Supporting medical conversations between deaf and hearing individuals with tabletop displays

Piper, Anne Marie; Hollan, James D.

doi:10.1145/1460563.1460587

Cited by 58 publications

(30 citation statements)

References 18 publications

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“…Examples include exam rooms (Piper & Hollan, 2008;, outpatient psychiatric treatment (Marcu, Bardram, & Gabrielli, 2011), home-based therapy (Kientz et al, 2006), and school-based health services . These contexts require a unique kind of coordination that involves ongoing, and often informal, information sharing and decision-making.…”

Section: Why Long-term Coordination Is Differentmentioning

confidence: 99%

Designing for Collaborative Reflection

Marcu¹,

Dey²,

Kiesler³

2014

Proceedings of the 8th International Conference on Pervasive Computing Technologies for Healthcare

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A rise in chronic conditions has put a strain on our healthcare system. Treatment for chronic conditions spans time, agencies, and providers, making coordination a complex problem. Information systems such as electronic health records should be helping with the challenge of coordination, but research shows that often they do not. This thesis aims to alleviate this problem by examining the design of health information technology with an emphasis on social and organizational processes. The focus of this thesis is on the implications of continuous care over time: the shift from a single provider to team-based services, the emergence of patients and families as primary caregivers in the home, and the diffusion of data-driven decision making. I investigated these trends to understand the role of data in coordinating long-term care, and inform the design of information systems.I studied behavioral and mental health services for children, which are coordinated across clinical, home, and special education settings. I found coordination that was unstructured, unpredictable, and adaptive.I developed a conceptual framework, collaborative reflection, to describe my observations and distinguish my findings from the processes of time-critical and protocol-based care. I also found ways in which coordination was not data-driven, due to a lack of support and tools. Collaborative reflection thus illustrates how long-term coordination works when it is data-driven, informing a discussion of what is needed for coordination to be data-driven.Based on the process of collaborative reflection, and using participatory design, I developed Lilypad-a tablet-based information system for data-driven coordination. I conducted a five-month deployment study of Lilypad in the field, to examine its social impact. This study validated designing for collaborative reflection to improve the use of data in coordination.The contributions of this thesis are: a description of unstructured and informal workflow that drives long-term coordination in health services; the theoretical construct of collaborative reflection to inform the design of systems that improve coordination; a field deployment validation, demonstrating how designing for collaborative reflection improves coordination and avoids common unintended consequences of health information technology. My committee shared in my passion for this work, and pushed me to honor the vision I had for it. JillLehman helped me learn to be thoughtful and conscientious in my research, so I can realize my dream of creating technology that will truly have a positive impact on the world. Mary Czerwinski jumped into this with enthusiasm and encouragement, and provided positivity during a process that is all about critique. Madhu Reddy wasted no time putting his mark on this work with lasting influence, believing in me from the moment we met, and being a wonderful mentor during the critical juncture that is transitioning out of being a PhD student. This work was accomplished by an impeccable team, which enab...

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Section: Why Long-term Coordination Is Differentmentioning

confidence: 99%

Designing for Collaborative Reflection

Marcu¹,

Dey²,

Kiesler³

2014

Proceedings of the 8th International Conference on Pervasive Computing Technologies for Healthcare

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“…However, studies investigating the role that a large information display can play in coordination and communication between patients and their care team in the hospital are limited. Other work has looked at specialized interventions such as the use of interactive tabletops to facilitate medical conversations between deaf and hearing individuals [18].…”

Section: Related Workmentioning

confidence: 99%

Designing patient-centric information displays for hospitals

Wilcox

Morris

Tan

et al. 2010

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems

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Designing Patient-Centric Information Displays for Hospitals ABSTRACTElectronic medical records are increasingly comprehensive, and this vast repository of information has already contributed to medical efficiency and hospital procedure. However, this information is not typically accessible to patients, who are frequently under-informed and unclear about their own hospital courses. In this paper, we propose a design for in-room, patient-centric information displays, based on iterative design with physicians. We use this as the basis for a Wizard-of-Oz study in an emergency department, to assess patient and provider responses to in-room information displays. 18 patients were presented with real-time information displays based on their medical records. Semi-structured interviews with patients, family members, and hospital staff reveal that subjective response to in-room displays was overwhelmingly positive, and through these interviews we elicited guidelines regarding specific information types, privacy, use cases, and information presentation techniques. We describe these findings, and we discuss the feasibility of a fully-automatic implementation of our design.

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“…Although not used to tell a story, Piper and Hollan [23] describe the design of an interactive table used to facilitate communication between a doctor and a deaf patient. This design process has many similarities to our own and shows the benefit of tabletop technology for the deaf community.…”

Section: Storytelling and Therapeutic Tabletop Applicationsmentioning

confidence: 99%

Supporting sandtray therapy on an interactive tabletop

Hancock

Cate

Carpendale

et al. 2010

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems

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We present the iterative design of a virtual sandtray application for a tabletop display. The purpose of our prototype is to support sandtray therapy, a form of art therapy typically used for younger clients. A significant aspect of this therapy is the insight gained by the therapist as they observe the client interact with the figurines they use to create a scene in the sandtray. In this manner, the therapist can gain increased understanding of the client's psyche. We worked with three sandtray therapists throughout the evolution of our prototype. We describe the details of the three phases of this design process: initial face-to-face meetings, iterative design and development via distance collaboration, and a final face-to-face feedback session. This process revealed that our prototype was sufficient for therapists to gain insight about a person's psyche through their interactions with the virtual sandtray.

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Supporting medical conversations between deaf and hearing individuals with tabletop displays

Cited by 58 publications

References 18 publications

Designing for Collaborative Reflection

Designing for Collaborative Reflection

Designing patient-centric information displays for hospitals

Supporting sandtray therapy on an interactive tabletop

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