Raising the Awareness of Development Progress in Distributed Agile Projects

Alyahya, Sultan; Ivins, Wendy; Gray, W. A.

doi:10.4304/jsw.8.12.3066-3081

Cited by 6 publications

(5 citation statements)

References 14 publications

(14 reference statements)

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“…To approach the design of the software, we implemented a user-centered design [ 23 ] and agile development principles [ 14 , 15 ] that promote adaptive planning, evolutionary development, early delivery, and continuous improvement. This methodology provided increased transparency during the development phase through continuous feedback and flexibility when changes in direction were required.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the digital communication package that we designed should reflect stakeholders’ collective and differing requirements. We opted to use an iterative development process of agile design and qualitative research methods [ 14 - 16 ], in contrast with earlier approaches to software design that, in targeting potential users, tended to focus on technological capacity and maximum specification.…”

Section: Introductionmentioning

confidence: 99%

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Supporting Patient-Clinician Interaction in Chronic HIV Care: Design and Development of a Patient-Reported Outcomes Software Application

et al. 2021

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Background The consideration of health-related quality of life (HRQL) is a hallmark of best practice in HIV care. Information technology offers an opportunity to more closely engage patients with chronic HIV infection in their long-term management and support a focus on HRQL. However, the implementation of patient-reported outcome (PRO) measures, such as HRQL in routine care, is challenged by the need to synthesize data generated by questionnaires, the complexity of collecting data between patient visits, and the integration of results into clinical decision-making processes. Objective Our aim is to design and pilot-test a multimedia software platform to overcome these challenges and provide a vehicle to increase focus on HRQL issues in HIV management. Methods A multidisciplinary team in France and Australia conducted the study with 120 patients and 16 doctors contributing to the design and development of the software. We used agile development principles, user-centered design, and qualitative research methods to develop and pilot the software platform. We developed a prototype application to determine the acceptability of the software and piloted the final version with 41 Australian and 19 French residents using 2 validated electronic questionnaires, the Depression, Anxiety and Stress Scale-21 Items, and the Patient Reported Outcomes Quality of Life-HIV. Results Testing of the prototype demonstrated that patients wanted an application that was intuitive and without excessive instruction, so it felt effortless to use, as well as secure and discreet. Clinicians wanted the PRO data synthesized, presented clearly and succinctly, and clinically actionable. Safety concerns for patients and clinicians included confidentiality, and the potential for breakdown in communication if insufficient user training was not provided. The final product, piloted with patients from both countries, showed that most respondents found the application easy to use and comprehend. The usability testing survey administered found that older Australians had reduced scores for understanding the visual interface (P=.004) and finding the buttons organized (P=.02). Three-fourths of the respondents were concerned with confidentiality (P=.007), and this result was more prevalent in participants with higher anxiety and stress scores (P=.01), as measured by the Depression, Anxiety and Stress Scale-21 Items. These statistical associations were not observed in 15 French patients who completed the same questionnaire. Conclusions Digital applications in health care should be safe and fit for purpose. Our software was acceptable to patients and shows potential to overcome some barriers to the implementation of PROs in routine care. The design of the clinicians’ interface presents a solution to the problem of voluminous data, both synthesizing and providing a snapshot of longitudinal data. The next stage is to conduct a randomized controlled trial to determine whether patients experience increased satisfaction with care and whether doctors perceive that they deliver better clinical care without compromising efficiency.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Supporting Patient-Clinician Interaction in Chronic HIV Care: Design and Development of a Patient-Reported Outcomes Software Application

et al. 2021

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“…A multidisciplinary team was assembled, comprised of two nursing professors, four computer science undergraduate students, and one software developer. Working remotely, with weekly meetings via Google Meet, our team started discussing the feasibility and prepared a technical list of requirements for the initial prototype, ordered by priority, following the Agile Development Principles (Alyahya et al, 2013). We used the Figma vector on the app prototyping graphic; React Native to create declarative interfaces through native components written in JavaScript; Typescript as a programming language, and Android as the operating system.…”

Section: App Developmentmentioning

confidence: 99%

“…Across 5 months, undergraduate students developed a part of the app's requirements, which were presented and discussed at each weekly meeting, so the app prototype was viewed via Figma and examined. A new Android Application Pack (.apk) was released and tested by the team throughout the week, in successive cycles, until the completion of the application development (Alyahya et al, 2013).…”

Section: App Developmentmentioning

confidence: 99%

A Mobile App to Promote Breastfeeding Self-Efficacy in Preterm Infants’ Mothers: Development and Validation

