Exploring the Influence of End-Users' Lived Experience on Usability Problem Detection: A Case Study of the Pregnancy and Work App.

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Title: Exploring the Influence of End-Users' Lived Experience on Usability Problem Detection: A Case Study of the Pregnancy and Work App.
Authors: van den Berg, Liesbeth A. (AUTHOR), van Beukering, Monique D. M. (AUTHOR), A. de Leeuw, Robert (AUTHOR), Peute, Linda W. (AUTHOR)
Source: International Journal of Human-Computer Interaction. May2026, Vol. 42 Issue 10, p7682-7697. 16p.
Subjects: User experience, Mobile health, Participatory design, Computer software usability, User-centered system design, Protocol analysis (Cognition), Experiential learning, Mobile apps
Abstract: Usability evaluation studies require participants representative of the target group to ensure validity and reliability. Lived experience is a relevant characteristic in co-design studies, but its impact on usability testing outcomes is unclear. This mixed-methods usability study subgroup analysis examines the influence of lived experience (primigravida or multigravida) on usability testing outcomes using the Think Aloud method for a pregnancy mHealth application. Twelve pregnant women participated, categorized as primigravida (novices) or multigravida (experts). Usability issues were analyzed using the Usability Problems Taxonomy and Nielsen's severity scale. Think Aloud performance metrics (thoroughness, validity, and effectiveness) were compared. Only 18% of the overall usability problems were detected by both groups. A Fisher's exact test indicated a significant association between group and problem detection (p < 0.001). No significant differences were found in Think Aloud validity, SUS, IMI, or app grading. Future studies should consider lived experience in participant selection to enhance usability evaluation outcomes. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Human-Computer Interaction is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Usability evaluation studies require participants representative of the target group to ensure validity and reliability. Lived experience is a relevant characteristic in co-design studies, but its impact on usability testing outcomes is unclear. This mixed-methods usability study subgroup analysis examines the influence of lived experience (primigravida or multigravida) on usability testing outcomes using the Think Aloud method for a pregnancy mHealth application. Twelve pregnant women participated, categorized as primigravida (novices) or multigravida (experts). Usability issues were analyzed using the Usability Problems Taxonomy and Nielsen&#39;s severity scale. Think Aloud performance metrics (thoroughness, validity, and effectiveness) were compared. Only 18% of the overall usability problems were detected by both groups. A Fisher&#39;s exact test indicated a significant association between group and problem detection (p &lt; 0.001). No significant differences were found in Think Aloud validity, SUS, IMI, or app grading. Future studies should consider lived experience in participant selection to enhance usability evaluation outcomes. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of International Journal of Human-Computer Interaction is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/10447318.2025.2560523
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        Text: English
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        Type: general
      – SubjectFull: Mobile health
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      – SubjectFull: Participatory design
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      – SubjectFull: User-centered system design
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      – SubjectFull: Protocol analysis (Cognition)
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      – SubjectFull: Experiential learning
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      – SubjectFull: Mobile apps
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      – TitleFull: Exploring the Influence of End-Users' Lived Experience on Usability Problem Detection: A Case Study of the Pregnancy and Work App.
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              Text: May2026
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              Y: 2026
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