Use Of Questionnaire Research Articles

Pengembangan Media Pembelajaran Berbantuan Lectora Inspire dan Plotagon pada Materi SPLDV untuk Meningkatkan Kemampuan Berpikir Kritis Siswa

This research aims to describe the process and results of the development of learning media with 3D characters assisted by Lectora Inspire and Plotagon software to improve student's critical thinking skills in the material of systems for solving systems of linear equations in two variables. This research uses research and development methods with a 4D development model. This development model consists of four stages, namely definition, design stage, development stage, and dissemination stage. The learning media developed must meet the feasibility requirements, namely valid, practical, and effective. The results of this research show that the average validity value of the 3 validators is 90% and is included in the valid category. The level of practicality of learning media is 92% based on user questionnaire responsses and is included in the practical category. The level of effectiveness is determined based on the N-Gain results of 28 students who took the pretest and posttest with a percentage result of 79% so it is in the effective category. Based on these results, the learning media developed was proven to be valid, practical, and effective in improving students' critical thinking skills.

Pengembangan LKPD dengan Pendekatan STEAM melalui Model PjBL untuk Menumbuhkan Keterampilan Berpikir Kreatif pada Materi Lingkaran Kelas VIII

Creative thinking is an important skill that includes aspects of flexibility, fluency, originality and elaboration. One of the problems encountered in the field is the low creative thinking skills of students. One of the teaching materials that can help teachers overcome this problem is the innovative Student Worksheet (LKPD) with a STEAM approach through the PjBL model in circle material which has relevance to creative thinking skills. This research aims to describe the process and results of developing LKPD using the STEAM approach through the PjBL model to foster creative thinking skills in valid class VIII circle material. This research uses a research and development (R&D) approach referring to the Holistic 4D development model which is adapted to only include the define, design and develop stages. The research results show that the feasibility percentage based on the media expert's assessment is 80% and the feasibility percentage based on the material expert's assessment is 86.8%. Meanwhile, the eligibility percentage based on the results of the practitioner questionnaire was 86.7% and the eligibility percentage obtained based on the results of the user questionnaire was 86.9%. Thus, the product developed is suitable for use as teaching material that fosters students' creative thinking skills.

Digitalization Of Legendary Foods To Support Culinary Tourism In Yogyakarta City Region

This research aims to 1) generate data mapping legendary culinary foods in the city of Yogyakarta, and 2) create a media that serves as a reference for tourists in the city of Yogyakarta. The research uses a descriptive research method to understand the mapping of legendary culinary items and create a digital map application for legendary culinary items. The data analysis employed the test case analysis (Guttman scale) to assess the success of application access and the USE Questionnaire for users. The research was conducted in the Yogyakarta City area through interviews, observations, and documentation. The findings of this research are as follows: 1) The mapping of legendary culinary items in the city of Yogyakarta is differentiated based on the age of the businesses and the types of food sold. The mapping by business age reveals 60 businesses, with those under 25 years accounting for 10% (6 businesses), those between 25-50 years accounting for 30% (18 businesses), and those over 50 years accounting for 60% (36 businesses) of the total. The categorization based on types includes souvenirs, traditional snacks, meatball soup, soto (traditional soup), noodles, gudeg (traditional Javanese jackfruit dish), beverages (traditional and fresh), restaurants, and eateries. 2) The mapping results have led to the creation of a digital mapping application for legendary culinary items. The application, validated by media experts, was found to be easily and smoothly accessible. In user testing, the application received a high level of approval, with 85.8% of respondents strongly agreeing, 13.9% agreeing, and only 0.3% stating that the application was not acceptable. Therefore, it can be concluded that the digital mapping application for legendary culinary items is well-received by users.

Monitoring Gait and Physical Activity of Elderly Frail Individuals in Free-Living Environment: A Feasibility Study

