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JMIR Human Factors

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https://www.readbyqxmd.com/read/27836819/exploration-of-deaf-people-s-health-information-sources-and-techniques-for-information-delivery-in-cape-town-a-qualitative-study-for-the-design-and-development-of-a-mobile-health-app
#1
Prangnat Chininthorn, Meryl Glaser, William David Tucker, Jan Carel Diehl
BACKGROUND: Many cultural and linguistic Deaf people in South Africa face disparity when accessing health information because of social and language barriers. The number of certified South African Sign Language interpreters (SASLIs) is also insufficient to meet the demand of the Deaf population in the country. Our research team, in collaboration with the Deaf communities in Cape Town, devised a mobile health app called SignSupport to bridge the communication gaps in health care contexts...
November 11, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27760726/integrating-patient-generated-health-data-into-clinical-care-settings-or-clinical-decision-making-lessons-learned-from-project-healthdesign
#2
Deborah J Cohen, Sara R Keller, Gillian R Hayes, David A Dorr, Joan S Ash, Dean F Sittig
BACKGROUND: Patient-generated health data (PGHD) are health-related data created or recorded by patients to inform their self-care and understanding about their own health. PGHD is different from other patient-reported outcome data because the collection of data is patient-driven, not practice- or research-driven. Technical applications for assisting patients to collect PGHD supports self-management activities such as healthy eating and exercise and can be important for preventing and managing disease...
October 19, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27756716/strengthening-interprofessional-requirements-engineering-through-action-sheets-a-pilot-study
#3
Aline Kunz, Sabrina Pohlmann, Oliver Heinze, Antje Brandner, Christina Reiß, Martina Kamradt, Joachim Szecsenyi, Dominik Ose
BACKGROUND: The importance of information and communication technology for healthcare is steadily growing. Newly developed tools are addressing different user groups: physicians, other health care professionals, social workers, patients, and family members. Since often many different actors with different expertise and perspectives are involved in the development process it can be a challenge to integrate the user-reported requirements of those heterogeneous user groups. Nevertheless, the understanding and consideration of user requirements is the prerequisite of building a feasible technical solution...
October 18, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27733331/medication-management-the-macrocognitive-workflow-of-older-adults-with-heart-failure
#4
Robin S Mickelson, Kim M Unertl, Richard J Holden
BACKGROUND: Older adults with chronic disease struggle to manage complex medication regimens. Health information technology has the potential to improve medication management, but only if it is based on a thorough understanding of the complexity of medication management workflow as it occurs in natural settings. Prior research reveals that patient work related to medication management is complex, cognitive, and collaborative. Macrocognitive processes are theorized as how people individually and collaboratively think in complex, adaptive, and messy nonlaboratory settings supported by artifacts...
October 12, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27694097/role-of-large-clinical-datasets-from-physiologic-monitors-in-improving-the-safety-of-clinical-alarm-systems-and-methodological-considerations-a-case-from-philips-monitors
#5
Azizeh Khaled Sowan, Charles Calhoun Reed, Nancy Staggers
BACKGROUND: Large datasets of the audit log of modern physiologic monitoring devices have rarely been used for predictive modeling, capturing unsafe practices, or guiding initiatives on alarm systems safety. OBJECTIVE: This paper (1) describes a large clinical dataset using the audit log of the physiologic monitors, (2) discusses benefits and challenges of using the audit log in identifying the most important alarm signals and improving the safety of clinical alarm systems, and (3) provides suggestions for presenting alarm data and improving the audit log of the physiologic monitors...
September 30, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27609738/development-and-usability-of-reach-a-tailored-theory-based-text-messaging-intervention-for-disadvantaged-adults-with-type-2-diabetes
#6
Lyndsay A Nelson, Lindsay S Mayberry, Kenneth Wallston, Sunil Kripalani, Erin M Bergner, Chandra Y Osborn
BACKGROUND: Among adults with type 2 diabetes mellitus (T2DM), adherence to recommended self-care activities is suboptimal, especially among racial and ethnic minorities with low income. Self-care nonadherence is associated with having worse glycemic control and diabetes complications. Text messaging interventions are improving the self-care of adults with T2DM, but few have been tested with disadvantaged populations. OBJECTIVE: To develop Rapid Education/Encouragement And Communications for Health (REACH), a tailored, text messaging intervention to support the self-care adherence of disadvantaged patients with T2DM, based on the Information-Motivation-Behavioral skills model...
September 8, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27528543/designing-for-risk-assessment-systems-for-patient-triage-in-primary-health-care-a-literature-review
#7
Alessandro Jatoba, Catherine Marie Burns, Mario Cesar Rodriguez Vidal, Paulo Victor Rodrigues Carvalho
BACKGROUND: This literature review covers original journal papers published between 2011 and 2015. These papers review the current status of research on the application of human factors and ergonomics in risk assessment systems' design to cope with the complexity, singularity, and danger in patient triage in primary health care. OBJECTIVE: This paper presents a systematic literature review that aims to identify, analyze, and interpret the application of available evidence from human factors and ergonomics to the design of tools, devices, and work processes to support risk assessment in the context of health care...
