Patient Perceptions of Wearable Face-Mounted Computing Technology and the Effect on the DoctorPatient Relationship

Prochaska, Micah T.; Press, Valerie G.; Meltzer, David O.; Arora, Vineet M.

doi:10.4338/aci-2016-06-le-0094

Cited by 14 publications

(12 citation statements)

References 8 publications

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“…Most patients are willing to have their doctor use face-mounted wearable computers, even when unfamiliar with the technology [ 49 ]. However, some patients have expressed concerns about privacy, which can certainly be a concern when a camera is pointing directly at them [ 49 ]. In this research, we serialized hand and audio data prior to network transmission.…”

Section: Discussionmentioning

confidence: 99%

Augmented Reality as a Telemedicine Platform for Remote Procedural Training

Wang

Parsons

Stone-McLean

et al. 2017

Sensors

173

139

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Traditionally, rural areas in many countries are limited by a lack of access to health care due to the inherent challenges associated with recruitment and retention of healthcare professionals. Telemedicine, which uses communication technology to deliver medical services over distance, is an economical and potentially effective way to address this problem. In this research, we develop a new telepresence application using an Augmented Reality (AR) system. We explore the use of the Microsoft HoloLens to facilitate and enhance remote medical training. Intrinsic advantages of AR systems enable remote learners to perform complex medical procedures such as Point of Care Ultrasound (PoCUS) without visual interference. This research uses the HoloLens to capture the first-person view of a simulated rural emergency room (ER) through mixed reality capture (MRC) and serves as a novel telemedicine platform with remote pointing capabilities. The mentor’s hand gestures are captured using a Leap Motion and virtually displayed in the AR space of the HoloLens. To explore the feasibility of the developed platform, twelve novice medical trainees were guided by a mentor through a simulated ultrasound exploration in a trauma scenario, as part of a pilot user study. The study explores the utility of the system from the trainees, mentor, and objective observers’ perspectives and compares the findings to that of a more traditional multi-camera telemedicine solution. The results obtained provide valuable insight and guidance for the development of an AR-supported telemedicine platform.

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Section: Discussionmentioning

confidence: 99%

Augmented Reality as a Telemedicine Platform for Remote Procedural Training

Wang

Parsons

Stone-McLean

et al. 2017

Sensors

173

139

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“…To our knowledge, this is the first study to examine patient perceptions of FMT in an outpatient clinical setting; our findings build upon the work of Prochaska and colleagues [ 17 ] who examined patient perceptions of GG in a hospital setting. Although the primary reason FMT was implemented at our organization was to decrease charting documentation time and reduce clinician burnout, our results showed that FMT allowed providers to improve their interactions with patients.…”

Section: Discussionmentioning

confidence: 70%

“…Participants were asked to provide general demographic data, including gender, age, race, and education level. Following this, they completed a 12-item questionnaire, which was adapted from the questionnaire developed by Prochaska and colleagues [ 17 ], with added questions regarding the level of technology and privacy. The items assessed patient familiarity, comfort, and privacy level with FMT as well as their trust, relationship, and communication with their HCP.…”

Section: Methodsmentioning

confidence: 99%

“…Although such studies have demonstrated the value of using face-mounted technology (FMT) in health care, little is known about patient perceptions surrounding providers’ use of this technology. Prochaska and colleagues [ 17 ] surveyed patient perceptions of GG in a sample of hospitalized patients. In that sample, most respondents were unfamiliar with GG.…”

Section: Introductionmentioning

confidence: 99%

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Patient Acceptance of Remote Scribing Powered by Google Glass in Outpatient Dermatology: Cross-Sectional Study

Odenheimer¹,

Goyal²,

Jones³

et al. 2018

J Med Internet Res

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BackgroundThe ubiquitous use of electronic health records (EHRs) during medical office visits using a computer monitor and keyboard can be distracting and can disrupt patient-health care provider (HCP) nonverbal eye contact cues, which are integral to effective communication. Provider use of a remote medical scribe with face-mounted technology (FMT), such as Google Glass, may preserve patient-HCP communication dynamics in health care settings by allowing providers to maintain direct eye contact with their patients while still having access to the patient’s relevant EHR information. The medical scribe is able to chart patient encounters in real-time working in an offsite location, document the visit directly into EHR, and free HCP to focus only on the patient.ObjectiveThe purpose of this study was to examine patient perceptions of their interactions with an HCP who used FMT with a remote medical scribe during office visits. This includes an examination of any association between patient privacy and trust in their HCP when FMT is used in the medical office setting.MethodsFor this descriptive, cross-sectional study, a convenience sample of patients was recruited from an outpatient dermatology clinic in Northern California. Participants provided demographic data and completed a 12-item questionnaire to assess their familiarity, comfort, privacy, and perceptions following routine office visits with an HCP where FMT was used to document the clinical encounter. Data were analyzed using appropriate descriptive and inferential statistics.ResultsOver half of the 170 study participants were female (102/170, 59.4%), 60.0% were Caucasian (102/170), 24.1% were Asian (41/170), and 88.8% were college-educated (151/170). Age ranged between 18 and 90 years (mean 50.5, SD 17.4). The majority of participants (118/170, 69.4%) were familiar with FMT, not concerned with privacy issues (132/170, 77.6%), and stated that the use of FMT did not affect their trust in their HCP (139/170, 81.8%). Moreover, participants comfortable with the use of FMT were less likely to be concerned about privacy (P<.001) and participants who trusted their HCP were less likely to be concerned about their HCP using Google Glass (P<.009). Almost one-third of them self-identified as early technology adopters (49/170, 28.8%) and 87% (148/170) preferred their HCP using FMT if it delivered better care.ConclusionsOur study findings support the patient acceptance of Google Glass use for outpatient dermatology visits. Future research should explore the use of FMT in other areas of health care and strive to include a socioeconomically diverse patient population in study samples.

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“…Research into stroke rehabilitation suggests that VR games can provide motivation, with patients controlling game play through therapy-related exercises (Patil 2017). Despite privacy concerns, one first step study found that patients were open to improved patient care through doctors' use of HMD (Prochaska et al 2016). Psychological issues such as phobias may be overcome through the use of VR exposure therapy (Coppens 2017), and the optical see-through display may lend itself to use in surgery (Qian et al 2017).…”

Section: Enhanced Accessibilitymentioning

confidence: 99%

Exploring mixed reality based on self-efficacy and motivation of users

Essmiller

Asino

Ibukun

et al. 2020

Research in Learning Technology

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This study addresses the question of how to facilitate instruction and practice with virtual reality to mitigate the detrimental impact of cognitive load associated with use in simple procedural tasks. The study collected data from 63 college students aged 18 years and above from a university in the southern part of the USA. Each study participant completed a questionnaire that consisted of 22 questions using a seven-point Likert scale. The results show that there are no significant differences between motivation and self-efficacy as it relates to three selected activities: Roboraid, Tutorial and Freeplay. The opportunity for meaningful learning through the use of the mixed reality is enticing; there is value in exploring facilitation of these learning opportunities through redistribution of cognitive load.

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Patient Perceptions of Wearable Face-Mounted Computing Technology and the Effect on the DoctorPatient Relationship

Cited by 14 publications

References 8 publications

Augmented Reality as a Telemedicine Platform for Remote Procedural Training

Augmented Reality as a Telemedicine Platform for Remote Procedural Training

Patient Acceptance of Remote Scribing Powered by Google Glass in Outpatient Dermatology: Cross-Sectional Study

Exploring mixed reality based on self-efficacy and motivation of users

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