Introduction: Frailty is conventionally diagnosed using clinical tests and self-reported assessments. However, digital health technologies (DHTs), such as wearable accelerometers, can capture physical activity and gait during daily life, enabling more objective assessments. In this study, we assess the feasibility of deploying DHTs in community-dwelling older individuals, and investigate the relationship between digital measurements of physical activity and gait in naturalistic environments and participants’ frailty status, as measured by conventional assessments. Methods: Fried Frailty Score (FFS) was used to classify fifty healthy individuals as non-frail (FFS = 0, n/female = 21/11, mean ± SD age: 71.10 ± 3.59 years), pre-frail (FFS = 1–2, n/female = 23/9, age: 73.74 ± 5.52 years), or frail (FFS = 3+, n/female = 6/6, age: 70.70 ± 6.53 years). Participants wore wrist-worn and lumbar-worn GENEActiv accelerometers (Activinsights Ltd., Kimbolton, UK) during three in-laboratory visits, and at-home for 2 weeks, to measure physical activity and gait. After this period, they completed a comfort and usability questionnaire. Compliant days at-home were defined as follows: those with ≥18 h of wear time, for the wrist-worn accelerometer, and those with ≥1 detected walking bout, for the lumbar-worn accelerometer. For each at-home measurement, a group analysis was performed using a linear regression model followed by ANOVA, to investigate the effect of frailty on physical activity and gait. Correlation between at-home digital measurements and conventional in-laboratory assessments was also investigated. Results: Participants were highly compliant in wearing the accelerometers, as 94% indicated willingness to wear the wrist device, and 66% the lumbar device, for at least 1 week. Time spent in sedentary activity and time spent in moderate activity as measured from the wrist device, as well as average gait speed and its 95th percentile from the lumbar device were significantly different between frailty groups. Moderate correlations between digital measurements and self-reported physical activity were found. Conclusions: This work highlights the feasibility of deploying DHTs in studies involving older individuals. The potential of digital measurements in distinguishing frailty phenotypes, while unobtrusively collecting unbiased data, thus minimizing participants’ travels to sites, will be further assessed in a follow-up study.

COLOUR PSYCHOLOGY POTENTIAL IN LITHUANIAN ADVERTISING

The study examines the potential of colour psychology in Lithuanian advertising, acknowledging that the application of colour psychology may vary among countries. The theoretical overview outlines the concept of colour psychology and evaluates its use in advertising. The research objective is to assess how colour psychology can be effectively implemented in Lithuanian advertising campaigns. The study aims to explore the potential of colour psychology in Lithuanian advertising. The analysis will investigate the use of colour psychology in Lithuanian advertising. Methodology of the study included a review of the scientific literature and two structured questionnaire surveys of both consumers and industry experts. The study showed that when comparing user and expert surveys, both groups agreed that properly selected colours that evoke positive emotions have a strong influence on consumer emotions and even actions. However, when comparing the theory with the results obtained in the user questionnaire, it appears that Lithuanians assign slightly different associations to corresponding colours than foreign authors. Carefully selected colours that evoke positive emotions in advertisements can attract consumers' attention and potentially encourage purchases of the depicted brand. In order to choose the right colours to communicate in advertisements, it is important to analyse the audience to which the advertisement will be presented and to clarify the values that the brand cherishes and what the specific colour used in the advertisement is intended to tell consumers about the product or service.

Digital follow-up program for patients undergoing atrial fibrillation ablation: a pilot single-center study

Abstract Introduction Atrial fibrillation (AF) carries significant burden in health expenditure worldwide. Digital health technology may improve healthcare delivery, but its applicability in clinical practice and related outcomes remain a gap in evidence. Aim To report the implementation of a digital follow-up program (FUP) for patients submitted to AF ablation in an European center. Methods A digital FUP was implemented at a high-volume ablation center in 2020. The program featured a web platform for professionals, to record Clinician Reported Outcome Measurements (CROMs), during remote medical visits, and access Patient Reported Outcomes Measurements (PROMs). The program also included a mobile app for patients to report symptoms, vital signs, anthropometric and electrocardiographic data. Patients were invited to complete questionnaires at prespecified timepoints: Atrial Fibrillation Effect on qualiTy-of-life [AFEQT]; the Epworth and STOP-BANG for obstructive sleep apnea; nutritional questionnaire. Completeness rate was defined by the ratio of queries completed/queries sent at each timepoint. The mHealth App Usability Questionnaire (MAUQ) questionnaire was sent to patients and doctors; patients also received a Patient Reported Experience Measure (PREMs) 15 days after the ablation, from which a Net Promotor Score (NPS, -100 to 100) was calculated to express user’s satisfaction. This retrospective analysis includes data collected from December 2020 to September 2022. Results From the 305 ablations performed in this period, 253 patients were enrolled in the digital FUP: age 60±11 years, 67% male, 78% paroxysmal AF, body mass index 27.4±4.2 kg/m2. During a mean follow-up time of 11.9±5.8 months, 1120 CROMs were registered; 1449 PROMs were collected, including 5865 metrics reported by 90 different patients. App usage, measured by unique logins/month, was recorded in 54% of patients, of whom 13% submitted symptom checks weekly. 160 PREMs were registered; NPS scores for ablation and the app were 85.5 and 31.5, respectively [image]. Questionnaire overall completeness rate was: 54.5% for AFEQT; 14.4% for Epworth; 20.8% for STOP-BANG, that identified 55% of patients at high risk for sleep apnea. Nutritional assessment was completed by 18.7%; obese/pre-obese status was found in 21% and 48%, respectively; 18 patients were enrolled in a nutritional program. All doctors "agreed"/"strongly agreed" to overall satisfaction with the app. Conclusions The digital FUP was feasible and aided comorbidities assessment. Strategies to improve patient’s engagement and digital literacy are warranted. Further studies are needed to evaluate the platform’s impact on clinical outcomes.

