Implementation of User Centered Design on Interface Design for Mental Health Selfcare Services
Rizky Wira Pranata, Anisa Herdiani*,Aristyo Hadikusuma
School of Computing, Informatics Study Program, Telkom University, Bandung, Indonesia Email: 1[email protected], 2,*[email protected],
Correspondence Author Email: [email protected]
Abstract−Mental health is essential in performing maximum activities. During the COVID-19 pandemic that is spreading all over the world. Some activities are transformed into a new activity called "New Normal". With these new activities, the level of mental health in Indonesia has deteriorated. WHO as a world health organization made a mental health pyramid that handling of every level of mental health. There are 4 levels, which are promotive, preventive, monitoring and identifying psychosocial services, and specialist services. In the results of observations and analysis, digital-based services in Indonesia prioritize levels 3 and 4, while levels 1 and 2 are still infrequent, and the application is still not perfectly weighted. This study will desi gn a mental health application by emphasizing level 1 and 2 treatment, namely self-care and storytelling sessions using the User Centered Design method, and the results of the evaluation used the usability testing method and the usability scale system.
With this research, potential users obtain an interface resolution with a mood tracker, self-care, and storytelling features that users desire. By helping the user to perceive the history of the condition, getting self-care and storytelling rooms according to the user's condition, and helping the user's condition to bolster up and not add to the burden of the user's condition. The outcome of the evaluation that has been done, results that the average user completed each task for 16.59 seconds, the average result is 0 miss click and 0 miss click page, and the results from the System Usability Scale are 81.51 with the "Excellent" category, with the composition of solutions provided to answer user problems.
Keyword: Mental Health; Covid-19; WHO; User Centered Design; System Usability Scale
1. INTRODUCTION
During circumstances of the COVID-19 pandemic, which has mushroomed all over the world. Certain activities, for instance in the sector of offices, and social services like health services are required to reform normal activities into new activities that are commonly called New Normal. New Normal is a behavior or action to persevere with normal activities by implementing medical procedures in the midst of the COVID-19 pandemic[1]. In various countries, one of them is the United States, based on the National Institute of Mental Health estimates that 31.1%
of adults in the United States will experience mental disorders in some aspects of their lives. Face-to-face sessions with psychologists are the most standard approach to treatment, but it is not consistently feasible for participants to receive such treatment[2].Therefore, the current number of cases remains very worrying and should not be underestimated for mental illness. Around 450 million people worldwide suffer from mental and behavioral disorders[3]. As quoted from FKUI's PR, during Covid-19, people began to be concerned about their own lives, family, companions, and the surrounding environment. Excessive anxiety could grow the risk of depression, to symptoms of post-traumatic stress[4].
As recognized, mental health is critical in human life. During the Covid-19 pandemic, Mental Health and Physical Health are two roots of health that are indispensable to declining the risk of exposure to the Covid-19 virus. One aspect that needs to be considered is Mental Health. Mental health is an essential aspect to realize and maximize overall health. Mental health must be taken into account because of the emergence of government- defined activities followed by the implementation of social restrictions and self-isolation or quarantine, and the reduction of societal activities has the potential to disrupt and have long-term effects on people's mental health[5].
The evolution of COVID-19 also greatly executes a person's mental health. With confines on social activities, a person's mental health could be spasmodic due to new activities that require a person to fulfill limited activities. However, with Covid-19, the government has turned its attention to the problems experienced by people who are exposed to the Covid-19 virus without seeing the psychosocial consequences that will be borne by individuals as a consequence. In addition, the problem of limited infrastructure and the high burden of mental disorders have been described by the Director of Prevention and Control of Mental Health and Drug Problems, Dr. Celestinus Eigya Munthe "The problem of professional human resources for mental health workers is also still very lacking, because to this day the number of psychiatrists as professionals for our mental health services only has 1,053 people,"[6].
In mental health, there is a variety of depression qualified by a person, specifically Mental Illness (mental disorders), also known as disorders or mental, namely health conditions that affect the soul, feelings, habits, mood, or a combination of them. This condition could occur or be long-term (chronic). Major Depressive Disorder, people with major depression will exposure very deep things. Symptoms of Persistent Depressive Disorder experienced by people with persistent depression are almost similar to symptoms of depression in general, but persistent depression will persist or disappear over a long period of time due to activities and social environment. Bipolar disorder is a disorder characterized by extremely drastic mental changes. Patients could experience sadness and
despair at one time, then turn delighted and excited all of a sudden. Postpartum Depression is the type that is often and only shown by women. This study discusses the types of Mental Illness(Mental Disorder).
