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Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures

BACKGROUND: Canada’s 24-Hour Movement Guidelines for Adults have shifted the focus from considering movement behaviours (i.e., physical activity, sedentary behaviour, and sleep) separately to a 24-h paradigm, which considers how they are integrated. Accordingly, primary care providers (PCPs) have th...

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Autores principales: Morgan, Tamara L., Pletch, Jensen, Faught, Emma, Fortier, Michelle S., Gazendam, Mary Kate, Howse, Kelly, Jain, Rahul, Lane, Kirstin N., Maclaren, Kaleigh, McFadden, Taylor, Prorok, Jeanette C., Weston, Zachary J., Tomasone, Jennifer R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10080928/
https://www.ncbi.nlm.nih.gov/pubmed/37024972
http://dx.doi.org/10.1186/s12911-023-02147-x
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author Morgan, Tamara L.
Pletch, Jensen
Faught, Emma
Fortier, Michelle S.
Gazendam, Mary Kate
Howse, Kelly
Jain, Rahul
Lane, Kirstin N.
Maclaren, Kaleigh
McFadden, Taylor
Prorok, Jeanette C.
Weston, Zachary J.
Tomasone, Jennifer R.
author_facet Morgan, Tamara L.
Pletch, Jensen
Faught, Emma
Fortier, Michelle S.
Gazendam, Mary Kate
Howse, Kelly
Jain, Rahul
Lane, Kirstin N.
Maclaren, Kaleigh
McFadden, Taylor
Prorok, Jeanette C.
Weston, Zachary J.
Tomasone, Jennifer R.
author_sort Morgan, Tamara L.
collection PubMed
description BACKGROUND: Canada’s 24-Hour Movement Guidelines for Adults have shifted the focus from considering movement behaviours (i.e., physical activity, sedentary behaviour, and sleep) separately to a 24-h paradigm, which considers how they are integrated. Accordingly, primary care providers (PCPs) have the opportunity to improve their practice to promote all movement behaviours cohesively. However, PCPs have faced barriers to discussing physical activity alone (e.g., time, competing priorities, inadequate training), leading to low frequency of physical activity discussions. Consequently, discussing three movement behaviours may seem challenging. Tools to facilitate primary care discussions about physical activity have been developed and used; however, few have undergone usability testing and none have integrated all movement behaviours. Following a synthesis of physical activity, sedentary behaviour, and sleep tools for PCPs, we developed the Whole Day Matters Tool and User Guide that incorporate all movement behaviours. The present study aimed to explore PCPs’ perceptions on the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide to improve their relevancy among PCPs. METHODS: Twenty-six PCPs were observed and audio–video recorded while using the Tool and User Guide in a think-aloud procedure, then in a near-live encounter with a mock service-user. A debriefing interview using a guide informed by Normalization Process Theory followed. Recordings were transcribed verbatim and analysed using content analysis and a critical friend to enhance rigour. RESULTS: PCPs valued aspects of the Tool and User Guide including their structure, user-friendliness, visual appeal, and multi-behaviour focus and suggested modifications to improve usability and acceptability. Findings are further discussed in the context of Normalization Process Theory and previous literature. CONCLUSIONS: The Tool and User Guide were revised, including adding plain language, reordering and renaming sections, reducing text, and clarifying instructions. Results also informed the addition of a Preamble and a Handout for adults accessing care (i.e., patients/clients/service-users) to explain the evidence underpinning the 24-Hour Movement Guidelines for Adults and support a person-centered approach. These four resources (i.e., Tool, User Guide, Preamble, Handout) have since undergone a consensus building process to arrive at their final versions before being disseminated into primary care practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12911-023-02147-x.
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spelling pubmed-100809282023-04-08 Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures Morgan, Tamara L. Pletch, Jensen Faught, Emma Fortier, Michelle S. Gazendam, Mary Kate Howse, Kelly Jain, Rahul Lane, Kirstin N. Maclaren, Kaleigh McFadden, Taylor Prorok, Jeanette C. Weston, Zachary J. Tomasone, Jennifer R. BMC Med Inform Decis Mak Research BACKGROUND: Canada’s 24-Hour Movement Guidelines for Adults have shifted the focus from considering movement behaviours (i.e., physical activity, sedentary behaviour, and sleep) separately to a 24-h paradigm, which considers how they are integrated. Accordingly, primary care providers (PCPs) have the opportunity to improve their practice to promote all movement behaviours cohesively. However, PCPs have faced barriers to discussing physical activity alone (e.g., time, competing priorities, inadequate training), leading to low frequency of physical activity discussions. Consequently, discussing three movement behaviours may seem challenging. Tools to facilitate primary care discussions about physical activity have been developed and used; however, few have undergone usability testing and none have integrated all movement behaviours. Following a synthesis of physical activity, sedentary behaviour, and sleep tools for PCPs, we developed the Whole Day Matters Tool and User Guide that incorporate all movement behaviours. The present study aimed to explore PCPs’ perceptions on the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide to improve their relevancy among PCPs. METHODS: Twenty-six PCPs were observed and audio–video recorded while using the Tool and User Guide in a think-aloud procedure, then in a near-live encounter with a mock service-user. A debriefing interview using a guide informed by Normalization Process Theory followed. Recordings were transcribed verbatim and analysed using content analysis and a critical friend to enhance rigour. RESULTS: PCPs valued aspects of the Tool and User Guide including their structure, user-friendliness, visual appeal, and multi-behaviour focus and suggested modifications to improve usability and acceptability. Findings are further discussed in the context of Normalization Process Theory and previous literature. CONCLUSIONS: The Tool and User Guide were revised, including adding plain language, reordering and renaming sections, reducing text, and clarifying instructions. Results also informed the addition of a Preamble and a Handout for adults accessing care (i.e., patients/clients/service-users) to explain the evidence underpinning the 24-Hour Movement Guidelines for Adults and support a person-centered approach. These four resources (i.e., Tool, User Guide, Preamble, Handout) have since undergone a consensus building process to arrive at their final versions before being disseminated into primary care practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12911-023-02147-x. BioMed Central 2023-04-06 /pmc/articles/PMC10080928/ /pubmed/37024972 http://dx.doi.org/10.1186/s12911-023-02147-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Morgan, Tamara L.
Pletch, Jensen
Faught, Emma
Fortier, Michelle S.
Gazendam, Mary Kate
Howse, Kelly
Jain, Rahul
Lane, Kirstin N.
Maclaren, Kaleigh
McFadden, Taylor
Prorok, Jeanette C.
Weston, Zachary J.
Tomasone, Jennifer R.
Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures
title Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures
title_full Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures
title_fullStr Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures
title_full_unstemmed Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures
title_short Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures
title_sort developing and testing the usability, acceptability, and future implementation of the whole day matters tool and user guide for primary care providers using think-aloud, near-live, and interview procedures
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10080928/
https://www.ncbi.nlm.nih.gov/pubmed/37024972
http://dx.doi.org/10.1186/s12911-023-02147-x
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