Abstract 18508: Usability of Novel Automated Software for Guiding Remote Titration of Antiarrhythmic Drugs

Introduction: We tested the first novel software application to accurately measure QTc using a machine learning algorithm from a mobile ECG and recommend patient-specific antiarrhythmic drug (AAD) dosing. The software was developed to address disparities in AAD hospitalizations that disproportionately affect minority patients. We evaluated the usability of the software interface using the validated Post-Study System Usability Questionnaire (PSSUQ) and mobile Health App Usability Questionnaire (MAUQ). Methods: Ten medical providers, 16 clinic staff, and 16 patients tested the novel software interface for remote titration of Sotalol and Dofetilide medications, followed by the validated PSSUQ and MAUQ surveys. An observer also evaluated each step of the software for completion and noted any challenges. Results: Providers rated the software interface highly, with an overall mean PSSUQ of 6.9 ± 0.2 and MAUQ of 6.8 ± 0.2, and 100% strongly agree on information quality (PSSUQ questions 7-12). Clinic staff and patients provided the highest ratings for system usefulness, with an overall PSSUQ mean of 6.4 ± 1.2 and MAUQ mean of 6.0 ± 1.2, ease of app use and user satisfaction, mean of 6.3 ± 1.1 and 5.9 ± 1.3 respectively. Eighty percent of users found the system easy to use and were satisfied, with 76% rating the app as an acceptable way to receive healthcare services and felt comfortable communicating with their providers using the app. Conclusion: The novel automated software application, designed to improve access to antiarrhythmic drugs and reduce healthcare disparities, received high usability ratings, indicating feasibility for remote administration of antiarrhythmic drugs.

Ghana 3D Telemedicine International MDT: A proof-of-concept study

A real-time 3D Telemedicine system - leveraging Microsoft’s HoloportationTM communication technology – enabled an international multidisciplinary team meeting (MDT) to consult with complex reconstructive patients prior, during, and after an overseas surgical collaboration. MethodsA proof-of-concept international 3D MDT clinic took place in November 2022, between Canniesburn Plastic Surgery Unit, UK and the National Reconstructive Plastic Surgery and Burns Centre, Korle Bu Teaching Hospital, Ghana. The 3D system was utilised 1) pre-visit to assess patients and enable logistical planning, 2) on-site in Ghana to further allow patients to see themselves and proposed operations in 3D, and 3) post-visit to debrief team and patients. Results4 Ghana patients were followed through their patient journey (mandibular ameloblastoma, sarcoma thigh, maxillary tumour, sarcoma back). 13 participants (4 patients, 4 Ghana clinicians, 5 UK clinicians) completed feedback on the 3D MDT. Outcome measures were rated highly with satisfaction 84.31/100, perceived benefit 4.54/5, overall quality 127.3/ 147 (Telehealth Usability Questionnaire), and usability 83.2/100 (System Usability Scale). These data show close alignment with that previously published on high income countries. ConclusionsThis novel technology has potential to enhance delivery of overseas surgical visits to low-to-middle income countries (LMIC), by improving planning, informed discussion with patients, expert consensus on complex cases, and fostering engagement with professionals who may be thousands of miles away. This is the first demonstration that real-time 3D Telemedicine can both work, and enhance care within an International MDT clinic, and may thus enable change in the approach to overseas surgical collaborations.

