. Azzahrawaani, R.C. Johan, and Ardiansah, “Analisis bibliometrik tren penelitian literasi pada lansia dengan menggunakan VOSviewer,” BACA: J. Dok. Inf., vol. 44, no. 2, pp. 125–140, Dec. 2023, doi: 10.55981/baca.2023.1679.
G. Pires et al., “Usability of a telehealth solution based on TV interaction for the elderly: the VITASENIOR-MT case study,” Univers. Access Inf. Soc., vol. 22, no. 2, pp. 525–536, Jun. 2023, doi: 10.1007/s10209-021-00859-3.
W. Li, et al., “Determinants of intention with remote health management service among urban older adults: A unified theory of acceptance and use of technology perspective,” Front Public Health, vol. 11, pp. 1–16, Jan. Jan. 2023, doi: 10.3389/fpubh.2023.1117518.
Restyandito, E. Kurniawan, and T.M. Widagdo, “Mobile application menu design for elderly in Indonesia with cognitive consideration,” J. Phys.: Conf. Ser., vol. 1196, no. 1, pp. 1–7, Mar. 2019, doi: 10.1088/1742-6596/1196/1/012058.
Restyandito, Febryandi, K.A. Nugraha, and D. Sebastian, “Mobile social media interface design for elderly in Indonesia,” in HCI Int. 2020 – Late Break. Posters, 2020, pp. 79–85, doi: 10.1007/978-3-030-60703-6_10.
D. Castilla et al., “Effect of Web navigation style in elderly users,” Comput. Hum. Behav., vol. 55, pp. 909–920, Feb. 2016, doi: 10.1016/j.chb.2015.10.034.
W. Zahida, V. Effendy, and A. Hadikusuma, “Improving messenger accessibility for elderly users using user centered design (UCD) methods (Study case: WhatsApp),” in 2021 Int. Conf. Softw. Eng. Comput. Syst. 4th Int. Conf. Comput. Sci. Inf. Manag. (ICSECS-ICOCSIM), 2021, pp. 273–278, doi: 10.1109/ICSECS52883.2021.00056.
D. Pal, S. Funilkul, N. Charoenkitkarn, and P. Kanthamanon, “Internet-of-things and smart homes for elderly healthcare: An end user perspective,” IEEE Access, vol. 6, pp. 10483–10496, Feb. 2018, doi: 10.1109/ACCESS.2018.2808472.
“Statistik Penduduk Lanjut Usia 2024,” BPS - Statistics Indonesia, 2024.
V.P. Cornet et al., “Untold stories in user-centered design of mobile health: Practical challenges and strategies learned from the design and evaluation of an app for older adults with heart failure,” JMIR Mhealth Uhealth, vol. 8, no. 7, pp. 1–14, Jul. 2020, doi: 10.2196/17703.
R.A. Hestehave et al., “Poor usability of computer-assisted navigation for hip fracture surgery,” Arch. Orthop. Trauma Surg., vol. 144, no. 1, pp. 251–257, Oct. 2023, doi: 10.1007/s00402-023-05096-2.
A.A. Ifandi and T.C. Kusumandyoko, “Penerapan metode user centred design pada pengembangan antarmuka aplikasi kesehatan hewan,” J. Barik, vol. 5, no. 1, pp. 68–80, Jul. 2023, doi: 10.26740/jdkv.v5i1.55953.
C.-H. Huang and J.-W. Guo, “Design of reflectance pulse oximeter and BPM using the Max30100 sensor in early detection of hypoxemia in patients with cardiovascular disorders,” Int. J. Adv. Health Sci. Technol., vol. 1, no. 1, pp. 1–6, Nov. 2021, doi: 10.35882/ijahst.v1i1.1.
E.S. Pramukantoro, K. Amron, V. Wardhani, and P. Kamila, “Implementasi sensor polar H10 dan Raspberry Pi dalam pemantauan dan klasifikasi detak jantung beberapa individu secara simultan dengan pendekatan machine learning,” J. Teknol. Inf. Ilmu Komput., vol. 11, no. 1, pp. 175–182, Feb. 2024, doi: 10.25126/jtiik.20241117716.
W. Najib, S. Sulistyo, and Widyawan, “Tinjauan ancaman dan solusi keamanan pada teknologi Internet of things,” J. Nas. Tek. Elekt. Teknol. Inf., vol. 9, no. 4, pp. 375–384, Nov. 2020, doi: 10.22146/jnteti.v9i4.539.
E.D. Wardihani et al., “Pemantauan dan pengendalian parameter greenhouse berbasis IoT dengan protokol MQTT,” J. Nas. Tek. Elekt. Teknol. Inf., vol. 13, no. 1, pp. 38–43, Feb. 2024, doi: 10.22146/jnteti.v13i1.8564.
M.I. Ahmed and G. Kannan, “Secure and lightweight privacy preserving Internet of things integration for remote patient monitoring,” J. King Saud Univ. - Comput. Inf. Sci., vol. 34, no. 9, pp. 6895–6908, Oct. 2022, doi: 10.1016/j.jksuci.2021.07.016.
K. Peffers, T. Tuunanen, M.A. Rothenberger, and S. Chatterjee, “A design science research methodology for information systems research,” J. Manag. Inf. Syst., vol. 24, no. 3, pp. 45–77, 2007, doi: 10.2753/MIS0742-1222240302.
