Hong Matthew K, Feustel Clayton, Agnihotri Meeshu, Silverman Max, Simoneaux Stephen F, Wilcox Lauren
School of Interactive Computing, Georgia Institute of Technology.
Department of Radiology, Children's Healthcare of Atlanta.
Proc SIGCHI Conf Hum Factor Comput Syst. 2017 May 2;2017:5245-5256. doi: 10.1145/3025453.3025754.
Diagnostic radiology reports are increasingly being made available to patients and their family members. However, these reports are not typically comprehensible to lay recipients, impeding effective communication about report findings. In this paper, we present three studies informing the design of a prototype to foster patient-clinician communication about radiology report content. First, analysis of questions posted in online health forums helped us identify patients' information needs. Findings from an elicitation study with seven radiologists provided necessary domain knowledge to guide prototype design. Finally, a clinical field study with 14 pediatric patients, their parents and clinicians, revealed positive responses of each stakeholder when using the prototype to interact with and discuss the patient's current CT or MRI report and allowed us to distill three use cases: co-located communication, preparing for the consultation, and reviewing radiology data. We draw on our findings to discuss design considerations for supporting each of these use cases.
诊断放射学报告越来越多地提供给患者及其家属。然而，这些报告对于普通接收者来说通常难以理解，这阻碍了关于报告结果的有效沟通。在本文中，我们展示了三项研究，为一个原型的设计提供信息，以促进患者与临床医生就放射学报告内容进行沟通。首先，对在线健康论坛上发布的问题进行分析，帮助我们确定患者的信息需求。对七位放射科医生进行的一项启发式研究的结果提供了必要的领域知识，以指导原型设计。最后，对14名儿科患者、他们的父母和临床医生进行的一项临床实地研究表明，当使用该原型与患者的当前CT或MRI报告进行互动和讨论时，每个利益相关者都给出了积极的反馈，并使我们提炼出三个用例：同地沟通、为会诊做准备以及查看放射学数据。我们利用研究结果来讨论支持这些用例中每一个的设计考虑因素。
