scholarly journals Using Human-Centered Design to Build a Digital Health Advisor for Patients With Complex Needs: Persona and Prototype Development

10.2196/10318 ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. e10318 ◽  
Author(s):  
Onil Bhattacharyya ◽  
Kathryn Mossman ◽  
Lovisa Gustafsson ◽  
Eric C Schneider
Keyword(s):  
Digital Health ◽  
Human Centered Design ◽  
Complex Needs ◽  
Prototype Development

scholarly journals Using Human-Centered Design to Build a Digital Health Advisor for Patients With Complex Needs: Persona and Prototype Development (Preprint)

2018 ◽  
Author(s):  
Onil Bhattacharyya ◽  
Kathryn Mossman ◽  
Lovisa Gustafsson ◽  
Eric C Schneider
Keyword(s):  
Health System ◽  
Care Delivery ◽  
Digital Health ◽  
Business Case ◽  
Cultural Barriers ◽  
Multiple Chronic Conditions ◽  
Complex Needs ◽  
Prototype Development ◽  
System Leaders ◽  
Key Features

BACKGROUND Twenty years ago, a “Guardian Angel” or comprehensive digital health advisor was proposed to empower patients to better manage their own health. This is now technically feasible, but most digital applications have narrow functions and target the relatively healthy, with few designed for those with the greatest needs. OBJECTIVE The goal of the research was to identify unmet needs and key features of a general digital health advisor for frail elderly and people with multiple chronic conditions and their caregivers. METHODS In-depth interviews were used to develop personas and use cases, and iterative feedback from participants informed the creation of a low-fidelity prototype of a digital health advisor. Results were shared with developers, investors, regulators, and health system leaders for suggestions on how this could be developed and disseminated. RESULTS Patients highlighted the following goals: “live my life,” “love my life,” “manage my health,” and “feel understood.” Patients and caregivers reported interest in four functions to address these goals: tracking and insights, advice and information, providing a holistic picture of the patient, and coordination and communication. Experts and system stakeholders felt the prototype was technically feasible, and that while health care delivery organizations could help disseminate such a tool, it should be done in partnership with consumer-focused organizations. CONCLUSIONS This study describes the key features of a comprehensive digital health advisor, but to spur its development, we need to clarify the business case and address the policy, organizational, and cultural barriers to creating tools that put patients and their goals at the center of the health system.

Using Human-Centered Design Methods to Inform Digital Health Interventions: Development of a Framework (Preprint)

2019 ◽  
Author(s):  
Robin C. Anthony Kouyate ◽  
Lisa Nugent ◽  
Shawna Jackson ◽  
Meredith Y. Smith
Keyword(s):  
Rheumatoid Arthritis ◽  
Text Messaging ◽  
Digital Health ◽  
Smart Phone ◽  
Chronically Ill ◽  
Human Centered Design ◽  
Quality Healthcare ◽  
Intervention Impact ◽  
Chronically Ill Patients ◽  
Three Phases

BACKGROUND Involving chronically ill patients in the management of their health is widely recognized as a vital component of high-quality healthcare. In order to assume the role of informed participants, however, patients need both access to their health information as well as assistance in interpreting such data. Smart phone technology with text messaging (SMS) functionality offers a convenient and minimally demanding mechanism for providing such a dual capability to patients. To date, numerous such digital tools have been developed for use in various chronic and progressive disease conditions, including for rheumatoid arthritis. OBJECTIVE To describe the application of a human centered design (HCD) approach to inform the development of a framework for a digital health intervention to support symptom management and treatment adherence in rheumatoid arthritis. METHODS We reviewed the HCD approach which consists of three phases: understanding, ideation, and implementation. To develop our framework, methods were mapped to the objectives of each phase. RESULTS We developed a four-phase framework that was informed by an HCD approach. The first three phases in the framework, which consisted of understanding, ideation, and implementation, were consistent with the HCD approach. In addition, we added a fourth phase, post-implementation assessment, to enable evaluation of patient engagement and intervention impact on symptom self-management. CONCLUSIONS Applying HCD-based methods demands commitment to an iterative approach to intervention design. Each phase of our framework yields critical findings for ensuring that the final product is understandable, acceptable, and feasible, and provides value to the patient such that the intervention is both engaging and positively impacts patient outcomes. CLINICALTRIAL N/A

scholarly journals User-Centred Design of a Digital Care Plan for Patients and Professionals in Cross-Organisational Teams

2021 ◽  
Author(s):  
Berglind F. Smaradottir ◽  
Gro-Hilde Severinsen ◽  
Aslak Steinsbekk ◽  
Gro K.R. Berntsen
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Clinical Pathways ◽  
Digital Health ◽  
Care Plan ◽  
Complex Needs ◽  
User Centred Design ◽  
Complex Patients ◽  
User Groups

