Exploring the user-experience of animation tailoring: A mixed-methods approach comparing animation and video tailoring (Preprint)

2021 ◽  
Author(s):  
Kei Long Cheung ◽  
Vera Knapen ◽  
Dilara Durusu ◽  
Bjorn Winkens ◽  
Hein de Vries
Keyword(s):  
Mixed Methods ◽  
User Experience ◽  
Intervention Development ◽  
Web Based ◽  
Mixed Methods Approach ◽  
Face To Face ◽  
Delivery Modes ◽  
Randomised Controlled ◽  
Development Perspective ◽  
Larger Sample

BACKGROUND Computer-tailored programs have shown their efficacy to enhance lifestyle behaviours. Video-based messaging improves user evaluations but is expensive and may be replaced by animations. OBJECTIVE This study aimed to explore the effects of animation-based tailoring compared to video-based tailoring on the user-experience, using a modified case intervention: Support-to-Quit. METHODS A randomised controlled cross-over design was used with two periods (animation-based tailoring vs. video-based tailoring). A mixed-methods study was conducted using structured face-to-face interviews and digital questionnaires. The intervention Support-to-Quit was a web-based computer-tailored program to support smoking cessation. We recruited 58 participants (34.9% response rate) with 17 interviewees and 41 survey participations. RESULTS No significant differences in the scores between the video-based and the animation-based versions of the program were obtained (all p-values ≥ 0.14), indicating similar user-experience, and intention to use the program between the delivery modes. Small effect sizes favouring animated texts were found for loyalty and enjoyment. Interviews showed consistent findings, further revealing the specific perceptions surrounding the concepts of the user-experience model, and overall more positive feedback was given to the animated versions CONCLUSIONS This study showed that animation-based tailoring and video-based tailoring yield similar user-experience of smokers. Due to the overall similar user-experience and two trends favouring animated texts, one can argue that animation-based tailoring may be a better and cheaper option from an intervention development perspective. Yet, future studies with larger sample sizes are needed.

scholarly journals Vaginal probiotic adherence and acceptability in Rwandan women with high sexual risk participating in a pilot randomised controlled trial: a mixed-methods approach

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e031819
Author(s):  
Marijn C Verwijs ◽  
Stephen Agaba ◽  
Marie Michele Umulisa ◽  
Mireille Uwineza ◽  
Adrien Nivoliez ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Randomised Controlled Trial ◽  
Sexual Risk ◽  
Controlled Trial ◽  
Vaginal Infections ◽  
Pilot Randomised Controlled Trial ◽  
Steady Partner ◽  
Face To Face ◽  
Male Clients ◽  
Randomised Controlled

ObjectivesTo evaluate adherence and acceptability of intermittent vaginal probiotic or antibiotic use to prevent bacterial vaginosis (BV) recurrence.DesignRepeated adherence and acceptability assessments using mixed methods within a pilot randomised controlled trial.SettingResearch clinic in Kigali, Rwanda.ParticipantsRwandan women with high sexual risk.InterventionsWomen diagnosed with BV and/or trichomoniasis were randomised to four groups (n=17 each) after completing metronidazole treatment: behavioural counselling only, or behavioural counselling plus 2-month intermittent use of oral metronidazole, Ecologic Femi+ (EF+) vaginal capsule or Gynophilus LP (GynLP) vaginal tablet.Outcome measuresAdherence and acceptability were assessed by structured face-to-face interviews, semi-structured focus group discussions and in-depth interviews, daily diaries and counting of used/unused study products in randomised women (n=68). Vaginal infection knowledge was assessed by structured face-to-face interviews in randomised women and women attending recruitment sessions (n=131).ResultsMost women (93%) were sex workers, 99.2% were unfamiliar with BV and none had ever used probiotics. All probiotic users (n=32) reported that insertion became easier over time. Triangulated adherence data showed that 17/17 EF+ users and 13/16 GynLP users used ≥80% of required doses (Fisher’s exact p=0.103). Younger age (p=0.076), asking many questions at enrolment (p=0.116), having menses (p=0.104) and reporting urogenital symptoms (p=0.103) were non-significantly associated with lower perfect adherence. Women believed that the probiotics reduced BV recurrence, but reported that partners were sometimes unsupportive of study participation. Self-reported vaginal washing practices decreased during follow-up, but sexual risk behaviours did not. Most women (12/15) with an uncircumcised steady partner discussed penile hygiene with him, but many women found this difficult, especially with male clients.ConclusionsHigh-risk women require education about vaginal infections. Vaginal probiotic acceptability and adherence were high in this cohort. Our results can be used to inform future product development and to fine-tune counselling messages in prevention programmes.Trial registration numberNCT02459665.

