Table 1 Key patient end-user insights and implications from UX-interviews post beta testing.

From: ACTsmart – development and feasibility of digital Acceptance and Commitment Therapy for adults with chronic pain

Acceptability question

Beta user insight

Implications

Satisfaction with treatment content

• Positive to the text-based content (sufficiently short, comprehensible, not too psychological).

• Appreciated being able to listen to all written content.

• Most participants found the exercises helpful.

• The amount of exercises was overwhelming.

• Annoying to not be able to see own previous reflections of exercises.

• Develop possibility to see previous reflection on exercise. Alpha-test and re-iterate.

• Run beta trial with reduced amount of exercises.

• Run beta trial that starts with fewer exercises, dispensing more during the course of the treatment.

Satisfaction with treatment format

• Some appreciated the free format and had no difficulties navigating through the intervention, others lacked structure and clarity.

• One participant felt stressed by not knowing how much time or effort that was required.

• Some participants found it hard to know when to proceed from theory and exercises to values and exposure.

• Develop “bulletin board” on the start page with “tip of the week” and current treatment week. Alpha-test and re-iterate.

• In therapist treatment manual clarify expected work effort during the current week with instructions to inform the participants continuously. Alpha-test and re-iterate.

Satisfaction with values section

• Most respondents experienced the values section as difficult initially.

• Some participants found layout and examples helpful while others found it to be even more confusing and unclear.

• A few participants did not understand the connection between test of prioritized life values and later values work.

• Some found formulation of values and the possibility to tick goals and steps as motivating while others did exposure/behavior change without ticking goals and steps in the application.

• Restructure and simplify values section. Alpha-test and re-iterate.

Treatment’s ability to motivate

• Many found the exercises motivating.

• Many found the values work helpful as direction for change.

• Some emphasized the possibility of receiving support from their therapist as motivating.

• Most positive with ACT as form of treatment.

• No immediate development, alpha-test or iterations planned based on this feasibility area.