Hughes B, Martin-Misener R, Latimer M, Smit M, McGrath P, Campbell-Yeo M
School of Nursing Dalhousie University Halifax Nova Scotia Canada.
Centre for Pediatric Pain Research, IWK Health Centre Halifax Nova Scotia Canada.
Paediatr Neonatal Pain. 2023 Feb 21;6(3):60-79. doi: 10.1002/pne2.12096. eCollection 2024 Sep.
All newborns undergo minor painful procedures (e.g., injections). Despite strong evidence supporting parents' efficacy to reduce procedural pain (e.g., breastfeeding), parents remain an underutilized resource. Limited evidence-based resources about infant procedural pain management targeting parents in the perinatal period exist. We co-created Parenting Pain Away, a website to enhance parents' access to information and participation in procedural pain management following birth. This study aimed to conduct iterative usability testing with the perinatal population to refine Parenting Pain Away based on target users' identified needs and satisfaction. In 2020, parents of healthy newborns or expectant parents from an Atlantic Canadian province, participated in two iterative cycles of usability testing of Parenting Pain Away. Through recorded interviews, participants were directed to use the "Think Aloud" approach (e.g., verbalize what they see, think, feel) as they navigated through the website. Participants completed online questionnaires related to demographics and user satisfaction, measured by the Post Study System Usability Questionnaire (PSSUQ). Descriptive statistics and content analysis were conducted to analyze the data. In total, there were 10 participants with an average age of 29.9 years (SD = 3.9). Participants identified as mothers ( = 7) or fathers ( = 3) and were expecting ( = 6) or had a newborn ( = 4). The PSSUQ overall scores were 1.84 (SD = 0.55) and 1.34 (SD = 0.49) in Cycles 1 and 2, respectively, indicating high user satisfaction on the 7-point scale. When comparing between the two cycles, the average overall score was lower in Cycle 2, suggesting improved satisfaction. Participants provided positive feedback about the website and suggested major refinements to simplify content and site navigation. Findings from usability testing cycles were used to inform refinements of the Parenting Pain Away in response to participant satisfaction and feedback. Engaging target users in the development process enhanced this website in preparation for further effectiveness testing.
所有新生儿都要接受一些轻微的痛苦程序（如注射）。尽管有强有力的证据支持父母在减轻程序疼痛方面的功效（如母乳喂养），但父母仍是一种未得到充分利用的资源。针对围产期父母的关于婴儿程序疼痛管理的循证资源有限。我们共同创建了“远离育儿疼痛”网站，以增加父母获取信息的机会，并让他们参与产后程序疼痛管理。本研究旨在对围产期人群进行迭代可用性测试，以便根据目标用户确定的需求和满意度来完善“远离育儿疼痛”网站。2020年，来自加拿大大西洋省份的健康新生儿的父母或准父母参与了“远离育儿疼痛”网站的两个迭代可用性测试周期。通过录音访谈，参与者在浏览网站时被引导采用“边想边说”的方法（如说出他们看到的、想到的、感觉到的）。参与者完成了与人口统计学和用户满意度相关的在线问卷，由研究后系统可用性问卷（PSSUQ）进行测量。进行描述性统计和内容分析以分析数据。总共有10名参与者，平均年龄为29.9岁（标准差=3.9）。参与者中母亲有7人，父亲有3人，其中6人是准父母，4人有新生儿。在第1轮和第2轮中，PSSUQ的总体得分分别为1.84（标准差=0.55）和1.34（标准差=0.49），表明在7分制上用户满意度较高。在比较两个周期时，第2轮的平均总体得分较低，表明满意度有所提高。参与者对该网站给予了积极反馈，并建议进行重大改进以简化内容和网站导航。可用性测试周期的结果被用于为响应参与者的满意度和反馈而完善“远离育儿疼痛”网站。让目标用户参与开发过程对该网站进行了改进，为进一步的有效性测试做好了准备。
