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JMIR Human Factors

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https://www.readbyqxmd.com/read/30368440/usefulness-and-relevance-of-an-ehealth-tool-in-supporting-the-self-management-of-chronic-obstructive-pulmonary-disease-explorative-qualitative-study-of-a-cocreative-process
#1
Malin Tistad, Sara Lundell, Maria Wiklund, André Nyberg, Åsa Holmner, Karin Wadell
BACKGROUND: New strategies are urgently needed to support self-management for people with chronic obstructive pulmonary disease (COPD) in primary care. The use of electronic health (eHealth) solutions is promising. However, there is a lack of knowledge about how such eHealth tools should be designed in order to be perceived as relevant and useful and meet the needs and expectations of the health professionals as well as people with COPD and their relatives. OBJECTIVE: The objective of this study was to explore the aspects of an eHealth tool design and content that make it relevant and useful for supporting COPD-related self-management strategies from the perspective of health care professionals, people with COPD and their relatives, and external researchers...
October 26, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30355550/alarm-related-workload-in-default-and-modified-alarm-settings-and-the-relationship-between-alarm-workload-alarm-response-rate-and-care-provider-experience-quantification-and-comparison-study
#2
Manikantan Shanmugham, Lesley Strawderman, Kari Babski-Reeves, Linkan Bian
BACKGROUND: Delayed or no response to impending patient safety-related calls, poor care provider experience, low job satisfaction, and adverse events are all unwanted outcomes of alarm fatigue. Nurses often cite increases in alarm-related workload as a reason for alarm fatigue, which is a major contributor to the aforementioned unwanted outcomes. Increased workload affects both the care provider and the patient. No studies to date have evaluated the workload while caring for patients and managing alarms simultaneously and related it to the primary measures of alarm fatigue-alarm response rate and care provider experience...
October 23, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30327290/data-visualizations-to-support-health-practitioners-provision-of-personalized-care-for-patients-with-cancer-and-multiple-chronic-conditions-user-centered-design-study
#3
Uba Backonja, Sarah C Haynes, Katherine K Kim
BACKGROUND: There exists a challenge of understanding and integrating various types of data collected to support the health of individuals with multiple chronic conditions engaging in cancer care. Data visualization has the potential to address this challenge and support personalized cancer care. OBJECTIVE: The aim of the study was to assess the health care practitioners' perceptions of and feedback regarding visualizations developed to support the care of individuals with multiple chronic conditions engaging in cancer care...
October 16, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30309836/applying-persuasive-design-techniques-to-influence-data-entry-behaviors-in-primary-care-repeated-measures-evaluation-using-statistical-process-control
#4
Justin St-Maurice, Catherine Burns, Justin Wolting
BACKGROUND: Persuasive design is an approach that seeks to change the behaviors of users. In primary care, clinician behaviors and attitudes are important precursors to structured data entry, and there is an impact on overall data quality. We hypothesized that persuasive design changes data-entry behaviors in clinicians and thus improves data quality. OBJECTIVE: The objective of this study was to use persuasive design principles to change clinician data-entry behaviors in a primary care environment and to increase data quality of data held in a family health team's reporting system...
October 11, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30305256/developing-culturally-sensitive-mhealth-apps-for-caribbean-immigrant-women-to-use-during-pregnancy-focus-group-study
#5
Hana AlJaberi
BACKGROUND: A valuable addition to the mobile health (mHealth) space is an exploration of the context of minorities in developed countries. The transition period postmigration, culture, and socioeconomic uniqueness of migratory groups can shed light on the problems with existing prenatal mHealth apps. OBJECTIVE: The objectives of this study were to (1) use the theoretical concept of pregnancy ecology to understand the emotional, physical, information, and social challenges affecting low-income Caribbean immigrant women's prenatal well-being practices and (2) develop a deep understanding of challenges worthy of consideration in mHealth design for these women...
October 10, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30305257/collecting-health-and-exposure-data-in-australian-olympic-combat-sports-feasibility-study-utilizing-an-electronic-system
#6
Sally Bromley, Michael Drew, Scott Talpey, Andrew McIntosh, Caroline Finch
BACKGROUND: Electronic methods are increasingly being used to manage health-related data among sporting populations. Collection of such data permits the analysis of injury and illness trends, improves early detection of injuries and illnesses, collectively referred to as health problems, and provides evidence to inform prevention strategies. The Athlete Management System (AMS) has been employed across a range of sports to monitor health. Australian combat athletes train across the country without dedicated national medical or sports science teams to monitor and advocate for their health...
October 9, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30291099/clinically-excellent-use-of-the-electronic-health-record-review
#7
REVIEW
Leah Wolfe, Margaret Smith Chisolm, Fuad Bohsali
BACKGROUND: The transition to the electronic health record (EHR) has brought forth a rapid cultural shift in the world of medicine, presenting both new challenges as well as opportunities for improving health care. As clinicians work to adapt to the changes imposed by the EHR, identification of best practices around the clinically excellent use of the EHR is needed. OBJECTIVE: Using the domains of clinical excellence previously defined by the Johns Hopkins Miller Coulson Academy of Clinical Excellence, this review aims to identify best practices around the clinically excellent use of the EHR...
