Planning a Better Usability Study

By David Hoberman

 

Ask any UX designer or Human Factors researcher about their most memorable moments planning or running usability tests, and you’ll hear some real eye-openers. From challenging client relations, to logistical nightmares, to balky participants, planning and executing a successful usability study requires attention to detail, a deft personal touch, and a fair bit of improvisation in the face of the unexpected.

As a mid-career UX professional who has worked in the financial, healthcare, and medical device fields, I’m constantly thinking about ways to improve not only the quality and delivery of data from studies, but the overall process of planning and executing studies. While there is no single “right” way, there are certainly practices that can better the chances of a successful study.

Here are some useful pre- and post-study activities gathered from experience in the field. Some suggestions might be old hat to seasoned professionals, but if even one of them helps someone avoid stress, lost data or squandered time, sharing them will have been worth it.

 

Analyze thyself

It can be difficult for ever-busy UXers to step back and make time for the work necessary to interrogate how studies are planned, executed and reported. Yet, planning a short retrospective at the end of each project can ferret out potential areas for improvement that apply not only to the individual study, but to your UX practice as a whole. The devil is in the details, of course; capturing those findings and translating them into action is the real challenge. Subject your own processes to the analytic eye you would turn to a client’s product. Where can they be streamlined or improved?

 

Do you feel lucky? Well, do you?

Beyond the obvious calamities like no-show participants, minimizing potential problems in study execution comes from experience and the ability to recognize where problems are most likely to occur. If [BAD THING] happened, this session would be totally hosed. Particularly if you are a freelancer or working solo (hence no backup team), assessing the likelihood and impact of those BAD THINGS drives the planning that reduces the risk they will occur and reduces the severity when they do.

 

Repeat: Redundancy is good for you

Avoid depending solely on digital copies of critical documents. Make sure those digital copies are already downloaded to your laptop because WiFi is ubiquitous until it isn’t. Don’t assume you’ll have time to find a printer at a new study location. Bring paper copies – in particular, several copies of the protocol and discussion guide – organized and ready for quick retrieval.

Similarly, if you are testing material products and are responsible for transporting them to the site, have a teammate bring extra in case of lost or stolen luggage, or a fatigue-induced failure to pack. Consider whether mailing them in advance, with tracking, is an option.

 

Setting it up

Market research facilities

  • Know the site coordinator.
  • Make it crystal clear what front desk staff are responsible for, and assume there will be several shift changes over the day, and that your requirements may not survive the inevitable game of telephone.
  • For anything more complex than registering and compensating participants, provide the front desk with a clear step-by-step description of who gets what and when. This is particularly helpful if you have multiple Informed Consent Forms for different participant groups, or situations where some participants might return for follow-up sessions while others won’t.

In the field

  • Know your field site. If at all possible, take a walkthrough before your session to familiarize yourself with where things are, and any potential distractions or complications (discovering you’re on a bus route or in a WiFi deadzone, etc.)
  • If you’re going to be outside, have a fallback plan for inclement weather or an overly noisy environment.

 

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Overall

  • Ensure all devices are fully charged before study start. Always have a backup battery or SD card for any devices you are using.
  • Check your recording devices. If you’re at a market research facility, check whether some camera adjustment is necessary for the best possible view of the participant.
  • If you are the one with the recording devices or software, ensure you and your team (if you have one) know how they work. Nothing is more frustrating than discovering after the fact that your session audio wasn’t recorded because someone forgot to press a button. Use sticky note prompts if necessary (you laugh, but it works.)
  • If you’re a solo practitioner running a study, a Livescribe pen that records audio is a great addition to your note-taking arsenal, because it’s much easier to find a particular sound bite in your notes.
  • Mise en place. A French culinary term that means “put in place,” it’s also an extremely useful tactic to minimize scrambling during study execution. Establish specific locations for critical assets and communicate where they are found. At a facility, lay materials out on a table. If you’re on the go, organize your bag so you know where everything is without fumbling around.
    • For printed or physical assets, sticky notes make great place labels so your team isn’t forced to rely on memory over a long day. Protocols are here, study guides are there, moderator checklists are over there.
    • Separate blank materials from anything participants have filled out.

