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Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.

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Page 1: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Usability and Human Factors

Usability Evaluation Methods

Lecture b

This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.

Page 2: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Usability Evaluation MethodsLearning Objectives

2

• Conduct a cognitive walkthrough (Lecture b)

• Design appropriate tasks for a usability test (Lecture b)

• Describe the usability testing environment, required equipment, logistics, and materials (Lecture b)

Health IT Workforce Curriculum Version 3.0/Spring 2012

Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 3: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Cognitive Walkthrough (Polson et al, 1992)

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Usability & Human Factors Usability Evaluation Methods

Lecture b

• Kind of cognitive task analysis• Assesses system usability• Criteria focuses on cognitive processes

needed to perform tasks• Identifying sequences of actions and

subgoals to successfully complete a task• Assigning causes to usability problems• Are the cues provided by the interface

sufficient to perform task?

Page 4: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Cognitive Task Analysis (CTA)

• Tools and techniques for describing knowledge & strategies required for task performance– Hierarchical decomposition of goals and

component tasks

• Objective: – Yield information about the knowledge,

thought processes, and goal structures that underlie observable task performance

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 5: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Why Do a CTA?

• Develop theory of competent performance• Understand invariant features of a task

– There are invariant performance characteristics of any class of tasks

• Understand process of skill acquisition• Training and instructional resources

– e.g. manuals and tutorials• Develop methods for usability testing

– Design– Coding scheme for data analysis

5Health IT Workforce Curriculum Version 3.0/Spring 2012

Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 6: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Cognitive Walkthrough Step 1: Preparations

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 7: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Step 2: Walkthrough Process

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 8: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Step 3: Explicate Sources of Potential

Problems

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 9: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

ATMs: Goal Structure

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 10: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

A Partial Walkthrough: ATMGoal: Obtain $80 Cash from Checking

Account

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 11: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Cognitive Walkthrough: Measure Glucose

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 12: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

CW: Blood Glucose 2

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 13: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

CW: Blood Glucose 3

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 14: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

CW Glucose Results

14Health IT Workforce Curriculum Version 3.0/Spring 2012

Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 15: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Usability Testing

• Gold standard for usability evaluation• Set of techniques to collect empirical data

– while observing representative end users using the system under study to perform representative tasks

• Video-recorded• Provide information that can lead to systems that:

– Easy to learn and use– Satisfying to use– Provide utility and functionality that are valued by the

target population– Characterize task-specific competencies

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 16: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Think-Aloud Protocol

• Method broadly used in cognitive research and usability testing

• User verbalizes his/her thoughts while performing a task– Report the contents of working memory– Session is audio and/or video recorded

• Transcript of think aloud is coordinated with video analysis

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 17: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Selection of Representative Users

• Users may differ:– including age, education, gender, computer

experience, etc.

• Select subjects based on relevant criteria (e.g., age, education)

• Fully representative not possible

• Convenience sample is less desirable

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Lecture b

Page 18: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Development of Test Plan

• Outline task and procedure– Informed by objectives– Prior testing– Constrained by time and setting– Ethical and IRB issues

• Exploratory – Characterize potential problems

• Controlled Experiment– Comparing 2 Interfaces

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 19: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Role of Researcher

• Neutral Observer vs. Active Participant

• Researchers may play a more interactive role in field testing – Guide the subject as necessary

• Skilled user will need a minimum• Novice may need step-by-step instructions

– Autonomy Rule: No more guidance than necessary

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 20: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Field Usability Testing

• Hybrid Method: Lab and Ethnography/ Field Study

• Naturalistic setting– Numerous constraints

• Proscribed set of tasks– Quasi- Experiment

• Video analysis is key– Intrusive

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Lecture b

Page 21: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Video-Analytic Usability Testing on Location: Old School

Microsoft Clipart

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Usability & Human Factors Usability Evaluation Methods

Lecture b

Page 22: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Software-based Video Analysis

• Provides a video of all screen activity • Captures user via a webcam• Logs a wide range of events and system

interactions including mouse clicks, text entries, web-page changes and windows dialogue events (e.g., saving a document, selecting among a set of choices).

• Morae state of the art usability testing software

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Lecture b

Page 23: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Morae Video Analytic Usability Software

Khan, S.A., Ancker, J.S., Li, J., Kaufman, D., Hutchinson, C., Cohall, A., Kukafka, R. (2009)

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Lecture b

Page 24: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Data Analysis: Transcript

• Working document for video analysis

• Verbatim and Time Stamped– Every 10 to 30 seconds

• Iteratively modified document as coding categories become refined

• Add field notes and observations to the transcript

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Page 25: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Video Analysis: Granularity

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Lecture b

Page 26: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Macro-AnalysisMarch 18, 2002

I: … You can choose not to answer any questions. May I ask how old are you?

