A User-Centered design and usability testing of a web-based medication reconciliation application integrated in an eHealth network

Marien, Sophie; Legrand, Delphine; Ramdoyal, Ravi; Nsenga, Jimmy; Ospina, Gustavo; Ramon, V.; Spinewine, Anne

doi:10.1016/j.ijmedinf.2019.03.013

Cited by 37 publications

(19 citation statements)

References 49 publications

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“…Better fit can be achieved by designing better technical solutions and usability to support patients, health professionals, and tasks. Therefore, it is important to foster stakeholder involvement and user-centered design in future projects [ 31 - 33 ]. Current work processes and the needs of users should be understood at the beginning of the design.…”

Section: Discussionmentioning

confidence: 99%

Applying and Extending the FITT Framework to Identify the Challenges and Opportunities of Successful eHealth Services for Patient Self-Management: Qualitative Interview Study

Kujala¹,

Ammenwerth²,

Kolanen³

et al. 2020

J Med Internet Res

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Background The number of public eHealth services that support patient self-management is rapidly increasing. However, the implementation of these eHealth services for self-management has encountered challenges. Objective The purpose of this paper was to analyze the challenges and opportunities of implementing eHealth services for self-management by focusing on the fit between the technical solution and clinical use. Methods We performed in-depth interviews with 10 clinical project coordinators and managers who were responsible for developing and implementing various eHealth services for self-management interventions in five university hospitals in Finland. The results were analyzed using content analysis and open coding. The Fit between Individuals, Task, and Technology (FITT) framework was used to interpret the findings. Results The implementation of self-management services involved many challenges related to technical problems, health professional acceptance, patient motivation, and health organization and management. The implementers identified practices to manage the identified challenges, including improving the design of the technology, supporting health professionals in the adoption of the eHealth services, changing the work processes and tasks, involving patients, and collectively planning the implementation inside an organization. The findings could be mostly attributed to the dimensions of the FITT framework. Conclusions The FITT framework helped to analyze the challenges related to the implementation, and most of them were related to poor fit. The importance of patients as stakeholders in eHealth services for patient self-management needs to be highlighted. Thus, we propose that patients should be added as a different type of individual dimension to the FITT framework. In addition, the framework could be extended to include organization and management in a new context dimension.

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Section: Discussionmentioning

confidence: 99%

Applying and Extending the FITT Framework to Identify the Challenges and Opportunities of Successful eHealth Services for Patient Self-Management: Qualitative Interview Study

Kujala¹,

Ammenwerth²,

Kolanen³

et al. 2020

J Med Internet Res

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“…SUS scores were converted to a score out of 100, with >70 considered “good” (File S3). 10 Analyses were performed using SPSS 26 (IBM Corp).…”

Section: Methodsmentioning

confidence: 99%

Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed‐methods, multicountry evaluation

Vogel

Comrie-Thomson

Pingray

et al. 2020

Birth

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Introduction The World Health Organization’s (WHO) Labour Care Guide (LCG) is a “next‐generation” partograph based on WHO’s latest intrapartum care recommendations. It aims to optimize clinical care provided to women and their experience of care. We evaluated the LCG’s usability, feasibility, and acceptability among maternity care practitioners in clinical settings. Methods Mixed‐methods evaluation with doctors, midwives, and nurses in 12 health facilities across Argentina, India, Kenya, Malawi, Nigeria, and Tanzania. Purposively sampled and trained practitioners applied the LCG in low‐risk women during labor and rated experiences, satisfaction, and usability. Practitioners were invited to focus group discussions (FGDs) to share experiences and perceptions of the LCG, which were subjected to framework analysis. Results One hundred and thirty‐six practitioners applied the LCG in managing labor and birth of 1,226 low‐risk women. The majority of women had a spontaneous vaginal birth (91.6%); two cases of intrapartum stillbirths (1.63 per 1000 births) occurred. Practitioner satisfaction with the LCG was high, and median usability score was 67.5%. Practitioners described the LCG as supporting precise and meticulous monitoring during labor, encouraging critical thinking in labor management, and improving the provision of woman‐centered care. Conclusions The LCG is feasible and acceptable to use across different clinical settings and can promote woman‐centered care, though some design improvements would benefit usability. Implementing the LCG needs to be accompanied by training and supportive supervision, and strategies to promote an enabling environment (including updated policies on supportive care interventions, and ensuring essential equipment is available).

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“…The importance of conducting usability evaluations when developing new medication reconciliation tools has been underlined. 46 Involving HP and especially GP in the development of the TMR intervention -for example, by asking them how they would prefer to be informed about the TMR team's conclusions for a given patient and how to proceed accordingly -may increase the intervention's chances of success, and of the level and duration of its impact. Furthermore, our results suggest that communication issues within NH are very common.…”

Section: Discussionmentioning

confidence: 99%

Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study

Costa¹,

Correard²,

Montaleytang³

et al. 2021

CIA

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In France, polypharmacy among older people living in nursing homes (NH) is a major public health concern. In this context, the randomized controlled trial TEM-EHPAD was recently launched in various NH in southern France to evaluate the impact of implementing a novel telemedication review (TMR) on hospital admission rates of NH residents at high risk of iatrogenic disease. A qualitative study was integrated into the main trial study to assess general practitioners' (GP) and other NH healthcare professionals' (HP) acceptability of the proposed TMR before its implementation. Material and Methods: A qualitative study using face-to-face semi-structured interviews was conducted with 16 HP before the beginning of the intervention. A manual thematic analysis was performed on the transcribed interviews. Results: Four main themes emerged from the thematic analysis: HP perceptions of the TMR, difficulties related to medication management for NH residents, HP perceptions of the roles of different professionals, and facilitators of good practices. Most participants were favorable to the TMR, but some GP expressed fears about loss of control over their prescription writing. Conclusion:This study fulfilled its objective to assess pre-intervention acceptability by GP and other HP. Results provided important information about how to adapt the TMR intervention to make it more acceptable to HP who will be involved in TEM-EHPAD. One of the main recommendations is the importance of providing participating GP with the opportunity to take part in the process of reviewing prescriptions.

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A User-Centered design and usability testing of a web-based medication reconciliation application integrated in an eHealth network

Cited by 37 publications

References 49 publications

Applying and Extending the FITT Framework to Identify the Challenges and Opportunities of Successful eHealth Services for Patient Self-Management: Qualitative Interview Study

Applying and Extending the FITT Framework to Identify the Challenges and Opportunities of Successful eHealth Services for Patient Self-Management: Qualitative Interview Study

Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed‐methods, multicountry evaluation

Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study

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