title: Usability testing of two e-learning resources: methods to maximize potential for clinician use.
abstract: OBJECTIVE
  Rigorous usability testing of e-learn-ing resources is an important prerequisite to their wide-spread use among clinicians. This study demonstrates the application of an evidence-based approach to usability testing of two stroke-related e-learning resources (StrokEngine).
  
  
  METHODS
  14 stroke rehabilitation clinicians (occupational therapists and physiotherapists) from Ontario, Canada participated in a 1.5 h in-person testing session. Clinicians navigated StrokEngine in search of information to answer questions on stroke assessment/intervention. Their search patterns were observed and clinicians provided verbal/written feedback about StrokEngine. Content analysis was used to generate themes and categorize them under two broad categories: facilitators and barriers to use.
  
  
  RESULTS
  Five key facilitators and three key barriers to Strok-Engine use were identified and related to screen format, layout/organization, ease of navigation, quality of content, likelihood of using StrokEngine in the future, and system dysfunctions. All 14 clinicians were very or extremely satisfied with the layout/organization, quality and clinical relevance of the content, stating that they were likely to use StrokEngine in the future.
  
  
  CONCLUSIONS
  All identified barriers from this study were addressed with website modifications in order to maximize the usability and navigability of StrokEngine. This rigorous methodology for usability testing can be applied during the design process of any e-learning resource.
authors.affiliation: Department of Health Policy, Management and Evaluation, University of Toronto, Canada. anita.menon@mcgill.ca
authors.forename: Anita
authors.initials: A
authors.lastname: Menon
authors.forename: Nicol
authors.initials: N
authors.lastname: Korner-Bitensky
authors.forename: Mark
authors.initials: M
authors.lastname: Chignell
authors.forename: Sharon
authors.initials: S
authors.lastname: Straus
mesh_terms: D004502:Education, Medical, Continuing / Q000379:methods*; D005260:Female; D006295:Health Resources; D006801:Humans; D020407:Internet; D007858:Learning; D008297:Male; D009788:Occupational Therapy / Q000193:education*; D059825:Physical Therapists / Q000193:education*; D000071939:Stroke Rehabilitation; D014584:User-Computer Interface