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  1. Article ; Online: Pre- and Post-Redesign Usability Assessment of a Telemedicine Interface Based on Subjective Metrics.

    Campbell, Jessica Lynn / Monkman, Helen

    Studies in health technology and informatics

    2022  Volume 290, Page(s) 872–876

    Abstract: Usability problems in the interaction between patients and telemedicine platforms has been recognized as a deterrent in the public's acceptance and use of this alternative healthcare delivery method. Therefore, evaluating the usability of telemedicine ... ...

    Abstract Usability problems in the interaction between patients and telemedicine platforms has been recognized as a deterrent in the public's acceptance and use of this alternative healthcare delivery method. Therefore, evaluating the usability of telemedicine provider websites, with a focus on potential patients' first interaction with telemedicine, is a critical research inquiry. To this end, a novel survey was developed to conduct an unmoderated remote usability test (URUT) of the Teladoc website. Teladoc is one of the largest providers of Direct-to-Consumer (DTC) telemedicine. The Teladoc Website Usability Survey (TWUS) instrument collected both objective task completion success metrics and subjective user feedback. A codebook was developed to categorize design features and user interface aspects that affected usability. The TWUS and codebook demonstrated value in identifying usability problems with the Teladoc interface and can be applied in other telemedicine or Health Information Technology (HIT) usability studies. Identifying and addressing usability issues is an important approach to increase the widespread acceptance and adoption of these healthcare delivery technologies.
    MeSH term(s) Benchmarking ; Delivery of Health Care ; Humans ; Surveys and Questionnaires ; Telemedicine/methods ; User-Computer Interface
    Language English
    Publishing date 2022-06-08
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI220204
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Tabular, Annotated, Visual, or Trends + Contextual Information? Preferences for Online Laboratory Results Displays.

    Monkman, Helen / MacDonald, Leah / Joseph, Amanda L / Lesselroth, Blake J

    Studies in health technology and informatics

    2024  Volume 310, Page(s) 1041–1045

    Abstract: People are increasingly offered access to their personal health information (e.g., laboratory results, clinical notes, diagnostic imaging results). However, this information is the same as that used by health care providers with clinical expertise and ... ...

    Abstract People are increasingly offered access to their personal health information (e.g., laboratory results, clinical notes, diagnostic imaging results). However, this information is the same as that used by health care providers with clinical expertise and training in medical terminology, which citizens typically do not have. In this study, we examined participants (N = 24) preferences for four different types of displays for online laboratory (lab) results: Tabular, Annotated, Visual, and Trends + Contextual Information. The Friedman test of difference comparing participants' ratings of the four displays was significant, χ2(3)=10.8, P=.013, and the Wilcoxon signed rank pairwise comparison tests revealed that participants rated the visual lab results display significantly more favourably than the traditional display (Z=-2.746, P=.006). These findings indicate that many people prefer lab results displayed using more visual cues and some perceived this format as easier to understand than the other display formats. Given the importance of people accessing, understanding, and using their own health information, it is crucial for displays and systems to provide a better user experience. Displaying data (e.g., lab results) visually is one possible way to improve interpretability of personal health information provided to the public.
    MeSH term(s) Humans ; Cues ; Health Personnel ; Health Records, Personal ; Interior Design and Furnishings ; Laboratories
    Language English
    Publishing date 2024-01-25
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI231123
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Interpreting Laboratory Results with Complementary Health Information: A Human Factors Perspective.

    Joseph, Amanda L / Monkman, Helen / MacDonald, Leah / Lai, Claudia

    Studies in health technology and informatics

    2024  Volume 310, Page(s) 1061–1065

    Abstract: The desire to access personal and high-quality health information electronically is increasing, not only in Canada, but globally. With the advent of the COVID - 19 pandemic the desire and demand for telemedicine and timely access to personal health data ... ...

