Think Aloud Testing in Usability Evaluation of the Love Your Breast Application to Enhance Self-Examination Behavior in Adolescents
DOI:
https://doi.org/10.33755/jkk.v11i3.901Keywords:
Usability, Think Aloud, Self-Breast Examination, Adolescents, Breast CancerAbstract
Background: Adolescents are a key demographic for promoting early breast cancer detection through Self-Breast Examination (SADARI). Mobile health (mHealth) applications offer potential to increase awareness and encourage preventive behaviors, but their effectiveness depends on usability and user experience.
Objective: This study aimed to evaluate the usability of the Love Your Breast mobile application using the Think Aloud method and to identify design improvements to enhance its effectiveness for adolescent users.
Methods: A descriptive qualitative design was employed. Ten female high school students in Bandung participated in Think Aloud usability testing, performing seven task scenarios while verbalizing their thoughts. Quantitative data were analyzed through task success rate calculations, while qualitative data were examined using thematic analysis.
Results: The application achieved an average success rate of 86%. Thematic analysis revealed three main usability themes: (1) general observation—issues with font size, color brightness, and background images; (2) performance expectancy—users could not access the video feature; and (3) effort expectancy—some users experienced slow downloads due to poor internet access. Although the app was considered informative and easy to use, these issues negatively affected the overall user experience.
Conclusion: The Love Your Breast app shows promise as a tool for adolescent breast cancer awareness and early detection. Future updates should address visual consistency, enable offline video access, and improve performance under limited connectivity. These changes will enhance usability and align with user-centered mHealth design principles, supporting its broader adoption in adolescent health promotion.
References
1. Sulistyowati I, Utami LRW, Jamil M. Deteksi dini kanker payudara dengan SADARI dan SADANIS. Jurnal Implementasi Pengabdian Masyarakat Kesehatan (JIPMK). 2022;4(1).
2. Cuthrell KM, Tzenios N. Breast Cancer: Updated and Deep Insights. International Research Journal of Oncology. 2023;6(1):104–18.
3. Diarsa IWB. Evaluasi sistem informasi rumah sakit umum daerah kabupaten Bangli pada aspek usability dengan metode user experience questionnaire dan think aloud. Jurnal Ilmu Komputer Indonesia. 2021;6(2):34–48.
4. Saputra YA, Kurnia AD, Aini N. Pengaruh Pendidikan Kesehatan terhadap Upaya Remaja untuk Menurunkan Nyeri Saat Menstruasi (Dismenore Primer). Jurnal Kesehatan Reproduksi. 2021;7(3):177–82.
5. Ningsih N, Sari YIP, Girsang BM. Pengaruh Pendidikan Kesehatan Tentang Deteksi Dini Kanker Payudara dengan SADARI Terhadap Pengetahuan Remaja Putri. 2021;
6. Dinana I. Pengaruh Health Education Pemeriksaan Payudara Sendiri (Sadari) Terhadap Praktik Deteksi Dini Kanker Payudara Pada Remaja Putri (Di Kelas X Menejemen Perkantoran SMK PGRI 1 Jombang). ITSKes Insan Cendekia Medika Jombang; 2025.
7. Maifita Y. Pengaruh Pendidikan Kesehatan Tentang Sadari Sebagai Deteksi Dini Kanker Payudara Terhadap Pengetahuan Dan Sikap Remaja Putri Di Smk Negeri 2 Kota Pariaman Tahun. 2020;
8. Weichbroth P. Usability testing of mobile applications: A methodological framework. Applied Sciences. 2024;14(5):1792.
9. Lestari P, Wulansari W. Pentingnya pemeriksaan payudara sendiri (sadari) sebagai upaya deteksi dini kanker payudara. Indonesian Journal of Community Empowerment (IJCE). 2019;1(2).
10. Kurniawati H. Deteksi Dini Kanker Payudara Dengan Sadari Dan Sadarnis: Deteksi Dini Kanker Payudara Dengan Sadari Dan Sadarnis. Baktimu: Jurnal Pengabdian Kepada Masyarakat. 2023;3(2):55–64.
