BACKGROUND During the process of decision-making for long-term care, clients are often dependent on informal support and available information about quality ratings of care services. However, clients do not take ratings into account when considering preferred care, and need assistance to understand their preferences. A tool to elicit preferences for long-term care could be beneficial. Therefore, the aim of this qualitative descriptive study is to understand the user requirements and develop a web-based preference elicitation tool for clients in need of long-term care. METHODS We applied a user-centred design in which end-users influence the development of the tool. The included end-users were clients, relatives, and healthcare professionals. Data collection took place between November 2017 and March 2018 by means of meetings with the development team consisting of four users, walkthrough interviews with 21 individual users, video-audio recordings, field notes, and observations during the use of the tool. Data were collected during three phases of iteration: Look and feel, Navigation, and Content. A deductive and inductive content analysis approach was used for data analysis. RESULTS The layout was considered accessible and easy during the Look and feel phase, and users asked for neutral images. Users found navigation easy, and expressed the need for concise and shorter text blocks. Users reached consensus about the categories of preferences, wished to adjust the content with propositions about well-being, and discussed linguistic difficulties. CONCLUSION By incorporating the requirements of end-users, the user-centred design proved to be useful in progressing from the prototype to the finalized tool 'What matters to me'. This tool may assist the elicitation of client's preferences in their search for long-term care.

中文翻译：

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对我来说重要的是-针对长期护理客户的基于Web的偏好启发工具：以用户为中心的设计。

背景技术在用于长期护理的决策过程中，客户通常依赖于非正式支持和有关护理服务质量等级的可用信息。但是，客户在考虑首选护理时不会考虑评分，需要帮助以了解他们的偏好。引起对长期护理的偏爱的工具可能是有益的。因此，本定性描述研究的目的是了解用户需求，并为需要长期护理的客户开发基于网络的偏好激发工具。方法我们采用了以用户为中心的设计，其中最终用户会影响工具的开发。最终用户包括客户，亲戚和医疗保健专业人员。数据收集于2017年11月至2018年3月之间进行，方法是与由四个用户组成的开发团队举行会议，与21个个人用户进行的演练访谈，音频录音，现场笔记以及使用该工具期间的观察结果。在迭代的三个阶段中收集了数据：外观，导航和内容。演绎和归纳内容分析方法用于数据分析。结果在外观阶段，布局被认为是易于访问且容易实现的，并且用户要求提供中性的图像。用户发现导航很容易，并表示需要简洁，简短的文本块。用户在偏好类别上达成共识，希望通过关于幸福感的主张来调整内容，并讨论语言方面的困难。结论通过结合最终用户的要求，以用户为中心的设计被证明在从原型到最终工具“对我来说重要”的过程中很有用。该工具可能有助于在寻求长期护理时帮助客户选择偏好。