Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based study

Holly E.L. Evans; Cynthia C. Forbes; Daniel A. Galvão; Corneel Vandelanotte; Robert U. Newton; Gary Wittert; Suzanne Chambers; Andrew D. Vincent; Ganessan Kichenadasse; Danielle Girard; Nicholas Brook; Camille E. Short

doi:10.2196/28370

Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based study

Holly E.L. Evans, Cynthia C. Forbes, Daniel A. Galvão, Corneel Vandelanotte, Robert U. Newton, Gary Wittert, Suzanne Chambers, Andrew D. Vincent, Ganessan Kichenadasse, Danielle Girard, Nicholas Brook, Camille E. Short

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

Background: Digital health interventions such as tailored websites are emerging as valuable tools to provide individualized exercise and behavioral change information for individuals diagnosed with cancer. Objective: The aim of this study is to investigate and iteratively refine the acceptability and usability of a web-based exercise intervention (ExerciseGuide) for men with metastatic prostate cancer and determine how well individuals can replicate the video-based exercise prescription. Methods: A laboratory-based multi-methods design was used, incorporating questionnaires, think-aloud tests, interviews, and movement screening among 11 men aged 63 to 82 years with metastatic prostate cancer. Overall, 9 participants were undergoing androgen deprivation therapy, and 2 were completing chemotherapy. Data were collected in two waves, with changes made for quality improvement after participant 5. Results: The intervention's usability score was deemed moderate overall but improved after modifications (from 60, SD 2.9 to 69.6, SD 2.2 out of 100). Overall, the participants found the intervention acceptable, with scores improving from wave 1 (24.2, SD 1.1 out of 30) to wave 2 (26.3, SD 2.1 out of 30). The personalized multimodal exercise prescription and computer-tailored education were seen as valuable. After wave 1, website navigation videos were added, medical terminology was simplified, and a telehealth component was included after expert real-time telehealth support was requested. Wave 2 changes included the added variety for aerobic exercise modes, reduced computer-tailoring question loads, and improved consistency of style and grammar. Finally, the participants could replicate the resistance exercise videos to a satisfactory level as judged by the movement screen; however, additional technique cueing within the videos is recommended to address safety concerns. Conclusions: The acceptability and usability of ExerciseGuide were deemed satisfactory. Various problems were identified and resolved. Notably, the participants requested the inclusion of personalized expert support through telehealth. The resistance training algorithms were shown to provide appropriate content safely, and the users could replicate the exercise technique unaided to a satisfactory level. This study has optimized the ExerciseGuide intervention for further investigation in this population.

Original language	English
Article number	e28370
Journal	JMIR Cancer
Volume	7
Issue number	3
DOIs	https://doi.org/10.2196/28370
Publication status	Published - Jul 2021
Externally published	Yes

Bibliographical note

Funding Information:
This trial was funded by the Australian New Zealand Urogenital and Prostate Cancer Trials Group through a below-the-belt research grant. HELE is funded by a Commonwealth Research Training Program scholarship and the Freemasons Centre for Men’s Health. CES was supported by a National Health and Medical Research Council Early Career Researcher Fellowship (ID 1090517) and is currently supported by a Victorian Cancer Agency Mid-Career Fellowship (MCRF19028). The funding bodies had no role in the study design, analysis, or creation of the manuscript.

Publisher Copyright:
© 2019 Presses Universitaires du Midi. All rights reserved.

ASJC Scopus Subject Areas

Oncology
Cancer Research

PubMed: MeSH publication types

Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2196/28370

Cite this

Evans, H. E. L., Forbes, C. C., Galvão, D. A., Vandelanotte, C., Newton, R. U., Wittert, G., Chambers, S., Vincent, A. D., Kichenadasse, G., Girard, D., Brook, N., & Short, C. E. (2021). Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based study. JMIR Cancer, 7(3), Article e28370. https://doi.org/10.2196/28370

Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based study. / Evans, Holly E.L.; Forbes, Cynthia C.; Galvão, Daniel A. et al.
In: JMIR Cancer, Vol. 7, No. 3, e28370, 07.2021.

