Department of Computer Science, University of Colorado, Boulder, CO, USA.
J Med Syst. 2011 Oct;35(5):1099-121. doi: 10.1007/s10916-011-9719-9. Epub 2011 May 12.
Older adults with multiple chronic conditions often go through care transitions where they move between care facilities or providers during their treatment. These transitions are often uncoordinated and can imperil patients by omitted, duplicative, or contradictory care plans. Older adults sometimes feel overwhelmed with the new responsibility of coordinating the care plan with providers and changing their medication regimes. In response, we developed a Lesser General Public License (LGPL) open source, web-based Personal Health Application (PHA) using an iterative participatory design process that provided older adults and their caregivers the ability to manage their personal health information. In this paper, we document the PHA design process from low-fidelity prototypes to high-fidelity prototypes over the course of six user studies. Our findings establish the imperative need for interdisciplinary research and collaboration among all stakeholders to create effective PHAs. We conclude with design guidelines that encourage researchers to gradually increase functionality as users become more proficient.
患有多种慢性病的老年人在治疗过程中经常会经历护理过渡，即在护理机构或提供者之间转移。这些过渡往往不协调，可能会因为遗漏、重复或矛盾的护理计划而危及患者。老年人有时会感到不知所措，因为他们需要与提供者协调护理计划并改变他们的药物治疗方案。有鉴于此，我们开发了一个 Lesser General Public License (LGPL) 开源、基于网络的个人健康应用程序 (PHA)，使用迭代参与式设计过程为老年人及其护理人员提供管理个人健康信息的能力。在本文中，我们记录了 PHA 的设计过程，从低保真原型到高保真原型，跨越了六次用户研究。我们的研究结果表明，所有利益相关者之间需要进行跨学科研究和合作，以创建有效的 PHA。最后，我们提出了设计指南，鼓励研究人员随着用户变得更加熟练，逐步增加功能。