B. Gledson, K. Rogage, A. Thompson, and H. Ponton, “Reporting on the development of a Web-based prototype dashboard for construction design managers, achieved through design science research methodology (DSRM),” Buildings, vol. 14, no. 2, pp. 1–20, Feb. 2024, doi: 10.3390/buildings14020335.
R.G. Guntara, M.R. Nugraha, and M.D.A. Ridlo, “Web-based counseling skills evaluation information system using design science research methodology (DSRM) approach,” Int. J. Adv. Data Inf. Syst., vol. 4, no. 2, pp. 116–124, Oct. 2023, doi: 10.25008/ijadis.v4i2.1288.
Ergonomics of Human-System Interaction, International Standard ISO 9241-210, Switzerland, 2010.
T. Lowdermilk, User-Centered Design: A Developer’s Guide to Building User-Friendly Applications. Sebastopol, CA, USA: O’Reilly Media, 2013.
B. Still and K. Crane, Fundamentals of User-Centered Design, 1st ed. Boca Raton, FL, USA: CRC Press, 2017.
W. Knight, UX for Developers. Berkeley, CA, USA: Apress, 2019.
A.M. Jacob, J. Jacob, W. Peersman, and A.K. Shetty, “The content validity of an instrument that measures health-seeking behavior for tuberculosis among people living with HIV in India,” Trop. Med. Infect. Dis., vol. 9, no. 8, pp. 1–13, Aug. 2024, doi: 10.3390/tropicalmed9080181.
W. Wider et al., “The validation of a smart CPR training module: The preliminary process of a technology-based CPR training approach,” J. Infrastruct. Policy Dev., vol. 8, no. 9, pp. 1–17, Sep. 2024, doi: 10.24294/jipd.v8i9.5424.
A.K. Amponsah et al., “Evaluating the content validity of two versions of an instrument used in measuring pediatric pain knowledge and attitudes in the Ghanaian context,” PLoS One, vol. 15, no. 11, pp. 1–17, Nov. 2020, doi: 10.1371/journal.pone.0241983.
S. Dubey and P.K. Choudhary, “Development and validation of the media influence on health information perception and behaviour scale (MIHIPBS),” J. Adv. Zool., vol. 44, no. 3, pp. 1301–1311, Nov. 2023, doi: 10.17762/jaz.v44i3.1537.
V.W.S. Yun, N.M. Ulang, and S.H. Husain, “Enhancing content validity of the designed hierarchy of controls instrument in preventing infectious diseases on construction sites: A multidimensional approach,” J. Adv. Res. Appl. Sci. Eng. Technol., vol. 32, no. 2, pp. 508–521, Oct. 2023, doi: 10.37934/araset.32.2.508521.
S. Dubey and P.K. Choudhary, “Development and assessment of the media impact on health information perception and behavior scale (Mihipb-S) using content validity index method,” J. Adv. Zool., vol. 44, no. 3, pp. 1405–1414, Nov. 2023, doi: 10.17762/jaz.v44i3.1989.
J.A. Brown, A.L. Cooper, and M.A. Albrecht, “Development and content validation of the burden of documentation for nurses and midwives (BurDoNsaM) survey,” J. Adv. Nurs., vol. 76, no. 5, pp. 1273–1281, May 2020, doi: 10.1111/jan.14320.
K. Aslam, R.A. Khan, M.A. Aslam, and F.Z. Zaidi, “Curriculum implementation challenges: Development and validation of an integrated curriculum implementation challenges tool,” Pak. J. Med. Sci., vol. 40, no. 1, pp. 89–94, Jan.-Feb. 2023, doi: 10.12669/pjms.40.1.7258.
M.R. Jeldres, E.D. Costa, and T.F. Nadim, “A review of Lawshe’s method for calculating content validity in the social sciences,” Front. Educ., vol. 8, pp. 1–8, Nov. 2023, doi: 10.3389/feduc.2023.1271335.
A. Bayat, M. Shojaei, and A. Omidi, “Development and validation of a questionnaire of attribution styles of patients with COVID-19,” J. Appl. Psychol., vol. 16, no. 2, pp. 249–225, Jun. 2022, doi: 10.52547/apsy.2021.223385.1121.
N. Liu et al., “Mobile health applications for older adults: A systematic review of interface and persuasive feature design,” J. Am. Med. Inform. Assoc., vol. 28, no. 11, pp. 2483–2501, Oct. 2021, doi: 10.1093/jamia/ocab151.
Q. Jiang, L. Deng, J. Zhang, and Y. Pengbo, “User-centered design strategies for age-friendly mobile news apps,” Sage Open, vol. 14, no. 4, pp. 1–17, Oct.-Dec. 2024, doi: 10.1177/21582440241285393.
V.W.D. Konda, Restyandito, and K.A. Nugraha, “Evaluasi dan perancangan ulang tampilan antarmuka aplikasi SehatQ terhadap lansia,” AITI, vol. 19, no. 2, pp. 228–247, Nov. 2022, doi: 10.24246/aiti.v19i2.228-247.
M. Gomez-Hernandez, X. Ferre, C. Moral, and E. Villalba-Mora, “Design guidelines of mobile apps for older adults: Systematic review and thematic analysis,” JMIR Mhealth Uhealth, vol. 11, pp. 1–20, Sep. 2023, doi: 10.2196/43186.
M.C. De Cola et al., “Teleassistance for frail elderly people: A usability and customer satisfaction study,” Geriatr. Nurs., vol. 41, no. 4, pp. 463–467, Jul.-Aug. 2020, doi: 10.1016/j.gerinurse.2020.01.019.
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