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Using mixed-fidelity to create effective environments

Opie, Jeremy; Jaufuraully, shireen; Salvadores Fernandez, Carmen; Mahendran, Lakchana; Desjardins, Adrien; Siassakos, Dimitrios; David, Anna; ... Blandford, Ann; + view all (2025) Using mixed-fidelity to create effective environments. Cognition, Technology and Work 10.1007/s10111-025-00797-7. (In press). Green open access

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Abstract

User testing is crucial for ensuring that systems meet user expectations, involving both low- and high-fidelity prototypes. Recently, mixed-fidelity prototypes, which blend various levels of detail, have gained popularity but are mainly used for evaluating single digital prototypes. Typically, medical devices are tested only after engineering is complete, using high-fidelity prototypes in realistic environments. This paper explores when different fidelity levels can be applied and which levels are suitable for creating realistic use environments in medical technology evaluations. We used the PRETAR framework to determine the appropriate fidelity for each artefact based on study constraints, resources, ethical considerations, and data analysis methods. Using a case study of a sensorised glove for vaginal examinations, we developed artefacts with varying levels of fidelity to replicate the fetal head and birth canal to test whether mixed-fidelity prototypes can replicate clinical environments effectively while being cost- and time-efficient and critically examine each design suggestion, discussing the benefits and limitations of our decisions.

Type: Article
Title: Using mixed-fidelity to create effective environments
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10111-025-00797-7
Publisher version: https://doi.org/10.1007/s10111-025-00797-7
Language: English
Additional information: Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Mixed-fidelity, User studies, Healthcare, Vaginal Examination
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > UCL Interaction Centre
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10207441
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