    Abstract The desire to access personal and high-quality health information electronically is increasing, not only in Canada, but globally. With the advent of the COVID - 19 pandemic the desire and demand for telemedicine and timely access to personal health data such as online laboratory (lab) results has increased substantially. This study examines citizens' perspectives of being provided with high-quality information about a specific lab test (i.e., potassium) in the same display as a trend graph. Therefore, the objective of this study is to test how participants managed this additional information about the context of the test, understood, and applied it. The researchers analyzed the responses of semi-structured interviews with Canadian participants (N=24) using conventional content analysis. This paper examined four themes related to providing complementary information concurrently with lab results in the same display: 1) Benefits of Collocated Information, 2) Information Overload, 3) Misinterpretation, 4) Confusion. This study provided examples of some of the difficulties that the participants faced accessing their lab values online, while navigating and discerning complimentary high-quality health information available in their patient portal.
    MeSH term(s) Humans ; Canada ; COVID-19 ; Patient Portals ; Research Personnel ; Telemedicine
    Language English
    Publishing date 2024-01-25
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI231127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A Tale of Two Inspection Methods: Comparing an eHealth Literacy and User Experience Checklist with Heuristic Evaluation.

    Monkman, Helen / Griffith, Janessa

    Studies in health technology and informatics

    2021  Volume 281, Page(s) 906–910

    Abstract: Adhering to user experience (UX) and eHealth literacy principles when developing consumer health information systems (HISs) can not only improve a user's experience but can also have implications on patient safety. Methods exist to explore these ... ...

    Abstract Adhering to user experience (UX) and eHealth literacy principles when developing consumer health information systems (HISs) can not only improve a user's experience but can also have implications on patient safety. Methods exist to explore these dimensions independently, but few methods are available for evaluating consumer (i.e., citizen) health information systems for their adherence to usability and eHealth literacy design principles simultaneously. In this paper, we compared two inspection (i.e., expert review) tools and identified the strengths and weaknesses of each. The findings from this comparison can assist researchers, consumer health information system developers, and evaluators choosing between the two alternatives. Moreover, our comparison revealed the shortcomings in both tools and the need for a novel, purpose-built tool that is more comprehensive than either of the existing tools that assess UX and eHealth literacy and more adequately address design guidelines for the mobile environment.
    MeSH term(s) Checklist ; Consumer Health Information ; Health Literacy ; Heuristics ; Humans ; Telemedicine
    Language English
    Publishing date 2021-05-27
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI210310
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The Application of a Novel, Context Specific, Remote, Usability Assessment Tool to Conduct a Pre-Redesign and Post-Redesign Usability Comparison of a Telemedicine Website.

    Campbell, Jessica Lynn / Monkman, Helen

    Studies in health technology and informatics

    2021  Volume 281, Page(s) 911–915

    Abstract: The usability of telemedicine provider websites is an essential component of increasing the public's awareness of, understanding of, and safe and effective use of telemedicine. A newly developed usability data collection tool was used to conduct a ... ...

    Abstract The usability of telemedicine provider websites is an essential component of increasing the public's awareness of, understanding of, and safe and effective use of telemedicine. A newly developed usability data collection tool was used to conduct a usability assessment of the Teladoc website pre- and post- a redesign. The results suggest that the Teladoc website had better usability prior to the redesign. The Teladoc Website Usability Survey (TWUS) developed for the Teladoc website usability assessment can be modified and used in future usability studies of telemedicine provider interfaces. Usability research that takes place in specific context of use settings is more valuable to identify usability problems.
    MeSH term(s) Telemedicine ; User-Computer Interface
    Language English
    Publishing date 2021-05-27
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI210311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Citizens' Access to Online Health Information - An International Survey of IMIA Member Countries.

    Eriksen, Jeppe / Monkman, Helen / Adler-Milstein, Julia / Tornbjerg Eriksen, Kristina / Nøhr, Christian

    Studies in health technology and informatics

    2024  Volume 310, Page(s) 1297–1301

    Abstract: Citizens' access to their online health information is pivotal. Therefore, this study examines citizens' access to their online health information across countries and healthcare settings. The study is based on a survey design targeting the 98 IMIA ... ...