WHO as a world health organization has actualized a mental health pyramid as a system for dealing with mental health in the world, with another name Mental Health and Psychosocial Support (MHPSS). In the pyramid, there are 4 levels, which are promotive, preventive, monitoring and identification of psychosocial services, and services from specialists. In our observation, digital-based services in Indonesia prioritize levels 3 and 4. While levels 1 and 2 have not been applied in dealing with mental health.
After we got the user problems from observations, the solution obtained is to create a comfortable and attractive application interface with levels 1 and 2 based on WHO pyramid system with three main features. Firstly, the Mood Tracker is a Self Care application for users of the application. In this feature, the user knows the condition and current of the user's feelings at that time. After knowing the user's condition, personal care gives recommendations in the form of audio or video according to the user's mood. The second feature is sharing session, in this feature users can share problems with users who will be accompanied by psychologists and they can tell stories with friends who have the same problem. This feature could be a solution to the issue of users who have difficulty finding a place to share stories and express the emotions they feel when there is a problem. The last feature is self-care recommendations according to their needs. Another study that discusses self care uses research and development methods using a Likert scale[7]. Another research on self care about designing a product design information such as clothes, book covers as a way to help the physical and mental health of students[8]. Other research on self-care also looks more towards ways or training psychologists about self-care for their patients[9].
In another study, discussed the principles for designing visuals of self care applications, but not until designing design solutions that will be provided to users[10]. While this study uses a user centered design method by prioritizing user problems and needs, evaluation using Usability Testing and System Usability Scale by adding features for level 2 of MHPSS, namely prevention (storytelling room).
This study used the user-centered design method, which is a user-centered problem-solving process, this method has been optimized for users and emphasizes how users' needs and desires for the product. This method could analyze the needs and desires of the users during a design stage by applying analysis, design, and evaluation.
The user-centered design method was chosen because this method is a step in this method according to the purpose of the feature interface and clearly prioritizes user needs and problems. Starting from the stage of understanding the context of use for the evaluation. Evaluation is very necessary as it ensures whether the features created are compatible with the user's needs and solve the user's problems. This assessment uses the System Usability Scale (SUS) method because SUS has proven to be a reliable assessment method and can be used in small samples when compared to other assessment methods[11].
2. RESEARCH AND METHODOLOGY
2.1 Research Stages
The research stage is a process to describe the workflow of a research, starting from the initial stages of research to the final stages of research. The stages of the research can be seen below:
Figure 1. The research stages of the User Centered Design method
In this study, the flow used is in accordance with the flow in the User-Centered Design method. This method has 4 stages. Figure 1 represent about research stages.
1. Understand Context of Use
Understand Context of Use is to find and understand the problems experienced by users, and as an initial basis in making designs. The result of this stage is a description that leads to a design solution.
2. Specify User Requirement
Specify User Requirements are activities or stages of collecting data to determine the success criteria of the design solution.
3. Design
In this stage, we design activities after getting the requirements that have been designed and creating a design that must heed to existing needs, the result of this stage is a design solution.
4. Evaluate
In this stage, evaluation is in the form of testing from the results of the design stage, namely design solutions, and various testing methods, one of them is Usability Testing[12].
2.2 Persona
A user persona is a collection of user fictional character data that has been obtained after observation in the form of interviews. Personas have a number of aspects such as demographics, skill levels, behaviors, activities and needs that will influence the construction of design solutions. The purpose of personas is to generate fake users from the combination of observed users as the primary reference for user group problems and needs. User personality should be based on qualitative and quantitative user research[13].
2.3 Hierarchical Task Analysis
Hierarchical Task Analysis is a method for interpreting the tasks that users will perform when using complex applications into several sub-requirements, so that they can be further defined (T, 2015). Creating a Hierarchical Task Analysis will look at the user's goals contained in the results of previous observations[14].
2.4 Element User Interface
User Interface (UI) is a term used to illustrate the appearance of a machine or computer that cooperates straightly with the user. An interface is necessary to be considered to generate a delightful display. Schlatter (2013) provides a guide for compiling an easy-to-use application design with Component Analysis of Layout Design, Color, and Controls in Mobile Application User Interfaces Based on User Ease[15].
