Human factors in healthcare最新文献

{"title":"Systems-based framework for clinical decision-support system integration for patient sepsis management: A theoretical application of the SEIPS model","authors":"Dechristian França Barbieri ,&nbsp;Divya Srinivasan ,&nbsp;Justin Ulrich ,&nbsp;Shyam Ranganathan ,&nbsp;Catherine Chang ,&nbsp;Jeffrey Austin Gerac ,&nbsp;Jackie S. Cha","doi":"10.1016/j.hfh.2025.100098","DOIUrl":"10.1016/j.hfh.2025.100098","url":null,"abstract":"<div><h3>Introduction</h3><div>Sepsis management in the emergency department (ED) involves a complex interaction between tasks, persons, tools &amp; technology, environment, and organizational factors. This study applied the Systems Engineering Initiative for Patient Safety (SEIPS) model to decompose and visualize the factors and their specific attributes in sepsis diagnosis and treatment in the ED.</div></div><div><h3>Methods</h3><div>Sepsis management tasks in ED were defined as check for SIRS criteria (Task A); assessment of source of infection (Task B); place sepsis treatment orders (Task C); and assessment of acute organ dysfunction (Task D). The SEIPS model was applied to decompose and visualize the factors (with attributes) involved in sepsis management in the ED. The factors include task demands (e.g., human knowledge, complexity, variety), person's resource demands (e.g., memory, attention, situation awareness), tools and technology demands (e.g., usability, functionality, automation), internal and external environments demands (e.g., light and regulations), and organizational factors demands (e.g., training).</div></div><div><h3>Results</h3><div>The visualizations of this framework reveal varying demands for factors and attributes across tasks, with theoretically higher demands for Task B. Task B requires extensive human resources, involves complex and ambiguous decision-making, and demands significant knowledge. Additionally, technologies with good usability were identified as essential to support clinicians in all evaluated tasks. For the organizational factor, training and education were noted as the most important attributes for sepsis care.</div></div><div><h3>Conclusion</h3><div>This framework can be utilized by researchers, providers, and organizations to evaluate work system factors and their interconnections in ED, ultimately to identify area of improvement during the sepsis care and treatment processes.</div></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"7 ","pages":"Article 100098"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who cares for the healthcare workers? The impact of workplace incivility on healthcare workers’ traumatic stress and mental health mediated by psychological resilience","authors":"Souad Hassanie ,&nbsp;Orhan Uludag ,&nbsp;Deepak Trivedi ,&nbsp;Sirine BouKarroum ,&nbsp;Jeannette Saidy","doi":"10.1016/j.hfh.2025.100105","DOIUrl":"10.1016/j.hfh.2025.100105","url":null,"abstract":"<div><div>Due to the high prevalence of workplace incivility and its negative consequences in the healthcare setting, our paper aims to investigate the impact of workplace incivility on healthcare workers’ mental health and secondary traumatic stress mediated by psychological resilience in line with the conservation resource of theory. Data was collected from 535 healthcare providers working in private Lebanese hospitals. The study’s interrelationships were analyzed via structural equation modeling. The results indicated that workplace incivility had a significant effect on healthcare workers’ secondary traumatic stress and mental health; however, it has an insignificant impact on psychological resilience. Moreover, the findings revealed that psychological resilience has a significant impact on mental health and an insignificant impact on secondary traumatic stress. Furthermore, the results highlighted that psychological resilience partially mediates the relationship between workplace incivility and mental health; however, it has no mediating role between workplace incivility and secondary traumatic stress. This study contributes to the conservation of resource theory and provides healthcare managers with evidence-based implications as a means to enhance healthcare workers’ resilience and psychological health mitigating the effect of workplace incivility.