"An app is just available at all times"-the process and outcomes of converting the Georgia Tuberculosis Reference Guide into a mobile application.

Autor: Arconada Alvarez SJ; Emory University School of Medicine, Atlanta, Georgia, United States of America.; AppHatchery, Georgia Clinical and Translational Science Alliance, Atlanta, Georgia, United States of America., Hoover AT; Emory University School of Medicine, Atlanta, Georgia, United States of America.; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, United States of America., Greenleaf M; Emory University School of Medicine, Atlanta, Georgia, United States of America.; AppHatchery, Georgia Clinical and Translational Science Alliance, Atlanta, Georgia, United States of America., Ray SM; Emory University School of Medicine, Atlanta, Georgia, United States of America.; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, United States of America.; Grady Memorial Hospital, Atlanta, Georgia, United States of America.; Georgia Department of Public Health Tuberculosis Program, Atlanta, Georgia, United States of America., Schechter MC; Emory University School of Medicine, Atlanta, Georgia, United States of America.; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, United States of America.; Grady Memorial Hospital, Atlanta, Georgia, United States of America.; Georgia Department of Public Health Tuberculosis Program, Atlanta, Georgia, United States of America., Blumberg HM; Emory University School of Medicine, Atlanta, Georgia, United States of America.; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, United States of America.; Grady Memorial Hospital, Atlanta, Georgia, United States of America.; Departments of Epidemiology and Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, United States of America., Lam WA; Emory University School of Medicine, Atlanta, Georgia, United States of America.; AppHatchery, Georgia Clinical and Translational Science Alliance, Atlanta, Georgia, United States of America.; Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States of America.; Wallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, Georgia, United States of America.; Aflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 May 16; Vol. 19 (5), pp. e0298758. Date of Electronic Publication: 2024 May 16 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0298758
Abstrakt: Background: The physical, paper-based Georgia TB Reference Guide has served as the clinical reference handbook on tuberculosis (TB) diagnostic and treatment guidelines for the state of Georgia in the United States. Supported by the Georgia Department of Public Health, the production of the 112-page palm-sized booklet was previously led by a team of Georgia-based TB experts at Emory University and printed every three-five years with updates to clinical management guidelines and TB consult contact information. However, the costs associated with editorial printing combined with delays in updating a static printed booklet with revised guidance hampered the utility of the tool. Considering the barriers with paper-based production and based on the beneficial use of apps to support the dissemination of clinical management guidance in other settings, the booklet was converted into a mobile application. This paper describes the process of developing a mobile app version of the Georgia TB Reference Guide in an easy-to-update and readily available format.
Methods: We employed a user-centered design approach to develop the app, including a series of qualitative interviews and quantitative surveys. Participants included a mix of state officials and local TB experts. First, initial foundational interviews were conducted to conceptualize current utilization practices of both the paper and PDF versions of the tool. Second, the findings from the initial interviews were organized thematically and informed the design of the app, which was then beta tested by a round of previously unsampled TB experts as well as a re-sample from the initial interviews. Third, the designs were coded into developmental phases and beta tested among users of the current Georgia TB Reference Guide. Fourth, the app was published and downloaded by a pre-selected group of local users who provided answers to a follow-up survey after using the app for one month. Fifth, user growth, self-reported demographics, and app usage between February and July 2022 were recorded through automatic data metrics built into the app.
Results: The paper copy Georgia TB Reference Guide usage themes included commonly referenced content, navigation paths, and desired features and content. The themes were converted into features and designs such as prioritizing commonly reviewed topics and guide customization with bookmarks and notes. Iterations of the designs were driven by feedback from TB experts and included home page featured content, improving content readability, and improving the search feature. The follow-up survey revealed a 90% preference for the app over the paper version of the guide. In the six months following the app's release, the app was downloaded by 281 individuals in the United States. The majority of downloads were in Georgia and the app also expanded organically to 19 other states.
Conclusion: The experience of converting the Georgia TB Reference Guide offers specific and effective steps to converting a medical reference guide into a mobile application tool that is readily available, easy to use, and easy to update. The organic dissemination of the app beyond the state of Georgia's borders within the first six months of app launch underscores desire among TB healthcare professionals for high-quality digital reference content outside the state. This experience offers clear outlines for replication in other contexts and demonstrates the utility of similar mobile medical reference tools.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Alvarez et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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