Immersive virtual reality for shoulder rehabilitation: evaluation of a physical therapy program executed with oculus quest 2

BackgroundVirtual Reality (VR) systems have been increasingly used across several medical fields. A crucial preliminary step for developing optimized VR-based applications for rehabilitation purposes is identifying potential interventions to meet the requirements necessary to satisfy end-users’ needs. This study aims to assess the acceptability, usability, and appropriateness of a VR physical therapy program executed with Oculus Quest 2 by expert physiotherapists of shoulder musculoskeletal rehabilitation.MethodsEleven physiotherapists were enrolled to test a VR program for shoulder musculoskeletal rehabilitation. At the end of each session, physiotherapists completed three questionnaires about the acceptability, usability, and appropriateness of the VR system and application, investigating aspects such as wearability, safety, stability, ease of control, comfort, size, utility, playability, and use mode.ResultsThe acceptability questionnaire revealed that all the physiotherapists found the VR system easy to wear and control, very confident, and safe. The usability questionnaire showed that most physiotherapists (73%) found the VR application entertaining, although only 45% said the system could be used independently by patients without the support of a therapist. Many physiotherapists found the use of the VR application appropriate for patients with rotator cuff tears treated conservatively (63.6%) or surgically (54.5%), for patients with shoulder osteoarthritis treated conservatively (72.7%), for patients with shoulder osteoarthritis after surgical treatment (63.6%). 91% of physiotherapists think it would be best for patients to use the VR system under the supervision of a therapist and not independently in a home setting.ConclusionsThe use of VR in orthopaedic rehabilitation is encouraging, although further efforts are needed to increase the independent use of patients without the supervision of a physiotherapist. Moreover, future studies should strive to ensure the clinical effectiveness of VR rehabilitation in reaching therapeutic goal settings.

Telehealth Serious Illness Care Program for Older Adults with Acute Myeloid Leukemia and Myelodysplastic Syndromes: A Single-Arm Pilot Study

Introduction: Older patients with acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS) often feel shocked and bewildered about their diagnosis. Serious illness conversations (SICs) may increase patient's disease understanding and better prepare them for the future. However, SICs currently tend to happen late in the disease course. One reason is clinician-perceived patient discomfort. Telehealth may promote patient comfort by allowing SICs to take place from home. We previously conducted a qualitative study to adapt the Serious Illness Care Program (SICP) for delivery via telehealth to promote early SICs among older adults with AML and MDS. The purpose of this study was to assess the feasibility and usability of the telehealth-delivered SICP for older patients with AML and MDS. Methods: We conducted a single-arm pilot study and recruited patients aged ³60 years with AML or MDS and their caregivers. Participants underwent a 30- to 60-minute adapted SICP visit with their oncology clinician. The SICP includes: 1) Geriatric assessment of aging-related vulnerabilities, 2) Patient preparation pamphlet to prepare patients to talk about their values, 3) Clinician preparation email, 4) The Serious Illness Care Guide (SICG) used by clinicians during the SICP visit, 5) Documentation template for clinicians to use in the electronic health record, and 6) Family guide to assist patients with discussing their values with loved ones. Feasibility was measured using retention rate (i.e., completion of the SICP visit; >80% was considered feasible). Usability was measured using the telehealth usability questionnaire (TUQ, range 1-7; a score of >5 was considered feasible). We collected secondary outcome measures including acceptability of the SICP, advance care planning (ACP) engagement, disease understanding, and healthcare communication. Healthcare communication was assessed using the adapted 6-item Health Care Communication Questionnaire [(HCCQ), range 0-20; higher score is better] and the 1-item Heard and Understood question (range 0-4; higher score is better). Hypothesis testing was performed at α=0.10 (two-tailed) due to the pilot nature of this study. We elicited participant feedback through audio recorded semi-structured interviews. Interviews were transcribed verbatim and two investigators independently coded transcripts using MAXQDA. Results: We included 20 patients (mean age=75; SD 5.9, range 63-87) and 6 caregivers (mean age=64; SD 13.7, range 44-77). The majority of patients and caregivers were White (patients: 85%, 17/20; caregivers 100%, 6/6) and non-Hispanic (patients: 80.0%, 16/20; caregivers: 83.3%, 5/6). Of the 19 SICP visits, 13 took place via video call, 5 took place via telephone, and 1 visit took place in person. We found the SICP to be feasible (retention rate: 95%). Mean TUQ scores were 5.9 (SD 0.9) and 5.9 (SD 1.1) for patients and caregivers, respectively, indicating that the SICP was usable. In terms of acceptability, the majority of patients felt the SICP increased their sense of control over medical decisions (58.8%, 10/17) and closeness with their clinician (75.0%, 12/16). From baseline to post-intervention, ACP engagement scores increased numerically [mean +0.4 (SD 1.0); p=0.12]. At post-intervention, compared to pre-intervention measures, patient's estimates of curability and life expectancy aligned more closely with clinicians. Mean scores for HCCQ and Heard and Understood were 18.3 (SD 2.1) and 3.5 (SD 0.5) for patients, respectively. Mean scores for HCCQ and Heard and Understood were 18.2 (SD 2.9) and 3.7 (SD 0.5) for caregivers, respectively. In qualitative interviews, most patients (89.5%, 17/19) and caregivers (100%, 6/6) said they would recommend a SICP visit to others. The majority of patients (94.7%; 18/19) and caregivers (83.3%; 5/6) felt that the patient was prioritized during the SICP visit. Participants appreciated the comfort of telehealth during their SICP visit, felt the SICP visit provided them with the opportunity to share their wishes with their oncology clinician, and said that the SICP visit eased their worries. Conclusion: In this study, we found the adapted SICP to be feasible and usable, and well-liked by patients and their caregivers. It has the potential to improve patient disease understanding, strengthen the patient-clinician relationship, and help clinicians align care to what matters most to patients and their families.

