PTSystematic ReviewJMIR rehabilitation and assistive technologies2023

Methodologies for Evaluating the Usability of Rehabilitation Technologies Aimed at Supporting Shared Decision-Making: Scoping Review.

Rehab Alhasani, Nicole George, Dennis Radman and 2 others

PMID 37581911

WHAT IT FOUND

Most included studies evaluated rehabilitation decision-making tools with one or two methods, mostly questionnaires and interviews, and mainly measured satisfaction, not effectiveness or efficiency.

A tool's ease may not mean it supports decisions.

Key findings

01Of 38 included studies, 28 (73%) used only one or two usability evaluation methods.

02Questionnaires were used in 24/38 studies (63%), semistructured interviews in 16/38 (42%), and think-aloud protocols in 14/38 (36%).

03Satisfaction was mapped in 32/38 (84%) of usability measures, while effectiveness and efficiency were described in 13/38 (34%) of definitions but measured in 9/38 (23%) of measures.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The review did not assess the quality of the 38 included studies, so it maps methods without judging how trustworthy each study is. The search was limited to peer-reviewed English and French studies from 2005 to 2020, and gray literature was not included, so work outside those sources and dates was not examined. Most studies used only one or two usability evaluation methods (28/38, 73%), so the review shows limited method combinations rather than comprehensive evaluation. Only 19/38 (50%) studies defined usability or listed parameters before evaluation, so comparisons across studies are uneven. The review did not report psychometric properties or clinical utility of usability measures, so a questionnaire score may not mean the tool works in care.

Declared interests

The authors declared no conflicts of interest. The review was described as part of a Quebec Rehabilitation Research Network initiative.

The easy way to misread this

Do not read this as evidence that shared decision-making technologies improve patient-centered care. The review mapped how usability was measured, and most studies did not assess effectiveness or efficiency.

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