JMIR Hum Factors. 2025 Mar 27. doi: 10.2196/67685. Online ahead of print.
ABSTRACT
BACKGROUND: Perinatal nurses are increasingly encountering patients who have engaged in perinatal substance use (PSU). Despite growing evidence demonstrating the need to reduce nurses’ stigmatizing attitudes toward PSU, limited interventions are available to target these attitudes and support behavior change – especially those that reflect the overwhelming evidence that education alone is insufficient to change practice behavior. Arts-based interventions are associated with increasing nursing empathy, changing patient attitudes, improving reflective practice, and decreasing stigma. We adapted ArtSpective™ for PSU, a previously evaluated arts-based intervention to reduce stigma among perinatal nurses, into an interactive digital responsive platform that facilitates intervention delivery asynchronously.
OBJECTIVE: This study aimed to evaluate the usability, acceptability, and feasibility of the interactive, responsive platform version of ArtSpective™ for PSU, designed to deliver an adapted version of the in-person intervention to improve nurses’ stigmatizing attitudes toward PSU, following a mixed methods approach. Our goal was to elicit user experience strengths and weaknesses related to the design of the responsive platform and identify strategies to overcome them.
METHODS: This study used a mixed-methods approach to explore the platform’s usability and user experience and its acceptability as an intervention to address stigma and implicit bias related to PSU. Theatre testing was used to qualitatively assess usability and acceptability perspectives with nurses and experts, as well as a modified version of the previously validated 8-item Abbreviated Acceptability Rating Profile for quantitative assessment. Analyses of quantitative data regarding acceptability and satisfaction were performed using descriptive statistics (mean, standard deviation, frequency, percentage). All qualitative data were analyzed iteratively using an inductive framework analysis approach.
RESULTS: A total of 21 nurses and four experts in stigma, implicit bias, and instructional design completed theatre-testing sessions. The mean duration of interviews for nurses was 31.92 (SD 11.32) minutes, and for experts, 40.73 (SD 8.57) minutes. All participants indicated that they found the digital adaptation of the intervention to be highly acceptable, with mean acceptability items ranging from 5.0 (SD 1.0) to 5.5 (SD 0.6) on a 1-6 agreement scale. Nurses reported high satisfaction with the platform on a 1-6 agreement scale, with mean satisfaction items ranging from 5.14 (SD 0.56) to 5.29 (SD 0.63) on a 1-6 agreement scale. 1,797 interview segments were coded from the theatre-testing sessions with four major themes: appearance, navigation, characterization, and overall platform, and 16 subthemes were identified. Consistent with the quantitative findings, the results were positive overall, with participants expressing high satisfaction related to the platform’s appearance, ease with which they could navigate the various modules, engagement, clarity of the presentation, and feasibility to be completed asynchronously.
CONCLUSIONS: Developing and evaluating the usability of a digital adaptation of ArtSpective™ for PSU resulted in strong support for the usability, acceptability, and satisfaction of the program and provided insight into key aspects related to acceptability and usability that should be considered when designing a digital adaptation of an arts-based intervention for healthcare providers.
PMID:40146964 | DOI:10.2196/67685
