Abstract
Technologies for ageing in place may help older adults in their homes to overcome multiple impairments and to promote their autonomy and independence. When conceptualizing technologies for ageing in place, the International Classification of Functioning, Disability and Health (ICF) is a key element due to its functioning and disability framework with consolidated concepts and terminologies. Based on the ICF conceptual framework, the article presents the ICF based Usability Scale (ICF-US) to evaluate the usability of technologies for ageing in place and reports a study aiming: (1) to validate the ICF-US to evaluate usability according to the evaluators’ perspective about the users’ performance and (2) to evaluate the utility and applicability of the ICF-US. Two observational studies evolving 184 participants were conducted to: (1) assess the validity and reliability of the ICF-US to evaluate usability according to the evaluators’ perspective about the users’ performance and (2) to verify the utility and applicability of the ICF-US. The results suggest that the ICF-US is valid and reliable and can be used in different stages of technological developments without losing its discriminatory capacity.
Similar content being viewed by others
References
World Health Organization, Growing older-Staying Well. Ageing and physical activity in everyday life, Geneve (1998)
World Health Organization, Health Promotion Glossary, Genebra (1998)
World Health Organization, Active ageing: a policy framework. A contribution of the World Health Organization to the second United Nations World Assembly on Aging, Genebra (2002)
Connelly, K., ur Rehman Laghari, K., Mokhtari, M., Falk, T.H.: Approaches to understanding the impact of technologies for aging in place: a mini-review. Gerontology 60(3), 282–288 (2014)
Pastalan, L.A.: Aging in place: the role of housing and social supports. Haworth Press, Philadelphia (1990)
World Health Organization. International classification of functioning, disability and health: ICF. Geneva: World Health Organization (2001)
Davey, J.A.: New Zealand Institute for Research on Ageing, Accommodation options for older people in Aotearoa/New Zealand. Centre for Housing Research (2004)
World Health Organization, Global Age-friendly cities: a guide, Geneva (2007)
Walker, P.R.: Report from the world NGO forum on ageing and the united nations second world assembly on ageing (2002)
Korhonen, I., Bardram, J.E.: Guest editorial: introduction to the special section on pervasive healthcare. IEEE Trans. Inf. Technol. Biomed. 8(3), 229–234 (2004)
Korhonen, I., Parkka, J., Van Gils, M.: Health monitoring in the home of the future. IEEE Eng. Med. Biol. Mag. 22(3), 66–73 (2003)
Boulos, M.N.K., Brewer, A.C., Karimkhani, C., Buller, D.B., Dellavalle, R.P.: Mobile medical and health apps: state of the art, concerns, regulatory control and certification. Online J. Public Health Inform. 5(3), 229 (2014)
Mosa, A.S.M., Yoo, I., Sheets, L.: A systematic review of healthcare applications for smartphones. BMC Med. Inform. Decis. Mak. 12(1), 67 (2012)
Rashidi, P., Mihailidis, A.: A survey on ambient-assisted living tools for older adults. IEEE J. Biomed. Heal. Inform. 17(3), 579–590 (2013)
Queirós, A., Silva, A., Alvarelhão, J., Rocha, N.P., Teixeira, A.: Usability, accessibility and ambient-assisted living: a systematic literature review. Int. J. UAIS 14(1), 57–66 (2015)
Suzuki, T., Murase, S., Tanaka, T., Okazawa, T.: New approach for the early detection of dementia by recording in-house activities. Telemed. e-Health 13(1), 41–44 (2007)
Or, C.K.L., Tao, D.: Does the use of consumer health information technology improve outcomes in the patient self-management of diabetes? A meta-analysis and narrative review of randomized controlled trials. Int. J. Med. Inform. 83(5), 320–329 (2014)
Farmer, A.J., McSharry, J., Rowbotham, S., McGowan, L., Ricci-Cabello, I., French, D.P.: Effects of interventions promoting monitoring of medication use and brief messaging on medication adherence for people with Type 2 diabetes: a systematic review of randomized trials. Diabet. Med. 33(5), 565–579 (2016)
Huang, Z., Tao, H., Meng, Q., Jing, L.: Management of endocrine disease: effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. Eur. J. Endocrinol. 172(3), R93–R101 (2015)
Hunt, C.W.: Technology and diabetes self-management: an integrative review. World J. Diabetes 6(2), 225 (2015)
