Abstract 13575: Conversion of a Face-to-Face Educational Intervention to Electronic Delivery Offers Increased Access to Women With a History of Acute Coronary Syndrome

Abstract

We previously tested a face-to-face individualized educational intervention designed to improve symptom recognition in women who had recently experienced an acute coronary syndrome event. To increase accessibility to women in rural communities we converted the face-to-face intervention to a digital format including a responsive symptom monitoring diary. We implemented user experience tools to optimize the design, functionality, and aesthetics of the final product including personas, user stories, feature association, and a priority-feasibility matrix to determine the initial website structure of the website that applied this structure. We iterated mockup designs by conducting online focus groups with women with a history of ACS. Participants provided feedback on preferences for the device they would use; website settings, icons, and language; timing of reminders to complete daily symptom diaries; and understanding of the action plan and visual displays of symptom feedback to share with their provider. Eleven women (18% black; mean age 62.1) with varied digital literacy (36.4% never used ZOOM) from suburban (63.6%) or rural (36.4%) settings were included from 3 online focus groups. Participants determined website settings, icon, and language; initial symptom survey format; and language in the action plan and final visual display of symptom feedback data, respectively. A final focus group with 5 clinicians (2 cardiologists/3 nurse practitioners) provided input for modifications to the content, features, and scientific rationale for design decisions prior to finalizing the product. By delivering the intervention in an online acceptable format, we can reach women from rural settings who otherwise may not have completed a structured educational program post-ACS.