</div></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"7 ","pages":"Article 100105"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicians’ user experience with health information exchange technologies during simulated medication reconciliation","authors":"Himalaya Patel ,&nbsp;April Savoy ,&nbsp;Steven L. Sanchez ,&nbsp;Morgan Traylor ,&nbsp;Khoa A. Nguyen ,&nbsp;Kenneth S. Boockvar ,&nbsp;Vincent S. Fan ,&nbsp;Emily R. Locke ,&nbsp;Bryan Gibson ,&nbsp;Amanda S. Mixon ,&nbsp;Susan H. Byerly ,&nbsp;David A. Haggstrom ,&nbsp;Teresa M. Damush ,&nbsp;Michael Weiner ,&nbsp;Alissa L. Russ-Jara","doi":"10.1016/j.hfh.2024.100073","DOIUrl":"10.1016/j.hfh.2024.100073","url":null,"abstract":"<div><h3>Background</h3><div>Health information exchange (HIE), the electronic sharing of medical records between health care institutions, may increase patient safety. However, reported barriers to clinicians’ use of HIE include poor system usability and information quality. Through simulated medication reconciliation tasks, our objective was to characterize clinicians’ user experience with HIE technologies, and to identify requirements for future HIE technologies from clinicians’ current use patterns.</div></div><div><h3>Methods</h3><div>Our simulation-based observational study included three successive generations of HIE technologies used in the U.S. Department of Veterans Affairs (VA) health care system: Computerized Patient Record System (CPRS); VistA Web; and Joint Longitudinal Viewer (JLV). While using a think-aloud technique, participants attempted two randomly assigned, time-limited medication reconciliation tasks using any of these technologies. Tasks followed from clinical scenarios that varied on the types of cues about HIE data availability. After tasks, participants used the UMUX-Lite instrument to rate each technology's ease of use and utility (each range 1–7; 7=strongly agree). To identify design-related barriers, we coded and interpreted usability and content problems that participants encountered. To ease coding, we used problem frequency to indicate severity.</div></div><div><h3>Results</h3><div>Forty-four clinicians, spanning 21 specialties, participated from four VA medical centers: 23 physicians, 11 nurse practitioners, and 10 pharmacists. Overall, participant-rated ease of use and utility (<em>M</em> [<em>SD</em>]) were 4.0 (1.7)—a point-estimate grade of D (“Fair”)—and 4.0 (1.6), respectively. Participants spent 71 % of task time in CPRS, which also ranked highest in ease of use and utility (<em>p</em>s &lt; .001). Across technologies, frequent user-experience problems included unclear screen layout (35 [80 % of] participants), difficult navigation (35 [80 %]), and task-irrelevant data (34 [77 %]). Notable features included preformatted reports; table sorting methods; data-availability indicators; and filters for data sources, time periods, and keywords.</div></div><div><h3>Conclusion</h3><div>To improve clinicians’ user experience and ease transitions to newer platforms, HIE technologies should 1) communicate data scope, 2) minimize clinicians’ navigation steps, 3) summarize retrieved data, and 4) offer searching, sorting, and filtering. These strategies may increase HIE's usefulness for clinicians when reconciling patients’ medications.</div></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"7 ","pages":"Article 100073"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is your medical device “easy to use”? Supplemental oxygen patients’ experiences and tradeoffs around portable oxygen concentrators and tanks","authors":"Marc Egeth ,&nbsp;Naomi Cherne ,&nbsp;Nichole Breeland ,&nbsp;Samantha Sye ,&nbsp;Jennifer Soosaar ,&nbsp;Frederic Seifer ,&nbsp;Stanislav Glezer","doi":"10.1016/j.hfh.2025.100090","DOIUrl":"10.1016/j.hfh.2025.100090","url":null,"abstract":"<div><div>Engineering constraints on supplemental oxygen devices lead to tradeoffs for patients simply because larger and heavier devices last longer: larger tanks hold more oxygen, and the duration of use of a portable oxygen concentrator (POC) is governed by the size of its battery. Since a perfectly lightweight and long-lasting device cannot exist, the field seeks to optimize device options to suit the needs, desires, and lives of patients. The research described in this paper aims to understand through semi-structured interviews the experiences and interests of oxygen patients with respect to travel, mobility, and use of oxygen tanks and portable and stationary oxygen concentrators. We know that patients prefer devices that are “easy to use,” and we sought to clarify what this means and to prepare a more standardized measure of ease of use by developing an Absolute Ease of Use Scale for oxygen users. We also know that patients want a lightweight and long-lasting device, but we challenged patients to choose from specific lighter and heavier options associated with various battery lives. We probed where patients travel with their devices – and asked where else they would travel, if only their devices could be even lighter and last longer. Overall, a diverse picture emerges of widely varying preferences for time/weight tradeoffs and strategies for travel with these devices.