Adaptation française et propriétés psychométriques de l’échelle d’utilisabilité perçue des sites web « Design-oriented evaluation of perceived usability (DEEP) »

IntroductionWith the ubiquitous and often unavoidable use of websites, it is necessary that they present the best possible usability to satisfy users. The Design-Oriented Evaluation of Perceived Usability (DEEP) questionnaire, comprising 19 items, assesses perceived usability on the basis of six genotypic criteria: content, structure and information architecture, navigation, cognitive effort, layout consistency, and visual guidance. After completing the DEEP, designers are then able to identify the main factors of the website that cause problems. ObjectiveThe aim of this study was to propose a cross-cultural adaptation of the DEEP in French and to evaluate its psychometric qualities. MethodFour hundred and seventy users completed an online survey to give their opinion on the Onisep.fr website. The survey included the French translation of the DEEP (F-DEEP) and the Net Promoter Score questionnaire. A principal component analysis (PCA) with oblimin rotation, an internal consistency analysis, several confirmatory factor analyses (CFA) and a convergent validity study between the F-DEEP and the NPS were conducted. ResultsThe PCA suggests a 6-factor structure, which partly corresponds to the 6 factors of the original questionnaire. The internal consistency is very satisfactory, with a Cronbach's alpha coefficient of 0.944 and a McDonalds omega of 0.945. The CFA with the most satisfactory fit indices corresponds to the first-order model including the 6 factors of the F-DEEP. All the correlations calculated between the F-DEEP factors and the NPS are positive and highly significant. ConclusionThe F-DEEP has very good psychometric qualities, which means that it can be used by researchers and professionals in the field of ergonomic psychology of human-computer interaction to evaluate websites for French-speaking audiences. This questionnaire can also be applied to the evaluation of the usability of mobile applications.

German Version of the mHealth App Usability Questionnaire in a Cohort of Patients With Cancer: Translation and Validation Study.

Good usability is important for the adoption and continued use of mobile health (mHealth) apps. In particular, high usability can support intuitive use by patients, which improves compliance and increases the app's effectiveness. However, many usability studies do not use adequate tools to measure perceived usability. The mHealth App Usability Questionnaire (MAUQ) was developed specifically for end users in a medical context. MAUQ is a relatively new but increasingly used questionnaire to evaluate mHealth apps, but it is not yet available in German. This study aims to translate MAUQ into German and determine its internal consistency, reliability, and construct validity. This validation study was conducted as part of a usability evaluation project for an mHealth app used as a therapy support tool during breast cancer chemotherapy. MAUQ was translated into German through a rigorous forward-backward translation process, ensuring semantic and conceptual equivalence. Patient responses to MAUQ and System Usability Scale (SUS) were analyzed for validation. Descriptive analysis was performed for the MAUQ subscales and SUS standard scores. Significance tests and correlation coefficients assessed the relationship between the SUS and MAUQ results, confirming construct validity. Internal consistency was assessed for item reliability and consistency in measuring the target construct. Free-text questions assessed translation comprehensibility, with responses analyzed descriptively and qualitatively using content analysis. In this study, 133 participants responded to the questionnaire, and the validation analysis showed substantially positive correlations between the overall MAUQ score and its subscales: ease of use (r=0.56), interface and satisfaction (r=0.75), and usefulness (r=0.83). These findings support the construct validity of MAUQ and emphasize the importance of these subscales in assessing the usability of the Enable app. The correlation coefficients ranging from 0.39 to 0.68 for the items further validate the questionnaire by aligning with the overall score and capturing the intended concept. The high internal consistency reliability of MAUQ (Cronbach α=.81) and its subscales further enhances the instrument's robustness in accurately evaluating the usability of mHealth apps. We successfully validated the German translation of the MAUQ for stand-alone apps using a standardized approach in a cohort of patients with breast cancer. In our validation study, MAUQ exhibited strong internal consistency reliability (Cronbach α=.81) across its subscales, indicating reliable and consistent measurement. Furthermore, a significant positive correlation (P<.001) was found between the subscales and the overall score, supporting their consistent measurement of the intended construct. Therefore, MAUQ can be considered a reliable instrument for assessing the usability of mHealth apps among German-speaking adults. The availability of the German version of MAUQ will help other researchers in conducting usability studies of mHealth apps in German-speaking cohorts and allow for international comparability of their results.