Research output: Contribution to journal › Article › peer-review

Evans, HEL, Forbes, CC, Galvão, DA, Vandelanotte, C, Newton, RU, Wittert, G, Chambers, S, Vincent, AD, Kichenadasse, G, Girard, D, Brook, N & Short, CE 2021, 'Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based study', JMIR Cancer, vol. 7, no. 3, e28370. https://doi.org/10.2196/28370

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title = "Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based study",

abstract = "Background: Digital health interventions such as tailored websites are emerging as valuable tools to provide individualized exercise and behavioral change information for individuals diagnosed with cancer. Objective: The aim of this study is to investigate and iteratively refine the acceptability and usability of a web-based exercise intervention (ExerciseGuide) for men with metastatic prostate cancer and determine how well individuals can replicate the video-based exercise prescription. Methods: A laboratory-based multi-methods design was used, incorporating questionnaires, think-aloud tests, interviews, and movement screening among 11 men aged 63 to 82 years with metastatic prostate cancer. Overall, 9 participants were undergoing androgen deprivation therapy, and 2 were completing chemotherapy. Data were collected in two waves, with changes made for quality improvement after participant 5. Results: The intervention's usability score was deemed moderate overall but improved after modifications (from 60, SD 2.9 to 69.6, SD 2.2 out of 100). Overall, the participants found the intervention acceptable, with scores improving from wave 1 (24.2, SD 1.1 out of 30) to wave 2 (26.3, SD 2.1 out of 30). The personalized multimodal exercise prescription and computer-tailored education were seen as valuable. After wave 1, website navigation videos were added, medical terminology was simplified, and a telehealth component was included after expert real-time telehealth support was requested. Wave 2 changes included the added variety for aerobic exercise modes, reduced computer-tailoring question loads, and improved consistency of style and grammar. Finally, the participants could replicate the resistance exercise videos to a satisfactory level as judged by the movement screen; however, additional technique cueing within the videos is recommended to address safety concerns. Conclusions: The acceptability and usability of ExerciseGuide were deemed satisfactory. Various problems were identified and resolved. Notably, the participants requested the inclusion of personalized expert support through telehealth. The resistance training algorithms were shown to provide appropriate content safely, and the users could replicate the exercise technique unaided to a satisfactory level. This study has optimized the ExerciseGuide intervention for further investigation in this population.",

author = "Evans, {Holly E.L.} and Forbes, {Cynthia C.} and Galv{\~a}o, {Daniel A.} and Corneel Vandelanotte and Newton, {Robert U.} and Gary Wittert and Suzanne Chambers and Vincent, {Andrew D.} and Ganessan Kichenadasse and Danielle Girard and Nicholas Brook and Short, {Camille E.}",

note = "Funding Information: This trial was funded by the Australian New Zealand Urogenital and Prostate Cancer Trials Group through a below-the-belt research grant. HELE is funded by a Commonwealth Research Training Program scholarship and the Freemasons Centre for Men{\textquoteright}s Health. CES was supported by a National Health and Medical Research Council Early Career Researcher Fellowship (ID 1090517) and is currently supported by a Victorian Cancer Agency Mid-Career Fellowship (MCRF19028). The funding bodies had no role in the study design, analysis, or creation of the manuscript. Publisher Copyright: {\textcopyright} 2019 Presses Universitaires du Midi. All rights reserved.",

year = "2021",

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doi = "10.2196/28370",

language = "English",

volume = "7",

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T1 - Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer

T2 - Multi-methods laboratory-based study

AU - Evans, Holly E.L.

AU - Forbes, Cynthia C.

AU - Galvão, Daniel A.

AU - Vandelanotte, Corneel

AU - Newton, Robert U.

AU - Wittert, Gary

AU - Chambers, Suzanne

AU - Vincent, Andrew D.

AU - Kichenadasse, Ganessan

AU - Girard, Danielle

AU - Brook, Nicholas

AU - Short, Camille E.

N1 - Funding Information: This trial was funded by the Australian New Zealand Urogenital and Prostate Cancer Trials Group through a below-the-belt research grant. HELE is funded by a Commonwealth Research Training Program scholarship and the Freemasons Centre for Men’s Health. CES was supported by a National Health and Medical Research Council Early Career Researcher Fellowship (ID 1090517) and is currently supported by a Victorian Cancer Agency Mid-Career Fellowship (MCRF19028). The funding bodies had no role in the study design, analysis, or creation of the manuscript. Publisher Copyright: © 2019 Presses Universitaires du Midi. All rights reserved.

