Usability evaluation of a web‐based patient information system for individuals with severe mental health problems

Kuosmanen, Lauri; Jakobsson, Tiina; Hyttinen, Jari; Koivunen, Marita; Välimäki, Maritta

doi:10.1111/j.1365-2648.2010.05411.x

Cited by 32 publications

(34 citation statements)

References 39 publications

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“…Across studies, themes emerged of computer inexperience, lack of computer access, and negative computer attitudes among adults with SMI [10, 18, 19]. However, despite barriers, adults with SMI also expressed interest in seeking health information on-line.…”

Section: Introductionmentioning

confidence: 99%

Build a Better Mouse: Directly-Observed Issues in Computer Use for Adults with SMI

et al. 2012

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Integrating information technology into healthcare has the potential to bring treatment to hard-to-reach people. Individuals with serious mental illness (SMI), however, may derive limited benefit from these advances in care because of lack of computer ownership and experience. To date, conclusions about the computer skills and attitudes of adults with SMI have been based primarily on self-report. In the current study, 28 psychiatric outpatients with co-occurring cocaine use were interviewed about their computer use and opinions, and 25 were then directly observed using task analysis and think aloud methods as they navigated a multi-component health informational website. Participants reported low rates of computer ownership and use, and negative attitudes towards computers. Self-reported computer skills were higher than demonstrated in the task analysis. However, some participants spontaneously expressed more positive attitudes and greater computer self-efficacy after navigating the website. Implications for increasing access to computer-based health information are discussed.

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Section: Introductionmentioning

confidence: 99%

Build a Better Mouse: Directly-Observed Issues in Computer Use for Adults with SMI

et al. 2012

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“…User involvement in development is important.Mieli.Net a [87]To describe nurses’ experiences of information technology-based standardized patient educationNurses completed a questionnaire about their experiences ( n = 56), analyzed by content analysis.The intervention brought the patient and the nurses closer to each other and helped nurses to provide individual support for their patients. The education was time-consuming.Mieli.Net a [88]To determine the effectiveness of a needs-based computerized patient education program on patients’ experience of being deprived of their liberty during hospitalizationRCT with three groups: an intervention group with needs based computerized patient education ( n = 100), a patient education group with conventional education ( n = 106), and a control group with standard care ( n = 105).Primary outcome measure patients’ self-reported deprivation of liberty developed for the study, and additionally the PSS-Fin (patient satisfaction scale, Finnish adaptation).Technology-based education was not found to be superior to other approaches.Mieli.Net a [89]To compare user groups’ evaluation of usabilityDescriptive design, a small-scale usability study with service users ( n = 21), nursing students ( n = 21) and registered nurses ( n = 35). A self-developed questionnaire about the content, structure and visual appearance of the website.Service users were positive to intervention tools, but require support.…”

Section: Resultsmentioning

confidence: 99%

Transitions from biomedical to recovery-oriented practices in mental health: a scoping review to explore the role of Internet-based interventions

Strand

Gammon

Ruland

2017

BMC Health Serv Res

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BackgroundThe Internet is transforming mental health care services by increasing access to, and potentially improving the quality of, care. Internet-based interventions in mental health can potentially play a role in transitions from biomedical to recovery-oriented research and practices, but an overview of what this may entail, current work, and issues that need addressing, is lacking. The objective of this study is to describe Internet-based recovery-oriented interventions (referred to as e-recovery) and current research, and to identify gaps and issues relevant to advancing recovery research and practices through opportunities provided by the Internet.MethodsFive iterative stages of a scoping review framework were followed in searching and analyzing the literature. A recovery framework with four domains and 16 themes was used to deductively code intervention characteristics according to their support for recovery-oriented practices. Only Internet-based interventions used in conjunction with ongoing care were included.ResultsTwenty studies describing six e-recovery interventions were identified and originated in Australia, Finland, the Netherlands, Norway and USA. The domain supporting personal recovery was most clearly reflected in interventions, whereas the last three domains, i.e., promoting citizenship, organizational commitment and working relationship were less evident. Support for the formulation and follow-up of personal goals and preferences, and in accessing peer-support, were the characteristics shared by most interventions. Three of the six studies that employed a comparison group used randomization, and none presented definitive findings. None used recovery-oriented frameworks or specific recovery outcome measures. Four of the interventions were specific to a diagnosis.ConclusionResearch about how technologies might aid in illuminating and shaping recovery processes is in its formative stages. We recommend that future e-recovery research and innovation attend to four dimensions: evidence-supported interventions, new knowledge about personal recovery, values-based approaches and Internet as a facilitator for organizational transformation. The incremental changes facilitated by e-recovery may help propel a shift in mental health care toward recovery-oriented practices.