October 5, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30274959/physician-and-pharmacist-medication-decision-making-in-the-time-of-electronic-health-records-mixed-methods-study
#8
Kathryn Mercer, Catherine Burns, Lisa Guirguis, Jessie Chin, Maman Joyce Dogba, Lisa Dolovich, Line Guénette, Laurie Jenkins, France Légaré, Annette McKinnon, Josephine McMurray, Khrystine Waked, Kelly A Grindrod
BACKGROUND: Primary care needs to be patient-centered, integrated, and interprofessional to help patients with complex needs manage the burden of medication-related problems. Considering the growing problem of polypharmacy, increasing attention has been paid to how and when medication-related decisions should be coordinated across multidisciplinary care teams. Improved knowledge on how integrated electronic health records (EHRs) can support interprofessional shared decision-making for medication therapy management is necessary to continue improving patient care...
September 25, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30249579/a-patient-facing-diabetes-dashboard-embedded-in-a-patient-web-portal-design-sprint-and-usability-testing
#9
William Martinez, Anthony L Threatt, S Trent Rosenbloom, Kenneth A Wallston, Gerald B Hickson, Tom A Elasy
BACKGROUND: Health apps and Web-based interventions designed for patients with diabetes offer novel and scalable approaches to engage patients and improve outcomes. However, careful attention to the design and usability of these apps and Web-based interventions is essential to reduce the barriers to engagement and maximize use. OBJECTIVE: The aim of this study was to apply design sprint methodology paired with mixed-methods, task-based usability testing to design and evaluate an innovative, patient-facing diabetes dashboard embedded in an existing patient portal and integrated into an electronic health record...
September 24, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30181108/designing-emails-aimed-at-increasing-family-physicians-use-of-a-web-based-audit-and-feedback-tool-to-improve-cancer-screening-rates-cocreation-process
#10
Caroline A Bravo, Diego Llovet, Holly O Witteman, Laura Desveaux, Justin Presseau, Marianne Saragosa, Gratianne Vaisson, Shama Umar, Jill Tinmouth, Noah M Ivers
BACKGROUND: Providing clinical performance data to health professionals, a process known as audit and feedback, can play an important role in health system improvement. However, audit and feedback tools can only be effective if the targeted health professionals access and actively review their data. Email is used by Cancer Care Ontario, a provincial cancer agency, to promote access to a Web-based audit and feedback tool called the Screening Activity Report (SAR); however, current emails that lack behavior change content have been ineffective at encouraging log-in to the SAR...
September 4, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30045832/the-d2refine-platform-for-the-standardization-of-clinical-research-study-data-dictionaries-usability-study
#11
Deepak Kumar Sharma, Kevin Jerrold Peterson, Na Hong, Guoqian Jiang
BACKGROUND: D2Refine provides a Web-based environment to create clinical research study data dictionaries and enables standardization and harmonization of its variable definitions with controlled terminology resources. OBJECTIVE: To assess the usability of the functions D2Refine offers, a usability study was designed and executed. METHODS: We employed the TURF (task, user, representation, and function) Usability Framework of electronic health record usability to design, configure, and execute the usability study and performed quantitative analyses...
July 25, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/30012546/software-for-administering-the-national-cancer-institute-s-patient-reported-outcomes-version-of-the-common-terminology-criteria-for-adverse-events-usability-study
#12
Martin W Schoen, Ethan Basch, Lori L Hudson, Arlene E Chung, Tito R Mendoza, Sandra A Mitchell, Diane St Germain, Paul Baumgartner, Laura Sit, Lauren J Rogak, Marwan Shouery, Eve Shalley, Bryce B Reeve, Maria R Fawzy, Nrupen A Bhavsar, Charles Cleeland, Deborah Schrag, Amylou C Dueck, Amy P Abernethy
BACKGROUND: The US National Cancer Institute (NCI) developed software to gather symptomatic adverse events directly from patients participating in clinical trials. The software administers surveys to patients using items from the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) through Web-based or automated telephone interfaces and facilitates the management of survey administration and the resultant data by professionals (clinicians and research associates)...
July 16, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29991469/a-text-message-based-intervention-targeting-alcohol-consumption-among-university-students-user-satisfaction-and-acceptability-study
#13
Ulrika Müssener, Kristin Thomas, Catharina Linderoth, Matti Leijon, Marcus Bendtsen
BACKGROUND: Heavy consumption of alcohol among university students is a global problem, with excessive drinking being the social norm. Students can be a difficult target group to reach, and only a minority seek alcohol-related support. It is important to develop interventions that can reach university students in a way that does not further stretch the resources of the health services. Text messaging (short message service, SMS)-based interventions can enable continuous, real-time, cost-effective, brief support in a real-world setting, but there is a limited amount of evidence for effective interventions on alcohol consumption among young people based on text messaging...
