Lisa V Grossman1,2, Steven K Feiner3, Elliot G Mitchell1, Ruth M Masterson Creber4. 1. Department of Biomedical Informatics, Columbia University, New York, New York, United States. 2. College of Physicians and Surgeons, Columbia University, New York, New York, United States. 3. Department of Computer Science, Columbia University, New York, New York, United States. 4. School of Nursing, Columbia University, New York, New York, United States.
Abstract
BACKGROUND: Health care organizations increasingly use patient-reported outcomes (PROs) to capture patients' health status. Although federal policy mandates PRO collection, the challenge remains to better engage patients in PRO surveys, and ensure patients comprehend the surveys and their results. OBJECTIVE: This article identifies the design requirements for an interface that assists patients with PRO survey completion and interpretation, and then builds and evaluates the interface. METHODS: We employed a user-centered design process that consisted of three stages. First, we conducted qualitative interviews and surveys with 13 patients and 11 health care providers to understand their perceptions of the value and challenges associated with the use of PRO measures. Second, we used the results to identify design requirements for an interface that collects PROs, and designed the interface. Third, we conducted usability testing with 12 additional patients in a hospital setting. RESULTS: In interviews, patients and providers reported that PRO surveys help patients to reflect on their symptoms, potentially identifying new opportunities for improved care. However, 6 out of 13 patients reported significant difficultly in understanding PRO survey questions, answer choices and results. Therefore, we identified aiding comprehension as a key design requirement, and incorporated visualizations into our interface design to aid comprehension. In usability testing, patients found the interface highly usable. CONCLUSION: Future interfaces designed to collect PROs may benefit from employing strategies such as visualization to aid comprehension and engage patients with surveys. Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND: Health care organizations increasingly use patient-reported outcomes (PROs) to capture patients' health status. Although federal policy mandates PRO collection, the challenge remains to better engage patients in PRO surveys, and ensure patients comprehend the surveys and their results. OBJECTIVE: This article identifies the design requirements for an interface that assists patients with PRO survey completion and interpretation, and then builds and evaluates the interface. METHODS: We employed a user-centered design process that consisted of three stages. First, we conducted qualitative interviews and surveys with 13 patients and 11 health care providers to understand their perceptions of the value and challenges associated with the use of PRO measures. Second, we used the results to identify design requirements for an interface that collects PROs, and designed the interface. Third, we conducted usability testing with 12 additional patients in a hospital setting. RESULTS: In interviews, patients and providers reported that PRO surveys help patients to reflect on their symptoms, potentially identifying new opportunities for improved care. However, 6 out of 13 patients reported significant difficultly in understanding PRO survey questions, answer choices and results. Therefore, we identified aiding comprehension as a key design requirement, and incorporated visualizations into our interface design to aid comprehension. In usability testing, patients found the interface highly usable. CONCLUSION: Future interfaces designed to collect PROs may benefit from employing strategies such as visualization to aid comprehension and engage patients with surveys. Georg Thieme Verlag KG Stuttgart · New York.
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Authors: Lisa V Grossman; Ruth M Masterson Creber; Natalie C Benda; Drew Wright; David K Vawdrey; Jessica S Ancker Journal: J Am Med Inform Assoc Date: 2019-08-01 Impact factor: 4.497
Authors: Meghan Reading Turchioe; Lisa V Grossman; Annie C Myers; Dawon Baik; Parag Goyal; Ruth M Masterson Creber Journal: J Am Med Inform Assoc Date: 2020-05-01 Impact factor: 4.497
Authors: Elliot G Mitchell; Elizabeth M Heitkemper; Marissa Burgermaster; Matthew E Levine; Yishen Miao; Maria L Hwang; Pooja M Desai; Andrea Cassells; Jonathan N Tobin; Esteban G Tabak; David J Albers; Arlene M Smaldone; Lena Mamykina Journal: Proc SIGCHI Conf Hum Factor Comput Syst Date: 2021-05-07
Authors: Meghan Reading Turchioe; Lisa V Grossman; Dawon Baik; Christopher S Lee; Mathew S Maurer; Parag Goyal; Monika M Safford; Ruth M Masterson Creber Journal: J Am Geriatr Soc Date: 2020-03-10 Impact factor: 5.562