Abstract
Introduction
Glaucoma is a progressive optic neuropathy that requires continuous monitoring. The purpose of the study was to develop and evaluate the usability of a mobile application, for iOS and Android platforms, containing functionalities to improve patients’ knowledge about glaucoma and facilitate their treatment.
Methods
The application was developed by a multidisciplinary team using an adapted version of a co-design methodology. Volunteers were selected, among patients and patients' relatives, from the Instituto Cearense de Oftalmologia, chosen by rational choice sampling, to answer the system usability scale after having prior orientation. The results extracted from the questionnaire were analyzed quantitatively. After grouping by age, a proportions test (z-test) was performed.
Results
It was possible to develop an application for mobile devices named “GlaucoCheck.” Of the 36 interviewees, the average age was 51 (22–69) years old, 56% were women, and 30.5% had a university degree. The average APP score for usability in the SUS questionnaire was 75.6 (95% CI 74.1–77.2).
Conclusion
There was an appropriate acceptance of patients to the “GlaucoCheck”, as it was considered easy to handle, exhibiting interactive and uncomplicated layout. It was possible to develop an application and to register a positive acceptance by the users, encompassing functions that permits better adherence to treatments and additional knowledge about glaucoma.
Similar content being viewed by others
Availability of data and materials
The applied questionnaires are in possession of the authors.
Code availability
BR 51 2018 052,409–5 (Android) and BR 51 2018 052,410–9 (iOS).
References
Mantravadi AV, Vadhar N (2015) Glaucoma. Primary Care: Clin Off Pract 42(3):437–449
Tham YC, Li X, Wong TY, Quigley HA, Aung T, Cheng CY (2014) Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology 121(11):2081–2090
Peralta E, Muir KW, Rosdahl JA (2018) Systematic review of knowledge assessments for glaucoma patients. Semin Ophthalmol 33(3):377–388
Costa VP, Spaeth GL, Smith M, Uddoh C, Vasconcellos JP, Kara-José N (2006) Patient education in glaucoma: what do patients know about glaucoma? Arq Bras Oftalmol 69(6):923–927
Davis SA, Sleath B, Carpenter DM, Blalock SJ, Muir KW, Budenz DL (2018) Drop instillation and glaucoma. Curr Opin Ophthalmol 29(2):171–177
Ridder M, Kim J, Jing Y, Khadra M, Nanan R (2017) A systematic review on incentive-driven mobile health technology: as used in diabetes management. J Telemed Telecare 23(1):26–35
Armitage P, Berry G, Matthews JNS, editors. Statistical methods in medical research. Blackwell Science Ltd; 2002.
Lewis JR, Sauro J (2009) The factor structure of the system usability scale. In: Human centered design. Springer, Berlin, pp 94–103
Da Silva MJL, Temporini ER, Neustein I, Araújo MEXS (2004) Knowledge on glaucoma prevention and treatment of patients in a hospital unit. Arq Bras Oftalmol 67(5):785–790
Newman-Casey PA, Robin AL, Blachley T et al (2015) The most common barriers to glaucoma medication adherence: a cross-sectional survey. Ophthalmology 122(7):1308–1316
Miguel AI, Fonseca C, Oliveira N, Henriques F, Silva JF (2015) Difficulties of daily tasks in advanced glaucoma patients: a videotaped evaluation. Rev Bras Oftalmol 74(3):164–170
Dias FAF, Dias VJF, Carneiro CLB, Bernardes BG, Dutra BAL, Ribeiro JC (2020) A novel mobile application for preoperative and intraoperative assessments of intrastromal corneal ring segments implantation for keratoconus. Cornea 39(9):1132–1138
Dias FAF, Dias VJF, Dutra BAL, et al (2020) Mobile app for pre- and intraoperative assessment of astigmatism correction with toric intraocular lenses in cataract surgery. J Ophthalmol 2020:1–7
Perry GT, Eichler ML, Resende G (2012) Usability evaluation of Mobiteste, an educational application for mobile devices. Braz J Inf Des 9(2):70
Buller DB, Berwick M, Lantz K et al (2015) Evaluation of immediate and 12-week effects of a smartphone sun-safety mobile application: a randomized clinical trial. JAMA Dermatol 151(5):505–512
Irvine AB, Russell H, Manocchia M et al (2015) Mobile-Web app to self-manage low back pain: randomized controlled trial. J Med Internet Res 17(1):e1
Gajecki M, Berman AH, Sinadinovic K, Rosendahl I, Andersson C (2014) Mobile phone brief intervention applications for risky alcohol use among university students: a randomized controlled study. Addict Sci Clin Pract 9(1):11
Laing BY, Mangione CM, Tseng C-H, Leng M, Vaisberg E, Mahida M, et al (2014) Effectiveness of a smartphone application for weight loss compared with usual care in overweight primary care patients. Ann Intern Med 161(10_Supplement): S5
Drongelen A, Boot CR, Hlobil H, Twisk JW, Smid T, Beek AJ (2014) Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots. Scand J Work Environ Health 40(6):557–568
Reve EH, Silveira P, Daniel F, Casati F, Bruin ED (2014) Tablet-based strength-balance training to motivate and improve adherence to exercise in independently living older people: part 2 of a phase II preclinical exploratory trial. J Med Internet Res 16(6):e159
Kirwan M, Vandelanotte C, Fenning A, Duncan MJ (2013) Diabetes self-management smartphone application for adults with type 1 diabetes: randomized controlled trial. J Med Internet Res 15(11):e235
Acknowledgements
We want to express our gratitude to the institutions which helped in the development of this research.
Funding
The application was created and developed by a multidisciplinary team in conjunction with the Technological Innovation Laboratory of the Centro Universitário Christus (Unichristus); there was no funding support in the development of the application and the article.
Author information
Authors and Affiliations
Contributions
All authors have contributed equally to this article.
Corresponding author
Ethics declarations
Conflict of interest
Paula Soares de Mattos Carneiro Valente, Edgar Marçal and João Crispim Ribeiro have a software registration patent for the GlaucoCheck application used in this study. The other authors have no financial or proprietary interest in any material or method mentioned.
Ethical approval
Nº CAAE: 64961516.3.0000.5049, following ethical guidelines of resolution 466/12 of the National Health Commission.
Consent to participate
All volunteers provided an online consent to participate in this study.
Consent for publication
All volunteers provided an online informed consent for the publication.
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
Valente, P.S.d.C., Carneiro, C.L.B., de Aguiar, R.G.P. et al. Development and usability evaluation of an application for patients with glaucoma. Int Ophthalmol 41, 3419–3425 (2021). https://doi.org/10.1007/s10792-021-01905-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-021-01905-y