Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians.

Autor: Hommel EL; School of Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA., Flaherty JP; School of Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA., Aguirre CR; School of Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA.; School of Public and Population Health, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA., McIlwain AS; Sealy Center on Aging, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA., Pappadis MR; School of Public and Population Health, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA., Wegier P; Institute of Health Policy, Management and Evaluation, The University of Toronto, 155 College St 4 Floor, Toronto, ON M5T 3M6, Canada.; Department of Family and Community Medicine, The University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, Canada.; Humber River Health Research Institute, 200 Church Street, Toronto, ON M9N 1N8, Canada., Cram P; Institute of Health Policy, Management and Evaluation, The University of Toronto, 155 College St 4 Floor, Toronto, ON M5T 3M6, Canada.; School of Medicine, University of Maryland, 655 West Baltimore St, Baltimore, MD 21201, USA.
Jazyk: angličtina
Zdroj: PEC innovation [PEC Innov] 2024 Nov 26; Vol. 5, pp. 100360. Date of Electronic Publication: 2024 Nov 26 (Print Publication: 2024).
DOI: 10.1016/j.pecinn.2024.100360
Abstrakt: Objective: We evaluated the usability and acceptability of My-Hip Fracture (My-HF), a web application that assists providers in delivering individualized prognostic information to patients hospitalized for hip fracture (HF).
Methods: We observed a sample of 16 clinicians as they navigated My-HF. We then administered a structured questionnaire and conducted semi-structured interviews to explore participants' opinions about the app's content and the feasibility of incorporating the app into clinical workflows.
Results: Clinicians required a median of 2-min and 45 s to navigate through the app. Nearly all participants indicated that My-HF was easy to use and would be useful for their practice. About half of participants had suggestions for additional useful peri-operative content. A few expressed concerns about communicating mortality risk. About half expressed concerns about how My-HF might be integrated into existing clinical workflows.
Conclusions: Though clinicians rated My-HF high on usefulness in a structured usability questionnaire, qualitative interviews identified a number of suggestions for optimizing integration into clinical practice. Creating shared goals, establishing a decision coach, and developing a framework of communication across care settings could facilitate integration of My-HF by the multidisciplinary HF team.
Innovation: My-Hip Fracture is a unique web application which provides personalized prognostic information to patients and families after HF. My-HF has potential to facilitate informed decision-making between clinicians and patients, but adaptations will be necessary to enhance its usability.
Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Erin Hommel reports financial support was provided by National Institute of Health. Monique Pappadis reports financial support was provided by National Institute of Health. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2024 The Authors.)
Databáze: MEDLINE