scholarly journals Feasibility and Acceptability of a Mobile Technology Intervention to Support Postabortion Care (The FACTS Study Phase II) After Surgical Abortion: User-Centered Design (Preprint)

2019 ◽  
Author(s):  
Roopan Kaur Gill ◽  
Gina Ogilvie ◽  
Wendy V Norman ◽  
Brian Fitzsimmons ◽  
Ciana Maher ◽  
...  
Keyword(s):  
Phase I ◽  
Phase Ii ◽  
Usability Testing ◽  
User Centered Design ◽  
Web Based ◽  
Postabortion Care ◽  
Technology Intervention ◽  
Surgical Abortion ◽  
User Centered

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.

scholarly journals Feasibility and Acceptability of a Mobile Technology Intervention to Support Postabortion Care (The FACTS Study Phase II) After Surgical Abortion: User-Centered Design

10.2196/14558 ◽  
2019 ◽  
Vol 6 (4) ◽  
pp. e14558
Author(s):  
Roopan Kaur Gill ◽  
Gina Ogilvie ◽  
Wendy V Norman ◽  
Brian Fitzsimmons ◽  
Ciana Maher ◽  
...  
Keyword(s):  
Phase I ◽  
Phase Ii ◽  
Usability Testing ◽  
User Centered Design ◽  
Web Based ◽  
Postabortion Care ◽  
Technology Intervention ◽  
Surgical Abortion ◽  
User Centered

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.

scholarly journals Utilizing a user-centered approach to develop and assess pharmacogenomic clinical decision support for thiopurine methyltransferase

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Khoa A. Nguyen ◽  
Himalaya Patel ◽  
David A. Haggstrom ◽  
Alan J. Zillich ◽  
Thomas F. Imperiale ◽  
...  
Keyword(s):  
Decision Support ◽  
User Interface ◽  
Phase I ◽  
Clinical Decision Support ◽  
Phase Ii ◽  
Usability Testing ◽  
Clinical Decision ◽  
Thiopurine Methyltransferase ◽  
User Centered Design ◽  
User Centered

Abstract Background A pharmacogenomic clinical decision support tool (PGx-CDS) for thiopurine medications can help physicians incorporate pharmacogenomic results into prescribing decisions by providing up-to-date, real-time decision support. However, the PGx-CDS user interface may introduce errors and promote alert fatigue. The objective of this study was to develop and evaluate a prototype of a PGx-CDS user interface for thiopurine medications with user-centered design methods. Methods This study had two phases: In phase I, we conducted qualitative interviews to assess providers’ information needs. Interview transcripts were analyzed through a combination of inductive and deductive qualitative analysis to develop design requirements for a PGx-CDS user interface. Using these requirements, we developed a user interface prototype and evaluated its usability (phase II). Results In total, 14 providers participated: 10 were interviewed in phase I, and seven providers completed usability testing in phase II (3 providers participated in both phases). Most (90%) participants were interested in PGx-CDS systems to help improve medication efficacy and patient safety. Interviews yielded 11 themes sorted into two main categories: 1) health care providers’ views on PGx-CDS and 2) important design features for PGx-CDS. We organized these findings into guidance for PGx-CDS content and display. Usability testing of the PGx-CDS prototype showed high provider satisfaction. Conclusion This is one of the first studies to utilize a user-centered design approach to develop and assess a PGx-CDS interface prototype for Thiopurine Methyltransferase (TPMT). This study provides guidance for the development of a PGx-CDS, and particularly for biomarkers such as TPMT.

scholarly journals MyPath to Home Web-Based Application for the Geriatric Rehabilitation Program at Bruyère Continuing Care: User-Centered Design and Feasibility Testing Study (Preprint)

2020 ◽  
Author(s):  
Chantal Backman ◽  
Anne Harley ◽  
Craig Kuziemsky ◽  
Jay Mercer ◽  
Liam Peyton
Keyword(s):  
Phase 1 ◽  
Health Care Team ◽  
Rehabilitation Program ◽  
Geriatric Rehabilitation ◽  
Phase 2 ◽  
User Centered Design ◽  
Web Based ◽  
Semistructured Interviews ◽  
User Centered

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

A User-Centered design and usability testing of a web-based medication reconciliation application integrated in an eHealth network

2019 ◽  
Vol 126 ◽  
pp. 138-146 ◽  
Author(s):  
Sophie Marien ◽  
Delphine Legrand ◽  
Ravi Ramdoyal ◽  
Jimmy Nsenga ◽  
Gustavo Ospina ◽  
...  
Keyword(s):  
Medication Reconciliation ◽  
Usability Testing ◽  
User Centered Design ◽  
Web Based ◽  
User Centered

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

2018 ◽  
Author(s):  
Rebecca M Prince ◽  
Anthony Soung Yee ◽  
Laura Parente ◽  
Katherine A Enright ◽  
Eva Grunfeld ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Health Care Providers ◽  
Primary Care Physicians ◽  
Usability Testing ◽  
Self Management ◽  
User Centered Design ◽  
Care Providers ◽  
Web Based ◽  
Management Advice ◽  
User Centered