2.5 System Usability Scale
System Usability Scale is a method of testing a product, where the SUS is in the form of a questionnaire to measure perceived usability. Created by John Brooke, SUS contains 10 questions where participants are given a scale of 1- 5 from each question to answer based on how much they disagree to agree with each question, scale 1 means disagree, and scale 5 means strongly agree. Calculate the sus results, subtract 1 from the score (X-1) for odd questions, then subtract the score results by 5 (5-x) for even questions, then add the results from odd and even questions for a total of 10 questions. Then the result is multiplied by 2.5.
Table 1. System Usability Scale Questions
Fitur Questions
1 I think that I would like to use this system frequently.
2 I found the system unnecessarily complex.
3 I thought the system was easy to use.
4 I think that I would need the support of a technical person to be able to use this system 5 I found the various functions in this system were well integrated.
6 I thought there was too much inconsistency in this system.
7 I would imagine that most people would learn to use this system very quickly.
8 I found the system very cumbersome to use.
9 I felt very confident using the system.
10 I needed to learn a lot of things before I could get going with this system.
Question from table 1, score 1 can be interpreted as Strongly Disagree, score 2 can be interpreted as Agree, score 3 can be interpreted as Doubtful, score 4 can be interpreted as Agree, and score 5 can be interpreted as Strongly Agree. The following is the assessment index in the System Usability Scale method seen in the table below[11]. Score categories System Usability Scale can be seen in table 2.
Table 2. Score System Usability Scale
SUS Score Questions
> 80 Excellent
68-80 Good
67 OK/ Fair
51-65 Poor
<51 Worst Imaginable
2.6 Mental Health
Mental health is a disease that affects the emotions, mindset, and habits of sufferers. Many factors support the occurrence of mental health such as experiencing discrimination and stigma, significant trauma that affects the mind, and severe stress experienced for a long time. When mental health is compromised, mental illness develops, which can change the way a person handles stress, communicates with others, and triggers feelings of self- harm[16].
2.7 Self Care
In guarding mental health during a pandemic, we could implement self-care for our mental health. Self-care is a daily activity that aims to meet the needs and enhance the individual's sense of mental well-being. Self-care is not only done by people who have mental disorders but is done by everyone for mental refreshment so that our condition becomes better. The Covid-19 pandemic has brought the entire world community into an uncertain condition. Starting with dubiety about the end of the pandemic to uncertainty about various dimensions of life that cause psychological stress, and anxiety for oneself. In these conditions, well-being is the most essential aspect of protecting oneself from psychological stress during the pandemic. A person's mental health condition will affect his physical health. Therefore, we need to take care of our mental health and start focusing or caring about ourselves[17].
2.8 Anxiety
Anxiety is a defense reaction to protect oneself from mental-emotional disorders that are heavier than someone.
(Kartono, 2002), defines anxiety as fear, and fear of something that has not happened or has happened. Fear is the source of anxiety, but there is something very essential between fear and anxiety. Sebum Curtain individuals realize that there are factors that cause anxiety to feel afraid of an object. It could be concluded that anxiety is an unpleasant emotional experience of someone who comes from a threatening situation, the effect of this anxiety is a feeling of worry, fear, tension, nervousness, or other unpleasant feelings[18].
2.9 Stress
Stress is tension when a person cannot have a problem. Everyone experiences stress in their life. Stress problems are often associated with modern life, and modern life seems to be the cause of various stress disorders[19].
According to Atwater, stress is an adjustment demand that requires an individual to respond adaptively. Stress is a process in the mind in order to assess an event as a threat, challenging, or dangerous.
2.10 Mental Health and Psychosocial Support (MHPSS)
Mental Health and Psychosocial Support is an effort made to protect and improve psychosocial well-being and prevent and treat mental disorders. Mental Health and Psychosocial support could be provided by all levels of society, including health care facilities, especially during the COVID-19 pandemic. In Mental Health and Psychosocial Support there is a pyramid with 4 levels in it, Level 1 Promotive, namely social considerations in basic services and security (self-care), Level 2 Prevention, namely Strengthening community and social support, Level 3 Monitoring, Identification, and Psychosocial Services, namely support individual-focused, Level 4 services from specialized personnel, with specialist staff or referral hospitals[20].
2.11 Mental Illness
Mental illness, also known as mental disorder, is a health condition that affects thoughts, emotions, behavior, moods, or a combination thereof. This condition can occur occasionally or can last a long time.. These disorders could be mild such as depression, anxiety disorders, and eating disorders to severe such as post-traumatic stress disorder, psychosis, and bipolar disorder. This can affect people's ability to go about their daily lives. This includes participating in social and professional activities and building relationships with family members[21].