89 Performance and Usability of a Remote App-Based Assessment of Cognition Among Older Adult Mobile Game Players and Non-Players

Objective:Mobile, valid, and engaging cognitive assessments are essential for detecting and tracking change in research participants and patients at risk for Alzheimer’s Disease and Related Dementias (ADRDs). The mobile cognitive app performance platform (mCAPP) includes memory and executive functioning tasks to remotely detect cognitive changes associated with aging and preclinical Alzheimer’s disease. This study assesses participants’ comfort and subjective experiences with mCAPP as the potential utility and advantage of mobile app-based assessments for remote monitoring among older adults will depend upon usability and adoptability of such technology.Participants and Methods:The mCAPP includes three gamified tasks: (1) a memory task involving learning and matching hidden card pairs (“Concentration”) (2) a stroop-like task (“Brick Drop”), and (3) a digit-symbol coding-like task (“Space Imposters”). Participants included 37 older adults (60% female; age=72±4.4; years of education=17±2.5; 67% White) with normal cognition enrolled in the Penn ADRC cohort. Participants completed one baseline session of mCAPP in-person, followed by two weeks of at-home use with eight scheduled sessions. Information on prior experience with mobile technology and games was collected, and usability of mCAPP was measured at baseline and after 2-weeks of use with the IBM Computer Usability Satisfaction Questionnaire and the mHeath App Usability Questionnaire (MAUQ) respectively. Feedback on perceived difficulty, enjoyment, and likelihood to play mCAPP games again on their own was collected.Results:Participants completed on average 11±4.9 sessions over 2 weeks, with each session lasting 11.5±2.5 minutes. 59% of participants reported using their mobile device to play games (“mobile game players”). Performance on mCAPP tasks was slower at baseline for non-players, with trend-level differences on higher-load blocks of Space Imposters (p=.057 and .059). No differences in game performance were seen between groups after playing 8 sessions at-home. There were no differences in usability of mCAPP between groups, with average usability 8.2±1.5 (IBM, 0-9 scale) at T1 and 6.2±0.8 (MAUQ, 1-7 scale) after completion of two weeks of at-home use (TLast). Reported enjoyment was moderate to high for both groups at baseline and increased over time. Likelihood to play Concentration and Brick Drop again trended lower among nonplayers at T1 (p=.061 and .054), but not at TLast. Further, change in likelihood to play mCAPP from T1 to TLast was positive among non-players, with change for Concentration significantly higher for non-players than for players (p=.037).Conclusions:Participants were willing and able to complete at-home cognitive testing and most completed more than the assigned sessions. While participants who do not play games on their own mobile device were slower on some tasks at baseline, these differences dissipated with further play at-home. Usability and enjoyment of mCAPP games were high regardless of mobile game-playing status, and non-players demonstrated increased willingness to play mCAPP games again at the end of participation compared to baseline. This pilot study shows preliminary feasibility and adoptability of mobile app-based assessment regardless of prior experience with mobile games.

Chinese students’ perceptions of social networks and their academic engagement in technology-enhanced classrooms

Using social networks as one of the new instruments of information and communication technologies in recent years has gained popularity. Social networks are used in various political, social, cultural, and educational fields. In education, students increasingly use social networks to create and maintain social relationships and support informal learning methods. The current study investigated the relationship between the use of social networks and academic engagement in Chinese EFL language learners. Using a convenience sampling method, the researcher invited 591 EFL students from Guangdong Province, China to participate in the study. The participants consisted of 307 male learners and 284 female learners, of whom 345 (58.38 %) were B.A., 234 (39.59 %) were M.D. and 2.03 % were Ph.D. To obtain the necessary data, the researcher employed two questionnaires. The researcher distributed the questionnaires that were Social Network Usage Questionnaire and Academic Engagement Questionnaire to the participants. Employing the multivariate regression method and Pearson correlation coefficient in SPSS and Amos, the researcher analyzed the collected data. The results show that there is a significant and positive association between learners' social network usage, their ethnographic factor (age), and their academic engagement. However, other ethnographic factors such as gender and educational level do not affect learners' social networks usage. Also, there is a significant and positive association between the amount of use of social networks for entertainment and components of academic engagement which are cognitive, emotional, and socio-behavioral factors. The use of technology, especially the use of social networks, enhances learners’ academic engagement and increases their motivation, energy, and mastering abilities. They provide the ability to easy access for all learners and provide personalized/individual course materials.