 

Breaking it down

Tips for when the study is over:

  • If any assets are to be shipped back to clients or the office, have necessary contact and address information ready.
  • If you have more than a few items in a box, create a shipping manifesto, and crosscheck before sealing.
  • Double-check that any forms or physical media have been collected from site staff, and that any digital media has been transferred to portable form, where applicable.

 

While some of these activities are more relevant to studies involving physical products, most are broadly applicable to usability studies in general. Whether standardized in checklists or simply incorporated into routine practice, these simple organizational activities can help ensure a resilient and successful study.

Usability Challenges with Medical Software

by Jonathan Knopf

 

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Whether you ask patients, physicians, or administrators, they all have the same overall opinion of the healthcare system. “Its all over the place.” Your typical radiologist and primary care physician likely have complete different workflows, communication channels, and software systems to document a patient’s care and clearly don’t communicate to each other.

Usability in healthcare is unique in that the creation of more usable systems not only saves time and money on development, but it can also save lives! Some of the usability problems apparent in electronic medical records (EMR) and electronic health records (EHR) include: violations of natural dialog, control consistency, effective use of language, effective information presentation, and customization principles, as well as a lack of error prevention, minimization of cognitive load, and feedback.

As both a UX/UI designer of medical software and a recent ACL reconstruction patient, I became aware of several usability challenges that make designing software for EMR/HER software quite complex. In this article, I will detail five challenges that I have observed and some recommendations for ensuring maximum user satisfaction.

 

  1. Legacy Software and Software Lifetime
    • This is one of the biggest roadblocks to user satisfaction as making UI improvements may ultimately lead to a Frankenstein software appearance; great UI components may stick out like a sore thumb when added to an old product. There is a lot of fear involved in improving the look and feel of medical software, particularly due to the risk of user error involved with unfamiliarity. This fear should not impede the progress of the product. Software suppliers could potentially risk more by not modernizing their software. Prior to rolling out a UI overhaul, make sure your users are on board with your changes. If not, make sure they have the ability to revert to a previous version (ex. “Modern View” vs. “Classic View”).
  1. Personas, Personas, Personas
    • In healthcare, personas are not primarily for patients, but rather for the specific types of health care providers who use software to treat their patients. The differences between how an admin uses EMR software and how a radiologist uses it are drastically different, both in motivators, features needed, and workflow. It is absolutely critical that you focus on identifying each provider’s persona so you can ensure that the software is providing optimal relevance, efficiency, and ease of use for their workflow. With so many abbreviations and acronyms in the medical world, make sure you are using terms that are familiar to all of your personas.
  1. UI Design Alignment and Customization
    • If you manage more than one UI with different features and workflows, you will need to consider the value of customizing vs. standardizing. Standardization is preferred, but maximizing workflow efficiency is likely more important to users than maintaining the same look and feel. Wherever possible, put your designs in front of your various personas and conduct UX research to determine their preferences and needs.
  1. Intuitiveness and Cognitive Load
    • One of the biggest issues with healthcare software comes from a lack of natural intuitiveness in designs and language. Interfaces should be designed to minimize the cognitive workload on users, not rely on them to follow instructions from a manual, which they seldom read. Elements should be positioned where they follow a simple logical order, provide clear feedback regarding next steps, and minimize the number of steps needed to complete an action.
  1. Error Handling
    • A usability concern that appears in every user facing system is its error handling. Make sure that your error messages are placed within the context of the error location, provide visual clues that an error has occurred, and show the user where the error is located. Visual error feedback should be displayed as soon as possible, not after a form has already been submitted. Provide clear and simple instructions as to how the error can be corrected and, where possible, do not allow the user to advance beyond the error point until it has been corrected. Error handling is another important component to put in front of users. Human factors testing can determine if the users see the messages and are able to take the necessary steps to correct them.

 

Key Lime Interactive is a usability research and augmented staffing agency capable of identifying any usability issues in medical devices and software since 2009. If you are experiencing some of these challenges with your medical device software and need a strategic roadmap for improvement, contact us at info@keylimeinteractive.com.