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Also, one participant could not locate information describing an odds ratio during the second iteration of testing.
There were two case scenarios that were completed by all participants in the first iteration of testing; however, these same tasks were not completed by at least one participant in the second iteration of testing.
These revised prototypes were used in the second iteration of testing which were held in August and September 2013.
After the first iteration, the graphic designer altered the prototypes in order to make the heading for the meta-analysis more prominent, and when the case scenario for this task was presented to participants in the second iteration of testing, it was emphasised that they were to look for information specific to the meta-analysis.
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Despite this, one participant stated that they could not complete the task asking them to locate the evidence rating scale legend in the third iteration of testing.
33 The case-based shortened systematic review received an 'above average' score of 72.5 and 80 (2 of 3 participants) in the second iteration, and 87, 90 and 97.5 (3 of 5 participants) in the third iteration of testing.
One participant was not able to locate information about trials that had no evidence and attention was given to this by the graphic designer between the second and third iterations of testing.
This was introduced in the second and third iteration of testing after the tool had been modified.
Further modifications were made by the graphic designer; however, two of the final five participants in the third iteration of testing did not locate this information.
43 44 Moreover, we found that we were not obtaining new information with our interviews in the third iteration of testing and thus had reached saturation.
Two participants took part in the first iteration of testing in July 2013 with the original prototypes (see online supplementary appendix C).
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