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Development and usability evaluation of a family role-focused recommendation system for young breast cancer patients † Cover

Development and usability evaluation of a family role-focused recommendation system for young breast cancer patients †

Open Access
|Sep 2026

Figures & Tables

Table 1.

Composition and detailed components of the resource repository.

Resource repository moduleKey components
Marital relationship supportEffective couple communication
Couples’ coping skills training
Cognitive-behavioral modification
Sexual health education
Parent–child relationship supportSelf-emotion management
Effective parent–child communication
Harmonious parent–child relationship
Effective acquisition of social support
Patient–parent relationship supportEffective communication with parents
Understanding and supporting parents
Policy guidanceComprehensive social assistance policies
Basic medical insurance policies
Medical aid and critical illness insurance policies
Medical rehabilitation security policies
Healthcare prevention and wellness policies
Health guidanceEducation on breast cancer disease knowledge
Education on breast cancer treatment options
Education on managing treatment-related symptoms
Rehabilitation guidance
Lifestyle guidance
Guidance on long-term follow-up and surveillance
Coping strategies for managing fear of recurrence
Screening recommendations for High-risk individuals
Information on peer support networks and resources
Information on clinical trial enrollment
Figure 1.

Architecture and core functional modules of the FRFRS. Abbreviation: FRFRS, family role-focused recommendation system.

Figure 2.

Core functional modules of the patient-facing Android client application. (A) Intelligent assessment module. (B) Resource recommendation module. (C) Resource browsing module. (D) Interactive communication module.

Figure 3.

Core functional modules of the web-based administrative backend.

Table 2.

Demographic details of participants involved in the usability evaluation of the FRFRS (n = 21).

VariableNumber (%) or mean (SD)
Age (years)36.95 (1.88)
Marital duration15.43 (2.96)
Education level
  College degree or above8 (38.1)
  Senior middle school3 (14.3)
  Middle school7 (33.3)
  Primary school or below3 (14.3)
Work status
  Returned to work2 (9.5)
  Not returning to work19 (90.5)
HMIPC
  ≥299914 (66.7)
  3000–49995 (23.8)
  350002 (9.5)
Medical insurance
  Resident basic medical insurance19 (90.5)
  Commercial health insurance2 (9.5)
Number of children
  13 (14.3)
  213 (61.9)
  >25 (23.8)
Cancer stage
  Stage I5 (23.8)
  Stage II9 (42.9)
  Stage III7 (33.3)
Time since diagnosis
  <6 months8 (38.1)
  6–12 months7 (33.3)
  >12 months6 (28.6)
Current treatment phase
  Surgical period5 (23.8)
  First chemotherapy cycle4 (19.0)
  Second chemotherapy cycle4 (19.0)
  Third chemotherapy cycle1 (4.8)
  Fourth or more chemotherapy cycles4 (19.0)
  Radiotherapy period3 (14.3)
Surgical approach
  Breast conserving surgery4 (19.0)
  Mastectomy17 (81.0)

[i] Note: FRFRS, family role-focused recommendation system; SD, standard deviation; HMIPC, household monthly income per capita.

Table 3.

Evaluation of system usability (n = 21).

ItemAverage scoreConverted score
1. I think that I would like to use this system frequently4.433.43
2. I found the system unnecessarily complex2.003.00
3. I thought the system was easy to use4.053.05
4. I think that I would need the support of a technical person to be able to use this system2.102.90
5. I found the various functions in this system were well integrated3.862.86
6. I thought there was too much inconsistency in this system1.713.29
7. I would imagine that most people would learn to use this system very quickly4.433.43
8. I found the system very cumbersome to use1.673.33
9. I felt very confident using the system4.193.19
10. I needed to learn a lot of things before I could get going with this system1.763.24
Figure 4.

Radar chart of the converted SUS scores.

Note: Scores for all SUS items were transformed following the standard SUS scoring procedure, such that higher converted scores indicate more positive user experiences. SUS, System Usability Scale.

DOI: https://doi.org/10.2478/fon-2026-0034 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 297 - 308
Submitted on: Jan 16, 2026
Accepted on: Mar 10, 2026
Published on: Sep 25, 2026
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services

© 2026 Meng-Jiao Xu, Xiao-Xu Li, Lin-Ping Zhang, Dan Wang, Xian Zhang, Mi Zhao, Su-Ting Zhang, Ting Luo, Jing Han, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.