Unpacking exam-room computing

Chen, Yunan; Ngo, Victor; Harrison, Sidney; Duong, Victoria

doi:10.1145/1978942.1979438

Cited by 48 publications

(22 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In many clinic rooms, arrangement of computer screens does not allow both the provider and patient to review the data. When providers review data on their screen or on a borrowed mobile phone, it creates barriers to eye contact and communication similar to the challenges of using a computer to review electronic medical records (cf, Alsos et al [26] and Chen et al [27]).…”

Section: Discussionmentioning

confidence: 99%

More Than Telemonitoring: Health Provider Use and Nonuse of Life-Log Data in Irritable Bowel Syndrome and Weight Management

Chung¹,

Cook²,

Bales³

et al. 2015

J Med Internet Res

117

158

View full text Add to dashboard Cite

BackgroundThe quantified self, self-monitoring or life-logging movement is a trend to incorporate technology into data acquisition on aspects of a person's daily life in terms of inputs (eg food consumed), states (eg mood), and performance (mental and physical). Consumer self-monitoring mobile phone apps have been widely studied and used to promote healthy behavior changes. Data collected through life-logging apps also have the potential to support clinical care.ObjectiveWe sought to develop an in-depth understanding of providers’ facilitators and barriers to successfully integrating life-log data into their practices and creating better experiences. We specifically investigated three research questions: How do providers currently use patient-collected life-log data in clinical practice? What are provider concerns and needs with respect to this data? What are the constraints for providers to integrate this type of data into their workflows?MethodsWe interviewed 21 health care providers—physicians, dietitians, a nurse practitioner, and a behavioral psychologist—who work with obese and irritable bowel syndrome patients. We transcribed and analyzed interviews according to thematic analysis and an affinity diagramming process.ResultsProviders reported using self-monitoring data to enhance provider-patient communication, develop personalized treatment plans, and to motivate and educate patients, in addition to using them as diagnostic and adherence tools. However, limitations associated with current systems and workflows create barriers to regular and effective review of this data. These barriers include a lack of time to review detailed records, questions about providers' expertise to review it, and skepticism about additional benefits offered by reviewing data. Current self-monitoring tools also often lack flexibility, standardized formats, and mechanisms to share data with providers.ConclusionsVariations in provider needs affect tracking and reviewing needs. Systems to support diagnosis might require better reliability and resolution, while systems to support interaction should support collaborative reflection and communication. Automatic synthesis of data logs could help providers focus on educational goals while communication of contextual information might help providers better understand patient values. We also discuss how current mobile apps and provider systems do, and do not, support these goals, and future design opportunities to realize the potential benefits of using life-logging tools in clinical care.

show abstract

Section: Discussionmentioning

confidence: 99%

More Than Telemonitoring: Health Provider Use and Nonuse of Life-Log Data in Irritable Bowel Syndrome and Weight Management

Chung¹,

Cook²,

Bales³

et al. 2015

J Med Internet Res

117

158

View full text Add to dashboard Cite

show abstract

“…Form factor issues and challenges related to, e.g., concurrent sharing of screen information have been found to represent a barrier for patients who wish to follow the course of treatment in a consultation situations (Matthews & Heinemann, 2009). The obtrusive effect ergonomic and physical aspects of design solutions can have on collocated patient-practitioner interactions have also been reported in several other HCI studies (e.g., (Alsos, Das, & Svanaes, 2012;Alsos & Svanaes, 2006;Chen et al, 2011;Dahl & Svanaes, 2008;Luff & Heath, 1998)). These studies show that patient-practitioner interaction can be affected by, for example, placement of technology, screen size and orientation, accessibility, portability, and supported interaction styles.…”

Section: The Boundary-reinforcing Effect Of Technologymentioning

confidence: 82%

“…Physical aspects of the consultation environment can also affect patient-practitioner interaction and act as a boundary. The form factor and placement of objects in the environment such as furniture and tools have been found to affect position and orientation vis-à-vis each other and also their attention, which again may reduce the patient's possibilities for active participation in the encounter (Chen, Ngo, Harrison, & Duong, 2011;Dahl & Svanaes, 2008;Matthews & Heinemann, 2009). Non-verbal communicative behavior such as eye contact may also improve listening abilities of the medical practitioner and may enhance attentiveness toward patients' emotional cues (Roter & Hall, 2006, p. 123).…”

Section: The Physical Boundarymentioning

confidence: 99%

“Do You See What I Hear?”: Designing for Collocated Patient–Practitioner Collaboration in Audiological Consultations

Dahl

Hanssen

2017

Human–Computer Interaction

View full text Add to dashboard Cite

Patient-centered care encourages active involvement of patients in their own treatment and a collaborative perspective on the relationship between patient and practitioner. However, to achieve constructive patientpractitioner collaboration in medical consultations the partakers need to successfully interact across conceptual boundaries that can impede intersubjectivity, i.e., the construction of shared meanings and understandings in communicative activities. We present a synthesis of a user-centered approach to designing interactive technology supporting collaboration in face-to-face consultations related to audiological (hearing) rehabilitation. Specifically, we focus on the case of hearing aid tuning, and on the design and utility assessment of a prototype sound environment simulator intended to support the process by helping the patient and the practitioner build a joint understanding of the individual patient's hearing problem and perceived effects of treatment actions. We describe an empirical and qualitative investigation that calls specific attention to the multi-dimensional boundaries involved in collocated patient-practitioner interactions, and to the explorative and situated nature of the consultation as a collaborative problem-solving process. Here, various micro-practices play a key role in gradually forming a better

show abstract

“…Some research examined and sought to improve remote communication through the use of secure messaging and patient portals [30]. Other studies have assessed the effects of technology on the quality of face-to-face interactions between patients and providers [6,7], and have explored design interventions to improve these interactions, such as providing shared access to health information during conversations [28]. While there has been a steady stream of research in HCI to support patient-provider communication, little work has explicitly examined the degree to which this communication incorporates patients' values.…”

Section: Supporting Patient-provider Communication Through Interactivmentioning

confidence: 99%

Creating Conditions for Patients' Values to Emerge in Clinical Conversations

Berry

Lim

Hartzler

et al. 2017

Proceedings of the 2017 Conference on Designing Interactive Systems

View full text Add to dashboard Cite

Eliciting, understanding, and honoring patients' values-the things most important to them in daily life-is a cornerstone of patient-centered care. However, this rarely occurs explicitly as a routine part of clinical practice. This is particularly problematic for individuals with multiple chronic conditions (MCC) because they face difficult choices about how to balance competing demands for self-care in accordance with their values. In this study, we sought to inform the design of interventions to support conversations about patient values between patients with MCC and their health care providers. We conducted a field study that included observations of 21 clinic visits for patients who have MCC, and interviews with 16 care team members involved in those visits. This paper contributes a practice-based account of ways in which providers engage with patient values, and discusses how future work in interactive systems design might extend and enrich these engagements.

show abstract

Unpacking exam-room computing

Cited by 48 publications

References 19 publications

More Than Telemonitoring: Health Provider Use and Nonuse of Life-Log Data in Irritable Bowel Syndrome and Weight Management

More Than Telemonitoring: Health Provider Use and Nonuse of Life-Log Data in Irritable Bowel Syndrome and Weight Management

“Do You See What I Hear?”: Designing for Collocated Patient–Practitioner Collaboration in Audiological Consultations

Creating Conditions for Patients' Values to Emerge in Clinical Conversations

Contact Info

Product

Resources

About