Patient-centered design in developing a mobile application for oral anticancer medications
| Autor: | Grace I-Hsuan Hsu, Neeta K. Venepalli, Scott M. Wirth, Stephanie Y. Crawford, Sandra Cuellar, Ashwin K. Nayak, Andrew D. Boyd |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male MEDLINE Pharmacology (nursing) Pharmacy 030226 pharmacology & pharmacy Feedback Learning styles 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Software Design Neoplasms Patient-Centered Care Electronic Health Records Humans Medicine 030212 general & internal medicine Digital divide Aged Pharmacology Medical education Self-management business.industry Self-Management Usability Middle Aged Mobile Applications Test (assessment) Female User interface business |
| Zdroj: | Journal of the American Pharmacists Association. 59:S86-S95.e1 |
| ISSN: | 1544-3191 |
| DOI: | 10.1016/j.japh.2018.12.014 |
| Popis: | Objectives To develop and test the usability and feasibility of a customizable mobile application (app) designed to help educate patients about their oral anticancer medications (OAMs) and regimens. Setting Outpatient cancer center and oncology pharmacy for urban, Midwestern academic health system. Practice description Clinically-supervised educational intervention to support patients learning about OAMs. Practice innovation With input from patient partners, our interdisciplinary team designed the first known tablet-based educational app that can interface with a patient’s electronic medical record. The app is based on learning style and adherence theories and is customizable for individually prescribed OAMs. The app can accommodate multiple learning styles through text at 6th-grade reading level, pictures, animations, and audio voiceovers. Functionalities include interactive educational modules on 11 OAMs and case-based patient stories on common barriers to OAM adherence. Evaluation Early phase testing provided the opportunity to observe the user interface with the app and app functionality. Data were summarized descriptively from observations and comments of patient subjects. Results Thirty patient subjects provided input—19 in phase 1 usability testing and 11 in phase 2 feasibility testing. Comments provided by patient subjects during usability testing were largely positive. Responses included self-identification with patient stories, usefulness of drug information, preferences for text messages, and app limitations (e.g., perceived generational digital divide in technology use and potential patient inability to receive text messages). Using their feedback, modifications were made to the prototype app. Responses in feasibility testing demonstrated the app’s usefulness across a wide range of ages. Highest opinion ratings on app usefulness were stated by patients who were newer to OAM therapy. Conclusion User feedback suggests the potential benefit of the app as a tool to help patients with cancer, particularly after the first months for those starting new OAM regimens. Processes and lessons learned are transferable to other settings. |
| Databáze: | OpenAIRE |
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