Empowering Patients Through Access to Information

The United States federal government is in the midst of an e- government revolution characterized by a shift from paper-based citizen-government interactions to electronic-based interactions. Driven by the demands of citizens and supported by the President and Congress, federal departments are redesigning the look and feel of their Internet presences, moving away from traditional bureaucracy- centred presentation of information to more usable citizen-centred presentations. The Department of Health and Human Services (HHS), the USA's principal federal agency tasked with protecting the health of all Americans and providing essential human services, has undertaken a massive reorganization of its e-health enterprise. The most publicly visible component of this reorganization is the hhs.gov portal website. This desperately needed portal - usability testing indicated that more than 60 per cent of visitors to the Department's original website failed to find the information they sought - provides easy access to the wealth of HHS information and links its diverse operating agencies. The new HHS portal simplifies citizen access to the Department by: decompartmentalizing information by removing content from bureaucratic silos² and rearranging it in a natural navigation scheme; tuning content and navigation features to ensure that all users have access to information tailored for them; presenting content in appropriate and citizen-preferred formats; and complying with federal accessibility regulations for blind and vision-impaired users. This paper presents a series of lessons learned during the development of the HHS portal, and results of usability testing to determine what common design features present accessibility problems particular to the blind and vision-impaired communities. These discussions of practical avenues to improving the accessibility and usability of e-health websites through appropriate and effective information designs are followed by our thoughts on the future of Internet architectures and the limitations of 'layering' technologies when striving for universal accessibility.     

The Impacts of Cash Transfers on Subjective Wellbeing and Poverty: The Case of Colombia

Cash transfer programs have been the main social policy in the fight against poverty and inequality in Latin-American countries. This paper analyzes the impacts of the program Más Familias en Acción on the perception of poverty and subjective wellbeing in Colombia. The analyses are based on data from the Encuesta Nacional de Calidad de Vida between 2008 and 2016. Two empirical strategies were compared to account for the lack of randomness in groups of beneficiary and non-beneficiary families: (i) non-experimental designs (linear and nonlinear models with cross-sectional and pooled data); (ii) quasi-experimental designs (Propensity Score Matching and Inverse Probability Weighted Regression Adjustment). The results were robust to the different empirical strategies and emphasized that: (i) transfers increase the perception of food insecurity and subjective poverty; (ii) conditionalities involve positive impacts on different indicators of subjective wellbeing, especially health and education; (iii) general impacts on the perceptions of life are nonsignificant, as a result of divergent impacts on the dimensions of the subjective wellbeing of families.     

A multidimensional approach to the generation of helmets' design criteria: a preliminar study

The design and development process of helmets incorporates systematically design criteria related to safety to accomplish European and local standards for the commercialization. However, there are few studies focused on user's comfort and adaptation. Present study tackles a multidimensional approach to gain better understanding of the interaction between helmet and user to generate design criteria for the internal helmet surface. Morphological characteristics of the target population, pressure distribution over head and subjective perception of fitting and discomfort are the factors considered to establish the criteria that assure a proper fit. Ten men corresponding to helmet size M and usual drivers of motorbike wore two helmet models in three sizes (S, M and L). The head shape of participants was acquired using the head scanner of I-Ware laboratory and an instrumented pad was used to measure pressure in five head regions. After wearing the helmet, users filled in a perception questionnaire about fitting, comfort and usability considering the five regions. Users' fitting perception provided the relation between pressure levels and the comfort felt in the five regions. This study constitutes a first approach to a new methodology to generate criteria to improve the design of helmets under a multidimensional approach.     

Children's subjective well-being in relation to gender — What can we learn from dissatisfied children?

Gender differences in subjective well-being (SWB) are a common finding in studies of children, but the nature, causes and effects of these differences remain unclear. This article draws on data from the Children's Worlds study, an international survey of child well-being across countries, to examine the structure of SWB drawing on different life domains, and comparing the effects of these domains on SWB for boys and girls. Structural equation modelling is used to examine differences between 12 year old boys and girls who reported low subjective well-being (bottom 25% of the sample). Findings reveal that the structure of SWB is comparable across the genders; girls' SWB was lower than boys'; and different domains of SWB vary in their importance for boys and girls. Specifically, girls' SWB appears to be more driven by relational factors, whilst boys' SWB is more driven by perceived academic achievement.     

