User-Centered Design and Usability Testing of an Innovative Health-Related Quality of Life Module

Nagykáldi, Zsolt; Jordan, Michelle E.; Quitoriano, J; Ciro, CA; Jw, Mold

doi:10.4338/aci-2014-08-ra-0067

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…Our past research aimed to develop a 3-step, goal-directed care delivery model 3, 9, 10 that includes patient and practice preparation for wellness visits (“Ready” step), HRA-based goal setting and health planning during wellness visits (“Set” step) and systematic follow-up to support goal attainment (“Go” step). Although we have learned much from these studies about the first and third steps, our understanding remained limited about the conversation that occurred when the HRA report was introduced and how these conversations could be improved.…”

Section: Discussionmentioning

confidence: 99%

Improving Patient-Clinician Conversations During Annual Wellness Visits

et al. 2017

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Background In 2010, the Patient Protection and Affordable Care Act instituted dedicated reimbursement for Annual Wellness Visits (AWVs) in primary care, requiring the use of comprehensive health risk assessment (HRA) that covers specific health content. HRAs have been implemented and studied for decades in various settings, but little is known about the effect of introducing HRAs on the dynamics and content of patient-clinician conversations during AWVs and if the effective use of HRAs requires additional training and resources. Methods We used established technology to video-record 40 AWVs conducted by 5 faculty in an academic family medicine residency practice. A comprehensive HRA-Health Planner report was implemented in these practices over a 3-month baseline period without additional training or resources. Subsequently, three of the five clinicians received a brief, low-intensity intervention to use the HRA to support patient behavior change. Patients received a 5-minute orientation on the purpose of the enhanced AWV and advice on how to communicate their needs and preferences more effectively. Twenty-two pre- and post-intervention visit recordings were carefully matched on known covariates and were explored by several evaluators using Conversation Analysis techniques to describe the dynamics and content of conversations. Short exit interviews with patients and clinicians were evaluated by standard content analytic techniques. Results Six overarching themes emerged that described the dynamics of AWV conversations. Patients and clinicians sub-optimally utilized the HRA report and missed many opportunities for promoting behavior change. However, a low-intensity, multi-component intervention significantly decreased the proportion of clinician talk time per visit by 9% (p<0.001), while it increased the proportion of patient talk time by 7% (p<0.001), robustly increased the number and duration of “change talk” by 639% (p= 0.0007), increased the number of patient cut-ins by 237% (p= 0.04) and tended to increase the number and duration of clinician “advice talk” (p=0.065). The total number, duration, and proportions of conversational turn types, “goal setting talk”, “education talk”, and “prescriptive talk” did not change. The majority of patients and clinicians had a positive experience. Patients felt more informed, empowered, and motivated by the HRA-enhanced wellness visit. Clinicians emphasized that the HRA report helped them construct and follow a visit agenda more effectively and that it facilitated the convergence of the patients’ goals with evidence-based recommendations suggested by the HRA report. Conclusions Our study suggests that HRAs introduced without proper framing, education, and additional resources may not allow patients and clinicians to optimally leverage AWVs for health planning and improvement. A low-intensity, multi-component intervention may help patients and clinicians improve the quality of HRA-supported health conversations and realize the potential of AWVs.

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Section: Discussionmentioning

confidence: 99%

Improving Patient-Clinician Conversations During Annual Wellness Visits

et al. 2017

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“…User acceptance was a frequently discussed theme in e-prescribing systems [51] and two papers found that user interface design has a major impact on e-prescribing [52,53]. Related to these findings were papers on usability of drug alerts [54], work flow analysis in diabetes [55], and user centered design of tools to document falls [56] or quality of life [57].…”

Section: Major Topics Discussed In Acimentioning

confidence: 99%

Improving Bridging from Informatics Practice to Theory

Lehmann

Gundlapalli

2015

Methods Inf Med

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SummaryBackground: In 1962, Methods of Information in Medicine ( MIM ) began to publish papers on the methodology and scientific fundamentals of organizing, representing, and analyzing data, information, and knowledge in biomedicine and health care. Considered a companion journal, Applied Clinical Informatics ( ACI ) was launched in 2009 with a mission to establish a platform that allows sharing of knowledge between clinical medicine and health IT specialists as well as to bridge gaps between visionary design and successful and pragmatic deployment of clinical information systems. Both journals are official journals of the International Medical Informatics Association. Objectives: As a follow-up to prior work, we set out to explore congruencies and interdependencies in publications of ACI and MIM. The objectives were to describe the major topics discussed in articles published in ACI in 2014 and to determine if there was evidence that theory in 2014 MIM publications was informed by practice described in ACI publications in any year. We also set out to describe lessons learned in the context of bridging informatics practice and theory and offer opinions on how ACI editorial policies could evolve to foster and improve such bridging. Methods:We conducted a retrospective observational study and reviewed all articles published in ACI during the calendar year 2014 (Volume 5) for their main theme, conclusions, and key words. We then reviewed the citations of all MIM papers from 2014 to determine if there were references to ACI articles from any year. Lessons learned in the context of bridging informatics practice and theory and opinions on ACI editorial policies were developed by consensus among the two authors. Results: A total of 70 articles were published in ACI in 2014. Clinical decision support, clinical documentation, usability, Meaningful Use, health information exchange, patient portals, and clinical research informatics emerged as major themes. Only one MIM article from 2014 cited an ACI article. There are several lessons learned including the possibility that there may not be direct links between MIM theory and ACI practice articles. ACI editorial policies will continue to evolve to reflect the breadth and depth of the practice of clinical informatics and articles received for publication. Efforts to encourage bridging of informatics practice and theory may be considered by the ACI editors. Conclusions: The lack of direct links from informatics theory-based papers published in MIM in 2014 to papers published in ACI continues as was described for papers published during 2012 to 2013 in the two companion journals. Thus, there is little evidence that theory in MIM has been informed by practice in ACI.

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“…The desired usability expectations and user experience goals need not be compromised if users’ interactions with the systems are optimized (Asuquo et al, 2009). The systematic application of user-centered design and human factors principles in technology development and testing may greatly enhance the usability and clinical utility of health information systems (Nagykaldi et al, 2014). The results of usability testing might have a substantial influence on patient safety and general healthcare outcomes (Carayon et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Usability testing of Healthcare Devices: A review of the current UX methods used for usability testing of healthcare devices

Sawant,

Joshi,

Sawant

2023

Proceedings of the Human Factors and Ergonomics Society Annual

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This literature review examines the state of usability testing in medical device design, focusing on techniques and instruments used for assessing user-centered design. The analysis includes 30 studies from various fields, such as telemedicine, assistive technology, and healthcare devices. The review discusses different UX analysis techniques, their benefits and their drawbacks. Usability testing is critical in healthcare equipment design, utilizing various approaches and metrics. However, the analysis also highlights significant obstacles that need to be addressed, such as the need for more rigorous testing procedures and the application of user-centered design concepts. Overall, the review underscores the importance of usability testing in creating user-friendly, secure, and efficient medical equipment that benefits both patients and medical professionals.

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User-Centered Design and Usability Testing of an Innovative Health-Related Quality of Life Module

Cited by 8 publications

References 7 publications

Improving Patient-Clinician Conversations During Annual Wellness Visits

Improving Patient-Clinician Conversations During Annual Wellness Visits

Improving Bridging from Informatics Practice to Theory

Usability testing of Healthcare Devices: A review of the current UX methods used for usability testing of healthcare devices

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