Development of Interactive E-Module Based on Papuan Local Wisdom on Basic Mathematics Course

Lecturers have an important role in facilitating technology-based learning activities. A common problem is the lecturer's habit of using monotonous teaching media that makes students bored in Mathematics class. Therefore, researchers took steps to develop teaching materials in the form of interactive e-module based on local wisdom of Papua or Merauke on basic mathematics course. E-modules are developed by utilizing the Heyzine flipbooks application which is integrated with the wordwall.net application. The research method used is R &amp; D, the 4D development model which has stages such as Define, Design, Develop, and Disseminate. Data collection techniques are observation and questionnaires. The questionnaire used consists of three types, which are material expert, media expert, and student (user) questionnaires. Based on the assessment of media expert and material expert validators, the average feasibility of 3.48 and 3.36 was obtained, as well as the results of trials conducted on students on average 3.34, it can be concluded that the e-module developed is valid and feasible to use.

STUDENTS’ MOBILE TECHNOLOGY USAGE AND THEIR TOEFL LISTENING PROFICIENCY: A CORRELATIONAL STUDY

This research aimed to find out the correlation between students’ mobile technology usage and TOEFL listening proficiency in the sixth semester of the English Study Program of FKIP Universitas Riau. The sample of this study was 36 students in the sixth semester of the English Study Program of FKIP Universitas Riau. The Cluster Random sampling technique was utilized to choose the sample for this research. This study used two data instruments, a mobile technology usage questionnaire and TOEFL listening proficiency gained by collecting students’ TOEFL listening scores. The instruments were distributed to the respondents online through Google Forms. The mobile technology usage questionnaire was an adaptation of a questionnaire by Grenier. The respondents submitted the TOEFL listening score after finishing the questionnaire. The students’ mobile technology usage was analyzed using a Likert scale in the form of positive questions. The students’ proficiency levels were categorized using ETS Performance Descriptors for TOEFL. The researcher used the Pearson Product Moment formula to determine the correlation coefficient value. The result of this study shows that most respondents’ listening proficiency is categorized at the elementary level with a range score of the listening section 31-46. Moreover, this study revealed a moderate correlation between students’ mobile technology usage and their TOEFL listening proficiency, with a 36% determinant score. In other words, mobile technology usage is not the main factor in determining students’ TOEFL listening proficiency.

Advancements in combining electronic animal identification and augmented reality technologies in digital livestock farming

Modern livestock farm technologies allow operators to have access to a multitude of data thanks to the high number of mobile and fixed sensors available on both the livestock farming machinery and the animals. These data can be consulted via PC, tablet, and smartphone, which must be handheld by the operators, leading to an increase in the time needed for on-field activities. In this scenario, the use of augmented reality smart glasses could allow the visualization of data directly in the field, providing for a hands-free environment for the operator to work. Nevertheless, to visualize specific animal information, a connection between the augmented reality smart glasses and electronic animal identification is needed. Therefore, the main objective of this study was to develop and test a wearable framework, called SmartGlove that is able to link RFID animal tags and augmented reality smart glasses via a Bluetooth connection, allowing the visualization of specific animal data directly in the field. Moreover, another objective of the study was to compare different levels of augmented reality technologies (assisted reality vs. mixed reality) to assess the most suitable solution for livestock management scenarios. For this reason, the developed framework and the related augmented reality smart glasses applications were tested in the laboratory and in the field. Furthermore, the stakeholders’ point of view was analyzed using two standard questionnaires, the NASA-Task Load Index and the IBM-Post Study System Usability Questionnaire. The outcomes of the laboratory tests underlined promising results regarding the operating performances of the developed framework, showing no significant differences if compared to a commercial RFID reader. During the on-field trial, all the tested systems were capable of performing the task in a short time frame. Furthermore, the operators underlined the advantages of using the SmartGlove system coupled with the augmented reality smart glasses for the direct on-field visualization of animal data.