3. RESULT AND DISCUSSION
3.1 Observation
At this stage, the author begins looking for data and information about application users and looks for user needs in using this application by observing prospective users, prospective users which are 14 users with an age range of 20 to 25 years. In addition, from this stage, the author looks deeper into the needs experienced by users. This study involves 14 potential users in obtaining interview data that is discussed. The hypotheses in this discussion are, "Not always available or even no place to vent/sharing as needed, causing mental health to be disturbed",
"Don't know how to self-care in managing and handling mental health", "Difficulty in getting information literacy/
education about mental health according to the conditions and needs of users", and "It is difficult to identify and know the mental health conditions experienced". Based on the results of interviews conducted using the interview method that is discussion, that prospective users who are experiencing mental disorders find it difficult to get self- care and handle themselves. The next difficulty is that users find it difficult to get a place to share stories and express the emotions they feel when there are issues.
3.2 User Persona
According to the persona, there is a user's biodata along with the goals and problems experienced, depending on the needs and goals of the user. Figure 2 is User Persona with the benefits of this persona are to understand user needs, provide information before deciding, describe research results, and integrate with product goals.
Figure 2. User Persona 3.3 Use Case
In Figure 3 there is a Use Case in which there are user activities starting from registration/login, mood tracker, self care, storytelling room, setting profile and log out.
Figure 3. Use Case 3.4 Goals and Requirement
At this stage, data analysis is carried out from the interviews that have been conducted. The results obt ained in this stage are the features that are built along with the goals and requirements of each feature built. Goals and Requirement can be seen in table 3.
Table 3. Goals dan Requirement
Feature Requirement Goals
Mood Tracking This feature is able to know the condition and state of the user at that time and can save the condition every week and month.
Users get the results and feelings at the moment, could save the condition every week and month, and get self-care recommendations according to the condition of the prospective user.
Self Care This feature is able to provide self-care services according to the needs of prospective users
Users get services and recommendations for self-care according to the needs of potential users
Storytelling Room This feature is able to provide space services for potential users to share their problems and express emotions with
Users can tell stories and express their emotions and problems accompanied by psychologists.
Feature Requirement Goals friends who are experiencing the same
problem with psychological guidance.
Profile Settings This feature is able to change the account profile such as biodata and save it.
Users could change their account profile and save it.
3.5 Mental Model
Mental models are activities that users believe in accomplishing goals. Mental model and diagram activity are the same, showing user activity. The mental model can be represented in the following diagram in figure 4.
Figure 4. Mental Model 3.6 Hierarchical Task Analysis
At this stage, this research creates a hierarchy of what tasks the user performs when using the application. In making Hierarchical Task Analysis in figure 5 the user's goals are contained in the results of previous observations.
Figure 5. Hierarchical Task Analysis
3.7 User Scenario Model
At this stage, it discusses the tasks, task objectives, user goals, and descriptions of each task in this Health Service application. There are several scenarios that will be provided in this Health service application, namely Mood Tracker Service, Storytelling Service, Self-care Recommendations, User profile settings, and Log out of the account. User Scenario Model can be seen in table 4.
Table 4. User Scenario Model
Task Task Goal Description
User registers a new account
User creates a new account. User input the data to create a new account.
User logs in with an existing account
Log in to the application account. User enters into an existing application account.
Input the mood tracker
Could choose the user's mood tracker according to the user's condition and feelings, get self-care recommendations according to the user's condition and feelings and get information on recap data from the mood tracker for one week and one month.
Users could choose a mood tracker in the form of an emoji to choose from, then users get self-care recommendations according to the emoji they choose, users can see a recap of their mood tracker data in the form of graphs per week and per month.
Search for self-care categories and titles
Users get categories and self-care according to user needs, and users will get audio or video self-care according to user needs.
Users choose self-care categories according to their needs, users get self-care audio or video.
Search for category and title of storytelling room
Users get a room category that tells stories according to the user's conditions and feelings, users can enter a direct storytelling room, and users can issue feelings and problems that are being felt.
Users choose the category of room that tells the story they need, users can enter the story room and meet friends who are experiencing the same problem accompanied by a psychologist.
Setting user profile Users could change their profile information, users can change their first name, last name, email, and password, and users can log out of the account.
Users go to the settings feature, and after the user can change the profile settings, if the user changes the information, then the user can change the user information.
