Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments

Abstract

The assistive equipment provision process is routinely carried out with patients to mitigate fall risk factors via the fitment of assistive equipment within the home. However, currently, over 50% of assistive equipment is abandoned by the patients due to poor fit between the patient and the assistive equipment. This paper explores clinician perceptions of an early stage three-dimensional measurement aid prototype, which provides enhanced assistive equipment provision process guidance to clinicians. Ten occupational therapists trialled the three-dimensional measurement aid prototype application; think-aloud and semi-structured interview data was collected. Usability was measured with the System Usability Scale. Participants scored three-dimensional measurement aid prototype as 'excellent' and agreed strongly with items relating to the usability and learnability of the application. The qualitative analysis identified opportunities for improving existing practice, including, improved interpretation/recording measurements; enhanced collaborative practice within the assistive equipment provision process. Future research is needed to determine the clinical utility of this application compared with two-dimensional counterpart paper-based guidance leaflets.

Information and communication technology use within occupational therapy home assessments: A scoping review

“…Following review of 67 full-text papers, 14 studies met the inclusion criteria. These 14 studies were reported in 16 articles as presented in Table 1 (Atwal et al, 2013 andMoney et al, 2011 described the same study, as did Hamm et al, 2017a and2017b). Figure 1 shows the PRISMA chart summarising the search and study selection process.…”

“…The 3D-MAP program is a mobile application that draws on three-dimensional visualisation technology and aims to facilitate services users to record measurements within the home as part of the assistive equipment provision process (Hamm et al, 2017a(Hamm et al, , 2017b). Hamm and colleagues conducted surveys and focus groups with healthy adults (aged over 50 years) (Hamm et al, 2017a) and Evaluate the feasibility of using an interactive 3D home visualisation software as a tool to aid occupational therapists in carrying out pre-discharge home visits and explore the attitudes of occupational therapists toward technology in general Most therapists were not using technology with clients within their practice but recognised the need to do so Potential benefits of software for discharge planning identified: reduce cost when transporting client difficult, when the home is some distance away and when the client cannot take part in the visit Concern that software would be used to replace home visits Atwal et al (2014), UK Qualitative: think-aloud data captured while using technology and subsequent semi-structured interviews with occupational therapists Female: 57%; age, mean (SD): not reported; N ¼ 7 Occupational therapists within the UK health sector familiar with using desktop computers and typical applications…”

“…occupational therapists to assess the usability of the program (Hamm et al, 2017b). Therapists found the program simpler to use than the middle to older age adults and, although there was positive feedback about the potential of the program, there were a number of reservations about using the program in clinical practice, relating mostly to the design and ease of use of the program (Hamm et al, 2017b). Svarre et al took a different approach in that the aim of the design program was to transform an existing paperbased assessment form (the Housing Enabler) into a mobile application (Svarre et al, 2017).…”

“…Two types of studies emerged from the literature. Seven studies (Atwal et al., 2013; Atwal et al., 2014; Eriksson et al., 2000; Hamm et al., 2017a, 2017b; Palmon et al., 2004; Svarre et al., 2017; Threapleton et al., 2017) reported on the development of new applications to support the home assessment process. Six studies (Daniel et al., 2013; Hoenig et al., 2006; Hoffmann and Russell, 2008; Nix and Comans, 2017; Sanford et al., 2004; Sim et al., 2015) investigated the use of existing technologies to support home assessments.…”

Usability Testing of an Interactive Dashboard for Surgical Quality Improvement in a Large Congenital Heart Center

“…This study design has been used by multiple usability studies in the areas of clinical and health informatics. [29][30][31] The SUS has also been used to evaluate interactive visualizations. 32,33 Since the study focused on user feedback rather than expert feedback on the dashboards, heuristic evaluation 34 was not considered.…”