Customer dissatisfaction among older consumers: a mixed-methods approach

2014 ◽  
Vol 36 (2) ◽  
pp. 420-441 ◽  
Author(s):  
MICHAEL P. CAMERON ◽  
MARGARET RICHARDSON ◽  
SIALUPAPU SIAMEJA
Keyword(s):  
Mixed Methods ◽  
Older People ◽  
Customer Service ◽  
Service Providers ◽  
Mixed Methods Approach ◽  
Face To Face ◽  
Factors Associated ◽  
Older Consumers ◽  
Customer Dissatisfaction ◽  
Research Questions

ABSTRACTWorldwide, populations are ageing and consequently so are the consumer profiles for most organisations. Understanding how best to ensure satisfaction in interactions with older customers, patients, members of organisations, and so on is therefore increasingly important. This paper examines two research questions: (a) How satisfied or dissatisfied are older people with their customer service experience, and what are the factors associated with dissatisfaction? and (b) What prompts older people to want to change service providers? The research questions are addressed using a mixed-methods approach – quantitative analysis of observation logs, supported by illustrative quotes from focus groups. We find that on the whole older people are generally satisfied with their interactions with organisations, although a substantial minority of interactions lead to dissatisfaction or lower-than-expected satisfaction. Dissatisfaction with interactions is mostly associated with impersonal communications, including interactions that are not conducted face to face, and those that are one-off interactions rather than repeated interactions. Media and communications firms prompted the greatest levels of dissatisfaction among older consumers. Dissatisfied older consumers from our sample are more than 12 times more likely to report an intention to switch providers than satisfied consumers. This highlights the potential costs to organisations of poor customer interactions with older people.

scholarly journals The effectiveness of e-learning in patient education delivered to patients with rheumatoid arthritis: The WebRA study—protocol for a pragmatic randomised controlled trial

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Line Raunsbæk Knudsen ◽  
Kirsten Lomborg ◽  
Mwidimi Ndosi ◽  
Ellen-Margrethe Hauge ◽  
Annette de Thurah
Keyword(s):  
Rheumatoid Arthritis ◽  
Statistical Analysis ◽  
Patient Education ◽  
Controlled Trial ◽  
Self Management ◽  
Web Based ◽  
Face To Face ◽  
E Learning ◽  
Randomised Controlled