11. Sulistyowati I, Utami LRW, Jamil M. Deteksi dini kanker payudara dengan SADARI dan SADANIS. Jurnal Implementasi Pengabdian Masyarakat Kesehatan (JIPMK). 2022;4(1).
12. Amila A, Sinuraya E, Gulo ARB. Edukasi Sadari (Pemeriksaan Payudara Sendiri) Untuk Deteksi Dini Kanker Payudara Pada Siswi Sma Medan. Jurnal Abdimas Mutiara. 2020;1(2):29–40.
13. Febrina C, Dewi S, Mariyana R, Febrina W. Tingkat Ketergantungan Gadget Pada Anak Usia Sekolah di Kota Bukittinggi. REAL in Nursing Journal. 2021;4(3):216–24.
14. Partama IPG, AS MK, Koerniawan HS. Program Deteksi Dini Kanker Payudara Melalui Pengayaan Materi Dan Pelatihan Pemeriksaan Payudara Sendiri (SADARI) Dan Pemeriksaan Payudara Oleh Tenaga Klinis (SADANIS) Pada Bidan Di Badan Rumah Sakit Umum Tabanan. Jurnal Sewaka Bhakti. 2021;7(2):57–64.
15. Sulistiya M, Mu’afi Z, Natasia SR, Herlina H, Yusuf M. Penerapan Metode Think Aloud untuk Evaluasi Usability pada Website Dinas Pendidikan dan Kebudayaan Kota MNO. Jurnal Telematika. 2021;16(1):25–32.
16. Pratama MIF, Az-Zahra HM, Setiawan NY. Evaluasi usability menggunakan metode Think Aloud dan Heuristic Evaluation pada aplikasi mobile Padiciti. Jurnal Pengembangan Teknologi Informasi dan Ilmu Komputer. 2019;3(9):8390–9.
17. Sulistiya M, Mu’afi #2 Z, Rahayu S, #3 N, #4 H, Yusuf M. Penerapan Metode Think Aloud untuk Evaluasi Usability pada Website Dinas Pendidikan dan Kebudayaan Kota MNO. Jurnal Telematika. 2021;16(1):25–32.
18. Carlson LE, Zelinski EL, Speca M, Balneaves LG, Jones JM, Santa Mina D, et al. Protocol for the MATCH study (Mindfulness and Tai Chi for cancer health): a preference-based multi-site randomized comparative effectiveness trial (CET) of Mindfulness-Based Cancer Recovery (MBCR) vs. Tai Chi/Qigong (TCQ) for cancer survivors. Contemp Clin Trials. 2017;59:64–76.
19. Gresse von Wangenheim CH, Borgatto AF, Nunes JN, Lacerda TC, Oliveira RJ de, Krone C. Sure: uma proposta de questionário e escala para avaliar a usabilidade de aplicações para smartphones pós-teste de usabilidade. In: Interaction South America (ISA 14): Anales de La 6ta Conferencia Lationamericana de Diseño de Interacción. 2014. p. 19–22.
20. Damayanti SU, Nursanti I, Irawati D, Natashia D, Herawati E. Upper Arm Exercises on Pain Intensity Among Patient with Breast Cancer Dharmais Cancer Hospital, Indonesia. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal). 2024;10(2).
21. Lunde P, Skoglund G, Olsen CF, Hilde G, Bong WK, Nilsson BB. Think aloud testing of a smartphone app for lifestyle change among persons at risk of type 2 diabetes: usability study. JMIR Hum Factors. 2023;10(1):e48950.
22. Filipić B, Rapajić-Moran I, Nikolić I, Oljačić S, Mandić A. Human papillomaviruses and cervical cancer from the perspective of the World Health Organisation initiative for cervical cancer elimination. Archives of Pharmacy. 2024;74(Notebook 1):56–75.