Designing a tablet-based prematurity education app for parents hospitalized for preterm birth

Rau, Nicole; Hasan, Kamrul; Ahamed, Sheikh Iqbal; Asan, Onur; Flynn, Kathryn E.; Basir, Mir

doi:10.1016/j.ijmedinf.2020.104200

Cited by 20 publications

(16 citation statements)

References 21 publications

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“…To better interpret the results of the quantitative measures, we used qualitative approaches, including observations of the testing sessions and brief interviews at the completion of the testing sessions. These qualitative approaches have been applied in usability testing to identify barriers to the effective navigation of tools and processing of information [ 40 , 41 ]. The research assistants (RAs) who obtained the qualitative data underwent formal training in qualitative interviewing before the study.…”

Section: Methodsmentioning

confidence: 99%

A Veteran-Centric Web-Based Decision Aid for Lung Cancer Screening: Usability Analysis

Schapira¹,

Chhatre²,

Prigge³

et al. 2022

JMIR Form Res

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Background Web-based tools developed to facilitate a shared decision-making (SDM) process may facilitate the implementation of lung cancer screening (LCS), an evidence-based intervention to improve cancer outcomes. Veterans have specific risk factors and shared experiences that affect the benefits and potential harms of LCS and thus may value a veteran-centric LCS decision tool (LCSDecTool). Objective This study aims to conduct usability testing of an LCSDecTool designed for veterans receiving care at a Veteran Affairs medical center. Methods Usability testing of the LCSDecTool was conducted in a prototype version (phase 1) and a high-fidelity version (phase 2). A total of 18 veterans and 8 clinicians participated in phase 1, and 43 veterans participated in phase 2. Quantitative outcomes from the users included the System Usability Scale (SUS) and the End User Computing Satisfaction (EUCS) in phase 1 and the SUS, EUCS, and Patient Engagement scale in phase 2. Qualitative data were obtained from observations of user sessions and brief interviews. The results of phase 1 informed the modifications of the prototype for the high-fidelity version. Phase 2 usability testing took place in the context of a pilot hybrid type 1 effectiveness-implementation trial. Results In the phase 1 prototype usability testing, the mean SUS score (potential range: 0-100) was 81.90 (SD 9.80), corresponding to an excellent level of usability. The mean EUCS score (potential range: 1-5) was 4.30 (SD 0.71). In the phase 2 high-fidelity usability testing, the mean SUS score was 65.76 (SD 15.23), corresponding to a good level of usability. The mean EUCS score was 3.91 (SD 0.95); and the mean Patient Engagement scale score (potential range 1 [low] to 5 [high]) was 4.62 (SD 0.67). The median time to completion in minutes was 13 (IQR 10-16). A thematic analysis of user statements documented during phase 2 high-fidelity usability testing identified the following themes: a low baseline level of awareness and knowledge about LCS increased after use of the LCSDecTool; users sought more detailed descriptions about the LCS process; the LCSDecTool was generally easy to use, but specific navigation challenges remained; some users noted difficulty understanding medical terms used in the LCSDecTool; and use of the tool evoked veterans’ struggles with prior attempts at smoking cessation. Conclusions Our findings support the development and use of this eHealth technology in the primary care clinical setting as a way to engage veterans, inform them about a new cancer control screening test, and prepare them to participate in an SDM discussion with their provider.

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Section: Methodsmentioning

confidence: 99%

A Veteran-Centric Web-Based Decision Aid for Lung Cancer Screening: Usability Analysis

Schapira¹,

Chhatre²,

Prigge³

et al. 2022

JMIR Form Res

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“…Many studies focused on creating and evaluating mobile apps, typically aimed at addressing the needs of patients and consumers. These mobile apps focused on a variety of chronic diseases such as diabetes and hypertension [ 63 , 122 ], cardiovascular health [ 30 , 58 , 121 ], cancer care [ 58 , 127 ], mental health [ 13 , 23 , 25 , 57 , 110 ], seizure management [ 57 ], bladder monitoring [ 56 ], tuberculosis treatment [ 15 ], and parental education [ 40 , 41 ]. A small number of studies focused on telehealth [ 10 , 14 , 140 ] and personal health records or patient portals [ 38 , 109 , 141 ].…”

