Information School, University of Washington, Seattle, WA 98195, United States.
Division of Nephrology, Seattle Children's Hospital, Seattle, WA 98105, United States.
J Am Med Inform Assoc. 2024 Nov 1;31(11):2519-2528. doi: 10.1093/jamia/ocae206.
Patients with chronic illnesses, including kidney disease, consider their sense of normalcy when evaluating their health. Although this concept is a key indicator of their self-determined well-being, they struggle to understand if their experience is typical. To address this challenge, we set out to explore how to design personal health visualizations that aid participants in better understanding their experiences post-transplant, identifying barriers to normalcy, and achieving their desired medical outcomes.
Pediatric kidney transplant patients and their caregivers participated in three asynchronous design sessions involving sharing experiences, presenting symbolic objects, and providing feedback on visualizations to understand their perceptions of normalcy post-transplant. Data analysis of design session 1 and 2 comprised deductive and inductive analysis. We used affinity diagramming to identify thematic areas about participants' transplant experiences. Comprehension of design session three normalcy visualizations was also evaluated.
Participants effectively engaged in the design sessions, revealing diverse perspectives on their experiences. We found there is a significant need for visualizations that depict normalcy to better inform patients and caregivers about their health.
Normalcy Visualizations should incorporate three key design principles: personal values, facilitating peer and self-comparison, and seamlessly communicating abstract concepts to help youth kidney transplant recipients comprehend and contextualize if their transplant experience is normal and what normalcy means to them.
By incorporating holistic aspects of patients' and caregivers' lives into personal health visualizations, they can be cognizant of their progress to normalcy and empowered to make decisions that help them feel normal.
患有慢性疾病(包括肾病)的患者在评估自身健康状况时会考虑其正常感。尽管这一概念是其自我决定健康福祉的关键指标,但他们很难确定自己的经历是否具有代表性。为了解决这一挑战,我们着手探索如何设计个人健康可视化工具,以帮助参与者更好地了解移植后的体验、识别正常化的障碍,并实现他们期望的医疗结果。
儿科肾移植患者及其护理人员参与了三次异步设计会议,包括分享经验、展示象征性物品以及对移植后正常化的可视化效果提供反馈,以了解他们对正常化的看法。对设计会议 1 和 2 进行了数据分析,包括演绎和归纳分析。我们使用亲和图法来确定参与者移植体验的主题领域。还评估了对设计会议 3 正常化可视化效果的理解。
参与者有效地参与了设计会议,揭示了他们对自己经历的多样化观点。我们发现,非常需要可视化效果来更好地告知患者和护理人员有关其健康状况的信息。
正常化可视化效果应包含三个关键设计原则:个人价值观、促进同伴和自我比较、以及流畅地传达抽象概念,以帮助青年肾移植受者理解和将其移植体验正常化,并理解正常化对他们意味着什么。
通过将患者和护理人员生活的整体方面纳入个人健康可视化效果中,他们可以意识到自己的正常化进展,并有权做出有助于他们感觉正常的决策。