A Multi-Framework Validation Approach for Blockchain-Based Healthcare Devices: A Case Study

Abstract

Integrating blockchain into healthcare devices offers potential for improved data control but faces significant usability and acceptance challenges. This study addresses this gap by evaluating CipherPal, an improved blockchain-enabled smart fidget toy prototype, using a multi-framework approach to understand the interplay between technology, design, and user experience. We combined insights from an expert review assessing adherence to Web3 Design Guidelines, a User Acceptance Toolkit assessment with professionals based on UTAUT2, and extended user testing over three days. Findings revealed that users valued CipherPal's satisfying tactile interaction and perceived benefits for well-being, such as stress relief. However, significant usability barriers emerged, primarily related to challenging device-application connectivity, data synchronization, and disruptive physical elements. While conceptually accepted, the blockchain integration mainly added interaction friction and complexity, overshadowing its potential benefits for users during the study. The multi-framework approach proved valuable, providing complementary insights and highlighting tensions between the device's core appeal and usability challenges. This research underscores the critical need for user-centered design in blockchain health applications, emphasizing seamless usability, abstracting technical complexity, and holistically considering physical and social factors.