Log out of account The user is logged out of the account. If the user logs out of the account, then the user could exit the application account.
3.8 Design
At this stage, the author starts building a prototype of the results of the observation data solution during the interview. Observational data includes user personas, use case, goals and requirement, mental models, user scenario models, and hierarchical task analysis from the observations of prospective users.
Figure 6. Account Login Figure 7. Registration
Figure 6 is a registration or registration page, on this page you will be asked to enter your first name, last name, email address, password, and password confirmation. In figure 7 is the login page, the user can login using the registered email address and password.
Figure 8. Main Page
The following is a display from the main page in figure 8, there is a first greeting, choosing a mood tracker, self care recommendations, mood tracker history, self care, storytelling room, and being able to enter a large group of storytelling rooms.
Figure 9. Mood Tracker Figure 10. Mood Tracker History Figure 11.Montly Mood Tracker Here is a display of the mood tracker. In figure 9, users can choose options that trigger the user's feelings, users can write and share their feelings and get words of encouragement. figure 10 is a display of the user's mood tracker history in 1 week. figure 11 is a monthly mood tracker history.
Figure 12. Self care categories Figure 13. Title Self Care Figure 14. Self Care Breathing
The following is a display of the self care page. Figure 12 users get self care recommendations and can choose the desired self care category. Figure 13 is a page of self care titles with sound or video creators for each title. In figure 14 us self care breathing.
Figure 15. Storytelling Room Figure 16. Story Room Title
In figure 15 is the page of the storytelling room. users will get information on the schedule of the nearest storytelling room and can choose the category of storytelling room. Users also get words to be more confident. Figure 16 is the title that will be given to the user, the user can choose according to their wishes and conditions.
Figure 17. Profile Settings Figure 18. User Profile
Figure 17 is a user account profile, the user can set up a profile and log out of the account. In figure 18 the user can change the account profile, namely profile photo, first name, last name, address, password, and password confirmation.
3.9 Evaluation Results
After doing testing by giving the task a number of tasks. The evaluation involved 5 potential users who had used the application and used System Usability Testing to get scores and evaluate quantitative data. The results of the first iteration test are based on the results of the evaluation by using a task that finds a task. Getting results with user run was 100% successful. A complete evaluation of the evaluation task can be seen in the table 5.
Table 5. Evaluation results using Usability Testing
Task User 1 User 2 User 3 User 4 User 5
User registers a new
account ✓ ✓ ✓ ✓ ✓
User logs in with an
existing account ✓ ✓ ✓ ✓ ✓
Input the mood tracker ✓ ✓ ✓ ✓ ✓
Task User 1 User 2 User 3 User 4 User 5 Search for self-care
categories and titles ✓ ✓ ✓ ✓ ✓
Search for category and
title of storytelling room ✓ ✓ ✓ ✓ ✓
Setting user profile ✓ ✓ ✓ ✓ ✓
Log out of account ✓ ✓ ✓ ✓ ✓
Table 6. The results of miss click and miss click page every task
Task User 1 User 2 User 3 User 4 User 5
Miss Click
Miss Click Page
Miss Click
Miss Click
Page
Miss Click
Miss Click
Page
Miss Click
Miss Click Page
Miss Click
Miss Click Page
Task 1 0 0 0 0 1 1 2 2 0 0
Task 2 0 0 0 0 0 0 0 0 1 1
Task 3 1 1 1 1 0 0 1 1 0 0
Task 4 0 0 0 0 0 0 0 0 0 0
Task 5 0 0 2 1 1 1 0 0 0 0
Task 6 1 1 3 2 2 1 0 0 19 7
Task 7 0 0 1 1 0 0 0 0 0 0
Table 7. User processing time for each task
Task User 1 User 2 User 3 User 4 User 5
Task 1 28.67s 25.83s 27.37s 25.18s 13.14s
Task 2 20.38s 26.34s 24.89s 8.38s 5.91s
Task 3 5.46s 24.53s 19.61s 20.51s 4.29s
Task 4 6.01s 15.16s 17.49s 19.92s 8.57s
Task 5 3.71s 19.62s 18.72s 15.57s 4.26s
Task 6 11.43s 44.06s 15.59s 19.30s 39.21s
Task 7 10.51s 15.49s 13.74s 15.72s 24.55s
Table 8. System Usability Scale Results Question
Number
User 1 User 2 User 3 User 4 User 5
1 4 5 4 4 4
2 2 2 2 1 2
3 5 5 4 5 5
4 2 3 2 2 2
5 4 5 4 4 4
6 2 2 2 1 2
7 4 5 4 4 4
8 2 2 2 1 2
9 4 5 4 4 5
10 3 3 3 2 2
The results of the SUS scores in the table 8 above depict that the majority of potential users agree and choose that the application is very easy to use. In the first question, prospective users agree if they use this application again. The majority of potential users also disagree that this application is complicated to use and prospective users agree that this application is easy to use. Prospective users also feel that they do not need other people to use this application and feel that the application features work properly. Prospective users also disagree with question number six that the application is inconsistent because it shows that this application is very consistent with a simple design and the features in this application is very useful for potential users. Prospective users also feel that if other people use this application, they quickly understand how to operate this application and feel that this application is not confusing. Prospective users also feel that there are no obstacles in using this application. In the last question, which is question number ten, potential users are hesitant not to need to get used to it before using this application. When testing task 6, potential users miss click a lot when looking for profile settings. The results of the System Usability Scale in table 8 that have been carried out get a value of 78.9, and when viewed from the System Usability Scale score index, it is included in the Good assessment, namely from a value of 68-80.