</div></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"7 ","pages":"Article 100090"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survey analysis on comparative use human factors processes","authors":"Megan O. Conrad ,&nbsp;Mary Beth Privitera ,&nbsp;Molly E. Laird ,&nbsp;Melissa R. Lemke ,&nbsp;Molly Follette Story","doi":"10.1016/j.hfh.2025.100099","DOIUrl":"10.1016/j.hfh.2025.100099","url":null,"abstract":"<div><div>Proposed generic drug-device combination products submitted for FDA approval through the Abbreviated New Drug Application (ANDA) pathway require a comparison to the specific brand name version of the drug, or reference listed drug (RLD). The application requires data demonstrating the generic drug is not only pharmaceutically equivalent, but also that any associated device administering the drug is interchangeable from a human factors perspective. In 2017, the FDA made available the draft guidance for industry entitled “Comparative Analyses and Related Comparative Use Human Factors Studies for a Drug-Device Combination Product Submitted in an ANDA”. This project surveyed key human factors stakeholders utilizing the guidance to identify the methods employed and potential gaps in the Comparative Use Human Factors (CUHF) process. Participants included human factors experts involved in preparing generic combination products for FDA approval. After completing a 10-question, IRB approved questionnaire participants were invited to participate in a 30 min virtual interview. The scripted interview probed for the participants’ expertise, types of combination products supported, experience conducting CUHF studies, and perceived best practices/challenges of the CUHF process outlined in the draft guidance. A total of 14 participants completed the questionnaire with 9 participating in follow-up interviews. Interview transcripts were reviewed by 2 researchers and coded by topic for further analysis. Results indicate HF experts appreciate specific expectations outlining the threshold analysis and identifying the method as a systematic, well-defined process. Challenges reported from the guidance include frustration with objectives that vary compared to other FDA guidance's, a challenging process for calculating sample size, difficulty obtaining historical device data for a comparative assessment, a lack of methodology to compute and categorize errors, failure to address severity of errors, and confusion calculating acceptable error rates. Findings from the survey/interviews are being used to identify requirements for a proposed comparative human factors method.</div></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"7 ","pages":"Article 100099"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A human factors engineering approach to improving hand hygiene quality","authors":"Michael W. Boyce ,&nbsp;Trini A. Mathew ,&nbsp;Scott C. Roberts ,&nbsp;Michael Aniskiewicz ,&nbsp;Kathy Krechevsky ,&nbsp;Suzanne Dahlberg ,&nbsp;Noelle Frye ,&nbsp;Jamie E. Trumpler ,&nbsp;Leigh V. Evans ,&nbsp;Richard A. Martinello ,&nbsp;the HIPSTER Team","doi":"10.1016/j.hfh.2024.100085","DOIUrl":"10.1016/j.hfh.2024.100085","url":null,"abstract":"<div><p>Healthcare-associated infections (HAIs) are common and expensive complications that can occur during inpatient hospital stays. Hand hygiene (HH)—which includes hand washing with soap and water and hand rubbing with alcohol-based hand sanitizer—is the primary tool used by healthcare personnel (HCP) to prevent HAIs. Consequently, the World Health Organization (WHO) proposed guidelines for effective HH in healthcare settings. However, consistent performance of HH by HCP is still lacking. HH in healthcare requires both compliance with indications for HH and quality of HH. Integrative approaches in human factors engineering (HFE) and infection prevention can be used to promote sustainable techniques that can be implemented by HCP to improve the quality of HH techniques. This research proposes a three-phase integrative approach that uses HFE-based methods to identify why HH is often insufficiently executed by HCP in hospital settings and ultimately to help guide HCP to improve HH quality. We performed i) a tabular task analysis (TTA), constructed by HFE personnel and infection prevention specialists, ii) card sorting with infection prevention subject matter experts to prioritize HH steps and analyzed with criticality analysis and subsequent modifications to the TTA, and iii) TTA validation and verification with subject matter experts. Finally, we conducted qualitative interviews with members of hospital leadership and determined that it is feasible to implement the use of TTAs in hospital settings. This research provides enhanced HH guidance using an integrative HFE-based approach and is directed to increase the quality of HH performed by HCP, thereby reducing HAI rates and improving patient safety. Furthermore, these results can be used to support the effective implementation of the WHO's HH guidance. Our findings elucidate some of the challenges to patient safety regarding HH and clarify best practices for HH in hospital settings.