August 15, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27328761/usability-testing-and-adaptation-of-the-pediatric-cardiovascular-risk-reduction-clinical-decision-support-tool
#8
Pamela A Williams, Robert D Furberg, Jacqueline E Bagwell, Kenneth A LaBresh
BACKGROUND: Cardiovascular disease (CVD) is 1 of the leading causes of death, years of life lost, and disability-adjusted years of life lost worldwide. CVD prevention for children and teens is needed, as CVD risk factors and behaviors beginning in youth contribute to CVD development. In 2012, the National Heart, Lung, and Blood Institute released their "Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents" for clinicians, describing CVD risk factors they should address with patients at primary care preventative visits...
June 21, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27542995/user-experiences-of-the-mcmaster-optimal-aging-portal-s-evidence-summaries-and-blog-posts-usability-study
#9
Angela M Barbara, Maureen Dobbins, R Brian Haynes, Alfonso Iorio, John N Lavis, Anthony J Levinson
BACKGROUND: Evidence summaries and blogs can support evidence-informed healthy aging, by presenting high-quality health research evidence in plain language for a nonprofessional (citizen) audience. OBJECTIVE: Our objective was to explore citizens' perceptions about the usability of evidence summaries and blog posts on the Web-based McMaster Optimal Aging Portal. METHODS: Twenty-two citizens (aged 50 years and older) and informal caregivers participated in a qualitative study using a think-aloud method and semistructured interviews...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27471006/an-evaluation-of-understandability-of-patient-journey-models-in-mental-health
#10
Jennifer Percival, Carolyn McGregor
BACKGROUND: There is a significant trend toward implementing health information technology to reduce administrative costs and improve patient care. Unfortunately, little awareness exists of the challenges of integrating information systems with existing clinical practice. The systematic integration of clinical processes with information system and health information technology can benefit the patients, staff, and the delivery of care. OBJECTIVES: This paper presents a comparison of the degree of understandability of patient journey models...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27440737/do-gender-specific-and-high-resolution-three-dimensional-body-charts-facilitate-the-communication-of-pain-for-women-a-quantitative-and-qualitative-study
#11
Line Lindhardt Egsgaard, Trine Søby Christensen, Ida Munk Petersen, Dorthe Scavenius Brønnum, Shellie Ann Boudreau
BACKGROUND: Chronic pain is more prevalent among women; however, the majority of standardized pain drawings are often collected using male-like androgynous body representations. OBJECTIVE: The purpose of this study was to assess whether gender-specific and high-resolution three-dimensional (3D) body charts facilitate the communication of pain for women. METHODS: Using mixed-methods and a cross-over design, female patients with chronic pain were asked to provide detailed drawings of their current pain on masculine and feminine two-dimensional (2D) body schemas (N=41, Part I) or on female 2D and 3D high-resolution body schemas (N=41, Part II) on a computer tablet...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27393643/usability-testing-of-a-national-substance-use-screening-tool-embedded-in-electronic-health-records
#12
Anne Press, Catherine DeStio, Lauren McCullagh, Sandeep Kapoor, Jeanne Morley, Joseph Conigliaro
BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) is currently being implemented into health systems nationally via paper and electronic methods. OBJECTIVE: The purpose of this study was to evaluate the integration of an electronic SBIRT tool into an existing paper-based SBIRT clinical workflow in a patient-centered medical home. METHODS: Usability testing was conducted in an academic ambulatory clinic. Two rounds of usability testing were done with medical office assistants (MOAs) using a paper and electronic version of the SBIRT tool, with two and four participants, respectively...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27255612/how-regrouping-alerts-in-computerized-physician-order-entry-layout-influences-physicians-prescription-behavior-results-of-a-crossover-randomized-trial
#13
Rolf Wipfli, Frederic Ehrler, Georges Bediang, Mireille Bétrancourt, Christian Lovis
BACKGROUND: As demonstrated in several publications, low positive predictive value alerts in computerized physician order entry (CPOE) induce fatigue and may interrupt physicians unnecessarily during prescription of medication. Although it is difficult to increase the consideration of medical alerts by physician through an improvement of their predictive value, another approach consists to act on the way they are presented. The interruption management model inspired us to propose an alternative alert display strategy of regrouping the alerts in the screen layout, as a possible solution for reducing the interruption in physicians' workflow...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27251110/effects-of-information-visualization-on-older-adults-decision-making-performance-in-a-medicare-plan-selection-task-a-comparative-usability-study
#14
Margaux M Price, Jessica J Crumley-Branyon, William R Leidheiser, Richard Pak