After getting the problems that occurred during testing using the Usability Testing method, a second iteration was carried out to repair these problems and retested the problems in task 6 and retested with the System Usability
Scale. The resulting improvements are design improvements for task 6 by adding the word "Profile Settings" in the upper right corner of the design. It is hoped that by changing the design, the problem could be solved. The results of the improvements that have been used are as follows.
Table 9. The results of improvement misclick and misclick pages for each task
Task User 1 User 2 User 3 User 4 User 5
Miss Click
Miss Click Page
Miss Click
Miss Click
Page
Miss Click
Miss Click
Page
Miss Click
Miss Click Page
Miss Click
Miss Click Page
Task 1 0 0 0 0 1 1 2 2 0 0
Task 2 0 0 0 0 0 0 0 0 1 1
Task 3 1 1 1 1 0 0 1 1 0 0
Task 4 0 0 0 0 0 0 0 0 0 0
Task 5 0 0 2 1 1 1 0 0 0 0
Task 6 0 0 0 0 0 0 0 0 0 0
Task 7 0 0 1 1 0 0 0 0 0 0
Table 10. System Usability Scale improvement results Question
Number
User 1 User 2 User 3 User 4 User 5
1 4 5 4 4 4
2 2 2 2 1 2
3 5 5 4 5 5
4 2 3 2 2 2
5 4 5 4 4 4
6 2 2 2 1 2
7 4 5 4 4 4
8 2 2 2 1 2
9 4 5 4 4 5
10 1 1 2 2 2
4. CONCLUSION
This study would like to discover solutions to the issues experienced by potential users, namely not knowing self- care to deal with mental health problems, for instance, lack of self-confidence, difficult emotions to hold, stress, overthinking, comparing oneself to others, insecurity, toxic environment, self-diagnosis, and anxiety. The second problem is that it is difficult to find a place to share that is not always available because it is far from friends due to the pandemic situation, cannot keep secrets, is not supportive, and difficult to talk about because mental health is still considered taboo by the surrounding environment, and afraid to be blamed. Several applications regarding mental health in Indonesia are also still few and less than optimal to be a solution in helping potential users. This could be found during observations to look for problems. This research is based on the application of dear hope using the Usability Testing and System Usability Scale methods. Obtained in the first iteration, the results of the Usability Testing depict that the average prospective user completes each task in 17.98 seconds in table 7, the average user experiences a miss click and miss click page 1 to 2 times, and the most miss clicks and miss click pages are seen. There are 5 potential users who get 19 missed clicks and 7 missed click pages in table 6. These results were obtained because on average prospective users did not know which one to click for task 6, which is profile setting, then 3 out of 5 potential users were hesitant to start before using this system. The results of the System Usability Scale obtained are 78.9 "Good". After the second iteration, the results of the Usability Testing of prospective users get an average time of 16.59 seconds, the average miss click and miss click page for the task is 6 0 times in table 9, the user strongly disagrees to understand the first before using this system, and in table 10 get an average System Usability Scale score of 81.5 “Excellent”. These results indicate that the problems of potential users obtained from the first iteration are resolved. With the design that has been provided, potential users get recommendations for self-care according to the conditions of potential users and get space to tell stories according to the solutions to problems of potential users.
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