Cardiovascular

Co-Designing a Digital Platform for the Management of Modifiable Risk Factors and Comorbidities in Patients With Atrial Fibrillation: Mixed Methods Usability Study.

TL;DR

Participants found the co-designed digital platform for managing modifiable risk factors in atrial fibrillation usable (median SUS 78.8) and specifically valued a clear layout, positive content, personalized information, and individualized medical recommendations.

Key Findings

The co-designed digital platform achieved high usability ratings among patients with atrial fibrillation.

  • Median System Usability Scale (SUS) score was 78.8 (IQR 63.8-86.9).
  • This score indicates above-average user acceptance.
  • 22 patients with AF evaluated the platform at a tertiary university hospital in Sweden between March and April 2025.

Participants' requirements for the platform were summarized into 4 main categories and 10 subcategories.

  • Semistructured interviews were analyzed with inductive manifest content analysis.
  • The four main categories were clear layout/simple design/easy navigation, positive content, personalized information, and individualized medical recommendations.

Participants valued a clear layout, simple design, and easy navigation.

  • This was the first of the four main requirement categories identified in the interviews.
  • It was identified through inductive manifest content analysis of semistructured interviews.

Participants appreciated positive content that is informative, inclusive, and motivating.

  • This was the second main category from the qualitative analysis.
  • Content tone and inclusiveness were described as important to users.

Participants requested personalized information on different aspects and provided at different levels.

  • This was the third main category from the qualitative analysis.
  • Participants wanted information tailored to their individual situation and level of detail.

Participants desired individualized medical recommendations that are personalized and flexible but leave room for individual choice.

  • This was the fourth main category from the qualitative analysis.
  • Recommendations were wanted to support, rather than dictate, patient decisions.

The study sample was mostly male, middle-aged to older, with common cardiovascular comorbidities.

  • Mean age 67.7 (SD 7.6) years; 32% (7/22) female; mean BMI 27.7 (SD 3.6) kg/m2.
  • 65% (14/22) had paroxysmal AF and 36% (8/22) persistent AF; median AF duration 26 months (IQR 13.3-72.8).
  • Comorbidities: hypertension 17/22 (77%), heart failure 8/22 (36%), type 2 diabetes 3/22 (14%), ischemic heart disease 4/22 (18%).

What This Means

This study tested a digital platform designed with input from patients to help people with atrial fibrillation (AF, a common heart rhythm disorder) manage factors they can change, such as blood pressure, weight, and other health conditions. Guidelines recommend this kind of person-centered care, but many patients don't get enough support for it. Twenty-two patients at a Swedish university hospital tried the platform, rated it with a standard usability questionnaire, and were interviewed about their experience. The platform scored well, with a median usability score of 78.8, which is above average. In interviews, patients said they liked a clear, simple layout with easy navigation, and positive content that was informative, inclusive, and motivating. They also wanted information personalized to them and offered at different levels of detail, plus medical recommendations that were tailored and flexible while leaving room for their own choices. This research suggests that digital tools for AF risk factor management may be acceptable to patients if they are simple, positive, and personalized. The study was small, short, and conducted at one hospital with mostly male participants, and it tested usability rather than whether the platform improves health outcomes. Further work would be needed to know whether it helps patients manage their risk factors in practice.

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Citation

Klavebäck S, Braunschweig F, Lidin M, Svennberg E. (2026). Co-Designing a Digital Platform for the Management of Modifiable Risk Factors and Comorbidities in Patients With Atrial Fibrillation: Mixed Methods Usability Study.. JMIR human factors. https://doi.org/10.2196/95810