Care for patients with multimorbidity and long-term complex needs is costly and with demographic changes this group is growing. The research project Dignity Care addresses how to improve the care for this patient group by studying how a conceptual shared digital care plan for complex clinical pathways can guide and support cross-organisational care teams. This paper presents the user-centred design process for the digital care plan development. Panels of patients and health care professionals will participate in co-creation user workshops and simulation of complex patients’ pathways. The main contribution from this work is recommendations for how to actively involve user groups in digital health development, applying a partly remote approach of user-centred design methodology during the Covid-19 pandemic.

scholarly journals Interventions to Support Mental Health among Those with Health Conditions that Present Risk for Severe Infection from Coronavirus Disease 2019 (COVID-19): A Scoping Review of English and Chinese-Language Literature

2021 ◽  
Vol 18 (14) ◽  
pp. 7265
Author(s):  
Karen M. Davison ◽  
Vidhi Thakkar ◽  
Shen (Lamson) Lin ◽  
Lorna Stabler ◽  
Maura MacPhee ◽  
...  
Keyword(s):  
Mental Health ◽  
Scoping Review ◽  
Digital Health ◽  
Chinese Language ◽  
Severe Infection ◽  
Health Determinants ◽  
Patient Navigator ◽  
China National Knowledge Infrastructure ◽  
Complex Needs ◽  
Health And Social Care

This study aimed to address knowledge gaps related to the prevention and management of mental health responses among those with a condition that presents risk of severe COVID-19 infection. A scoping review that mapped English and Chinese-language studies (2019–2020) located in MEDLINE (Ovid), Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, Sociological Abstracts, Embase, China National Knowledge Infrastructure (CNKI), Wanfang Data, and Airiti Library was undertaken. Search terms related to COVID-19, mental health, and physical health were used and articles that included all three of these factors were extracted (n = 77). With the exception of one hospital-based pilot study, there were no intervention studies targeting mental health in those at risk of severe COVID-19 infection. Promising practices such as integrated care models that appropriately screen for mental health issues, address health determinants, and include use of digital resources were highlighted. Patient navigator programs, group online medical visits, peer support, and social prescribing may also support those with complex needs. Future policies need to address digital health access inequities and the implementation of multi-integrated health and social care. Furthermore, research is needed to comprehensively assess multi-integrated interventions that are resilient to public health crises.

scholarly journals Using Grounded Theory to Inform the Human-Centered Design of Digital Health in Geriatric Palliative Care

2020 ◽  
Vol 60 (6) ◽  
pp. 1181-1192.e1
Author(s):  
Jennifer Dickman Portz ◽  
Kelsey Lynett Ford ◽  
Katherine Doyon ◽  
David B. Bekelman ◽  
Rebecca S. Boxer ◽  
...  
Keyword(s):  
Palliative Care ◽  
Grounded Theory ◽  
Digital Health ◽  
Human Centered Design

Understanding Lay Counselor Perspectives on Mobile Phone Supervision in Kenya: A Mixed Method Human-Centered Design Study

2021 ◽  
Author(s):  
Noah S Triplett
Keyword(s):  
Mobile Phone ◽  
Mobile Phones ◽  
Behavioral Therapy ◽  
Digital Health ◽  
Average Frequency ◽  
Limited Information ◽  
Structured Interviews ◽  
Human Centered Design ◽  
Lay Counselors ◽  
Personal Support

Introduction: Mobile phones may present a low-tech opportunity to replace or decrease reliance on in-person supervision in task-shifting, but important technical and contextual limitations must be examined and considered. Guided by human-centered design methods, we aimed to understand how mobile phones are currently used when supervising lay counselors, determine the acceptability and feasibility of mobile phone supervision, and generate solutions to improve mobile phone supervision.Methods: Participants were recruited from a large hybrid effectiveness-implementation study in western Kenya, wherein teachers and community health volunteers have been trained to provide trauma-focused cognitive behavioral therapy. Lay counselors (N=24) and supervisors (N=3) participated in semi-structured interviews in the language of the participants choosing (i.e., English or Kiswahili). The participants included high frequency, average frequency, and low frequency phone users in equal parts. Interviews were transcribed, translated when needed, and analyzed using thematic analysis. Themes were compared across frequency of phone use following a mixed methods data transformation and integration approach. Results: Uses included: clinical updates, scheduling and coordinating, and supporting research procedures. Participants liked how mobile phones decreased burden, facilitated access to clinical and personal support, and enabled greater independence of lay counselors. Participants disliked how mobile phones limited information transmission, limited relationship building between supervisors and lay counselors, and disrupted communication flows. Mobile phone supervision was facilitated by access to working smartphones, ease and convenience of mobile phone supervision, mobile phone literacy, and positive supervisor-counselor relationships. Limited resources, technical difficulties, communication challenges, and limitations on which activities can effectively be performed via mobile phones were barriers to mobile phone supervision. Lay counselors and supervisors generated 27 distinct solutions to increase the acceptability and feasibility of mobile phone supervision. Differences emerged in specific themes pertaining to acceptability and feasibility by frequency of use.Conclusion: While mobile phone supervision was acceptable to both lay counselors and supervisors, there were also distinct challenges with feasibility. Researchers considering how digital technology can be used to increase mental and digital health equity must consider limitations to implementing digital health tools and design solutions alongside end-users to increase acceptability and feasibility.