Section: Resultsmentioning

confidence: 99%

“…Mobile apps [105,113] [17,29,69,70,81,87,91,99,118,119,126,129,33,130,132,142, 34,36,37,49,50,53,67] [ 10,11,92,96,98,[123][124][125][50][51][52]55,61,66,72,84] [ 13,15,47,54,[56][57][58]63,75,85,108,110,23,[115][116][117]121,122,127,131,[25][26][27]30,35,40,41] Fig. 2 Relative weighting of HF/E outcomes by domain [1].…”

Section: Customized Data Displaysmentioning

confidence: 99%

Human Factors and Organizational Issues in Health Informatics: Innovations and Opportunities

Marquard

2021

Yearb Med Inform

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Objective: Human factors and ergonomics (HF/E) frameworks and methods are becoming embedded in the health informatics community. There is now broad recognition that health informatics tools must account for the diverse needs, characteristics, and abilities of end users, as well as their context of use. The objective of this review is to synthesize the current nature and scope of HF/E integration into the health informatics community. Methods: Because the focus of this synthesis is on understanding the current integration of the HF/E and health informatics research communities, we manually reviewed all manuscripts published in primary HF/E and health informatics journals during 2020. Results: HF/E-focused health informatics studies included in this synthesis focused heavily on EHR customizations, specifically clinical decision support customizations and customized data displays, and on mobile health innovations. While HF/E methods aimed to jointly improve end user safety, performance, and satisfaction, most HF/E-focused health informatics studies measured only end user satisfaction. Conclusion: HF/E-focused health informatics researchers need to identify and communicate methodological standards specific to health informatics, to better synthesize findings across resource intensive HF/E-focused health informatics studies. Important gaps in the HF/E design and evaluation process should be addressed in future work, including support for technology development platforms and training programs so that health informatics designers are as diverse as end users.

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“…The media used in health education might also vary such as leaflets, books, websites or applications (14,15). The information media at this time gives mothers easy access to all information needs, with the availability to the information which is informative and reliable and also facilitate mothers to ask questions and discuss with health workers or friends (16) In order to reduce neonatal morbidity and mortality due to premature birth, there is an important need to increase the knowledge and skills not only for mothers but also other caregivers at home such as grandmothers. Based on the results of the study, there is a need to improve counseling and health education for newborns and special care for premature babies at home (17).…”

Section: Health Educationmentioning

confidence: 99%

Home Intervention For Mother And Premature Infant: A Literature Review

R¹,

Pandin²

2021

Preprint

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Background: Premature babies have a greater risk for having health issues after being discharged from the hospital whilst the mother ability to provide premature baby care still has many issues as well. Interventions are needed to be given to mothers at home to improve the ability of mothers to care their premature babies. Methods: Search for articles used the bolean operator of “or” and “and” with the keywords used were “preterm or premature”, “intervention or program”, and “mother and home”. Data based used were Sciencedirect, Ebscohost, PubMed, SAGE, Proquest and Scopus with inclusion criteria using full text in English from 2018 to 2021. There were 428 articles obtained, the articles were then screened by reading the main focus of articles with paying attention to the topic and the suitability of article content and we obtained 13 suitable articles. Results: The interventions at home carried out for mothers and premature babies were divided into two namely the follow-up interventions from the hospital and the interventions carried out at the patient's home. Seven articles about research of interventions that were as a combination from hospital intervention with follow-up hospital intervention plus five full interventions at the patient's home. Interventions were provided through home visits (12 articles) and by telephone (1 article). The results of the article analysis resulted in 4 main themes of intervention for mothers and premature babies, they were health education, counceling, support, and care for premature babies. Conclusion: Quality care is essential for the best health, growth and development of premature babies. Interventions need to be carried out by health workers to ensure the readiness and ability of mothers to care for their babies. Maternal readiness and abilities can be improved by providing health education, counseling, support and care for premature babies.

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Designing a tablet-based prematurity education app for parents hospitalized for preterm birth

Cited by 20 publications

References 21 publications

A Veteran-Centric Web-Based Decision Aid for Lung Cancer Screening: Usability Analysis

A Veteran-Centric Web-Based Decision Aid for Lung Cancer Screening: Usability Analysis

Human Factors and Organizational Issues in Health Informatics: Innovations and Opportunities

Home Intervention For Mother And Premature Infant: A Literature Review

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