title: Transforming paper-based assessment forms to a digital format: Exemplified by the Housing Enabler prototype app.
abstract: BACKGROUND
  The aim of this paper is to provide the reader with an overall impression of the stepwise user-centred design approach including the specific methods used and lessons learned when transforming paper-based assessment forms into a prototype app, taking the Housing Enabler as an example.
  
  
  METHODS
  Four design iterations were performed, building on a domain study, workshops, expert evaluation and controlled and realistic usability tests. The user-centred design process involved purposefully selected participants with different Housing Enabler knowledge and housing adaptation experience.
  
  
  RESULTS
  The design iterations resulted in the development of a Housing Enabler prototype app. The prototype app has several features and options that are new compared with the original paper-based Housing Enabler assessment form. These new features include a user friendly overview of the assessment form; easy navigation by swiping back and forth between items; onsite data analysis; and ranking of the accessibility score, photo documentation and a data export facility.
  
  
  CONCLUSIONS
  Based on the presented stepwise approach, a high-fidelity Housing Enabler prototype app was successfully developed. The development process has emphasized the importance of combining design participants' knowledge and experiences, and has shown that methods should seem relevant to participants to increase their engagement.
authors.affiliation: a eLearning Lab, Department of Communication and Psychology , Aalborg University , Aalborg , Denmark.
authors.forename: Tanja
authors.identifier: http://orcid.org/0000-0002-5468-0406
authors.initials: T
authors.lastname: Svarre
authors.affiliation: b Department of Occupational Therapy , University College of Northern Denmark , Aalborg , Denmark.
authors.forename: Tine Bieber Kirkegaard
authors.identifier: http://orcid.org/0000-0001-5471-3012
authors.initials: TBK
authors.lastname: Lunn
authors.affiliation: b Department of Occupational Therapy , University College of Northern Denmark , Aalborg , Denmark.
authors.forename: Tina
authors.identifier: http://orcid.org/0000-0002-2819-4471
authors.initials: T
authors.lastname: Helle
mesh_terms: D001107:Architectural Accessibility; D001292:Attitude to Computers; D004185:Disability Evaluation; D006801:Humans; D008490:Medical Informatics; D063731:Mobile Applications / Q000706:statistics & numerical data*; D051346:Mobility Limitation; D009788:Occupational Therapy; D014584:User-Computer Interface
keywords: Digitisation of assessment forms; health information technology; instrument development; occupational therapy; usability testing; user-centred design