![]() The current study provides preliminary evidence for the utility of CWIS to assess strategy usability and generate a blueprint for redesign. Collectively, the 21 resulting usability issues explained the quantitative usability data and provided specific direction for usability enhancements. ConclusionsĬWIS quantitative usability ratings indicated that the consultation protocol was at the low end of the “acceptable” range (based on norms from the unadapted scale). High-severity problems included potential misalignment between consultation and clinical service timelines as well as digressions during consultation processes. Twenty-one usability problems were identified via qualitative content analysis with consensus coding, and classified by severity and problem type. Usability ratings (scale 0–100) of the consultation protocol averaged 71.3 ( SD = 10.6). ResultsĪverage anticipated success ratings indicated substantial variability across participants and subtasks. Following the walkthrough sessions, users completed an adapted quantitative assessment of strategy usability. ![]() Clinicians reported their anticipated likelihood of completing each subtask and provided qualitative justifications during group discussion. A facilitator conducted two group testing sessions with clinician users ( N = 10), guiding participants through 6 scenarios and 11 associated subtasks. CWIS includes six steps: (1) determine preconditions (2) hierarchical task analysis (3) task prioritization (4) convert tasks to scenarios (5) pragmatic group testing and (6) usability issue identification, classification, and prioritization. The Cognitive Walkthrough for Implementation Strategies (CWIS) is a pragmatic, mixed-methods approach for evaluating complex, socially mediated implementation strategies. ![]() This article presents a novel walkthrough methodology for evaluating strategy usability as well as an example application to a post-training consultation strategy to support school mental health clinicians to adopt measurement-based care. Drawn from the field of human-centered design, cognitive walkthroughs are an efficient assessment method with potential to identify aspects of strategies that may inhibit their usability and, ultimately, effectiveness. The field lacks methods to assess the extent to which strategies are usable and aligned with the needs and constraints of the individuals and contexts who will deliver or receive them. Many are complicated, expensive, and ultimately impractical to deliver in real-world settings. ![]() Most strategies are complex, socially mediated processes. Implementation strategies have flourished in an effort to increase integration of research evidence into clinical practice. ![]()
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