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dc.contributor.authorEvans, HEL
dc.contributor.authorForbes, CC
dc.contributor.authorGalvão, DA
dc.contributor.authorVandelanotte, C
dc.contributor.authorNewton, RU
dc.contributor.authorWittert, G
dc.contributor.authorChambers, S
dc.contributor.authorVincent, AD
dc.contributor.authorKichenadasse, G
dc.contributor.authorGirard, D
dc.contributor.authorBrook, N
dc.contributor.authorShort, CE
dc.date.accessioned2021-08-17T05:11:36Z
dc.date.available2021-08-17T05:11:36Z
dc.date.issued2021
dc.identifier.issn2369-1999en_US
dc.identifier.doi10.2196/28370en_US
dc.identifier.urihttp://hdl.handle.net/10072/407000
dc.description.abstractBackground: Digital health interventions such as tailored websites are emerging as valuable tools to provide individualized exercise and behavioral change information for individuals diagnosed with cancer. Objective: The aim of this study is to investigate and iteratively refine the acceptability and usability of a web-based exercise intervention (ExerciseGuide) for men with metastatic prostate cancer and determine how well individuals can replicate the video-based exercise prescription. Methods: A laboratory-based multi-methods design was used, incorporating questionnaires, think-aloud tests, interviews, and movement screening among 11 men aged 63 to 82 years with metastatic prostate cancer. Overall, 9 participants were undergoing androgen deprivation therapy, and 2 were completing chemotherapy. Data were collected in two waves, with changes made for quality improvement after participant 5. Results: The intervention's usability score was deemed moderate overall but improved after modifications (from 60, SD 2.9 to 69.6, SD 2.2 out of 100). Overall, the participants found the intervention acceptable, with scores improving from wave 1 (24.2, SD 1.1 out of 30) to wave 2 (26.3, SD 2.1 out of 30). The personalized multimodal exercise prescription and computer-tailored education were seen as valuable. After wave 1, website navigation videos were added, medical terminology was simplified, and a telehealth component was included after expert real-time telehealth support was requested. Wave 2 changes included the added variety for aerobic exercise modes, reduced computer-tailoring question loads, and improved consistency of style and grammar. Finally, the participants could replicate the resistance exercise videos to a satisfactory level as judged by the movement screen; however, additional technique cueing within the videos is recommended to address safety concerns. Conclusions: The acceptability and usability of ExerciseGuide were deemed satisfactory. Various problems were identified and resolved. Notably, the participants requested the inclusion of personalized expert support through telehealth. The resistance training algorithms were shown to provide appropriate content safely, and the users could replicate the exercise technique unaided to a satisfactory level. This study has optimized the ExerciseGuide intervention for further investigation in this population.en_US
dc.description.peerreviewedYesen_US
dc.languageengen_US
dc.publisherJMIR Publications Inc.en_US
dc.relation.ispartofpagefrome28370en_US
dc.relation.ispartofissue3en_US
dc.relation.ispartofjournalJMIR Canceren_US
dc.relation.ispartofvolume7en_US
dc.subject.fieldofresearchNursingen_US
dc.subject.fieldofresearchOncology and Carcinogenesisen_US
dc.subject.fieldofresearchPublic Health and Health Servicesen_US
dc.subject.fieldofresearchcode1110en_US
dc.subject.fieldofresearchcode1112en_US
dc.subject.fieldofresearchcode1117en_US
dc.subject.keywordsacceptabilityen_US
dc.subject.keywordsbehavioral changeen_US
dc.subject.keywordscomputer-tailoringen_US
dc.subject.keywordseHealthen_US
dc.subject.keywordsexerciseen_US
dc.titleUsability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationEvans, HEL; Forbes, CC; Galvão, DA; Vandelanotte, C; Newton, RU; Wittert, G; Chambers, S; Vincent, AD; Kichenadasse, G; Girard, D; Brook, N; Short, CE, Usability, acceptability, and safety analysis of a computer-tailored web-based exercise intervention (exerciseguide) for individuals with metastatic prostate cancer: Multi-methods laboratory-based study, JMIR Cancer, 2021, 7 (3), pp. e28370-en_US
dcterms.dateAccepted2021-06-13
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/en_US
dc.date.updated2021-08-16T01:11:01Z
dc.description.versionVersion of Record (VoR)en_US
gro.rights.copyright© Holly EL Evans, Cynthia C Forbes, Daniel A Galvão, Corneel Vandelanotte, Robert U Newton, Gary Wittert, Suzanne Chambers, Andrew D Vincent, Ganessan Kichenadasse, Danielle Girard, Nicholas Brook, Camille E Short. Originally published in JMIR Cancer (https://cancer.jmir.org), 28.07.2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on https://cancer.jmir.org/, as well as this copyright and license information must be included.en_US
gro.hasfulltextFull Text
gro.griffith.authorChambers, Suzanne K.


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