e-Government online forms: design guidelines for older adults in Europe

Money, Arthur G.; Lines, Lorna; Fernando, Senaka; Elliman, Anthony D.

doi:10.1007/s10209-010-0191-y

Cited by 27 publications

(8 citation statements)

References 21 publications

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“…This is particularly valuable given that, to date, insufficient explanation and notification of home adaptations during home visits has resulted in some users feeling dissatisfied with their experience resulting in equipment abandonment levels in excess of 50 % [ 12 ]. Enabling people to stay at home and maintain independence at home can add to an increased sense of control and improved quality of life [ 59 – 61 ]. Interestingly evidence from a study involving older adults from eleven European countries found that older adults wanted to have a trusting relationship with the practitioners, to be respected about their preferences, and to receive clear health information from the healthcare providers [ 62 ].…”

Section: Discussionmentioning

confidence: 99%

Using the Technology Acceptance Model to explore community dwelling older adults’ perceptions of a 3D interior design application to facilitate pre-discharge home adaptations

Money

Atwal

Young

et al. 2015

BMC Med Inform Decis Mak

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BackgroundIn the UK occupational therapy pre-discharge home visits are routinely carried out as a means of facilitating safe transfer from the hospital to home. Whilst they are an integral part of practice, there is little evidence to demonstrate they have a positive outcome on the discharge process. Current issues for patients are around the speed of home visits and the lack of shared decision making in the process, resulting in less than 50 % of the specialist equipment installed actually being used by patients on follow-up. To improve practice there is an urgent need to examine other ways of conducting home visits to facilitate safe discharge. We believe that Computerised 3D Interior Design Applications (CIDAs) could be a means to support more efficient, effective and collaborative practice. A previous study explored practitioners perceptions of using CIDAs; however it is important to ascertain older adult’s views about the usability of technology and to compare findings. This study explores the perceptions of community dwelling older adults with regards to adopting and using CIDAs as an assistive tool for the home adaptations process.MethodsTen community dwelling older adults participated in individual interactive task-focused usability sessions with a customised CIDA, utilising the think-aloud protocol and individual semi-structured interviews. Template analysis was used to carry out both deductive and inductive analysis of the think-aloud and interview data. Initially, a deductive stance was adopted, using the three pre-determined high-level themes of the technology acceptance model (TAM): Perceived Usefulness (PU), Perceived Ease of Use (PEOU), Actual Use (AU). Inductive template analysis was then carried out on the data within these themes, from which a number of sub-thmes emerged.ResultsRegarding PU, participants believed CIDAs served as a useful visual tool and saw clear potential to facilitate shared understanding and partnership in care delivery. For PEOU, participants were able to create 3D home environments however a number of usability issues must still be addressed. The AU theme revealed the most likely usage scenario would be collaborative involving both patient and practitioner, as many participants did not feel confident or see sufficient value in using the application autonomously.ConclusionsThis research found that older adults perceived that CIDAs were likely to serve as a valuable tool which facilitates and enhances levels of patient/practitioner collaboration and empowerment. Older adults also suggested a redesign of the interface so that less sophisticated dexterity and motor functions are required. However, older adults were not confident, or did not see sufficient value in using the application autonomously. Future research is needed to further customise the CIDA software, in line with the outcomes of this study, and to explore the potential of collaborative application patient/practitioner-based deployment.

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Section: Discussionmentioning

confidence: 99%

Using the Technology Acceptance Model to explore community dwelling older adults’ perceptions of a 3D interior design application to facilitate pre-discharge home adaptations

Money

Atwal

Young

et al. 2015

BMC Med Inform Decis Mak

Self Cite

View full text Add to dashboard Cite

show abstract

“…This is particularly valuable given that, to date, insufficient explanation and notification of home adaptations during home visits has resulted in some users feeling dissatisfied with their experience, resulting in equipment abandonment levels in excess of 50% [ 12 , 51 , 52 ]. Enabling people to stay at home and maintain independence at home can add to an increased sense of control and improved quality of life [ 53 - 55 ]. The OTs that took part in this study did not seem to be concerned about the usability of the software but rather were more interested in the impact of using a VRIDA as a tool to assist in occupational therapy interventions and the positive impact this would have on the patient experience.…”

Section: Discussionmentioning

confidence: 99%

Occupational Therapists’ Views on Using a Virtual Reality Interior Design Application Within the Pre-Discharge Home Visit Process

Atwal¹,

Money²,

Harvey³

2014

J Med Internet Res

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BackgroundA key role of Occupational Therapists (OTs) is to carry out pre-discharge home visits (PHV) and propose appropriate adaptations to the home environment in order to enable patients to function independently after hospital discharge. However, research shows that more than 50% of specialist equipment installed as part of home adaptations is not used by patients. A key reason for this is that decisions about home adaptations are often made without adequate collaboration and consultation with the patient. Consequently, there is an urgent need to seek out new and innovative uses of technology to facilitate patient/practitioner collaboration, engagement, and shared decision making in the PHV process. Virtual reality interior design applications (VRIDAs) primarily allow users to simulate the home environment and visualize changes prior to implementing them. Customized VRIDAs, which also model specialist occupational therapy equipment, could become a valuable tool to facilitate improved patient/practitioner collaboration, if developed effectively and integrated into the PHV process.ObjectiveThe intent of the study was to explore the perceptions of OTs with regard to using VRIDAs as an assistive tool within the PHV process.MethodsTask-oriented interactive usability sessions, utilizing the think-aloud protocol and subsequent semi-structured interviews were carried out with seven OTs who possessed significant experience across a range of clinical settings. Template analysis was carried out on the think-aloud and interview data. Analysis was both inductive and driven by theory, centering around the parameters that impact upon the acceptance, adoption, and use of this technology in practice as indicated by the Technology Acceptance Model (TAM).ResultsOTs’ perceptions were identified relating to three core themes: (1) perceived usefulness (PU), (2) perceived ease of use (PEoU), and (3) actual use (AU). Regarding PU, OTs believed VRIDAs had promising potential to increase understanding, enrich communication and patient involvement, and improve patient/practitioner shared understanding. However, it was unlikely that VRIDAs would be suitable for use with cognitively impaired patients. For PEoU, all OTs were able to use the software and complete the tasks successfully; however, participants noted numerous specialist equipment items that could be added to the furniture library. AU perceptions were positive regarding use of the application across a range of clinical settings including children/young adults, long-term conditions, neurology, older adults, and social services. However, some “fine tuning” may be necessary if the application is to be optimally used in practice.ConclusionsParticipants perceived the use of VRIDAs in practice would enhance levels of patient/practitioner collaboration and provide a much needed mechanism via which patients are empowered to become more equal partners in decisions made about their care. Further research is needed to explore patient perceptions of VRIDAs, to make necessary customization...

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“…For this purpose, many guidelines for the design of web forms can be applied [3,5,15,33]. The guidelines include design requirements considering the needs of increasingly aging users [21,23] or approaches to improve the accessibility of government forms for handicapped people [19]. Despite this research on designs of forms, their complexity is still an open issue.…”

Section: Forms In Actionmentioning

confidence: 99%