BACKGROUND: Technology gains have improved tools for evaluating complex tasks by providing environmental supports (ES) that increase ease of use and improve performance outcomes through the use of information visualizations (info-vis). Complex info-vis emphasize the need to understand individual differences in abilities of target users, the key cognitive abilities needed to execute a decision task, and the graphical elements that can serve as the most effective ES. Older adults may be one such target user group that would benefit from increased ES to mitigate specific declines in cognitive abilities...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27174496/the-usability-of-diabetes-map-a-web-delivered-intervention-for-improving-medication-adherence
#15
Lyndsay A Nelson, Magaela C Bethune, Andrea E Lagotte, Chandra Y Osborn
BACKGROUND: Web-delivered interventions are a feasible approach to health promotion. However, if a website is poorly designed, difficult to navigate, and has technical bugs, it will not be used as intended. Usability testing prior to evaluating a website's benefits can identify barriers to user engagement and maximize future use. OBJECTIVE: We developed a Web-delivered intervention called Diabetes Medication Adherence Promotion (Diabetes MAP) and used a mixed-methods approach to test its usability prior to evaluating its efficacy on medication adherence and glycemic control in a randomized controlled trial...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27170443/the-mcmaster-optimal-aging-portal-usability-evaluation-of-a-unique-evidence-based-health-information-website
#16
Angela M Barbara, Maureen Dobbins, R Brian Haynes, Alfonso Iorio, John N Lavis, Parminder Raina, Anthony J Levinson
BACKGROUND: Increasingly, older adults and their informal caregivers are using the Internet to search for health-related information. There is a proliferation of health information online, but the quality of this information varies, often based on exaggerated or dramatic findings, and not easily comprehended by consumers. The McMaster Optimal Aging Portal (Portal) was developed to provide Internet users with high-quality evidence about aging and address some of these current limitations of health information posted online...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27036170/changes-in-default-alarm-settings-and-standard-in-service-are-insufficient-to-improve-alarm-fatigue-in-an-intensive-care-unit-a-pilot-project
#17
Azizeh Khaled Sowan, Tiffany Michelle Gomez, Albert Fajardo Tarriela, Charles Calhoun Reed, Bruce Michael Paper
BACKGROUND: Clinical alarm systems safety is a national concern, specifically in intensive care units (ICUs) where alarm rates are known to be the highest. Interventional projects that examined the effect of changing default alarm settings on overall alarm rate and on clinicians' attitudes and practices toward clinical alarms and alarm fatigue are scarce. OBJECTIVE: To examine if (1) a change in default alarm settings of the cardiac monitors and (2) in-service nursing education on cardiac monitor use in an ICU would result in reducing alarm rate and in improving nurses' attitudes and practices toward clinical alarms...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27026535/a-mixed-methods-approach-to-the-development-refinement-and-pilot-testing-of-social-networks-for-improving-healthy-behaviors
#18
Sarah Hales, Gabrielle Turner-McGrievy, Arjang Fahim, Andrew Freix, Sara Wilcox, Rachel E Davis, Michael Huhns, Homayoun Valafar
BACKGROUND: Mobile health (mHealth) has shown promise as a way to deliver weight loss interventions, including connecting users for social support. OBJECTIVE: To develop, refine, and pilot test the Social Pounds Off Digitally (POD) Android app for personalized health monitoring and interaction. METHODS: Adults who were overweight and obese with Android smartphones (BMI 25-49.9 kg/m(2); N=9) were recruited for a 2-month weight loss pilot intervention and iterative usability testing of the Social POD app...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27026394/evaluating-the-usability-and-perceived-impact-of-an-electronic-medical-record-toolkit-for-atrial-fibrillation-management-in-primary-care-a-mixed-methods-study-incorporating-human-factors-design
#19
Kim Tran, Kori Leblanc, Alissia Valentinis, Doug Kavanagh, Nina Zahr, Noah M Ivers
BACKGROUND: Atrial fibrillation (AF) is a common and preventable cause of stroke. Barriers to reducing stroke risk through appropriate prescribing have been identified at the system, provider, and patient levels. To ensure a multifaceted initiative to address these barriers is effective, it is essential to incorporate user-centered design to ensure all intervention components are optimized for users. OBJECTIVE: To test the usability of an electronic medical record (EMR) toolkit for AF in primary care with the goal of further refining the intervention to meet the needs of primary care clinicians...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27026291/sociotechnical-human-factors-involved-in-remote-online-usability-testing-of-two-ehealth-interventions
#20
Lori M Wozney, Pamela Baxter, Hilary Fast, Laura Cleghorn, Amos S Hundert, Amanda S Newton
BACKGROUND: Research in the fields of human performance technology and human computer interaction are challenging the traditional macro focus of usability testing arguing for methods that help test moderators assess "use in context" (ie, cognitive skills, usability understood over time) and in authentic "real world" settings. Human factors in these complex test scenarios may impact on the quality of usability results being derived yet there is a lack of research detailing moderator experiences in these test environments...
2016: JMIR Human Factors
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