</p></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"6 ","pages":"Article 100085"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772501424000216/pdfft?md5=a0a6c4d579a41d9cfa4558a2bab7064c&pid=1-s2.0-S2772501424000216-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical instrument counting: Current practice and staff perspectives on technological support","authors":"A.M. Kooijmans ,&nbsp;L. de Rouw ,&nbsp;M. van der Elst ,&nbsp;J.J. van den Dobbelsteen","doi":"10.1016/j.hfh.2024.100087","DOIUrl":"10.1016/j.hfh.2024.100087","url":null,"abstract":"<div><h3>Background</h3><p>Surgical instrument counting is a manual, attention-intensive task of the operating room (OR) nurse. Many labour-saving technologies have been proposed, but implementation remains challenging. Knowledge of current counting methods and staff preferences could guide future developments towards effective application.</p></div><div><h3>Approach</h3><p>We observed OR nurses counting materials and instruments in 50 surgical procedures performed by various surgical specialties in a regional teaching hospital in Delft, The Netherlands. Additionally, we surveyed them on their preferences concerning the methods of counting.</p></div><div><h3>Key findings</h3><p>Variations in approaches of surgical counting were observed, with OR nurses using multiple strategies and counting techniques to manage disruptions and limit workload. Interest in using supportive technology is limited to the preoperative and postoperative phase.</p></div><div><h3>Relevance</h3><p>This research relates observational data to staff preferences. Our findings may guide future developments of labour-saving innovations regarding surgical counting towards developing more effective applications and to ensure successful implementation.</p></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"6 ","pages":"Article 100087"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277250142400023X/pdfft?md5=68e71802b8b3bb964d7e1229f1c08205&pid=1-s2.0-S277250142400023X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142171718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workload Indicators of Staffing Need (WISN) method for health workforce planning at health facility: A scoping review","authors":"Gizew Dessie Asres ,&nbsp;Yeshiwork Kebede Gessesse","doi":"10.1016/j.hfh.2024.100078","DOIUrl":"10.1016/j.hfh.2024.100078","url":null,"abstract":"<div><h3>Background</h3><p>In the presence of diverse workforce planning methods, identifying the advantages, challenges, and limitations of each method is crucial. Population-to-health-workforce ratio method faces challenges due to continuous population growth and variations in healthcare needs over time. While a standard staffing schedule was utilized to address the challenges of the population ratio method, it encountered another challenge in distributing health workforces within a country's health facilities. Workload Indicators of Staffing Need (WISN) method was designed to alleviate challenges posed by the aforementioned methods. However, the challenges and limitations of the WISN method have not been systematically reviewed, which is the motivation for this scoping review.</p></div><div><h3>Methods</h3><p>We conducted a scoping review of the literature with the objective of identifying the implications, challenges, and limitations of the WISN method in workforce planning at health facilities. We followed Arksey and O'Malley's methodological steps to develop research questions, identify relevant studies, include/exclude studies, extract data, and report the findings. To ensure methodological quality, we used the PRISMA guideline and PRISMA-ScR checklist.</p></div><div><h3>Results</h3><p>Twenty-seven studies were eligible, with more than 83 % published between 2019 and 2022. The majority of studies utilized retrospective quantitative data with a cross-sectional study design, although four studies also incorporated qualitative components. Major challenges identified were the multitasking nature of some professions, poor data quality or availability, and technical details of the WISN method itself. This review revealed limitations of the WISN method in the reliability of its results, as it depends on last year's records.</p></div><div><h3>Conclusion</h3><p>WISN model of human resources for health planning adjusts workload pressure among health care workers within and between health facilities. Health care administrators use it for task-shifting indicators within a health facility and equitable distribution indicators between health facilities. Being a very useful human resource planning-tool WISN has some challenges and limitations too.