Interdisciplinary technology assessment of service robots: the psychological/work science perspective

The article sheds light on psychological and work science aspects of the design and utilization of service robots. An initial presentation of the characteristics of man?Crobot interaction is followed by a discussion of the principles of the division of functions between human beings and robots in service area work systems. The following aspects are to be considered: (1) the organisation of societal work (such as the different employment and professional profiles of service employees), (2) the work tasks to be performed by humans and robots (such as handling, monitoring or decision-making tasks), (3) the possibilities and the limitations of realizing such tasks by means of information technology (depending, for example, on the motoric capabilities, perception and cognition of the robot). Consideration of these three design perspectives gives rise to criteria of usability. Current debate focuses on the (work science) principles of man?Cmachine communication, though in future these should be supplemented with robot-specific criteria such as "motoric capabilities" or "relationship quality." The article concludes by advocating the convergence and combination of work science criteria with ideas drawn from participative design approaches in the development and utilization of service robots.     

Exploring user experience and technology acceptance for a fall prevention system: results from a randomized clinical trial and a living lab

Background

Falls are common in older adults and can result in serious injuries. Due to demographic changes, falls and related healthcare costs are likely to increase over the next years. Participation and motivation of older adults in fall prevention measures remain a challenge. The iStoppFalls project developed an information and communication technology (ICT)-based system for older adults to use at home in order to reduce common fall risk factors such as impaired balance and muscle weakness. The system aims at increasing older adults’ motivation to participate in ICT-based fall prevention measures. This article reports on usability, user-experience and user-acceptance aspects affecting the use of the iStoppFalls system by older adults.

Methods

In the course of a 16-week international multicenter study, 153 community-dwelling older adults aged 65+ participated in the iStoppFalls randomized controlled trial, of which half used the system in their home to exercise and assess their risk of falling. During the study, 60 participants completed questionnaires regarding the usability, user experience and user acceptance of the iStoppFalls system. Usability was measured with the System Usability Scale (SUS). For user experience the Physical Activity Enjoyment Scale (PACES) was applied. User acceptance was assessed with the Dynamic Acceptance Model for the Re-evaluation of Technologies (DART). To collect more detailed data on usability, user experience and user acceptance, additional qualitative interviews and observations were conducted with participants.

Results

Participants evaluated the usability of the system with an overall score of 62 (Standard Deviation, SD 15.58) out of 100, which suggests good usability. Most users enjoyed the iStoppFalls games and assessments, as shown by the overall PACES score of 31 (SD 8.03). With a score of 0.87 (SD 0.26), user acceptance results showed that participants accepted the iStoppFalls system for use in their own home. Interview data suggested that certain factors such as motivation, complexity or graphical design were different for gender and age.

Conclusions

The results suggest that the iStoppFalls system has good usability, user experience and user acceptance. It will be important to take these along with factors such as motivation, gender and age into consideration when designing and further developing ICT-based fall prevention systems.

     

Using walker during walking: a pilot study for health elder

Walker operation completely relies on the walker handle, however most marketed walkers possess two horizontal handles. Several researchers have suggested that horizontal handles might lead to wrist injury. Therefore, the purpose of this study is to assess the relevant design aspects of walker for elderly people. 28 elders participated in this study; when the experiment was started, subject walked on the tile for 3 meter distance twice by using walker. Data for analysis were selected at the corresponding wrist deviation and vertical force. The results showed that during walker using, the mean wrist deviation was greater than zero. The largest vertical force is significantly larger than the smallest one, and different wrist deviation occurred at three phases, the largest wrist deviation while raising walker is larger than the smallest one, however, no significant different was found between the largest and smallest wrist deviation while pressing walker. No significant correlation occurred between weight and wrist deviation. The correlation between weight and vertical force was significantly positive. With wrist deviation walker use may cause injury to upper-limb, however wrists remain in a neutral position during hand movement to prevent damage. The findings of this study should improve the design of walker handles to reduce the wrist deviations of users.     

Subjective and objective evaluation of sense of space for vehicle occupants based on anthropometric data

At present, the number of the vehicle requirements has been continuously increasing. These requirements can be related to the customer as well as the technical requirements. Among these, the "feeling of space" of the occupants inside the vehicles can be regarded as one of the most important factors. In this respect, the driver and passengers should be able to experience positive feeling of space inside the vehicle. There are numerous factors that can influence the sense of space inside the vehicle. These include geometry (vehicle dimensions), light exposure, ambient lights, colors, material selection and material surface. Depending on the selection, the sense of space can be dramatically influenced by these factors. In general, human feeling is subjective and cannot be measured by any instrument. The measure can nevertheless be carried out by utilizing the method of subjective evaluation. Throughout the experiments, the method of evaluation is developed and the factors which can influence the interior feeling are analyzed. In this process, psychological perception, architectural aspects and anthropometry are considered and knowledge from the other domains is transferred in the form of a multidisciplinary approach. The experiments with an aim to evaluate the overall sense of space in the vehicle are carried out based on the physical mock up of BMW 1 series (E87). The space perception with different interior dimensions and anthropometric data of test persons are also analyzed. The use of Computer Aided Technology was shown by CATIA V5, PCMAN and RAMSIS. The results show a good correlation between the subjective evaluation and the geometric values.     