P: 74

I: What is or was your professional occupation.

P: I have always worked in stores as a salesperson

I: How long have you lived in this country?

P: 48, 49 years

I: If I may ask what level of education do you have?

P: I finished high school, but in Colombia. Before I got married, then I came here after I got married, a couple of years afterwards.

I: How long have you known that you have diabetes.

P: A couple of years. About two years or three. I have never felt that I have diabetes.

Profile:

74 years of age

Female

Native Spanish speaker

Originally from Colombia

48-49 years in US

High school education

Worked as salesperson in stores

Has two sons, one in NJ

Never used computer prior to IDEATel

Diabetes History:

Had it for 2-3 years

Did not have monitoring device prior to IDEATel

1y.2months in program

Good health/Has asthma

A lot of fluctuation in glucose values

Does not look at them over a period of time, watches it one day to the other.

Generally good memory remembers values for previous days

1.1 Table: (Kaufman, et al., 2003).

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Page 27: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Observations: Sending Results

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Lecture b

Page 28: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Micro-AnalysisTime

Dialogue and Conversational Code

Action Code System Response

Comments

7:28 R: Can you explain what you see now?P: It is calling the Internet. There it turns off, and leaves me with the system.

Body Position Change (BPC): Patient moves head, looks from side to sideGesture: Points at screen with index fingerAction: Takes mouse and clicks security screen awayBPC: keeps hand on mouse for a couple of seconds, then offAction: Takes mouse and clicks identification screen away.

Security screen/dialogue box appearsSec. Screen goes awayPassword screen appears

The task is to access the web and patient immediately assumes the control

7:54 R: So far, so good. Action: Takes hand off mouse, hunches over keyboard, and puts in password.Action: Takes mouse and clicks OK button and hand off mouse.Action: Takes mouse in hand immediately as DM page comes up.

Password screen transitions to Diabetes Manager Page

Patient performs all actions without any prompting.

1.2 Table: (Kaufman, et al., 2003).

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Lecture b

Page 29: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Triangulate

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Lecture b

Page 30: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Usability Evaluation Methods Summary

• The value of usability evaluations in healthcare contexts has been well established

• Wide range of methods which vary in terms of their advantages and disadvantages

• Lectures illustrated how to use someof these methods including the cognitive walkthrough and usability testing

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Lecture b

Page 31: Usability and Human Factors Usability Evaluation Methods Lecture b This material (Comp15_Unit5b) was developed by Columbia University, funded by the Department

Usability Evaluation MethodsReferences – Lecture b

References

1. Nielsen, J. (1994). Heuristic evaluation. In Nielsen, J., and Mack, R.L. (Eds.), Usability Inspection Methods. John Wiley & Sons, New York, NY.

2. Polson, P., Lewis, C., Rieman, J., & Wharton, C. (1992). Cognitive walkthroughs: A method for theory-based evaluation of user interfaces. International Journal of Man-Machine Studies, 36, 741–773.

3. Preece, J., Rogers, Y., & Sharp, H. (2007). Interaction Design: Beyond Human-Computer Interaction (2nd ed.). West Sussex, England: Wiley.

Images

Slide 21: Microsoft Clipart

Slide 23: Khan, S.A., Ancker, J.S., Li, J., Kaufman, D., Hutchinson, C., Cohall, A., Kukafka, R. (2009). GetHealthyHarlem.org: developing a web platform for health promotion and wellness driven by and for the Harlem community. AMIA Annu Symp Proc.317–21.

Charts, Tables & Figures

1.1 Table: Kaufman, D.R., Patel, V.L., Hilliman, C., Morin, P.C., Pevzner, J, Weinstock, Goland, R. Shea, S. & Starren, J. (2003). Usability in the real world: Assessing medical information technologies in patients’ homes. Journal of Biomedical Informatics, 36, 45-60.

1.2 Table: Kaufman, D.R., Patel, V.L., Hilliman, C., Morin, P.C., Pevzner, J, Weinstock, Goland, R. Shea, S. & Starren, J. (2003). Usability in the real world: Assessing medical information technologies in patients’ homes. Journal of Biomedical Informatics, 36, 45-60.

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Lecture b