</p></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"6 ","pages":"Article 100078"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772501424000150/pdfft?md5=9d86fd9b276fde3c1c9aeee0d10b9c59&pid=1-s2.0-S2772501424000150-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141405272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptive performance scale: Translation and validation in English and Dutch","authors":"Marcel Krijgsheld ,&nbsp;Lars (L.G.) Tummers ,&nbsp;Floortje (F.E.) Scheepers","doi":"10.1016/j.hfh.2024.100086","DOIUrl":"10.1016/j.hfh.2024.100086","url":null,"abstract":"<div><p>The significance of adaptive performance in today's rapidly evolving work environment cannot be overlooked. Despite its crucial nature, no validated scale exists for assessing adaptive performance in either English or Dutch. This project aims to rectify this deficiency by providing researchers with a reliable and validated instrument to measure adaptive performance. The French scale was translated into English and Dutch using forward and backward translation techniques and was pretested by healthcare professionals. A uniform interpretation of the translations was achieved, and the final questionnaires were distributed to healthcare professionals. We explored the dimensionality of the scales using factor analysis and tested for reliability and validity. Questionnaires were completed by 283 English-speaking and 306 Dutch-speaking respondents. Both questionnaires demonstrated good internal consistency (Cronbach's alpha 0.87) and convergent and discriminant validity. Minor issues were addressed. This analysis presents a dependable and legitimate tool for the further exploration of adaptive performance. The primary focus of this project was on healthcare professionals. Given that the original scale was evaluated across various occupations and the items were worded in general terms, the scale could be applied generally. This project successfully addressed the need for a scale on adaptive performance for researchers conducting studies with English or Dutch respondents.</p></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"6 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772501424000228/pdfft?md5=90d17ff8846690707e84ddc5e1e173b4&pid=1-s2.0-S2772501424000228-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying the blended KTA-Sprint framework to a usability assessment of a digital health module for informal caregivers co-managing heart failure","authors":"Ting Xiong ,&nbsp;Camila Benmessaoud ,&nbsp;Kaylen J. Pfisterer ,&nbsp;Noor El-Dassouki ,&nbsp;Raima Lohani ,&nbsp;Karen Young ,&nbsp;Quynh Pham","doi":"10.1016/j.hfh.2024.100081","DOIUrl":"10.1016/j.hfh.2024.100081","url":null,"abstract":"<div><h3>Aims</h3><p>The main purpose of this study was to design and evaluate core features of a patient-informal caregiver shared digital health module, Caretown, to support chronic disease management. The secondary purpose was to explore the efficacy of ongoing implementation of an innovative KTA-Sprint framework through usability testing of the Caretown module.</p></div><div><h3>Methods</h3><p>Guided by the KTA-Sprint framework, seven core features of the Caretown module were designed through a multi-method approach: symptom live reports, care cards, trends, medication wallet, medical events timeline, messenger, and caregiver resources.</p></div><div><h3>Results and discussion</h3><p>We tested the prototype of the module with seven informal caregivers. Findings from quantitative usability metrics and qualitative interviews were translated into required refinements (e.g., how to improve intuitiveness of icons, interpretation of presented data, and system navigation) and mapped onto a subset of Ravden checklist domains. Qualitative usability feedback highlighted opportunities to further improve: visual clarity, consistency, compatibility with user expectations, how to provide informative feedback with clear structure, functionality, flexibility and control. Throughout the design process, we identified considerations for supporting future implementation outcomes including equity, acceptability, adoption, appropriateness, and fidelity. Moreover, the KTA-Sprint framework effectively guided the design and evaluation process for the Caretown module.</p></div><div><h3>Conclusions</h3><p>This development and usability testing of the Caretown module illustrates the implementation of the rapid and iterative KTA-Sprint framework. Scenario-based testing and multi-method analyses of user feedback allowed for triangulation of feedback. Results informed key considerations for product deployment and future implementation.</p></div>","PeriodicalId":93564,"journal":{"name":"Human factors in healthcare","volume":"6 ","pages":"Article 100081"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772501424000186/pdfft?md5=5765da7b4a1b16df398476fea26f0c73&pid=1-s2.0-S2772501424000186-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}