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.

scholarly journals MyPath to Home Web-Based Application for the Geriatric Rehabilitation Program at Bruyère Continuing Care: User-Centered Design and Feasibility Testing Study

10.2196/18169 ◽  
2020 ◽  
Vol 4 (9) ◽  
pp. e18169
Author(s):  
Chantal Backman ◽  
Anne Harley ◽  
Craig Kuziemsky ◽  
Jay Mercer ◽  
Liam Peyton
Keyword(s):  
Phase 1 ◽  
Health Care Team ◽  
Rehabilitation Program ◽  
Geriatric Rehabilitation ◽  
Phase 2 ◽  
User Centered Design ◽  
Web Based ◽  
Semistructured Interviews ◽  
User Centered

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 MyPath to Home 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 MyPath to Home. 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 MyPath to Home 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 Identifier (IRRID) RR2-10.2196/11031

scholarly journals User-centered design and usability testing of RxMAGIC: a prescription management and general inventory control system for free clinic dispensaries

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Arielle M. Fisher ◽  
Timothy M. Mtonga ◽  
Jeremy U. Espino ◽  
Lauren J. Jonkman ◽  
Sharon E. Connor ◽  
...  
Keyword(s):  
Control System ◽  
Inventory Control ◽  
Usability Testing ◽  
User Centered Design ◽  
Free Clinic ◽  
User Centered

scholarly journals USABILITY SISTEM PENJAMINAN MUTU STIKOM BALI MENGGUNAKAN METODE USER CENTERED DESIGN

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Ni Ketut Dewi Ari Jayanti
Keyword(s):  
Information System ◽  
Quality Assurance ◽  
Customer Satisfaction ◽  
Time On Task ◽  
User Centered Design ◽  
Success Rates ◽  
Web Based ◽  
Keywords Quality Assurance ◽  
System Task ◽  
User Centered

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

scholarly journals COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Luciana Caravatta ◽  
Consuelo Rosa ◽  
Maria Bernadette Di Sciascio ◽  
Andrea Tavella Scaringi ◽  
Angelo Di Pilla ◽  
...  
Keyword(s):  
Phase I ◽  
Phase Ii ◽  
Central Italy ◽  
Significant Risk ◽  
Tumor Board ◽  
Radiotherapy Planning ◽  
Two Phase ◽  
Hospital Environments ◽  
Two Phases

Abstract Background COVID-19 in Italy has led to the need to reorganize hospital protocols with a significant risk of interruption to cancer treatment programs. In this report, we will focus on a management model covering the two phases of the COVID-19 emergency, namely lockdown-phase I and post-lockdown-phase II. Methods The following steps were taken in the two phases: workload during visits and radiotherapy planning, use of dedicated routes, measures for triage areas, management of suspected and positive COVID-19 cases, personal protective equipment, hospital environments and intra-institutional meetings and tumor board management. Due to the guidelines set out by the Ministry of Health, oncological follow-up visits were interrupted during the lockdown-phase I; consequently, we set about contacting patients by telephone, with laboratory and instrumental exams being viewed via telematics. During the post-lockdown-phase II, the oncological follow-up clinic reopened, with two shifts operating daily. Results By comparing our radiotherapy activity from March 9 to May 4 2019 with the same period in 2020 during full phase I of the COVID-19 emergency, similar results were achieved. First radiotherapy visits, Simulation Computed Tomography and Linear Accelerator treatments amounted to 123, 137 and 151 in 2019 compared with 121, 135 and 170 in 2020 respectively. There were no cases of COVID-19 positivity recorded either in patients or in healthcare professionals, who were all negative to the swab tests performed. Conclusion During both phases of the COVID-19 emergency, the planned model used in our own experience guaranteed both continuity in radiotherapy treatments whilst neither reducing workload nor interrupting treatment and, as such, it ensured the safety of cancer patients, hospital environments and staff.

scholarly journals Developing a Smart Infusion Pump Dedicated to Infusion Safety

2020 ◽  
pp. 106480462094476
Author(s):  
Eric A. Smith ◽  
George Gray
Keyword(s):  
Adverse Events ◽  
Medical Device ◽  
Large Volume ◽  
Infusion Pump ◽  
Usability Testing ◽  
User Centered Design ◽  
Usability Engineering ◽  
Engineering Effort ◽  
Potential Use ◽  
User Centered

A large-volume infusion pump is a medical device with a big job: infuse patients with life-sustaining fluids and medications at a known and controlled rate. And, do it safely. Because infusions are frequently administered therapies, the opportunity for use error–induced adverse events is amplified. To develop a safer infusion pump, Ivenix, Inc., committed to a comprehensive usability engineering effort that included over 400 hours of usability testing. As a result, the pump’s design includes risk controls for mitigating potential use errors not available on today’s pumps. The resulting product was the winner of the 2019 Stanley Caplan User-Centered Design Award.

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