Development of a Web-Based Algorithm for Understanding the Intraocular Lens-Based Surgery in Stable and Progressing Keratoconus for Non-Specialist Ophthalmologists

Purpose To propose an algorithm to facilitate lens-based surgery in keratoconus. Methods A literature review was performed to prepare a software algorithm based on cone location, stability, best spectacle-corrected distance visual acuity (BSCVA) level and whether there is a clear or cataractous lens. The software usability was assessed through a 10-question questionnaire and two hypothetical keratoconus case histories (moderately simple and moderately complex) given to 15 trainees. The usability questionnaires were graded on a Likert scale (1 = strongly disagree to 5 = strongly agree) and two case histories (1 = very difficult to 7 = very easy). Results The algorithm can be found at https://www.sussexeyelaserclinic.co.uk/keratoconus/. Thirteen trainees completed the questionnaire. 91.9% would frequently use it; for 100%, it was easy to use independently without technical support; for 63.7%, it was strongly integrated; for 100%, it was consistent; 100% thought that most people would learn to use it quickly, 91.9% found the system not cumbersome to use, felt very confident to use it and need not learn a lot to use it. The first case was found easy by 63.7% and the second by 45%. Conclusion We present an algorithm as a guide for lens-based surgery in stable and progressing keratoconus, which is classified based on cone location. This algorithm will help trainee and “non-specialist” ophthalmic surgeons understand the pre-operative planning for the surgery and referral to the “specialist” corneal surgeon, considering factors such as progression, BSCVA, keratometry, topography and apex location of the cone in keratoconus patients.

Gamification to Improve Medication Adherence: A Mixed-method Usability Study for MedScrab.

Medication non-adherence is a prevalent healthcare problem with poor health outcomes and added healthcare costs. MedScrab, a gamification-based mHealth app, is the first attempt to deliver crucial life-saving medication information to patients and increase their medication adherence. The paper presents the development of MedScrab and a two-phase mixed-method usability evaluation of MedScrab. Phase I qualitatively evaluated MedScrab using a think-aloud protocol for its usability. With 51 participants, qualitative data analysis of Phase I revealed two themes: positive functionality of the app and four areas of improvement. The improvement recommendations were incorporated into MedScrab's design. Phase I also validated a widely used mHealth App Usability Questionnaire (MAUQ). Quantitative data analysis of Phase I reduced the original 18-item MAUQ scale to a 15-item scale with two factors: ease of use (4 items) and usefulness and satisfaction (11 items). Phase II surveyed 83 participants from Amazon's Mechanical Turk using a modified MAUQ. The modified MAUQ scale showed strong internal consistency (Cronbach alpha = 0.959) and high factor loadings (between 0.623 and 0.987). The study design of the usability evaluation can serve as a methodological guide for designing, evaluating, and improving mHealth apps.The usability study showed that MedScrab was perceived as ease of use (6.24 out of 7) with high usefulness and satisfaction (5.72 out of 7). The quantitative data analysis results support the use of the modified MAUQ as a valid instrument to measure the usability of the MedScrab. However, the instrument should be used with adaptation based on the app's characteristics.

Design, Development, and Evaluation of an mHealth App for Reporting of Side Effects During Cytostatic Treatment: Usability Test and Interview Study.

Using mobile health (mHealth) interventions such as smartphone apps to deliver health services is an opportunity to engage patients more actively in their own treatment. Usability tests allow for the evaluation of a service by testing it out on the relevant users before implementation in clinical practice. The objective of this study was to design, develop, and evaluate the user interface of an app that would aid patients with cancer in reporting a more comprehensive summary of their side effects. The usability test was conducted by exposing patients with cancer to a prototype of an mHealth app that allowed for reporting of side effects from a chemotherapy regimen. After solving a set of 13 tasks, the test participants completed a system usability scale questionnaire and were interviewed using a semistructured interview guide. The interviews were later transcribed and analyzed. The 10 test participants had a mean age of 56.5 (SD 7.11) years. The mean total task completion time for the task-solving session was 240.15 (SD 166.78) seconds. The calculated system usability scale score was 92.5. Most participants solved most of the tasks without any major issues. A minority reported having difficulties using apps on smartphones in general. One patient never achieved a meaningful interaction with our app prototype. Most of those who engaged with the app approved of features that calmed them down, made them more empowered, and put them in control. They preferred to report on side effects in a detailed and concise manner. App features that provided specific advice could provoke both fear and rational action. The user tests uncovered design flaws that allowed for subsequent refining of an app that has the potential to enhance the safety of patients undergoing home-based chemotherapy. However, a refined version of the app is unlikely to be of value to all patients. Some might not be able to use apps on smartphones in general, or their ability to use apps is impaired because of their disease. This finding should have implications for health care providers' overall design of their follow-up service as the service must allow for all the patients to receive safe treatment whether they can use an mHealth app or not.