scholarly journals Digital Healthy Lifestyle Application for UUM Computer User

2021 ◽  
Vol 15 (06) ◽  
pp. 77
Author(s):  
Azliza Othman ◽  
Nassiriah Shaari ◽  
Yusrita Mohd Yusoff
Keyword(s):  
Physical Exercise ◽  
Joint Pain ◽  
Healthy Lifestyle ◽  
Digital Health ◽  
Preliminary Investigation ◽  
Overuse Injuries ◽  
Computer User ◽  
Prototype Development ◽  
Analysis Phase ◽  
Health Application

<span>A computer is a vital tool for UUM community in doing routine jobs and activities. Spending many hours using a computer without breaks can cause bad effect on users’ health. Inappropriate computer use can cause muscle and joint pain, overuse injuries of the shoulder, arm, wrist or hand, and eyestrain. Fortunately, this pain and misery can be avoided with only a few simple routines. Therefore, a short break from using a computer is necessary. The break could be filled with a short and simple exercise. Physical exercise can provide many benefits to individual and organization. Besides improving the productivity of the organization, physical exercise also can help staff and students to be more focused, stay alert, feel motivated, energetic, and have less stress. In response to this, this paper introduces a digital health application to create health awareness among the UUM community. The methods employed in the study are a preliminary investigation, requirement gathering and analysis, prototype development, and prototype validation. From the requirement analysis phase, 11 criteria were gathered and applied in designing the Digital Healthy Lifestyle Application prototype. Then it was validated by the content and user interface experts. The experts responded positively towards the application.</span>

scholarly journals Utilization of Health Consultation Application (Chat Dokter Online) for COVID-19 Self Isolation Patient Services in Palembang City

2021 ◽  
Vol 2 (2) ◽  
pp. 143-148
Author(s):  
Rachmat Hidayat ◽  
Patricia Wulandari
Keyword(s):  
Community Service ◽  
Digital Health ◽  
Easy Access ◽  
Health Consultation ◽  
The Public ◽  
Prototype Development ◽  
Service Activity ◽  
The City ◽  
Monitoring Application ◽  
Development Application

Chat Dokter Online is a digital health platform developed by CV Cattleya Consultation Center based in Palembang. This digital health platform serves general public health consultations regarding health problems both in the city of Palembang and from outside the city of Palembang. This application is expected to be able to provide optimal services and a broad reach for users and especially patients who are self-isolating COVID-19 in Palembang City. The implementation of this community service activity is carried out through the stages of observation, interviews, application prototype development, application testing, application utilization, and monitoring application utilization. Chat Dokter Online provides massive health services and easy access for patients exposed to COVID 19 to determine the clinical degree of COVID-19, complaints felt by patients and to determine when to finish self-isolation. In addition, this application helps the public to get valid health information directly from doctors and experts.

scholarly journals Applying Human-Centered Design Principles to Digital Syndromic Surveillance at a Mass Gathering in India: Viewpoint (Preprint)

2021 ◽  
Author(s):  
Ahmed Shaikh ◽  
Abhishek Bhatia ◽  
Ghanshyam Yadav ◽  
Shashwat Hora ◽  
Chung Won ◽  
...  
Keyword(s):  
User Satisfaction ◽  
Digital Health ◽  
Stakeholder Participation ◽  
Design Principles ◽  
Large Mass ◽  
Mass Gathering ◽  
End User ◽  
Human Centered Design ◽  
Digital Surveillance ◽  
Health Objectives

UNSTRUCTURED In the wake of the COVID-19 pandemic, digital health tools have been deployed by governments around the world to advance clinical and population health objectives. Few interventions have been successful or have achieved sustainability or scale. In India, government agencies are proposing sweeping changes to India’s digital health architecture. Underpinning these initiatives is the assumption that mobile health solutions will find near universal acceptance and uptake, though the observed reticence of clinicians to use electronic health records suggests otherwise. In this practice article, we describe our experience with implementing a digital surveillance tool at a large mass gathering, attended by nearly 30 million people. Deployed with limited resources and in a dynamic chaotic setting, the adherence to human-centered design principles resulted in near universal adoption and high end-user satisfaction. Through this use case, we share generalizable lessons in the importance of contextual relevance, stakeholder participation, customizability, and rapid iteration, while designing digital health tools for individuals or populations.

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