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“…Results from these studies suggest that users with schizophrenia experience difficulties with stimulus overflow, large amounts of text or information, interpretation of two-word labels, and remembering previous steps in the navigation process [17,18,26,28]. Furthermore, some of them experience paranoia when using computers and Internet [17].…”

Section: Methodsmentioning

confidence: 99%

“…They were asked about their computer and Internet use. This questionnaire was derived from another European study testing a web application developed for a comparable group of end-users [18]. Furthermore, participants completed a Satisfaction Questionnaire, measuring their satisfaction with various aspects of the web application concerning layout, structure, user-friendliness and content.…”

Section: Methodsmentioning

confidence: 99%

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Usability Evaluation of a Web-Based Support System for People With a Schizophrenia Diagnosis

Krieke¹,

Emerencia²,

Aiello³

et al. 2012

J Med Internet Res

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BackgroundRoutine Outcome Monitoring (ROM) is a systematic way of assessing service users’ health conditions for the purpose of better aiding their care. ROM consists of various measures used to assess a service user’s physical, psychological, and social condition. While ROM is becoming increasingly important in the mental health care sector, one of its weaknesses is that ROM is not always sufficiently service user-oriented. First, clinicians tend to concentrate on those ROM results that provide information about clinical symptoms and functioning, whereas it has been suggested that a service user-oriented approach needs to focus on personal recovery. Second, service users have limited access to ROM results and they are often not equipped to interpret them. These problems need to be addressed, as access to resources and the opportunity to share decision making has been indicated as a prerequisite for service users to become a more equal partner in communication with their clinicians. Furthermore, shared decision making has been shown to improve the therapeutic alliance and to lead to better care.ObjectiveOur aim is to build a web-based support system which makes ROM results more accessible to service users and to provide them with more concrete and personalized information about their functioning (ie, symptoms, housing, social contacts) that they can use to discuss treatment options with their clinician. In this study, we will report on the usability of the web-based support system for service users with schizophrenia.MethodsFirst, we developed a prototype of a web-based support system in a multidisciplinary project team, including end-users. We then conducted a usability study of the support system consisting of (1) a heuristic evaluation, (2) a qualitative evaluation and (3) a quantitative evaluation.ResultsFifteen service users with a schizophrenia diagnosis and four information and communication technology (ICT) experts participated in the study. The results show that people with a schizophrenia diagnosis were able to use the support system easily. Furthermore, the content of the advice generated by the support system was considered meaningful and supportive.ConclusionsThis study shows that the support system prototype has valuable potential to improve the ROM practice and it is worthwhile to further develop it into a more mature system. Furthermore, the results add to prior research into web applications for people with psychotic disorders, in that it shows that this group of end users can work with web-based and computer-based systems, despite the cognitive problems they experience.

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Usability evaluation of a web‐based patient information system for individuals with severe mental health problems

Cited by 32 publications

References 39 publications

Build a Better Mouse: Directly-Observed Issues in Computer Use for Adults with SMI

Build a Better Mouse: Directly-Observed Issues in Computer Use for Adults with SMI

Transitions from biomedical to recovery-oriented practices in mental health: a scoping review to explore the role of Internet-based interventions

Usability Evaluation of a Web-Based Support System for People With a Schizophrenia Diagnosis

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