Perceptual aspects of the use of faucets (taps)

This paper presents an assessment with simulated activities with the aim of analyzing the perception of ease / difficulty of the use of faucets (taps) handles by 180 Brazilian adults. Five different handles faucets were activated for subsequent collection of perceptual data. The procedures were based on main recommendations for biomedical ethics and human research. The results indicate that handles with levers are significantly (p ≤ 0.05) easier to use. The most difficult are characterized by not having support points for the rotation (levers) or more points of pressure concentration in the hand.     

Aircraft seating comfort: the influence of seat pitch on passengers' well-being

One of the most important factors influencing aircraft seating comfort in economy class, is legroom. In an airline interior mock up, with the ability to adjust the seat pitch in a range of 28 inches to 43 inches, a study to investigate the influence of seat pitch on passengers' well-being was conducted. In a pre-study, aspects of subjective postural sensations and spatial perception were identified, and a questionnaire was developed. In the main study, 30 subjects rated at different seat pitch settings the spatial perception and the ability of adopting and changing sitting postures. As a result a functional relationship between overall well-being, the subjects' anthropometry and seat pitch was developed. Furthermore it was identified, that there is a maximum overall well-being at a seat pitch of 34 inches to 40 inches, depending on the passengers' anthropometry. A further enlargement of seat pitch, led to a reduction of well-being.     

Bus rapid transit identity meets universal design

As bus rapid transit (BRT) systems continue to become more popular and as capital expenditure for such projects continues to grow, careful consideration of BRT identity design becomes ever more necessary. Properly considered identity systems can ensure accessibility to and usability of physical features and can also ensure that BRT systems are accessible and practical to use. Based on the seven principles of universal design, this article proposes a basic means to evaluate existing and planned BRT identity systems. The article concludes with recommendations for evaluators and guidelines for designers of BRT identity systems that will help to ensure the practical usability of BRT identity systems by a broad audience of diverse users, regardless of physical, cognitive or situational ability.     

Dimensions of Job Quality,Mechanisms, and Subjective Well‐Being in the United States

How does job quality predict subjective well‐being in the United States? Prior research suggests that various job quality dimensions such as job security and individual task discretion affect subjective well‐being, but the theoretical mechanisms are implied rather than tested and aspects of job quality are rarely tested together. I use structural equation modeling and General Social Survey data to assess the impact of five job quality dimensions—individual task discretion, monetary compensation, job security, low work intensity, and safe work conditions—on subjective well‐being. Then, I show that job quality influences subjective well‐being by improving social life, altering class identification, affecting physical health, and increasing amounts of leisure time. Finally, while I find that job quality dimensions do have statistically significant effects on subjective well‐being, the way in which job quality affects subjective well‐being differs by job dimension. In other words, job quality has a statistically significant impact on subjective well‐being, but different job quality domains are connected to subjective well‐being in different ways.     

User's demography and expectation regarding search, purchase and evaluation in mobile application store

This article is result from a questionnaire about mobile app store usage. The objective of this work was to collect information about user needs and opinion regarding search, purchase and evaluation process in Android Market, Apple App Store, BlackBerry App World and Nokia Ovi Store. The data collected was analyzed to identify the positive and negative usability aspects, if the process to perform these task are any different in those stores and if the users are satisfy with their store or if they have any complains about it. Its covers the brazilian market only.     

The hierarchy of needs to inclusive design

This paper focuses Design importance in the development of effectively inclusive products based on Design Emotional approach, allowing children with disabilities to experience playing in the childhood as an instrument for social integration. The methodology used to develop this study was based on literature review, considering the following themes: emotional design, accessibility and inclusion, emotion and development of children. As a result, we propose a new level of need to model the hierarchy of needs, of Jordan ("usability", "functionality" and "pleasure"), level with the inclusion of "dignity."     

Usability Study of a Distance Continuing Education Website for Human Service Professionals

ABSTRACT

A usability test of a distance continuing education website for human service professionals is discussed. The website's purpose was to help meet the continuing education needs of human service professionals in a largely rural Midwestern state. The purpose of the usability evaluation was to assess the website's ease of use, efficiency, and user satisfaction in a representative sample of human service professionals. Users completed eleven basic search tasks with the site and report their impressions of the information presented. In addition, performance data including success, time on task, and efficiency were gathered. Implications of user satisfaction and performance data highlight the importance of stakeholder's involvement in the early stages of website design.     

