Considerations for the design of safe and effective consumer health IT applications in the home

Zayas‐Cabán, Teresa; Dixon, Brian E.

doi:10.1136/qshc.2010.041897

Cited by 32 publications

(26 citation statements)

References 25 publications

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“…The chief UCD principle is to base design on a strong understanding of the intended users, summarized by the dictum know thy user . Increasingly, leaders in eHealth and consumer health IT in particular have called for the application of this and other UCD principles [3, 4] in parallel with further development of UCD methods to accommodate the unique nature of eHealth [5, 6]. Personas is one UCD method worth adapting, implementing, and illustrating for the eHealth context.…”

Section: Introductionmentioning

confidence: 99%

Know thy eHealth user: Development of biopsychosocial personas from a study of older adults with heart failure

Holden

Kulanthaivel

Purkayastha

et al. 2017

International Journal of Medical Informatics

109

101

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Background Personas are a canonical user-centered design method increasingly used in health informatics research. Personas—empirically-derived user archetypes—can be used by eHealth designers to gain a robust understanding of their target end users such as patients. Objective To develop biopsychosocial personas of older patients with heart failure using quantitative analysis of survey data. Method Data were collected using standardized surveys and medical record abstraction from 32 older adults with heart failure recently hospitalized for acute heart failure exacerbation. Hierarchical cluster analysis was performed on a final dataset of n=30. Nonparametric analyses were used to identify differences between clusters on 30 clustering variables and seven outcome variables. Results Six clusters were produced, ranging in size from two to eight patients per cluster. Clusters differed significantly on these biopsychosocial domains and subdomains: demographics (age, sex); medical status (comorbid diabetes); functional status (exhaustion, household work ability, hygiene care ability, physical ability); psychological status (depression, health literacy, numeracy); technology (internet availability); healthcare system (visit by home healthcare, trust in providers); social context (informal caregiver support, cohabitation, marital status); and economic context (employment status). Tabular and narrative persona descriptions provide an easy reference guide for informatics designers. Discussion Personas development using approaches such as clustering of structured survey data is an important tool for health informatics professionals. We describe insights from our study with heart failure patients, then recommended a generic ten-step personas development process. Methods strengths and limitations of the study and of personas development generally are discussed.

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Section: Introductionmentioning

confidence: 99%

Know thy eHealth user: Development of biopsychosocial personas from a study of older adults with heart failure

Holden

Kulanthaivel

Purkayastha

et al. 2017

International Journal of Medical Informatics

109

101

View full text Add to dashboard Cite

show abstract

“…For example, a US Agency for Healthcare Research and Quality (AHRQ) report recommends that designers of CHIT “engage human factors experts in the design team” (Agarwal, Anderson, Crowley, & Kannan, 2011, p. 63). Reflecting on AHRQ-funded CHIT projects, Zayas Cabán and Dixon (2010) concluded:…”

Section: Introductionmentioning

confidence: 99%

“…The study was performed on the premise that HFE methods and a user-centered design approach enhance the ease of use and effectiveness of CHIT, ensure better integration of CHIT into daily life, and promote acceptance and use (Holden & Karsh, 2009; Marquard & Zayas Cabán, 2012; Zayas Cabán & Dixon, 2010). …”

Section: Introductionmentioning

confidence: 99%

Human Factors Analysis, Design, and Evaluation of Engage, a Consumer Health IT Application for Geriatric Heart Failure Self-Care

Srinivas

Cornet

Holden

2016

International Journal of Human–Computer Interaction

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Human factors and ergonomics (HFE) and related approaches can be used to enhance research and development of consumer-facing health IT systems, including technologies supporting the needs of people with chronic disease. We describe a multiphase HFE study of health IT supporting self-care of chronic heart failure by older adults. The study was based on HFE frameworks of “patient work” and incorporated the three broad phases of user-centered design: study or analysis; design; and evaluation. In the study phase, data from observations, interviews, surveys, and other methods were analyzed to identify gaps in and requirements for supporting heart failure self-care. The design phase applied findings from the study phase throughout an iterative process, culminating in the design of the Engage application, a product intended for continuous use over 30 days to stimulate self-care engagement, behavior, and knowledge. During the evaluation phase, we identified a variety of usability issues through expert heuristic evaluation and laboratory-based usability testing. We discuss the implications of our findings regarding heart failure self-care in older adults and the methodological challenges of rapid translational field research and development in this domain.

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“…Examples include: design of blood glucose meter for diabetic patients [25], design of health technologies (e.g., medication delivery system) for elderly patients [17], and design of health information management systems to be used by families [32]. Another area of increasing importance for HFE is the recent focus on healthcare delivery.…”

Section: Hfe In Health and Health Carementioning

confidence: 99%

Emerging role of human factors and ergonomics in healthcare delivery – A new field of application and influence for the IEA

Carayon

2012

Work

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Considerations for the design of safe and effective consumer health IT applications in the home

Cited by 32 publications

References 25 publications

Know thy eHealth user: Development of biopsychosocial personas from a study of older adults with heart failure

Know thy eHealth user: Development of biopsychosocial personas from a study of older adults with heart failure

Human Factors Analysis, Design, and Evaluation of Engage, a Consumer Health IT Application for Geriatric Heart Failure Self-Care

Emerging role of human factors and ergonomics in healthcare delivery – A new field of application and influence for the IEA

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