Robert Wood Johnson Future of Nursing Scholar, Indiana University School of Nursing, 600 Barnhill Drive, Indianapolis, IN, 46202, USA.
School of Informatics and Computing, 535 W Michigan Street, Indianapolis, IN, 46202, USA.
BMC Med Inform Decis Mak. 2021 Sep 8;21(1):260. doi: 10.1186/s12911-021-01620-9.
Hospitalized people with unhealthy substance use should be referred to treatment. Although inpatient referral resources are often available, clinicians report that outpatient referral networks are not well-established. The purpose of this manuscript is to describe the development and usability testing of a web-based Referral to Treatment Tool (RTT © 2020 Trustees of Indiana University, all rights reserved) designed to identify treatment centers for people with unhealthy substance use.
The RTT was conceptualized, developed, and then populated with public use and local survey data of treatment centers from 14 market ZIP codes of hospitals participating in an SBIRT implementation study. The tool underwent initial heuristic testing, followed by usability testing at three hospitals within a large healthcare system in the Midwest region of the United States. Administrative (n = 6) and provider (n = 12) users of the RTT completed a list of tasks and provided feedback through Think-Aloud Tests, the System Usability Scale, and in-person interviews. Patients (n = 4) assessed multiple versions of a take-home printout of referral sites that met their specifications and completed in-person interviews to provide feedback. Each administrative task was completed in less than 3 min, and providers took an average of 4 min and 3 s to identify appropriate referral sites for a patient and print a referral list for the patient. The mean System Usability Scale score (M = 77.22, SD = 15.57, p = 0.03) was significantly higher than the passable score of 70, indicating favorable perceptions of the usability of the RTT. Administrative and provider users felt that the RTT was useful and easy to use, but the settings and search features could be refined. Patients indicated that the printouts contained useful information and that it was helpful to include multiple referral sites on the printout.
The web-based referral tool has the potential to facilitate voluntary outpatient referral to treatment for patients with unhealthy substance use. The RTT can be customized for a variety of health care settings and patient needs. Additional revisions based on usability testing results are needed to prepare for a broader multi-site clinical evaluation. Trial Registration Not applicable.
有不健康物质使用史的住院患者应被转介到治疗机构。尽管住院转介资源通常可用，但临床医生报告称，门诊转介网络尚未建立。本文旨在描述一种基于网络的转介治疗工具（RTT©2020 印第安纳大学受托人，保留所有权利）的开发和可用性测试，该工具旨在为有不健康物质使用史的患者识别治疗中心。
RTT 是在参与 SBIRT 实施研究的 14 个医院所在的市场邮政编码的公共使用和当地治疗中心调查数据的基础上构想、开发和填充的。该工具首先进行了初步启发式测试，然后在美国中西部地区一个大型医疗保健系统的 3 家医院进行了可用性测试。RTT 的行政（n=6）和提供者（n=12）用户完成了一系列任务，并通过“出声思考测试”、“系统可用性量表”和面对面访谈提供反馈。患者（n=4）评估了满足其规格的多个版本的转介地点打印输出，并完成了面对面访谈以提供反馈。每个行政任务都在不到 3 分钟内完成，而提供者平均需要 4 分钟 3 秒为患者确定合适的转介地点并为患者打印转介清单。系统可用性量表的平均得分（M=77.22，SD=15.57，p=0.03）显著高于 70 分的及格分数，表明对 RTT 的可用性有较好的评价。行政和提供者用户认为 RTT 有用且易于使用，但可以改进设置和搜索功能。患者表示打印输出包含有用的信息，并且在打印输出上包含多个转介地点很有帮助。
基于网络的转介工具有可能促进有不健康物质使用史的患者自愿接受门诊转介治疗。RTT 可以根据各种医疗保健环境和患者需求进行定制。需要根据可用性测试结果进行进一步修订，为更广泛的多站点临床评估做准备。
试验注册无。