    Abstract Citizens' access to their online health information is pivotal. Therefore, this study examines citizens' access to their online health information across countries and healthcare settings. The study is based on a survey design targeting the 98 IMIA representatives of the national societies. Results indicate that Test results and Medications are the two types of online information that citizens in most cases have access to. Ten countries provide citizens access to all the different types of information included in the study. That relatively few countries provide citizens access to all the included types of online health information underscores the importance of continuous emphasis on accessibility and research within this field.
    MeSH term(s) Access to Information ; Humans ; Patient Access to Records
    Language English
    Publishing date 2024-02-15
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI231174
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Consumers' Needs for Laboratory Results Portals: Questionnaire Study.

    Monkman, Helen / Griffith, Janessa / MacDonald, Leah / Lesselroth, Blake

    JMIR human factors

    2023  Volume 10, Page(s) e42843

    Abstract: Background: Over the last decade, there has been an increase in the number of health care consumers (ie, patients, citizens, and laypeople) with access to their laboratory results through portals. However, many portals are not designed with the consumer ...

    Abstract Background: Over the last decade, there has been an increase in the number of health care consumers (ie, patients, citizens, and laypeople) with access to their laboratory results through portals. However, many portals are not designed with the consumer in mind, which can limit communication effectiveness and consumer empowerment.
    Objective: We aimed to study design facilitators and barriers affecting consumer use of a laboratory results portal. We sought to identify modifiable design attributes to inform future interface specifications and improve patient safety.
    Methods: A web-based questionnaire with open- and closed-ended items was distributed to consumers in British Columbia, Canada. Open-ended items with affinity diagramming and closed-ended questions with descriptive statistics were analyzed.
    Results: Participants (N=30) preferred reviewing their laboratory results through portals rather than waiting to see their provider. However, respondents were critical of the interface design (ie, interface usability, information completeness, and display clarity). Scores suggest there are display issues impacting communication that require urgent attention.
    Conclusions: There are modifiable usability, content, and display issues associated with laboratory results portals that, if addressed, could arguably improve communication effectiveness, patient empowerment, and health care safety.
    Language English
    Publishing date 2023-06-12
    Publishing country Canada
    Document type Journal Article
    ISSN 2292-9495
    ISSN (online) 2292-9495
    DOI 10.2196/42843
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Applying Logic to the Healthcare Journey.

    Joseph, Amanda L / Costello, Jean / Monkman, Helen / Quintana, Yuri

    Studies in health technology and informatics

    2023  Volume 304, Page(s) 74–75

    Abstract: Cross-disciplinary approaches to remediate complex healthcare service delivery issues may have merit. This study aims to establish the potential benefits of applying service design and evaluative research concepts in healthcare. Specifically, this study ... ...

    Abstract Cross-disciplinary approaches to remediate complex healthcare service delivery issues may have merit. This study aims to establish the potential benefits of applying service design and evaluative research concepts in healthcare. Specifically, this study aims to demonstrate how a Customer Journey Map and a Logic Model could be used in unison to identify and remedy service delivery gaps to reduce barriers to care. This study provides systems thinking approach to solving operational issues in healthcare.
    MeSH term(s) Delivery of Health Care ; Health Facilities
    Language English
    Publishing date 2023-06-22
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI230373
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Humanizing Big Data and Detailing Social Determinants of Health via Information Visualizations.

    Joseph, Amanda L / Monkman, Helen / Minshall, Simon R / Quintana, Yuri

    Studies in health technology and informatics

    2023  Volume 304, Page(s) 112–116

    Abstract: The pandemic has had devastating impacts on humanity and the global healthcare sector. An analysis into the social determinants of health, in particular racial and ethnic disparities may explain why certain population groups have been disproportionately ... ...

