Digital Forms in Healthcare: Comparing the Usability of Single-Page, Multi-Page and Conversational Forms (Preprint)
BACKGROUND Even in the era of digital technology, a number of hospitals still rely on paper-based forms for data entry for patient admission, triage, drug prescriptions, and procedures. Paper-based forms can be efficient to complete but often at the expense of data quality, completeness, sustainability, and automated data analytics to name but a few limitations. As an additional benefit, digital forms could also assist with decision making when deciding on the appropriate response to certain data inputs (e.g. when classifying symptoms, etc.). OBJECTIVE Objective: Nevertheless, there is a lack of empirical best practices and guidelines for the interaction design of digital health forms. In this study, we assess the usability of three different interactive forms, namely 1) a single page digital form (where all data input is required on one web page), 2) a multi-page digital form and 3) a conversational digital form (a chatbot). METHODS Methods: These three digital forms were developed as candidates to replace a current paper-based form that is used to record patient referrals to an interventional cardiology department (Cath-Lab) at Altnagelvin Hospital. We recorded three different usability metrics from data collected in a counterbalanced usability test (60 usability tests: 20 subjects x 3 form usability tests). RESULTS Results: The usability metrics includes the SUS questionnaire, UEQ, and a final customised questionnaire. We found that the single-page form outperformed the other two digital form techniques in almost all of the metrics. The mean SUS score for the single page form was 76±15.8 (p<0.05) and achieved the least task completion time compared to the other two digital form styles. CONCLUSIONS Conclusion: In conclusion, the digital single page form outperformed the other two forms in almost all the usability metrics. The mean SUS score for the single page was 76±15 with the least task completion time compared to other two digital forms. Moreover, upon answering the open-ended question, the single-page form was the preferred choice. However, this preference might change over time as multi-page and conversational forms become more common.