Curan,

do Nascimento,

Bergamo

et al. 2023

Clin Nurs Res

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Improving breastfeeding rates is a global goal. To achieve it, actions targeting modifiable factors that influence the breastfeeding experience, such as maternal self-efficacy, could be a promising path, especially with preterm infants’ mothers. Considering the current ubiquitous technology, we developed a mobile application for mothers of preterm infants to constitute a breastfeeding information and support platform. The study was developed in three phases: a survey to determine characteristics and preferences of preterm infants’ mothers; the app development by an interdisciplinary team, following the principles of Disciplined Agile Delivery; and the face and content validation by 10 professionals. The app contains 80 screens and 11 strategies to address prematurity, lactation, breastfeeding, peer support, maternal emotions, resilience, and motivation. Nurses can apply their expertise by designing mHealth-based interventions, employing scientific evidence, and considering the interests and preferences of the target population. Future studies will assess the user experience, the effect on breastfeeding self-efficacy, and breastfeeding rates, and develop a culturally adapted English version of the app for women in Canada.

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“…Therefore, the digital communication package that we designed should reflect stakeholders' collective and differing requirements. We opted to use an iterative development process of agile design and qualitative research methods [14][15][16], in contrast with earlier approaches to software design that, in targeting potential users, tended to focus on technological capacity and maximum specification.…”

Section: Objectivesmentioning

confidence: 99%

Supporting Patient-Clinician Interaction in Chronic HIV Care: Design and Development of a Patient-Reported Outcomes Software Application (Preprint)

Herrmann¹,

Power²,

Rashidi³

et al. 2021

Preprint

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BACKGROUND The systematic collection of Patient Reported Outcome (PRO) data is uncommon outside of clinical trials but promises great utility in the management of chronic illness. Qualitative research and gamification methodologies have an important role to play in the development of ehealth software to ensure that it is fit for purpose, and ensure its longevity in quality, patient-centered care. Our aim was to design and test a multimedia software platform that could be used to increase focus on health-related quality of life (HRQL) issues in HIV-management. OBJECTIVE We aimed to develop a digital platform to facilitate the use of PROs in the context of chronic HIV infection by setting the following objectives: (1) Design a web-accessible software platform compatible with smartphone, tablet, desk/laptop screens; (2) Assess comprehension of the platform, and perceived benefits; (3) Assess the usability of designed product; and (4) conduct a pilot study using PRO instruments integrated into the platform. We were an interdisciplinary Australian/French team with medical, psychology, IT and digital communications expertise; and the study was conducted in both countries with the team holding regular teleconferences over the course of the study. METHODS Seventy-nine patients and 32 doctors in France and Australia contributed to the design of the software by a multidisciplinary team based in the two countries. We used agile development principles, User-Centred Design, and qualitative research methods to develop and pilot the software platform. Following extensive consultation, using a prototype application to determine acceptability of the software, we piloted the final version with 41 Australian and 19 French residents using two validated electronic questionnaires, the DASS-21 inventory and a PRO instrument, the PRO-QOL HIV. RESULTS Testing of the prototype demonstrated that patients wanted an application that was intuitive and without excessive instruction so it felt effortless to use. It should be secure and able to be used discreetly. Clinicians wanted the PRO data synthesized, presented clearly and succinctly, and be actionable. Safety concerns for patients and clinicians included confidentiality of patient information, and the potential for breakdown in communication if insufficient user training was not provided. The final product piloted with patients, showed that most found the application easy to use, and comprehend. The useability testing survey administered found older Australians older had reduced scores for understanding the visual interface (p=0.004) and finding the ‘buttons’ organised, p=0.02. At least three-quarters of respondents were concerned with confidentiality, and this result was more prevalent in participants with higher anxiety and stress scores, as measured by the DASS inventory (p=0.007 and p=0.01 respectively). But these observations were not seen in the 15 French patients who completed the same questionnaire. CONCLUSIONS Digital applications in health are becoming increasingly common but they should be safe and fit for purpose. Our software was developed following intense engagement with potential users in two countries. The next stage is to conduct a randomized controlled trial to determine if patients experience increased satisfaction with care; and doctors perceive they deliver better clinical care, and without an efficiency impost.

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Raising the Awareness of Development Progress in Distributed Agile Projects

Cited by 6 publications

References 14 publications

Supporting Patient-Clinician Interaction in Chronic HIV Care: Design and Development of a Patient-Reported Outcomes Software Application

Supporting Patient-Clinician Interaction in Chronic HIV Care: Design and Development of a Patient-Reported Outcomes Software Application

A Mobile App to Promote Breastfeeding Self-Efficacy in Preterm Infants’ Mothers: Development and Validation

Supporting Patient-Clinician Interaction in Chronic HIV Care: Design and Development of a Patient-Reported Outcomes Software Application (Preprint)

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