Human Factors Engineering and Human–Computer Interaction: Supporting User Performance and Experience

Holden, Richard J.; Voida, Stephen; Savoy, April; Jones, Josette; Kulanthaivel, Anand

doi:10.1007/978-3-319-22753-5_13

Cited by 20 publications

(14 citation statements)

References 45 publications

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“…User-centered design (UCD) is crucial to creating useful, usable, and satisfying health information technology (IT) application [1, 2]. The chief UCD principle is to base design on a strong understanding of the intended users, summarized by the dictum know thy user .…”

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

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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

Self Cite

109

101

View full text Add to dashboard Cite

show abstract

“…UCD processes seek to involve users in decision-making with respect to how a work process or information system is designed to function. [ 31 ] In this case, we sought input on which indicators would be most useful as the research team sought to develop something that would inform practice. Although other UCD methods such as focus groups are sufficient, we chose a survey in order to cast a broad net as we hope to disseminate our tools and products across a wide range of LHDs.…”

Section: Discussionmentioning

confidence: 99%

“…This includes numerous studies examining the introduction of health information systems in clinical and public health organizations. [ 16 , 17 ] Our goal was to apply perceived usefulness as a construct, independent of the broader TAM, as we did not seek to understand usage following the introduction of a new system but the potential value of community health measures to individuals working in local health departments. Measuring perceived usefulness of a potential measure would enable us to design an information system that could produce measures perceived to be useful, thereby facilitating adoption of the eventual information system when introduced into a public health agency.…”

Section: Methodsmentioning

confidence: 99%

Electronic Health Record (EHR)-Based Community Health Measures: An Exploratory Assessment of Perceived Usefulness by Local Health Departments

Comer

Gibson²,

Zou

et al. 2018

BMC Public Health

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BackgroundGiven the widespread adoption of electronic health record (EHR) systems in health care organizations, public health agencies are interested in accessing EHR data to improve health assessment and surveillance. Yet there exist few examples in the U.S. of governmental health agencies using EHR data routinely to examine disease prevalence and other measures of community health. The objective of this study was to explore local health department (LHD) professionals’ perceptions of the usefulness of EHR-based community health measures, and to examine these perceptions in the context of LHDs’ current access and use of sub-county data, data aggregated at geographic levels smaller than county.MethodsTo explore perceived usefulness, we conducted an online survey of LHD professionals in Indiana. One hundred and thirty-three (133) individuals from thirty-one (31) LHDs participated. The survey asked about usefulness of specific community health measures as well as current access to and uses of sub-county population health data. Descriptive statistics were calculated to examine respondents’ perceptions, access, and use. A one-way ANOVA (with pairwise comparisons) test was used to compare average scores by LHD size.ResultsRespondents overall indicated moderate agreement on which community health measures might be useful. Perceived usefulness of specific EHR-based community health measures varied by size of respondent’s LHD [F(3, 88) = 3.56, p = 0.017]. Over 70% of survey respondents reported using community health data, but of those < 30% indicated they had access to sub-county level data.ConclusionRespondents generally preferred familiar community health measures versus novel, EHR-based measures that are not in widespread use within health departments. Access to sub-county data is limited but strongly desired. Future research and development is needed as LHD staff gain access to EHR data and apply these data to support the core function of health assessment.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5550-2) contains supplementary material, which is available to authorized users.

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“…A study by McDonald et al [ 43 ] demonstrated that the introduction of EHR systems can increase the amount of time providers work each day due to the complexity of completing documentation in the EHR as opposed to on paper. Providers are also sensitive to the issue of ‘alert fatigue’ where CDS reminders can pose ‘one more thing’ they have to comply with in the age of EHR systems [ 44 ]. However, it should be noted this phenomenon was only mentioned by a couple providers so did not appear to be as much of an issue in this study as the disconnect between the EHR system and the paper-based CDS reminders.…”

Section: Discussionmentioning

confidence: 99%

Health care providers’ perceptions of use and influence of clinical decision support reminders: qualitative study following a randomized trial to improve HPV vaccination rates

Dixon

Kasting

Wilson

et al. 2017

BMC Med Inform Decis Mak

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BackgroundHuman Papillomavirus (HPV) leads to serious health issues and remains the most common sexually transmitted infection. Despite availability of effective vaccines, HPV vaccination rates are suboptimal. Furthermore, providers recommend the HPV vaccine less than half the time for eligible patients. Prior informatics research has demonstrated the effectiveness of computer-based clinical decision support (CDS) in changing provider behavior, especially in the area of preventative services.MethodsFollowing a randomized clinical trial to test the effect of a CDS intervention on HPV vaccination rates, we conducted semi-structured interviews with health care providers to understand whether they noticed the CDS reminders and why providers did or did not respond to the prompts. Eighteen providers, a mix of medical doctors and nurse practitioners, were interviewed from five publicly-funded, urban health clinics. Interview data were qualitatively analyzed by two independent researchers using inductive content analysis.ResultsWhile most providers recalled seeing the CDS reminders, few of them perceived the intervention as effective in changing their behavior. Providers stated many reasons for why they did not perceive a change in their behavior, yet the results of the trial showed HPV vaccination rates increased as a result of the intervention.ConclusionsCDS reminders may be effective at changing provider behavior even if providers perceive them to be of little use.Trial registrationClinicalTrials.gov Identifier: NCT02551887 Registered on September 15, 2015Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-017-0521-6) contains supplementary material, which is available to authorized users.

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Human Factors Engineering and Human–Computer Interaction: Supporting User Performance and Experience

Cited by 20 publications

References 45 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

Electronic Health Record (EHR)-Based Community Health Measures: An Exploratory Assessment of Perceived Usefulness by Local Health Departments

Health care providers’ perceptions of use and influence of clinical decision support reminders: qualitative study following a randomized trial to improve HPV vaccination rates

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