July 10, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29853440/the-impact-of-visualization-dashboards-on-quality-of-care-and-clinician-satisfaction-integrative-literature-review
#14
REVIEW
Saif Sherif Khairat, Aniesha Dukkipati, Heather Alico Lauria, Thomas Bice, Debbie Travers, Shannon S Carson
BACKGROUND: Intensive Care Units (ICUs) in the United States admit more than 5.7 million people each year. The ICU level of care helps people with life-threatening illness or injuries and involves close, constant attention by a team of specially-trained health care providers. Delay between condition onset and implementation of necessary interventions can dramatically impact the prognosis of patients with life-threatening diagnoses. Evidence supports a connection between information overload and medical errors...
May 31, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29776901/a-moderated-e-forum-for-adults-with-cardiovascular-disease-usability-study
#15
Rika Tanaka, Anita Banerjee, Jelena Surikova, Jacqueline Tracey, Ada Payne, Heather Ross, Robert Nolan
BACKGROUND: Self-care behaviors are commonly prescribed to manage both cardiovascular disease and hypertension to reduce modifiable risk factors and improve quality of life. Nevertheless, long-term adherence to self-care recommendations for cardiac patients has been problematic. In cardiac patients, moderated online forums have been found to be particularly useful in supporting maintenance of heart-healthy diet and fewer hospital visits. As such, we developed the e-Forum, a Web-based moderated forum designed to promote continued user engagement and long-term self-care adherence...
May 18, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29773529/development-of-a-just-in-time-adaptive-mhealth-intervention-for-insomnia-usability-study
#16
I Wayan Pulantara, Bambang Parmanto, Anne Germain
BACKGROUND: Healthy sleep is a fundamental component of physical and brain health. Insomnia, however, is a prevalent sleep disorder that compromises functioning, productivity, and health. Therefore, developing efficient treatment delivery methods for insomnia can have significant societal and personal health impacts. Cognitive behavioral therapy for insomnia (CBTI) is the recommended first-line treatment of insomnia but access is currently limited for patients, since treatment must occur in specialty sleep clinics, which suffer from an insufficient number of trained clinicians...
May 17, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29759955/translation-cross-cultural-adaptation-and-validation-of-the-malay-version-of-the-system-usability-scale-questionnaire-for-the-assessment-of-mobile-apps
#17
Muhamad Fadhil Mohamad Marzuki, Nor Azwany Yaacob, Najib Majdi Yaacob
BACKGROUND: A mobile app is a programmed system designed to be used by a target user on a mobile device. The usability of such a system refers not only to the extent to which product can be used to achieve the task that it was designed for, but also its effectiveness and efficiency, as well as user satisfaction. The System Usability Scale is one of the most commonly used questionnaires used to assess the usability of a system. The original 10-item version of System Usability Scale was developed in English and thus needs to be adapted into local languages to assess the usability of a mobile apps developed in other languages...
May 14, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29712620/a-web-based-treatment-decision-support-tool-for-patients-with-advanced-knee-arthritis-evaluation-of-user-interface-and-content-design
#18
Hua Zheng, Milagros C Rosal, Wenjun Li, Amy Borg, Wenyun Yang, David C Ayers, Patricia D Franklin
BACKGROUND: Data-driven surgical decisions will ensure proper use and timing of surgical care. We developed a Web-based patient-centered treatment decision and assessment tool to guide treatment decisions among patients with advanced knee osteoarthritis who are considering total knee replacement surgery. OBJECTIVE: The aim of this study was to examine user experience and acceptance of the Web-based treatment decision support tool among older adults. METHODS: User-centered formative and summative evaluations were conducted for the tool...
April 30, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29699969/enhancing-home-health-mobile-phone-app-usability-through-general-smartphone-training-usability-and-learnability-case-study
#19
Richard Harte, Tony Hall, Liam Glynn, Alejandro Rodríguez-Molinero, Thomas Scharf, Leo R Quinlan, Gearóid ÓLaighin
BACKGROUND: Each year, millions of older adults fall, with more than 1 out of 4 older people experiencing a fall annually, thereby causing a major social and economic impact. Falling once doubles one’s chances of falling again, making fall prediction an important aspect of preventative strategies. In this study, 22 older adults aged between 65 and 85 years were trained in the use of a smartphone-based fall prediction system. The system is designed to continuously assess fall risk by measuring various gait and balance parameters using a smart insole and smartphone, and is also designed to detect falls...
April 26, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29691206/designing-for-clinical-change-creating-an-intervention-to-implement-new-statin-guidelines-in-a-primary-care-clinic
#20
Melissa DeJonckheere, Claire H Robinson, Lindsey Evans, Julie Lowery, Bradley Youles, Adam Tremblay, Caitlin Kelley, Jeremy B Sussman
BACKGROUND: Recent clinical practice guidelines from major national organizations, including a joint United States Department of Veterans Affairs (VA) and Department of Defense (DoD) committee, have substantially changed recommendations for the use of the cholesterol-lowering statin medications after years of relative stability. Because statin medications are among the most commonly prescribed treatments in the United States, any change in their use may have significant implications for patients and providers alike...
April 24, 2018: JMIR Human Factors
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