scholarly journals User-Centered Design of a Web-Based Tool to Support Management of Chemotherapy-Related Toxicities in Cancer Patients

2019 ◽  
Vol 21 (3) ◽  
pp. e9958
Author(s):  
Rebecca M Prince ◽  
Anthony Soung Yee ◽  
Laura Parente ◽  
Katherine A Enright ◽  
Eva Grunfeld ◽  
...  
2018 ◽  
Author(s):  
Rebecca M Prince ◽  
Anthony Soung Yee ◽  
Laura Parente ◽  
Katherine A Enright ◽  
Eva Grunfeld ◽  
...  

BACKGROUND Cancer patients receiving chemotherapy have high symptom needs that can negatively impact quality of life and result in high rates of unplanned acute care visits. Remote monitoring tools may improve symptom management in this patient population. OBJECTIVE This study aimed to design a prototype tool to facilitate remote management of chemotherapy-related toxicities. METHODS User needs were assessed using a participatory, user-centered design methodology that included field observation, interviews, and focus groups, and then analyzed using affinity diagramming. Participants included oncology patients, caregivers, and health care providers (HCPs) including medical oncologists, oncology nurses, primary care physicians, and pharmacists in Ontario, Canada. Overarching themes informed development of a Web-based prototype, which was further refined over 2 rounds of usability testing with end users. RESULTS Overarching themes were derived from needs assessments, which included 14 patients, 1 caregiver, and 12 HCPs. Themes common to both patients and HCPs included gaps and barriers in current systems, need for decision aids, improved communication and options in care delivery, secure access to credible and timely information, and integration into existing systems. In addition, patients identified missed opportunities, care not meeting their needs, feeling overwhelmed and anxious, and wanting to be more empowered. HCPs identified accountability for patient management as an issue. These themes informed development of a Web-based prototype (bridges), which included toxicity tracking, self-management advice, and HCP communication functionalities. Usability testing with 11 patients and 11 HCPs was generally positive; however, identified challenges included tool integration into existing workflows, need for standardized toxicity self-management advice, issues of privacy and consent, and patient-tailored information. CONCLUSIONS Web-based tools integrating just-in-time self-management advice and HCP support into routine care may address gaps in systems for managing chemotherapy-related toxicities. Attention to the integration of new electronic tools into self-care by patients and practice was a strong theme for both patients and HCP participants and is a key issue that needs to be addressed for wide-scale adoption.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Ni Ketut Dewi Ari Jayanti

ABSTRACT<br />The Quality Assurance Center (PJM) is one of the units at STMIK STIKOM Bali which has the task of assisting the Chair in overseeing and controlling the entire process. One of the controls carried out is controlling customer satisfaction through implementing customer satisfaction evaluations. PJM STIKOM Bali uses a web-based quality assurance information. The use of web-based quality assurance information systems has never been measured by usability system to see whether the system built is acceptability for the PJM STIKOM Bali unit in carrying out its activities. In this study, researchers conducted a study to analyze usability in the STIKOM Bali quality assurance information system. The method used to measure usability is User Centered Design (UCD) because this method focuses on the user. In implementing the UCD method, three types of statements have been established, namely Task Complete Rate, Time on Task, and Usability Rate of System. The results achieved in this study were the success rates of respondents in completing the STIKOM Bali quality assurance information system task task of 97.67%. The average time needed by respondents to complete all tasks is 92 minutes. The usability level felt by respondents when using the quality assurance information system is 88.75%.<br />Keywords : Quality Assurance System, Usability, User Centered Design<br />ABSTRAK<br />Pusat Jaminan Mutu (PJM) adalah salah satu unit di STMIK STIKOM Bali yang memiliki tugas membantu Ketua dalam mengawasi dan mengendalikan seluruh proses. Salah satu pengendalian yang dilakukan adalah pengendalian kepuasan pelanggan melalui pelaksanaan evaluasi kepuasan pelanggan. PJM STIKOM Bali menggunakan sistem informasi penjaminan mutu berbasis web untuk mempermudah akses penjadwalan dimulai dan diakhirinya proses evaluasi kepuasan pelanggan yang diintegrasikan dengan sistem lain yang ada di STIKOM Bali. Penggunaan sistem informasi penjaminan mutu berbasis web belum pernah dilakukan pengukuran usability sistem untuk melihat apakah sistem yang dibangun sudah akseptabilitas bagi unit PJM STIKOM Bali dalam melaksanakan aktivitasnya. Pada penelitian ini peneliti melakukan penelitian untuk menganalisa usability pada sistem informasi penjaminan mutu STIKOM Bali. Metode yang digunakan untuk mengukur usability adalah User Centered Design (UCD) karena metode ini berfokus pada pengguna. Dalam implementasi metode UCD, telah ditetapkan tiga jenis pernyataan yaitu Task Complete Rate, Time on Task, dan Usability Rate of System. Hasil yang dicapai pada penelitian ini adalah tingkat keberhasilan responden dalam menyelesaikan task sistem informasi penjaminan mutu STIKOM Bali sebesar 97,67%. Waktu rata-rata yang diperlukan responden untuk menyelesaikan seluruh task adalah sebesar 92 menit. Tingkat usability yang dirasakan responden saat menggunakan sistem informasi penjaminan mutu adalah 88,75 %.<br />Kata kunci : Sistem Penjaminan Mutu, Usability, User Centered Design


