Browsing by Author "Hilliman, Charlyn"
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- ItemA cognitive framework for understanding barriers to the productive use of a diabetes home telemedicine system.(2004-01-19) Kaufman, David R; Starren, Justin; Patel, Vimla L; Morin, Philip C; Hilliman, Charlyn; Pevzner, Jenia; Weinstock, Ruth S; Goland, Robin; Shea, StevenTelemedicine has the potential to transcend geographic and socio cultural barriers to the delivery of high quality health care to the medically underserved populations However there are significant cognitive and usability barriers This paper presents a multifaceted cognitive evaluation of the IDEATel diabetes education and telemedicine program The evaluation included a cognitive walkthrough analysis to characterize task complexity and identify potential problems as well as field usability testing in patients homes The study revealed dimensions of the interface that impeded optimal access to system resources In addition we found significant obstacles corresponding to perceptual motoric skills mental models of the system and health literacy The objective of this work is to contribute to a design framework so that participants with a wide range of skills can better manage their chronic illnesses
- ItemDeveloping computer skills and competencies in seniors.(2006-06-16) Pevzner, Jenia; Kaufmann, David R; Hilliman, Charlyn; Shea, Steven; Weinstock, Ruth S; Starren, JustinWe developed a training protocol for elderly participants of a home telemedicine study grounded in prior usability research The training aimed to reduce barriers in developing system mastery Our findings are indicative of both the promises and challenges involved in bridging the digital divide Sixteen participants of a diabetes study were trained to use the computer applications
- ItemA randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus.(2006-01-02) Shea, Steven; Weinstock, Ruth S; Starren, Justin; Teresi, Jeanne; Palmas, Walter; Field, Lesley; Morin, Philip; Goland, Robin; Izquierdo, Roberto E; Wolff, L Thomas; Ashraf, Mohammed; Hilliman, Charlyn; Silver, Stephanie; Meyer, Suzanne; Holmes, Douglas; Petkova, Eva; Capps, Linnea; Lantigua, Rafael ATelemedicine is a promising but largely unproven technology for providing case management services to patients with chronic conditions who experience barriers to access to care or a high burden of illness
- ItemThe role of nurses in installing telehealth technology in the home.(2005-07-19) Starren, Justin; Tsai, Christopher; Bakken, Suzanne; Aidala, Angela; Morin, Philip C; Hilliman, Charlyn; Weinstock, Ruth S; Goland, Robin; Teresi, Jeanne; Shea, Steven; ,Home telehealth involves the use of video conferencing or remote monitoring equipment in patients homes The installation of hardware and training of patients has historically been performed by nurses typically RNs This article examines the experience of RNs as telehealth installers in the Informatics for Diabetes Education and Telemedicine IDEATel project where RNs were responsible for the installation of the Home Telemedicine Units HTUs and for training patients in the use of the HTUs blood pressure cuffs and fingerstick glucose meters Average installation and training time was 166 minutes SD 51 min Structured interviews with RN installers revealed that patient education and training accounted for roughly two thirds of the in home time Technology related problems especially those related to telecommunications were the primary cause of installation difficulties Thematic analysis of installer interviews identified eight major themes and confirmed the importance of both clinical and technical knowledge during the telehealth installation process
- ItemUsability in the real world: assessing medical information technologies in patients' homes.(2003-10-13) Kaufman, David R; Patel, Vimla L; Hilliman, Charlyn; Morin, Philip C; Pevzner, Jenia; Weinstock, Ruth S; Goland, Robin; Shea, Steven; Starren, JustinThis paper presents an approach to usability evaluation of computer based health care systems designed for patient use in their homes Although such devices are becoming more prevalent there is very little known about their usability