Development of a prototype continuity of care record with context-specific links to meet the information needs of case managers for persons living with HIV

Objectives(1) To develop a prototype Continuity of Care Record (CCR) with context-specific links to electronic HIV information resources; and (2) to assess case managers’ perceptions regarding the usability of the prototype.MethodsWe integrated context-specific links to HIV case management information resources into a prototype CCR using the Infobutton Manager and Librarian Infobutton Tailoring Environment (LITE). Case managers (N = 9) completed a think-aloud protocol and the Computer System Usability Questionnaire (CSUQ) to evaluate the usability of the prototype. Verbalizations from the think-aloud protocol were summarized using thematic analysis. CSUQ data were analyzed with descriptive statistics.ResultsAlthough participants expressed positive comments regarding the usability of the prototype, the think-aloud protocol also identified the need for improvement in resource labels and for additional resources. On a scale ranging from 1 (strongly agree) to 7 (strongly disagree), the average CSUQ overall satisfaction was 2.25 indicating that users (n = 9) were generally satisfied with the system. Mean CSUQ factor scores were: System Usefulness (M = 2.13), Information Quality (M = 2.46), and Interface Quality (M = 2.26).ConclusionOur novel application of the Infobutton Manager and LITE in the context of case management for persons living with HIV in community-based settings resulted in a prototype CCR with infobuttons that met the majority of case managers’ information needs and received relatively positive usability ratings. Findings from this study inform future integration of context-specific links into CCRs and electronic health records and support their use for meeting end-users information needs.

► Our study is the first to focus on creating infobuttons to meet the information needs of case managers in the clinical domain of HIV. ► Context specific links to HIV resources have not been evaluated within a clinical information system. ► Preliminary evidence suggests that infobuttons will be useful in addressing the information needs of HIV case managers. ► The results of this study can be used to help meet information needs and can contribute to the overall care of PLWH.