Riazi, H., Larijani, B., Langarizadeh, M., Shahmoradi, L.: Managing diabetes mellitus using information technology: a systematic review. J. Diabetes Metab. Disord. 14, 49 (2015)
Tildesley, H.D., Po, M.D., Ross, S.A.: Internet blood glucose monitoring systems provide lasting glycemic benefit in Type 1 and 2 diabetes. Med. Clin. North Am. 99(1), 17–33 (2015)
Arambepola, C., Ricci-Cabello, I., Manikavasagam, P., Roberts, N., French, D.P., Farmer, A.: The Impact of automated brief messages promoting lifestyle changes delivered via mobile devices to people with Type 2 diabetes: a systematic literature review and meta-analysis of controlled trials. J. Med. Internet Res. 18(4), e86 (2016)
Nakamura, N., Koga, T., Iseki, H.: A meta-analysis of remote patient monitoring for chronic heart failure patients. J. Telemed. Telecare 20(1), 11–17 (2014)
Conway, A., Inglis, S.C., Clark, R.A.: Effective technologies for noninvasive remote monitoring in heart failure. Telemed. e-Health 20(6), 531–538 (2014)
Grustam, A.S., Severens, J.L., van Nijnatten, J., Koymans, R., Vrijhoef, H.J.M.: Cost-effectiveness of telehealth interventions for chronic heart failure patients: a literature review. Int. J. Technol. Assess. Health Care 30(01), 59–68 (2014)
Pedone, C., Lelli, D.: Systematic review of telemonitoring in COPD: an update. Pneumonol. Alergol. Pol. 83(6), 476–484 (2015)
Lundell, S., Holmner, Å., Rehn, B., Nyberg, A., Wadell, K.: Telehealthcare in COPD: a systematic review and meta-analysis on physical outcomes and dyspnea. Respir. Med. 109(1), 11–26 (2015)
Alcañiz, M., Botella, C., Baños, R.M., Zaragoza, I., Guixeres, J.: The Intelligent e-Therapy system: a new paradigm for telepsychology and cybertherapy. Br. J. Guid. Counc. 37(3), 287–296 (2009)
Singh, D., Kropf, J., Hanke, S., Holzinger, A.: Ambient Assisted Living Technologies from the Perspectives of Older People and Professionals, pp. 255–266. Springer, Cham (2017)
Holzinger, A., Röcker, C., Ziefle, M.: From smart health to smart hospitals. In: Smart Health: State-of-the-Art and Beyond, LNCS, Lecture Notes in Computer Science, pp. 1–20 (2015)
Rosser, B.A., Eccleston, C.: Smartphone applications for pain management. J. Telemed. Telecare 17(6), 308–312 (2011)
Cruz, V.T., et al.: A rehabilitation tool designed for intensive web-based cognitive training: description and usability study. JMIR Res. Protoc. 2(2), e59 (2013)
Roehrs, A., da Costa, C.A., da Righi, R., de Oliveira, K.S.F.: Personal health records: a systematic literature review. J. Med. Internet Res. 19(1), e13 (2017)
Chen, Y.-R.R., Schulz, P.J.: The effect of information communication technology interventions on reducing social isolation in the elderly: a systematic review. J. Med. Internet Res. 18(1), e18 (2016)
Matthews, J., Win, K.T., Oinas-Kukkonen, H., Freeman, M.: Persuasive technology in mobile applications promoting physical activity: a systematic review. J. Med. Syst. 40(3), 72 (2016)
Shingleton, R.M., Palfai, T.P.: Technology-delivered adaptations of motivational interviewing for health-related behaviors: a systematic review of the current research. Patient Educ. Couns. 99(1), 17–35 (2016)
Hoppe, A.: Technological stress: mental strain of younger and older users if technology fails. Springer, Berlin (2011)
Holzinger, A., Searle, G., Wernbacher, M.: The effect of previous exposure to technology on acceptance and its importance in usability and accessibility engineering. Univers. Access Inf. Soc. 10(3), 245–260 (2011)
Holzinger, A., Schaupp, K., Eder-Halbedl, W.: An investigation on acceptance of ubiquitous devices for the elderly in a geriatric hospital environment: using the example of person tracking. In: Velasco, C., Weber, G., Barroso, J., Mohamad, Y., Paredes, H. (eds.) Computers helping people with special needs. Springer, Berlin, pp. 22–29 (2008)
Lewis, J.R.: Psychometric evaluation of the PSSUQ using data from five years of usability studies. Int. J. Hum. Comput. Interact. 14(3&4), 463–488 (2002)
Brooke, J.: SUS-A quick and dirty usability scale. In: Jordan, P., Thomas, B., Weerdmeester, B., McClelland, I. (eds.) Usability evaluation in industry, pp. 189–194. Taylor and Francis, London (1996)
Lewis, J.R.: Psychometric evaluation of the post-study system usability questionaire: the PSSUQ. In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, pp. 1259–1263 (1992)
