Abujarad Fuad, Alfano Sandra, Bright Tiffani J, Kannoth Sneha, Grant Nicole, Gueble Matthew, Peduzzi Peter, Chupp Geoffrey
Yale University School of Medicine, New Haven, CT.
Agency for Healthcare Research and Quality, Rockville, MD.
AMIA Annu Symp Proc. 2018 Apr 16;2017:374-383. eCollection 2017.
Patient safety and quality of care are at risk if the informed consent process does not emphasize patient comprehension. In this paper, we describe how we designed, developed, and evaluated an mHealth tool for advancing the informed consent process. Our tool enables the informed consent process to be performed on tablets (e.g., iPads) utilizing virtual coaching with text-to-speech automated translation as well as an interactive multimedia elements (e.g., graphics, video clips, animations, presentations, etc.). We designed our tool to enhance patient comprehension and quality of care, while improving the efficiency of obtaining patient consent. We present the Used-Centered Design approach we adopted to develop the tool and the results of the different methods we used during the development of the tool. Also, we describe the results of the usability study which we conducted to evaluate the effectiveness, efficiency, and user satisfaction with our mHealth App to enhance the informed consent process. Using the UCD approach we were able to design, develop, and evaluate a highly interactive mHealth App to deliver the informed consent process.
如果知情同意过程不强调患者理解，患者安全和医疗质量将面临风险。在本文中，我们描述了我们如何设计、开发和评估一种用于推进知情同意过程的移动健康工具。我们的工具能够利用文本转语音自动翻译以及交互式多媒体元素（如图形、视频片段、动画、演示文稿等）的虚拟指导，在平板电脑（如iPad）上执行知情同意过程。我们设计我们的工具是为了提高患者理解和医疗质量，同时提高获得患者同意的效率。我们展示了我们采用的以用户为中心的设计方法来开发该工具，以及我们在工具开发过程中使用的不同方法的结果。此外，我们描述了我们为评估移动健康应用程序在增强知情同意过程方面的有效性、效率和用户满意度而进行的可用性研究的结果。使用以用户为中心的设计方法，我们能够设计、开发和评估一个高度交互式的移动健康应用程序来进行知情同意过程。