PY - 2021/7

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N2 - Background: Digital health interventions such as tailored websites are emerging as valuable tools to provide individualized exercise and behavioral change information for individuals diagnosed with cancer. Objective: The aim of this study is to investigate and iteratively refine the acceptability and usability of a web-based exercise intervention (ExerciseGuide) for men with metastatic prostate cancer and determine how well individuals can replicate the video-based exercise prescription. Methods: A laboratory-based multi-methods design was used, incorporating questionnaires, think-aloud tests, interviews, and movement screening among 11 men aged 63 to 82 years with metastatic prostate cancer. Overall, 9 participants were undergoing androgen deprivation therapy, and 2 were completing chemotherapy. Data were collected in two waves, with changes made for quality improvement after participant 5. Results: The intervention's usability score was deemed moderate overall but improved after modifications (from 60, SD 2.9 to 69.6, SD 2.2 out of 100). Overall, the participants found the intervention acceptable, with scores improving from wave 1 (24.2, SD 1.1 out of 30) to wave 2 (26.3, SD 2.1 out of 30). The personalized multimodal exercise prescription and computer-tailored education were seen as valuable. After wave 1, website navigation videos were added, medical terminology was simplified, and a telehealth component was included after expert real-time telehealth support was requested. Wave 2 changes included the added variety for aerobic exercise modes, reduced computer-tailoring question loads, and improved consistency of style and grammar. Finally, the participants could replicate the resistance exercise videos to a satisfactory level as judged by the movement screen; however, additional technique cueing within the videos is recommended to address safety concerns. Conclusions: The acceptability and usability of ExerciseGuide were deemed satisfactory. Various problems were identified and resolved. Notably, the participants requested the inclusion of personalized expert support through telehealth. The resistance training algorithms were shown to provide appropriate content safely, and the users could replicate the exercise technique unaided to a satisfactory level. This study has optimized the ExerciseGuide intervention for further investigation in this population.

AB - Background: Digital health interventions such as tailored websites are emerging as valuable tools to provide individualized exercise and behavioral change information for individuals diagnosed with cancer. Objective: The aim of this study is to investigate and iteratively refine the acceptability and usability of a web-based exercise intervention (ExerciseGuide) for men with metastatic prostate cancer and determine how well individuals can replicate the video-based exercise prescription. Methods: A laboratory-based multi-methods design was used, incorporating questionnaires, think-aloud tests, interviews, and movement screening among 11 men aged 63 to 82 years with metastatic prostate cancer. Overall, 9 participants were undergoing androgen deprivation therapy, and 2 were completing chemotherapy. Data were collected in two waves, with changes made for quality improvement after participant 5. Results: The intervention's usability score was deemed moderate overall but improved after modifications (from 60, SD 2.9 to 69.6, SD 2.2 out of 100). Overall, the participants found the intervention acceptable, with scores improving from wave 1 (24.2, SD 1.1 out of 30) to wave 2 (26.3, SD 2.1 out of 30). The personalized multimodal exercise prescription and computer-tailored education were seen as valuable. After wave 1, website navigation videos were added, medical terminology was simplified, and a telehealth component was included after expert real-time telehealth support was requested. Wave 2 changes included the added variety for aerobic exercise modes, reduced computer-tailoring question loads, and improved consistency of style and grammar. Finally, the participants could replicate the resistance exercise videos to a satisfactory level as judged by the movement screen; however, additional technique cueing within the videos is recommended to address safety concerns. Conclusions: The acceptability and usability of ExerciseGuide were deemed satisfactory. Various problems were identified and resolved. Notably, the participants requested the inclusion of personalized expert support through telehealth. The resistance training algorithms were shown to provide appropriate content safely, and the users could replicate the exercise technique unaided to a satisfactory level. This study has optimized the ExerciseGuide intervention for further investigation in this population.

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Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based study

Abstract

Bibliographical note

ASJC Scopus Subject Areas

PubMed: MeSH publication types

UN SDGs

Access to Document

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