This research deals with user-testing as a means to improve the usabil
ity of a user manual: In Study 1 we analysed the effects of three diff
erent methods for user-testing a commercial user manual to a patient a
dministrative system. Thirty nurses read the manual and noted difficul
ties found by either (1) making underlinings, (2) writing questions, o
r (3) verbalizing their comments aloud. Underlinings were more associa
ted with difficult words or concepts, and question writing with broade
r content issues. Comments verbalized aloud produced the greatest vari
ety of information and the greatest number of comments. In Study 2 we
analysed the effects of rewriting the user manual on the basis of the
results from the user-tests performed in Study 1 and some general writ
ing principles. The modified manual group spent significantly less tim
e (21% less) on the tasks, issued significantly fewer ineffective comm
ands and made significantly fewer obstructive errors, compared to the
original manual group. However, no differences were found with respect
to error recovery. These results suggest that user-testing by means o
f the investigated methods can be an important means to enhance the us
ability of user instruction manuals.