The relevance of temporal iconicity with instruction manuals for elderly users

Gerontolinguistic obtains a growing importance with the increase of elderly users due to Demographic Change. Since acceptance and ease of use of supportive systems for elderly, such as "E-Nursing-Assistants", are highly dependent on the age suitable design of readable instructions, an age-appropriate linguistic concept is of high value for usability. There has been only little research on the relevance of foreign words, signal words, textual arrangement, optical accentuation of key terms and temporal iconicity concerning older users. Thus, an efficient design of age suitable manual instructions within a medical context still remains to be done. The objective of this research was to evaluate the relevance of the previously mentioned factors in the context of written instructions. For this, an empirical survey was designed which was given to 45 study participants. The subjects of the experiment were given 4x3 instructions after a pretest questionnaire. The aim was to execute these instructions as correctly and quickly as possible. Furthermore the instructions were rated regarding comprehensibility with a retrospective questionnaire.     

Low-floor bus design preferences of walking aid users during simulated boarding and alighting

Low-floor buses represent a significant improvement in accessible public transit for passengers with limited mobility. However, there is still a need for research on the inclusive design of transit buses to identify specific low-floor bus design conditions that are either particularly accommodating or challenging for passengers with functional and mobility impairments. These include doorway locations, seating configuration and the large front wheel-well covers that collectively impact boarding, alighting and interior movement of passengers. Findings from a laboratory study using a static full-scale simulation of a lowfloor bus to evaluate the impact of seating configuration and crowding on interior movement and accessibility for individuals with and without walking aids are presented (n=41). Simulated bus journeys that included boarding, fare payment, seating, and alighting were performed. Results from video observations and subjective assessments showed differences in boarding and alighting performance and users' perceptions of task difficulty. The need for assistive design features (e.g. handholds, stanchions), legroom and stowage space for walking aids was evident. These results demonstrate that specific design conditions in low-floor buses can significantly impact design preference among those who use walking aids. Consideration of ergonomics and inclusive design can therefore be used to improve the design of low-floor buses.     

Measuring ego-centered social networks on the web: Questionnaire design issues

Collecting survey data on ego-centered social networks is a difficult task, owing to the complex questionnaire format. Usually, the interviewer handles the dynamics of the question–answer exchange, motivates the respondent and ensures the proper recording of the data. Self-administered modes of data collection, especially web data collection, are more problematic, as the respondents are left alone with a complex and burdensome questionnaire. Therefore, questionnaire layout is crucial for ensuring cooperation and data quality. In this paper we examined three key components of the corresponding web questionnaire: the number of name boxes using a single name generator, question format for assessing alter characteristics (i.e. alter-wise vs. question-wise) and number of name interpreters (i.e. alter characteristics). The number of name boxes was found to be essential for the reported size of social networks and also for some aspects of data quality. Specific data quality effects were also found with respect to variations in question format, where question-wise format performed better than alter-wise. The number of name interpreters had a relatively minor effect. Suggestions for possible standardization of the web interface layout are also given, so that equivalence with other data collection modes can be established.     

Cognitive-ergonomics and instructional aspects of e-learning courses

This paper presents an analysis of cognitive-ergonomic aspects of e-learning courses, offered by an organism from Brazilian Public Administration. The Cognitive Ergonomic studies conductive and cognitive aspects concerning to the relation between human, physics elements and social elements of the work space. From that usability aspects were evaluated by these points: i) visualization; ii) text comprehension lecture; iii) memory; iv) interface; v) instructional design; and vi) attention and learning. That survey is characterized as having been applied using the following techniques: (1) bibliographic survey, (2) field survey and (3) analysis of the documents. It was chosen the semi-structured questionnaire as the main method of data collection. About the interacting with artifacts, the interface of the courses is classified as direct engagement, because it allows the user to get the feeling that acts directly on the objects. Although the courses are well-structured they have flaws that will be discussed below. Even with these problems, the courses have a good degree of usability.     

Usability in product design--the importance and need for systematic assessment models in product development--Usa-Design Model (U-D) ©

In product design, human factors are considered as an element of differentiation given that today's consumer demands are increasing. Safety, wellbeing, satisfaction, health, effectiveness, efficiency, and other aspects must be effectively incorporated into the product development process. This work proposes a usability assessment model that can be incorporated as an assessment tool. The methodological approach is settled in two stages. First a literature review focus specifically on usability and developing user-centred products. After this, a model of usability named Usa-Design (U-D?) is presented. Consisted of four phases: understanding the use context, pre-preliminary usability assessment (efficiency/effectiveness/satisfaction); assessment of usability principles and results, U-D? features are modular and flexible, allowing principles used in Phase 3 to be changed according to the needs and scenario of each situation. With qualitative/quantitative measurement scales of easy understanding and application, the model results are viable and applicable throughout all the product development process.