Rosa, A.F., Martins, A.I., Costa, V., Queirós, A., Silva, A., Rocha, N.P.: European Portuguese validation of the post-study system usability questionnaire (PSSUQ). In: 2015 10th Iberian Conference on Information Systems and Technologies, CISTI 2015 (2015)
Bangor, A., Kortum, P.T., Miller, J.T.: An empirical evaluation of the System Usability Scale. Int. J. Hum. Comput. Interact. 24(6), 574–594 (2008)
Martins, A.I., Rosa, A.F., Queirós, A., Silva, A., Rocha, N.P.: European Portuguese validation of the system usability scale (SUS). In: Procedia Computer Science, vol. 67 (2015)
Fernández, L.K.: Valoración geriátrica integral. El Resid. 5(2), 55–65 (2010)
Netto, M.P., Ponte, J.: Envelhecimento: desafio na transição do século. In: Netto, M.P. (ed.) Gerontologia—a Velhice e o Envelhecimento em Visão Globalizada, 1st edn, pp. 3–12. Atheneu, São Paulo (2000)
Keller, B.K., Morton, J.L., Thomas, V.S., Potter, J.F.: The effect of visual and hearing impairments on functional status. J. Am. Geriatr. Soc. 47(11), 1319–1325 (1999)
Debevc, M., Kosec, P., Holzinger, A.: Improving multimodal web accessibility for deaf people: sign language interpreter module. Multimed. Tools Appl. 54(1), 181–199 (2011)
Di Nubila, H.B.V., Buchalla, C.M.: O papel das Classificações da OMS—CID e CIF nas definições de deficiência e incapacidade. Rev. Bras. Epidemiol. 11(2), 324–335 (2008)
Stucki, G., Reinhardt, J.D., Grimby, G., Melvin, J.: Developing ‘human functioning and rehabilitation research’ from the comprehensive perspective. J. Rehabil. Med. 39(9), 665–671 (2007)
Schneider, R., Marcolin, D., Dalacorte, R.: Avaliação funcional de idosos. Sci. Med. (Porto. Alegre) 18(1), 4–9 (2008)
Jette, A.M.: Toward a common language for function, disability, and health. Phys. Ther. 86(5), 726–734 (2006)
Nordenfelt, L.: Action theory, disability and ICF. Disabil. Rehabil. 25(18), 1075–1079 (2003)
Federici, S., Meloni, F., LoPresti, A.: International literature review on WHODAS II. Life Span Disabil. 12(1), 83–110 (2009)
Queirós, A., Alvarelhão, J., Amaro, A., Teixeira, A., Rocha, N.: The international classification of functioning, disability of health as a conceptual framework for the design, development and evaluation of AAL services for older adults. In: Workshop AAL. Rome, Italy, pp. 46–59 (2011)
Queirós, A., Silva, A., Alvarelhão, J., Rocha, N.: Um modelo conceptual para o ambient assisted living. In: Teixeira, A., Queirós, A., Rocha, N. (eds.) Laboratório Vivo de Usabilidade, 1st edn, pp. 89–99. Arc Pubishing, Aveiro (2013)
Martins, A.I., Queirós, A., Silva, A.G., Rocha, N.P.: ICF based usability scale: evaluating usability according to the evaluators’ perspective about the users’ performance. In: Proceedings of the 7th International Conference on Software Development and Technologies for Enhancing Accessibility and Fighting Info-exclusion—DSAI 2016, pp. 378–383 (2016)
Martins, A.I., Rosa, A.F., Queirós, A., Silva, A., Rocha, N.P.: Definition and Validation of the ICF—usability scale. Proc. Comput. Sci. 67, 132–139 (2015)
Martins, A.I., Queirós, A., Cerqueira, M.: Metodologia Living Usability Lab. In: Teixeira, A., Queirós, A., Rocha, N.P. (eds.) Laboratório Vivo de Usabilidade, 1st edn, pp. 215–233. Arc Pubishing, Aveiro (2013)
Ribeiro, V.S., Martins, A.I., Queirós, A., Silva, A.G., Rocha, N.P.: AAL@MEO: interactive digital-TV to support home care. Stud. Health Technol. Inform. 217, 1024–1029 (2015)
World MedicalAssociation: Declaration of Helsinki. Law Med Health Care A Publ Am Soc Law Med 19(3-4), 264–265 (1991)
Martins, A.I., Rosa, A.F., Queirós, A., Silva, A., Rocha, N.P.: European Portuguese validation of the system usability scale (SUS). Proc. Comput. Sci. 67, 293–300 (2015)
Ruano, L., et al.: Development of a self-administered web-based test for longitudinal cognitive assessment. Sci. Rep. 6(1), 19114 (2016)
Nokelainen, P.: An empirical assessment of pedagogical usability criteria for digital learning material with elementary school students. Educ. Technol. Soc. 9(2), 178–197 (2006)
Acknowledgements
This study was funded by the Project QREN No. 13852 I&D «AAL4ALL—Ambient Assisted Living for All», UI 127/94—IEETA co-funded by COMPETE and FEDER.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Martins, A.I., Queirós, A. & Rocha, N.P. Validation of a usability assessment instrument according to the evaluators’ perspective about the users’ performance. Univ Access Inf Soc 19, 515–525 (2020). https://doi.org/10.1007/s10209-019-00659-w
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10209-019-00659-w