Browsing by Author "Collins, Sarah A"
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- ItemApplying User-Centered Design Methods to the Development of an mHealth Application for Use in the Hospital Setting by Patients and Care Partners.(0000-00-00) Couture, Brittany; Lilley, Elizabeth; Chang, Frank; DeBord Smith, Ann; Cleveland, Jessica; Ergai, Awatef; Katsulis, Zachary; Benneyan, James; Gershanik, Esteban; Bates, David W; Collins, Sarah AINTRODUCTION Developing an optimized and user friendly mHealth application for patients and family members in the hospital environment presents unique challenges given the diverse patient population and patients various states of well being OBJECTIVE This article describes user centered design methods and results for developing the patient and family facing user interface and functionality of MySafeCare a safety reporting tool for hospitalized patients and their family members METHODS Individual and group usability sessions were conducted with specific testing scenarios for participants to follow to test the usability and functionality of the tool Participants included patients family members and Patient and Family Advisory Council PFAC members Engagement rounds were also conducted on study units and lessons learned provided additional information to the usability work Usability results were aligned with Nielsen s Usability Heuristics RESULTS Eleven patients and family members and 25 PFAC members participated in usability testing and over 250 patients and family members were engaged during research team rounding Specific themes resulting from the usability testing sessions influenced the changes made to the user interface design workflow functionality and terminology CONCLUSION User centered design should focus on workflow functionality terminology and user interface issues for mHealth applications These themes illustrated issues aligned with four of Nielsen s Usability Heuristics match between system and the real world consistency and standards flexibility and efficiency of use and aesthetic and minimalist design We identified workflow and terminology issues that may be specific to the use of an mHealth application focused on safety and used by hospitalized patients and their families
- ItemDigital divide and information needs for improving family support among the poor and underserved.(2016-01-20) Collins, Sarah A; Yoon, Sunmoo; Rockoff, Maxine L; Nocenti, David; Bakken, SuzanneDespite of its emotional benefits communication with family members who live abroad can present a large financial burden for low income foreign born individuals The aims of this study were 1 to explore the current technologies available for low cost communication with family living abroad and 2 to assess the level of awareness and use of low cost technologies for family communication as well as related information needs among low income foreign born individuals This mixed methods study included an environmental scan survey and focus groups with low income foreign born individuals living in East Harlem in New York City Low income individuals who have family members living abroad face financial stress with complicated technology choices for communication with family living abroad and they have many information needs They would welcome interactive and convenient educational tools that 1 build skills for utilization of various technologies and 2 provide decision support to simplify choosing among the vast array of available communication options
- ItemHealth literacy screening instruments for eHealth applications: a systematic review.(2012-06-08) Collins, Sarah A; Currie, Leanne M; Bakken, Suzanne; Vawdrey, David K; Stone, Patricia WOBJECTIVE To systematically review current health literacy HL instruments for use in consumer facing and mobile health information technology screening and evaluation tools DESIGN The databases PubMed OVID Google Scholar Cochrane Library and Science Citation Index were searched for health literacy assessment instruments using the terms health literacy computer based and psychometrics All instruments identified by this method were critically appraised according to their reported psychometric properties and clinical feasibility RESULTS Eleven different health literacy instruments were found Screening questions such as asking a patient about his her need for assistance in navigating health information were evaluated in seven different studies and are promising for use as a valid reliable and feasible computer based approach to identify patients that struggle with low health literacy However there was a lack of consistency in the types of screening questions proposed There is also a lack of information regarding the psychometric properties of computer based health literacy instruments LIMITATIONS Only English language health literacy assessment instruments were reviewed and analyzed CONCLUSIONS Current health literacy screening tools demonstrate varying benefits depending on the context of their use In many cases it seems that a single screening question may be a reliable valid and feasible means for establishing health literacy A combination of screening questions that assess health literacy and technological literacy may enable tailoring eHealth applications to user needs Further research should determine the best screening question s and the best synthesis of various instruments content and methodologies for computer based health literacy screening and assessment
- ItemA tablet computer application for patients to participate in their hospital care.(2011-12-23) Vawdrey, David K; Wilcox, Lauren G; Collins, Sarah A; Bakken, Suzanne; Feiner, Steve; Boyer, Aurelia; Restaino, Susan WBuilding on our institution s commercial electronic health record and custom personal health record Web portal we developed a tablet computer application to provide interactive information to hospital patients Using Apple iPad devices the prototype application was provided to five patients in a cardiology step down unit We conducted detailed interviews to assess patients knowledge of their inpatient care as well as their perceptions of the usefulness of the application While patients exhibited varying levels of comfort with using the tablet computer they were highly enthusiastic about the application s ability to supply health information such as their inpatient medication histories and photographs of their care providers Additional research is warranted to assess the benefit such applications may have for addressing inpatient information needs enhancing patient provider communication and improving patient satisfaction