Usability and Feasibility Testing of an Atrial Fibrillation Educational Website with Patients Referred to an Atrial Fibrillation Specialty Clinic

Kathy L. Rush (), Lindsay Burton, Cherisse L. Seaton, Peter Loewen, Brian P. O’Connor, Kendra Corman, Robyn Phillips, Lana Moroz and Jason G. Andrade
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Kathy L. Rush: School of Nursing, University of British Columbia-Okanagan, Kelowna, BC V1V 1V7, Canada
Lindsay Burton: School of Nursing, University of British Columbia-Okanagan, Kelowna, BC V1V 1V7, Canada
Cherisse L. Seaton: School of Nursing, University of British Columbia-Okanagan, Kelowna, BC V1V 1V7, Canada
Peter Loewen: Department of Medicine, University of British Columbia, Vancouver, BC V1V 1V7, Canada
Brian P. O’Connor: Department of Psychology, University of British Columbia-Okanagan, Kelowna, BC V1V 1V7, Canada
Kendra Corman: School of Nursing, University of British Columbia-Okanagan, Kelowna, BC V1V 1V7, Canada
Robyn Phillips: School of Nursing, University of British Columbia-Okanagan, Kelowna, BC V1V 1V7, Canada
Lana Moroz: Cardiac Atrial Fibrillation Specialty Clinic, Vancouver General Hospital, Vancouver, BC V1V 1V7, Canada
Jason G. Andrade: Department of Medicine, University of British Columbia, Vancouver, BC V1V 1V7, Canada

IJERPH, 2023, vol. 20, issue 18, 1-16

Abstract: Background: The purpose of this study was to design, usability test, and explore the feasibility of a web-based educational platform/intervention for patients with atrial fibrillation (AF) as part of their virtual AF care. Methods: Participants were patients attending a specialized AF clinic. The multiple mixed-methods design included website design, think-aloud usability test, 1-month unstructured pre-testing analysis using Google Analytics, follow-up interviews, and a non-randomized one-group feasibility test using pre/post online surveys and Google Analytics. Results: Usability testing participants ( n = 2) guided adjustments for improving navigation. Pre-testing participants’ ( n = 9) website activity averaged four sessions (SD = 2.6) at 10 (SD 8) minutes per session during a 1-month study period. In the feasibility test, 30 patients referred to AF specialty clinic care completed the baseline survey, and 20 of these completed the 6-month follow-up survey. A total of 19 patients accessed the website over the 6 months, and all 30 participants were sent email prompts containing information from the website. Health-related quality of life, treatment satisfaction, household activity, and AF knowledge scores were higher at follow-up than baseline. There was an overall downward trend in self-reported healthcare utilization at follow-up. Conclusions: Access to a credible education website for patients with AF has great potential to complement virtual and hybrid models of care.

Keywords: health services; atrial fibrillation clinic; website; education; user-centered design; healthcare improvement (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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