کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
516735 1449113 2015 13 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Usability and feasibility of a tablet-based Decision-Support and Integrated Record-keeping (DESIRE) tool in the nurse management of hypertension in rural western Kenya
ترجمه فارسی عنوان
قابلیت استفاده و امکان پذیر بودن یک ابزار نگهداری پرونده یکپارچه پشتیبان تصمیم مبتنی بر تبلت در مدیریت پرستاران از فشار خون بالا در مناطق روستایی کنیا
کلمات کلیدی
AMPATH، مدل علمی ارائه دسترسی به مراقبت های بهداشتی؛ AMRS، AMPATH سیستم ضبط پزشکی؛ CDM، مدیریت بیماری مزمن؛ CVD، بیماری قلبی عروقی؛ DESIRE، پشتیبانی تصمیم گیری و ادغام مجدد؛ HIV، ویروس نقص ایمنی بدن انسان؛ LMICs، low-
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر نرم افزارهای علوم کامپیوتر
چکیده انگلیسی


• We report usability and feasibility testing of a mHealth intervention in Kenya.
• Usability testing revealed critical incidents and generated design changes.
• Feasibility testing identified human and technical barriers to implementation.

BackgroundMobile health (mHealth) applications have recently proliferated, especially in low- and middle-income countries, complementing task-redistribution strategies with clinical decision support. Relatively few studies address usability and feasibility issues that may impact success or failure of implementation, and few have been conducted for non-communicable diseases such as hypertension.ObjectiveTo conduct iterative usability and feasibility testing of a tablet-based Decision Support and Integrated Record-keeping (DESIRE) tool, a technology intended to assist rural clinicians taking care of hypertension patients at the community level in a resource-limited setting in western Kenya.MethodsUsability testing consisted of “think aloud” exercises and “mock patient encounters” with five nurses, as well as one focus group discussion. Feasibility testing consisted of semi-structured interviews of five nurses and two members of the implementation team, and one focus group discussion with nurses. Content analysis was performed using both deductive codes and significant inductive codes. Critical incidents were identified and ranked according to severity. A cause-of-error analysis was used to develop corresponding design change suggestions.ResultsFifty-seven critical incidents were identified in usability testing, 21 of which were unique. The cause-of-error analysis yielded 23 design change suggestions. Feasibility themes included barriers to implementation along both human and technical axes, facilitators to implementation, provider issues, patient issues and feature requests.ConclusionsThis participatory, iterative human-centered design process revealed previously unaddressed usability and feasibility issues affecting the implementation of the DESIRE tool in western Kenya. In addition to well-known technical issues, we highlight the importance of human factors that can impact implementation of mHealth interventions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Medical Informatics - Volume 84, Issue 3, March 2015, Pages 207–219
نویسندگان
, , , , , , , , , , ,