Self-Selection of Bathroom-Assistive Technology: Development of an Electronic Decision Support System (Hygiene 2.0)
| Autor: | Claude Vincent, Ernesto Morales, Josée Gauthier, Catherine Genest, Noemie Seguin-Tremblay, Claudine Auger, Karine Latulippe, Manon Guay, Dominique Giroux |
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| Rok vydání: | 2019 |
| Předmět: |
Male
030506 rehabilitation Decision support system self-help devices Universal design Applied psychology Health Informatics Context (language use) lcsh:Computer applications to medicine. Medical informatics 03 medical and health sciences hygiene 0302 clinical medicine universal design Personal hygiene occupational therapy Health care Decision aids Humans 030212 general & internal medicine Toilet Facilities Aged Aged 80 and over Original Paper mobile phone business.industry lcsh:Public aspects of medicine aging lcsh:RA1-1270 Usability Middle Aged Decision Support Systems Clinical Focus group decision aids lcsh:R858-859.7 Female accidental falls 0305 other medical science business Psychology activities of daily living Algorithms |
| Zdroj: | Journal of Medical Internet Research Journal of Medical Internet Research, Vol 22, Iss 8, p e16175 (2020) |
| ISSN: | 1438-8871 |
| Popis: | Background A clinical algorithm (Algo) in paper form is used in Quebec, Canada, to allow health care workers other than occupational therapists (OTs) to make bathroom adaptation recommendations for older adults. An integrated knowledge transfer process around Algo suggested an electronic version of this decision support system (electronic decision support system [e-DSS]) to be used by older adults and their caregivers in search of information and solutions for their autonomy and safety in the bathroom. Objective This study aims to (1) create an e-DSS for the self-selection of bathroom-assistive technology by community-dwelling older adults and their caregivers and (2) assess usability with lay users and experts to improve the design accordingly. Methods On the basis of a user-centered design approach, the process started with content identification for the prototype through 7 semistructured interviews with key informants of various backgrounds (health care providers, assistive technology providers, and community services) and 4 focus groups (2 with older adults and 2 with caregivers). A thematic content transcript analysis was carried out and used during the creation of the prototype. The prototype was refined iteratively using think-aloud and observation methods with a clinical expert (n=1), researchers (n=3), OTs (n=3), older adults (n=3), and caregivers (n=3), who provided information on the usability of the e-DSS. Results Overall, 4 themes served as the criteria for the prototype of the electronic Algo (Hygiene 2.0 [H2.0]): focus (safety, confidentiality, well-being, and autonomy), engage, facilitate (simplify, clarify, and illustrate), and access. For example, users first pay attention to the images (engage and illustrate) that can be used to depict safe postures (safety), illustrate questions embedded in the decision support tool (clarify and illustrate), and demonstrate the context of the use of assistive technology (safety and clarify). Conclusions The user-centered design of H2.0 allowed the cocreation of an e-DSS in the form of a website, in line with the needs of community-dwelling older adults and their caregivers seeking bathroom-assistive technology that enables personal hygiene. Each iteration improved usability and brought more insight into the users’ realities, tailoring the e-DSS to the implementation context. |
| Databáze: | OpenAIRE |
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