Under the national educational policy of Nine-Year Integrated Curriculum, elementary and junior high school teachers are expected to design their own instructional materials, and to teach their courses which could be linked to students’ daily lives. The policy also allocates funding to create a variety of web-based instructional resource systems in order to assist these teachers in preparing their classes. Upon the basis of a user-centered design approach, this study is aimed at constructing a set of suggestions of planning, designing, and developing a web-based instructional resource system for the homeland education. This research team takes Nei-Li area in Taiwan as an example to develop such a system, and constructs a user-centered design model. The study results indicate that, unlike the traditional instructional design approach, the proposed model takes into account the user’s needs, the capability of the project team, the resource availability for implementation, the national educational reform policy, the development of information technology industry, and the socio-cultural context of a community at the initial phase. In addition, the development process is divided into two courses, one for contents design while the other for system construction, both of which are implemented at the same time.


10.2196/14558 ◽  
2019 ◽  
Vol 6 (4) ◽  
pp. e14558
Author(s):  
Roopan Kaur Gill ◽  
Gina Ogilvie ◽  
Wendy V Norman ◽  
Brian Fitzsimmons ◽  
Ciana Maher ◽  
...  

Background Human-centered design is a methodology that applies an iterative participatory process that engages the end-user for whom an innovation or intervention is designed for from start to end. There is general evidence to support the use of human-centered design for development of tools to affect health behavior, but specifically for family planning provision. This study is part two of a three-phase study that uses a user-centered design methodology which uses the findings from Phase I to design, develop, and test a digital health solution to support follow-up after an induced surgical abortion. Objective The objectives for this study were to: (1) develop a Web-based intervention based on preferences and experiences of women who underwent an abortion as measured in the formative phase of the Feasibility and Acceptability of a Mobile Technology Intervention to Support Postabortion Care Study; (2) conduct usability testing of the intervention to determine user-friendliness and appropriateness of the intervention; and (3) finalize a beta version of the Web-based intervention for pilot testing. Methods The study design was based on the “development-evaluation-implementation” process from the Medical Research Council Framework for Complex Medical Interventions. This study is in Phase II of III and is based on user-centered design methodology. Phase I findings demonstrated that women engage with technology to assist in clinical care and they preferred a comprehensive website with email or text notifications to support follow-up care. In Phase II we collaborated with family planning experts and key stakeholders to synthesize evidence from Phase I. With them and a development partner we built a prototype. Usability testing was completed with 9 participants using a validated System Usability Scale. This was then used to refine the intervention for Phase III pilot study. This study was approved by the local Ethics board. Results We developed a comprehensive Web-based tool called myPostCare.ca, which includes: Post-Procedure Care, Emotional Well-Being Tool, Contraception Explorer, Sexual Health, Book an Appointment, and Other Resources. Additionally, over the course of a month after the procedure, automatic email notifications were sent to women as a form of virtual follow-up support, directing them to myPostCare.ca resources. The Web-based tool was refined based on usability testing results. Conclusions This study demonstrated that user-centered design is a useful methodology to build programs and interventions that are women-centered, specifically for abortion care.


2020 ◽  
Author(s):  
Chantal Backman ◽  
Anne Harley ◽  
Craig Kuziemsky ◽  
Jay Mercer ◽  
Liam Peyton

BACKGROUND When older adults return home from geriatric rehabilitation in a hospital, remembering the plethora of medical advice and medical instructions provided can be overwhelming for them and for their caregivers. OBJECTIVE The overall objective was to develop and test the feasibility of a novel web-based application called <i>MyPath to Home</i> that can be used to manage the personalized needs of geriatric rehabilitation patients during their transition from the hospital to home. METHODS This study involved (1) co-designing a patient- and clinician-tailored web-based application and (2) testing the feasibility of the application to manage the needs of geriatric rehabilitation patients when leaving the hospital. In phase 1, we followed a user-centered design process integrated with the modern agile software development methodology to iteratively co-design the application. The approach consisted of three cycles in which we engaged patients, caregivers, and clinicians to design a series of prototypes (cycles 1-3). In phase 2, we conducted a single-arm feasibility pilot test of <i>MyPath to Home</i>. Baseline and follow-up surveys, as well as select semistructured interviews were conducted. RESULTS In phase 1, semistructured interviews and talk-aloud sessions were conducted with patients/caregivers (n=5) and clinicians (n=17) to design the application. In phase 2, patients (n=30), caregivers (n=18), and clinicians (n=20) received access to use the application. Patients and their caregivers were asked to complete baseline and follow-up surveys. A total of 91% (21/23) of patients would recommend this application to other patients. In addition, clinicians (n=6) and patients/caregivers (n=6) were interviewed to obtain further details on the value of the web-based application with respect to engaging patients and facilitating communication and sharing of information with the health care team. CONCLUSIONS We were successful at designing the <i>MyPath to Home</i> prototype for patients and their caregivers to engage with their clinicians during the transition from geriatric rehabilitation to home. Further work is needed to increase the uptake and usage by clinicians, and determine if this translates to meaningful changes in clinical and functional outcomes. INTERNATIONAL REGISTERED REPORT RR2-10.2196/11031


