Development of an mHealth Application for Self-Management of Post-Stroke Aphasia: Protocol for Experience-Based Co-Design, User Experience Testing, Feasibility Field Test and Process Evaluation
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| Title: | Development of an mHealth Application for Self-Management of Post-Stroke Aphasia: Protocol for Experience-Based Co-Design, User Experience Testing, Feasibility Field Test and Process Evaluation |
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| Language: | English |
| Authors: | Sarah J. Wallace, Zheng Yen Ng, Bridget Burton, Megan Isaacs, Ryan Deslandes, Gopal Sinh, Kim Barron, Phill Jamieson, Kirstine A. Shrubsole, David A. Copland, Janet Wiles, Victoria J. Palmer (ORCID |
| Source: | International Journal of Language & Communication Disorders. 2025 60(6). |
| Availability: | Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us |
| Peer Reviewed: | Y |
| Page Count: | 8 |
| Publication Date: | 2025 |
| Document Type: | Journal Articles Reports - Descriptive |
| Descriptors: | Neurological Impairments, Aphasia, Rehabilitation, Speech Therapy, Computer Oriented Programs, Handheld Devices, Self Management, Health Programs, Cooperative Planning, Intervention, Design, Evaluation Methods, Usability, Research Design, Stakeholders |
| DOI: | 10.1111/1460-6984.70162 |
| ISSN: | 1368-2822 1460-6984 |
| Abstract: | Background: Speech and language therapy for post-stroke aphasia (language/communication impairment) improves language and communication in the short-term; however, access to therapy is limited, and effects are not always maintained. Mobile Health (mHealth) applications may support long-term therapy access and maintenance of gains. We present a protocol for the co-design and evaluation of a novel mHealth application for self-managed aphasia therapy. Methods: An mHealth application will be developed using Experience-Based Co-Design and Human-Centred Design with people with aphasia (PWA), significant others (SO) and health professionals (HPs). Focus groups will explore self-management experiences and establish co-design priorities using the nominal group technique (n = 10-15 each group). The prototype will be co-designed in eight workshops (n = 4 each group) and evaluated via adapted user-experience (UX) testing. UX testing will use pluralistic walk-throughs, think-aloud evaluations and measures of satisfaction (SUS) and acceptance/intended use (UTAUT-2) (PWA n = 10, SO n = 5, HP n = 10). Feasibility and preliminary efficacy (primary outcomes of treatment adherence and goal attainment) will be assessed through a 4-week field test, followed by focus groups (PWA and SO, n = 20 each). A process evaluation will assess factors influencing (1) the process and outcomes of research involvement, and (2) the functioning and acceptability of the prototype application. Discussion: Outcomes will include a prototype co-designed mHealth application for self-management of post-stroke aphasia and evidence of acceptability, usability and preliminary efficacy. The process evaluation will increase understanding of the adjustments required to support meaningful participation of PWA in co-design, and future directions for application development and scale-up. |
| Abstractor: | As Provided |
| Entry Date: | 2025 |
| Accession Number: | EJ1490023 |
| Database: | ERIC |
| Abstract: | Background: Speech and language therapy for post-stroke aphasia (language/communication impairment) improves language and communication in the short-term; however, access to therapy is limited, and effects are not always maintained. Mobile Health (mHealth) applications may support long-term therapy access and maintenance of gains. We present a protocol for the co-design and evaluation of a novel mHealth application for self-managed aphasia therapy. Methods: An mHealth application will be developed using Experience-Based Co-Design and Human-Centred Design with people with aphasia (PWA), significant others (SO) and health professionals (HPs). Focus groups will explore self-management experiences and establish co-design priorities using the nominal group technique (n = 10-15 each group). The prototype will be co-designed in eight workshops (n = 4 each group) and evaluated via adapted user-experience (UX) testing. UX testing will use pluralistic walk-throughs, think-aloud evaluations and measures of satisfaction (SUS) and acceptance/intended use (UTAUT-2) (PWA n = 10, SO n = 5, HP n = 10). Feasibility and preliminary efficacy (primary outcomes of treatment adherence and goal attainment) will be assessed through a 4-week field test, followed by focus groups (PWA and SO, n = 20 each). A process evaluation will assess factors influencing (1) the process and outcomes of research involvement, and (2) the functioning and acceptability of the prototype application. Discussion: Outcomes will include a prototype co-designed mHealth application for self-management of post-stroke aphasia and evidence of acceptability, usability and preliminary efficacy. The process evaluation will increase understanding of the adjustments required to support meaningful participation of PWA in co-design, and future directions for application development and scale-up. |
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| ISSN: | 1368-2822 1460-6984 |
| DOI: | 10.1111/1460-6984.70162 |
