Department of Orthopaedic Surgery and Traumatology, Hospital Lillebaelt - University Hospital of Southern Denmark, Kolding Hospital, Denmark; Department of Regional Health, University of Southern Denmark, Odense, Denmark; Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Department of Orthopaedic Surgery and Traumatology, Hospital Lillebaelt - University Hospital of Southern Denmark, Kolding Hospital, Denmark.
Patient Educ Couns. 2023 Nov;116:107891. doi: 10.1016/j.pec.2023.107891. Epub 2023 Jul 18.
The aim of this study was to employ a user-driven participatory design (PD) approach to develop an mHealth solution that addresses patients' information needs after surgical or non-surgical treatment for an ankle fracture.
Patients with an ankle fracture and health care professionals along the treatment pathway in both the hospital and municipality participated in four workshops (WS).
We found that patients with an ankle fracture need information on topics such as "a typical course," "bandages and assistive devices," "what can I feel," "what may I do," "what to usually worry about," "medicine," "tips and tricks," and "contact information." Moreover, patients requested diverse modes of dissemination, preferably a combination of text, timelines, pictures, animations, and videos. Alpha and beta testing of the digital platform was conducted, and content-related improvements were made. A readability analysis showed reading ease of 40.1 of 100, meaning that it should be easily understood by 15-16 year-olds.
Involving representatives of future users in creating this mHealth solution using PD demonstrates the benefits of creating a solution that aligns with users' needs.
The mHealth solution is now ready for implementation and large-scale evaluation in phase three of the overall PD study. An mHealth usability questionnaire will be employed to assess usability by future patients with surgically or non-surgically treated ankle fractures.
本研究旨在采用以用户为驱动的参与式设计（PD）方法开发一种移动医疗解决方案，以满足接受踝关节骨折手术或非手术治疗后的患者的信息需求。
参与本研究的患者为踝关节骨折患者，以及医院和市政治疗路径中的医疗保健专业人员，他们参加了四个研讨会（WS）。
我们发现，踝关节骨折患者需要了解“典型病程”、“绷带和辅助设备”、“我能感觉到什么”、“我能做什么”、“通常需要担心什么”、“药物”、“技巧”和“联系信息”等主题的信息。此外，患者要求使用多种传播模式，最好是文本、时间表、图片、动画和视频的组合。我们对数字平台进行了 alpha 和 beta 测试，并对内容进行了相关改进。可读性分析显示阅读容易度为 40.1/100，这意味着 15-16 岁的人应该很容易理解。
使用 PD 让未来用户的代表参与创建这种移动医疗解决方案，证明了创建符合用户需求的解决方案的好处。
移动医疗解决方案现已准备好进入整体 PD 研究的第三阶段进行实施和大规模评估。我们将使用移动医疗可用性问卷来评估接受手术或非手术治疗的踝关节骨折的未来患者的可用性。