Abstract Background Patient education is integral to the treatment and care of patients with rheumatoid arthritis. Change is taking place in the organisation of healthcare systems because of a demographic shift towards ageing populations, an increasing use of technology and advancements in digital technologies, allowing for new interventions. This study will aim to evaluate the effectiveness of a newly developed e-learning patient education programme based on self-management that targets patients with rheumatoid arthritis. Methods A pragmatic multi-centre randomised controlled trial is planned. We intend to recruit approximately 200 patients with a new diagnosis (< 3 months) of rheumatoid arthritis. Participants will be randomised 1:1 to web-based patient education delivered through an e-learning programme at home or standard face-to-face patient education provided at the hospital. The primary outcome is self-efficacy. Secondary outcomes are improved knowledge of rheumatoid arthritis, adherence to medication, health literacy level and quality of life. Outcomes will be measured at baseline and follow-up occurring 1, 3, 6 and 12 months after enrolment. Furthermore, data on healthcare utilisation and utilisation of the e-learning programme will be assessed at the 12-month follow-up. Statistical analysis, including differences between groups, will be evaluated using the chi-square and Kruskal–Wallis tests. Statistical analysis will follow the intention-to-treat principle, and analysis of variance will be used to evaluate the within- and between-groups differences testing the hypothesis of the ‘superiority’ of web-based patient education over standard face-to-face education provided at the hospital. Per protocol analysis will be used to assess the impact of missing data. Enrolment started in February 2021 and will end in June 2022. Discussion The study is expected to contribute to the evidence on the effectiveness of web-based patient education within rheumatic diseases. If the e-learning programme is effective, it will be incorporated into existing services to improve the self-management of patients with rheumatoid arthritis. Further, this mode of providing patient education may impact the organisation of health care for both rheumatic diseases and other chronic diseases by offering different modes of delivering patient education based on the needs and preferences of patients. Trial registration: ClinicalTrials.gov identifier NCT04669340. Registered on November 27, 2020. https://www.clinicaltrials.gov/ct2/show/NCT04669340?term=e-learning&cond=Rheumatoid+Arthritis&draw=2&rank=1. See Additional file 1 for detailed information on the dataset according to the World Health Organization Trial Registration Data Set.

scholarly journals Qualitative research to inform hypothesis testing for fidelity-based sub-group analysis in clinical trials: Lessons learnt from the process evaluation of a multifaceted podiatry intervention for falls prevention

2019 ◽  
Author(s):  
Arabella Scantlebury ◽  
Sarah Cockayne ◽  
Caroline Fairhurst ◽  
Sara Rodgers ◽  
David Torgerson ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Hypothesis Testing ◽  
Process Evaluation ◽  
Group Analysis ◽  
Falls Prevention ◽  
Routine Practice ◽  
Mixed Methods Approach ◽  
Qualitative Process Evaluation ◽  
Randomised Controlled ◽  
Trial Participants

Abstract Background Ensuring fidelity to complex interventions is a challenge when conducting pragmatic randomised controlled trials. We explore fidelity through a qualitative process evaluation, which was conducted alongside a pragmatic, multi-centred, two-arm cohort randomised controlled trial – the REFORM (Reducing Falls with Orthoses and a Multifaceted podiatry intervention) trial. The paper aims, through a qualitative process evaluation, to explore some of the factors that may have affected the delivery of the REFORM intervention and highlight how project specific fidelity can be assessed using a truly mixed methods approach when informed by qualitative insights. Design Semi-structured qualitative interviews carried out as part of a process evaluation. Interviews were analysed thematically. Setting 7 NHS trusts in the UK and a University podiatry school in Ireland. Interviews were undertaken face-to-face or over the telephone. Participants 21 REFORM trial participants and 14 podiatrists who delivered the REFORM intervention Results Factors affecting fidelity included: how similar the intervention was to routine practice, challenges of delivering a multifaceted intervention to a heterogeneous older population, and practical issues with delivery such as time and training. Trial participants’ views of the intervention, whether falls prevention is a personal priority, their experience of being part of a trial, and individual factors such as medical conditions also may have affected intervention fidelity. Conclusions Our process evaluation highlighted factors that were perceived to have affected the fidelity of the REFORM intervention and in doing so demonstrates the importance of considering fidelity when designing and evaluating pragmatic trials. We propose a number of recommendations of how important project specific insights from qualitative work can be incorporated into the design of fidelity measurement of future trials, which build on existing conceptual fidelity frameworks. In particular, we encourage adopting a mixed methods approach whereby qualitative insights can be used to suggest ways to enhance quantitative data collection facilitating integration through hypothesis generation, hypothesis testing and seeking explanation for trial findings. This will provide a framework of enabling measures of fidelity to be incorporated into the understanding of trial results which has been relatively neglected by existing literature. Trial registration: ISRCTN68240461.

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