Colorado Care Tablet: The design of an interoperable Personal Health Application to help older adults with multimorbidity manage their medications

Siek, Katie A.; Se, Ross; Khan, Danish U.; Haverhals, Leah M.; Cali, Steven R.; Meyers, Jane

doi:10.1016/j.jbi.2010.05.007

Cited by 49 publications

(32 citation statements)

References 13 publications

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“…While the introduction of HIT has the potential to either narrow or widen the disparities that exist in accessing health care [30], it has been shown that underserved patient populations have access to the internet, in particular smart phones [43]. Research suggests that a lack of access to the internet is not the primary barrier to seeking health information among underserved populations [49].…”

Section: Discussionmentioning

confidence: 99%

Tailored, theory-based strategies for engaging lowincome populations with a personal health record

Toscos¹,

Wright²,

Flanagan³

et al. 2017

EAI Endorsed Trans Perv Health Tech

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There remain significant barriers to the use of personal health records (PHRs), which limit potential benefits in underserved patient populations. Novel strategies must be developed to achieve the desired impact of PHRs on patient engagement and health outcomes. This paper describes the health information needs and technology preferences of adults seeking care in Community Health Centers (CHCs), which provide care to low-income, uninsured and underinsured patients. We offer design suggestions emerging from interviews with 43 CHC patients and 49 CHC staff members that explored many themes including: patient barriers to accessing health care, health information needs of patients between clinic visits, patient and clinic staff preferences for technology use, and PHR implementation approaches used in CHCs. Our findings provide a roadmap to greater engagement of patients via PHRs by expanding functionality, providing tailored patient messaging, and incorporating adult learning strategies.

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Section: Discussionmentioning

confidence: 99%

Tailored, theory-based strategies for engaging lowincome populations with a personal health record

Toscos¹,

Wright²,

Flanagan³

et al. 2017

EAI Endorsed Trans Perv Health Tech

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“…Accordingly, different research teams have developed electronic applications that allow patients to document or review medication lists [20][21][22][23][24][25][26]. These applications are generally standalone [26] or linked to a single source of information (ambulatory EMR [20,22] or pharmacy claims [25]). Moreover, all applications have been developed in the United States, where health systems, environments, and culture differ greatly from Europe.…”

Section: Introductionmentioning

confidence: 99%

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study (Preprint)

Marien¹,

Legrand²,

Ramdoyal³

et al. 2017

Preprint

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Background: Medication discrepancies consist of unexplained differences between medication lists at different transition points of care; they are a threat to patient safety. These discrepancies can be solved through medication reconciliation (MedRec), a complex and time-consuming process. Several approaches to optimizing MedRec have been encouraged, including the development of information technology (IT) tools and patient engagement. The SEAMPAT project aims to develop a MedRec IT platform based on two applications (one for the patient, the "patient app", the other for healthcare professionals), which were developed using a three-iteration user-centered design. The patient app presents the patient with a medication list compiled from different medication resources. Objective: To evaluate the usability and usefulness of the third iteration of the patient app, from the perspective of different categories of users, with the aims of making recommendations for wider use and informing further research. Methods: We performed a four-month user-centered observational study. After a kick-off session, patients, identified through purposive sampling, were invited to use the patient app at home, to update their medication lists whenever required. Quantitative and qualitative data were collected at different time points to evaluate three dimensions of usability (efficiency, satisfaction, and effectiveness), as well as usefulness. Participants completed two questionnaires on satisfaction and usefulness (including the system usability scale, SUS) at the kick-off and the end of the study. Effectiveness was assessed by measuring the completeness and correctness (i.e. medication discrepancies) of the final medication list generated by the patient application. Qualitative data were collected from observations at different time points and from semi-structured interviews at the end of the study. Results: Forty-eight patients agreed to participate and 42 completed the study, of whom 32 connected at least once to the application at home. Sixty-nine percent of patients considered the patient app to be acceptable (SUS Score ≥ 70) and perceived usefulness was high. The medication list was complete for a quarter of the patients and there was a median of two discrepancies per patient. The main causes were technology-related. The qualitative data enabled the identification of several barriers and, thus, of approaches to optimizing usability and usefulness. These relate to both functional (e.g. access, on-screen display, additional functionalities) and non-functional aspects (e.g. patient awareness, concordance between patient and physician) of the application. For future adoption of the tool, it will be important to address these issues. Conclusions: Our findings highlight the importance and value of user-centered usability testing of a patient application implemented in "real-world" conditions. We believe our study also underlines the need to take patients' points of view into consideration. To achieve adoption and sustained use by...

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“…However, this method is relatively novel. To date, it has been used successfully to improve the design of medication lists to reduce adverse drug events, personal health applications, and electronic meeting support systems[9,22–25]. …”

Section: Introductionmentioning

confidence: 99%

The use of think-aloud and instant data analysis in evaluation research: Exemplar and lessons learned

Joe

Chaudhuri

et al. 2015

Journal of Biomedical Informatics

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While health information technologies have become increasingly popular, many have not been formally tested to ascertain their usability. Traditional rigorous methods take significant amounts of time and manpower to evaluate the usability of a system. In this paper, we evaluate the use of instant data analysis (IDA) as developed by Kjeldskov et al. to perform usability testing on a tool designed for older adults and caregivers. The IDA method is attractive because it takes significantly less time and manpower than the traditional usability testing methods. In this paper we demonstrate how IDA was used to evaluate usability of a multifunctional wellness tool, discuss study results and lessons learned while using this method. We also present findings from an extension of the method which allows the grouping of similar usability problems in an efficient manner. We found that the IDA method is a quick, relatively easy approach to identifying and ranking usability issues among health information technologies.

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Colorado Care Tablet: The design of an interoperable Personal Health Application to help older adults with multimorbidity manage their medications

Cited by 49 publications

References 13 publications

Tailored, theory-based strategies for engaging lowincome populations with a personal health record

Tailored, theory-based strategies for engaging lowincome populations with a personal health record

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study (Preprint)

The use of think-aloud and instant data analysis in evaluation research: Exemplar and lessons learned

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