    Abstract The pandemic has had devastating impacts on humanity and the global healthcare sector. An analysis into the social determinants of health, in particular racial and ethnic disparities may explain why certain population groups have been disproportionately affected by COVID-19. The objective of this study is to humanize and personify numerical data. Additionally, COVID-19 population data will be stratified via three data visualization tools (i.e., a persona, a journey map, Sankey diagram) to create a Visualized Combined Experience (VCE) Diagram to illustrate the micro, and macro, perspectives of marginalized individuals across the continuum of care.
    MeSH term(s) Humans ; United States ; COVID-19/epidemiology ; Big Data ; Social Determinants of Health ; Racial Groups
    Language English
    Publishing date 2023-06-22
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI230384
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Exploring Patient Journey Mapping and the Learning Health System: Scoping Review.

    Joseph, Amanda L / Monkman, Helen / Kushniruk, Andre / Quintana, Yuri

    JMIR human factors

    2023  Volume 10, Page(s) e43966

    Abstract: Background: Journey maps are visualization tools that can facilitate the diagrammatical representation of stakeholder groups by interest or function for comparative visual analysis. Therefore, journey maps can illustrate intersections and relationships ... ...

    Abstract Background: Journey maps are visualization tools that can facilitate the diagrammatical representation of stakeholder groups by interest or function for comparative visual analysis. Therefore, journey maps can illustrate intersections and relationships between organizations and consumers using products or services. We propose that some synergies may exist between journey maps and the concept of a learning health system (LHS). The overarching goal of an LHS is to use health care data to inform clinical practice and improve service delivery processes and patient outcomes.
    Objective: The purpose of this review was to assess the literature and establish a relationship between journey mapping techniques and LHSs. Specifically, in this study, we explored the current state of the literature to answer the following research questions: (1) Is there a relationship between journey mapping techniques and an LHS in the literature? (2) Is there a way to integrate the data from journey mapping activities into an LHS? (3) How can the data gleaned from journey map activities be used to inform an LHS?
    Methods: A scoping review was conducted by querying the following electronic databases: Cochrane Database of Systematic Reviews (Ovid), IEEE Xplore, PubMed, Web of Science, Academic Search Complete (EBSCOhost), APA PsycInfo (EBSCOhost), CINAHL (EBSCOhost), and MEDLINE (EBSCOhost). Two researchers applied the inclusion criteria and assessed all articles by title and abstract in the first screen, using Covidence. Following this, a full-text review of included articles was done, with relevant data extracted, tabulated, and assessed thematically.
    Results: The initial search yielded 694 studies. Of those, 179 duplicates were removed. Following this, 515 articles were assessed during the first screening phase, and 412 were excluded, as they did not meet the inclusion criteria. Next, 103 articles were read in full, and 95 were excluded, resulting in a final sample of 8 articles that satisfied the inclusion criteria. The article sample can be subsumed into 2 overarching themes: (1) the need to evolve service delivery models in health care, and (2) the potential value of using patient journey data in an LHS.
    Conclusions: This scoping review demonstrated the gap in knowledge regarding integrating the data from journey mapping activities into an LHS. Our findings highlighted the importance of using the data from patient experiences to enrich an LHS and provide holistic care. To satisfy this gap, the authors intend to continue this investigation to establish the relationship between journey mapping and the concept of LHSs. This scoping review will serve as phase 1 of an investigative series. Phase 2 will entail the creation of a holistic framework to guide and streamline data integration from journey mapping activities into an LHS. Lastly, phase 3 will provide a proof of concept to demonstrate how patient journey mapping activities could be integrated into an LHS.
    Language English
    Publishing date 2023-02-27
    Publishing country Canada
    Document type Journal Article ; Review
    ISSN 2292-9495
    ISSN (online) 2292-9495
    DOI 10.2196/43966
    Database MEDical Literature Analysis and Retrieval System OnLINE

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