Patient Difficulty Using Tablet Computers to Screen in Primary Care

Hess, Rachel; Santucci, Aimee K.; McTigue, Kathleen M.; Fischer, Gary S.; Kapoor, Wishwa N.

doi:10.1007/s11606-007-0500-1

Cited by 73 publications

(67 citation statements)

References 26 publications

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“…This is an important finding since some authors suggest that the use of tablet computers may be problematic for older people, 19 and patients in other qualitative studies have voiced concern over the need for technical competence to use telehealth applications. 10 The lack of elicited negative comments about usability in this study may therefore reflect the success of an intervention development process in which the focus was to provide a simple, intuitive application that could be used by people regardless of their previous computer experience.…”

Section: Comparison With Existing Literaturementioning

confidence: 97%

Using a mobile health application to support self-management in COPD: a qualitative study

Williams¹,

et al. 2014

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The mHealth applicationThe EDGE (sElf-management anD support proGrammE) COPD project aims to evaluate the efficacy of a multi-component mHealth intervention, delivered via a tablet computer, to improve quality of life in patients with COPD.12 This mHealth intervention focused on simplicity of use (touch screen, no keyboard), and consisted of a symptom diary (Figure 1), 13 remote self-monitoring (pulse oximetry) (Figure 2), and multimedia educational and self-management materials (videos, text, and images).Patients were asked to complete the symptom diary and pulse oximetry daily to understand individual variability. These data were reviewed at regular intervals (but not daily) by a respiratory research nurse, but patients were aware that they would have Abstract BackgroundTelehealth shows promise for supporting patients in managing their long-term health conditions, such as chronic obstructive pulmonary disease (COPD). However, it is currently unclear how patients, and particularly older people, may benefit from these technological interventions. AimTo explore patients' expectations and experiences of using a mobile telehealth-based (mHealth) application and to determine how such a system may impact on their perceived wellbeing and ability to manage their COPD. Design and settingEmbedded qualitative study using interviews with patients with COPD from various community NHS services: respiratory community nursing service, general practice, and pulmonary rehabilitation. MethodAn embedded qualitative study was conducted to which patients were recruited using purposive sampling to achieve maximum variation. Interviews were carried out prior to receiving the mHealth system and again after a 6-month period. Data were analysed using a grounded theory approach. ResultsThe sample comprised 19 patients (aged 50-85 years) with varied levels of computer skills. Patients identified no difficulties in using the mHealth application. The main themes encapsulating patients' experience of using the mHealth application related to an increased awareness of the variability of their symptoms (onset of exacerbation and recovery time) and reassurance through monitoring (continuity of care). ConclusionPatients were able to use the mHealth application, interpret clinical data, and use these within their self-management approach regardless of previous knowledge. Telehealth interventions can complement current clinical care pathways to support self-management behaviour.

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Section: Comparison With Existing Literaturementioning

confidence: 97%

Using a mobile health application to support self-management in COPD: a qualitative study

Williams¹,

et al. 2014

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“…Since 2003, patients in this large academic primary-care practice have completed general intake information, including health behaviors, HRQoL, and family and past medical history, at the time of their appointment using a tablet computer-based system, the FAST. 17,18 The FAST is a brief, computerized clinical intake form that provides physicians with longitudinal patient-reported information at the time of the clinical encounter.…”

Section: Designmentioning

confidence: 99%

“…We designed a new HIT-based tool called FAST-Feedback, which builds on our FAST tablets 17,18 and provides immediate, guideline-based feedback to patients regarding their selfreported health behaviors (smoking and physical activity) and health-related quality of life (HRQoL) prior to their clinical encounter. A pilot study was conducted to examine the impact of FAST-Feedback on initiation of discussions about these topics by patients during a clinical encounter.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Pilot Trial of the Functional Assessment Screening Tablet to Engage Patients at the Point of Care

et al. 2014

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“…The computer synthesizes and formats the information into a paper report for physicians. 9,10 All primary care physicians at this practice were invited to participate. As this practice is a residency training site, participating physicians were both residents and supervising physicians.…”

Section: Setting and Participantsmentioning

confidence: 99%

Promoting Safe Prescribing in Primary Care With a Contraceptive Vital Sign: A Cluster-Randomized Controlled Trial

Schwarz¹,

Parisi²,

Williams³

et al. 2012

The Annals of Family Medicine

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PURPOSE Routine assessment of women's pregnancy intentions and contraceptive use-a so-called contraceptive vital sign-may help primary care physicians identify patients who need preconception or contraceptive counseling and be of particular benefi t when teratogenic medications are prescribed. METHODSWe conducted a cluster-randomized controlled trial to evaluate the effect of a contraceptive vital sign on primary care documentation of contraceptive use and change in primary care physicians' provision of family planning services. Academic internists in the intervention group (n = 26) were provided with information on their female patients' pregnancy intentions and contraceptive use immediately before visits; internists in the control group (n = 27) received only standard intake information. Data were abstracted from the electronic health record for 5,371 visits by 2,304 women aged 18 to 50 years.RESULTS Documentation of contraception increased from baseline, from 23% to 57% in the intervention group, but remained 28% in the control group, a change of +77.4 (95% confi dence interval [CI], 70.7 to 84.1) adjusted percentage points in the former vs +3.1 (95% CI, 1.2 to 5.0) in the latter (P <.001). For visits involving a teratogenic prescription, documentation increased from 14% to 48% in the intervention group and decreased from 29% to 26% in the control group, a change of +61.5 (95% CI, 35.8 to 87.1) adjusted percentage points in the former vs -0.3 (95% CI, -4.3 to 3.6) in the latter (P <.001). Provision of new family planning services increased only minimally with this intervention, however. When women with documented nonuse of contraception were prescribed potential teratogens, only 7% were provided family planning services.CONCLUSIONS A contraceptive vital sign improves documentation of contraceptive use; however, ongoing efforts are needed to improve provision of preconception and contraceptive services.

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Patient Difficulty Using Tablet Computers to Screen in Primary Care

Cited by 73 publications

References 26 publications

Using a mobile health application to support self-management in COPD: a qualitative study

Using a mobile health application to support self-management in COPD: a qualitative study

A Randomized Controlled Pilot Trial of the Functional Assessment Screening Tablet to Engage Patients at the Point of Care

Promoting Safe Prescribing in Primary Care With a Contraceptive Vital Sign: A Cluster-Randomized Controlled Trial

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