2019 ◽  
Author(s):  
Roopan Kaur Gill ◽  
Gina Ogilvie ◽  
Wendy V Norman ◽  
Brian Fitzsimmons ◽  
Ciana Maher ◽  
...  

BACKGROUND Human-centered design is a methodology that applies an iterative participatory process that engages the end-user for whom an innovation or intervention is designed for from start to end. There is general evidence to support the use of human-centered design for development of tools to affect health behavior, but specifically for family planning provision. This study is part two of a three-phase study that uses a user-centered design methodology which uses the findings from Phase I to design, develop, and test a digital health solution to support follow-up after an induced surgical abortion. OBJECTIVE The objectives for this study were to: (1) develop a Web-based intervention based on preferences and experiences of women who underwent an abortion as measured in the formative phase of the Feasibility and Acceptability of a Mobile Technology Intervention to Support Postabortion Care Study; (2) conduct usability testing of the intervention to determine user-friendliness and appropriateness of the intervention; and (3) finalize a beta version of the Web-based intervention for pilot testing. METHODS The study design was based on the “development-evaluation-implementation” process from the Medical Research Council Framework for Complex Medical Interventions. This study is in Phase II of III and is based on user-centered design methodology. Phase I findings demonstrated that women engage with technology to assist in clinical care and they preferred a comprehensive website with email or text notifications to support follow-up care. In Phase II we collaborated with family planning experts and key stakeholders to synthesize evidence from Phase I. With them and a development partner we built a prototype. Usability testing was completed with 9 participants using a validated System Usability Scale. This was then used to refine the intervention for Phase III pilot study. This study was approved by the local Ethics board. RESULTS We developed a comprehensive Web-based tool called myPostCare.ca, which includes: Post-Procedure Care, Emotional Well-Being Tool, Contraception Explorer, Sexual Health, Book an Appointment, and Other Resources. Additionally, over the course of a month after the procedure, automatic email notifications were sent to women as a form of virtual follow-up support, directing them to myPostCare.ca resources. The Web-based tool was refined based on usability testing results. CONCLUSIONS This study demonstrated that user-centered design is a useful methodology to build programs and interventions that are women-centered, specifically for abortion care.


2017 ◽  
Vol 56 (05) ◽  
pp. 344-349 ◽  
Author(s):  
Sabine Koch ◽  
Kim M. Unertl ◽  
Christoph U. Lehmann ◽  
Kevin R. Dufendach

Summary Background: Early involvement of stakeholders in the design of medical software is particularly important due to the need to incorporate complex knowledge and actions associated with clinical work. Standard user-centered design methods include focus groups and participatory design sessions with individual stakeholders, which generally limit user involvement to a small number of individuals due to the significant time investments from designers and end users. Objectives: The goal of this project was to reduce the effort for end users to participate in co-design of a software user interface by developing an interactive web-based crowd- sourcing platform. Methods: In a randomized trial, we compared a new web-based crowdsourcing platform to standard participatory design sessions. We developed an interactive, modular platform that allows responsive remote customization and design feedback on a visual user interface based on user preferences. The responsive canvas is a dynamic HTML template that responds in real time to user preference selections. Upon completion, the design team can view the user’s interface creations through an administrator portal and download the structured selections through a REDCap interface. Results: We have created a software platform that allows users to customize a user interface and see the results of that customization in real time, receiving immediate feedback on the impact of their design choices. Neonatal clinicians used the new platform to successfully design and customize a neonatal handoff tool. They received no specific instruction and yet were able to use the software easily and reported high usability. Conclusions: VandAID, a new web-based crowdsourcing platform, can involve multiple users in user-centered design simultaneously and provides means of obtaining design feedback remotely. The software can provide design feedback at any stage in the design process, but it will be of greatest utility for specifying user requirements and evaluating iterative designs with multiple options.


2019 ◽  
Vol 126 ◽  
pp. 138-146 ◽  
Author(s):  
Sophie Marien ◽  
Delphine Legrand ◽  
Ravi Ramdoyal ◽  
Jimmy Nsenga ◽  
Gustavo Ospina ◽  
...  

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