scholarly journals Development of eHOME, a Mobile Instrument for Reporting, Monitoring, and Consulting Drug-Related Problems in Home Care: Human-Centered Design Study

2018 ◽  
Vol 5 (1) ◽  
pp. e10 ◽  
Author(s):  
Nienke Elske Dijkstra ◽  
Carolina Geertruida Maria Sino ◽  
Eibert Rob Heerdink ◽  
Marieke Joanna Schuurmans
Keyword(s):  
Home Care ◽  
Drug Related Problems ◽  
Design Study ◽  
Human Centered Design

scholarly journals Development of eHOME, a Mobile Instrument for Reporting, Monitoring, and Consulting Drug-Related Problems in Home Care: Human-Centered Design Study (Preprint)

2017 ◽  
Author(s):  
Nienke Elske Dijkstra ◽  
Carolina Geertruida Maria Sino ◽  
Eibert Rob Heerdink ◽  
Marieke Joanna Schuurmans
Keyword(s):  
Home Care ◽  
Mobile Systems ◽  
Care Practice ◽  
Drug Related Problems ◽  
Human Centered Design ◽  
Care Workers ◽  
Digital Monitoring ◽  
Mrc Framework ◽  
General Practices ◽  
Home Care Workers

BACKGROUND Home care patients often use many medications and are prone to drug-related problems (DRPs). For the management of problems related to drug use, home care could add to the multidisciplinary expertise of general practitioners (GPs) and pharmacists. The home care observation of medication-related problems by home care employees (HOME)-instrument is paper-based and assists home care workers in reporting potential DRPs. To facilitate the multiprofessional consultation, a digital report of DRPs from the HOME-instrument and digital monitoring and consulting of DRPs between home care and general practices and pharmacies is desired. OBJECTIVE The objective of this study was to develop an electronic HOME system (eHOME), a mobile version of the HOME-instrument that includes a monitoring and a consulting system for primary care. METHODS The development phase of the Medical Research Council (MRC) framework was followed in which an iterative human-centered design (HCD) approach was applied. The approach involved a Delphi round for the context of use and user requirements analysis of the digital HOME-instrument and the monitoring and consulting system followed by 2 series of pilots for testing the usability and redesign. RESULTS By using an iterative design approach and by involving home care workers, GPs, and pharmacists throughout the process as informants, design partners, and testers, important aspects that were crucial for system realization and user acceptance were revealed. Through the report webpage interface, which includes the adjusted content of the HOME-instrument and added home care practice–based problems, home care workers can digitally report observed DRPs. Furthermore, it was found that the monitoring and consulting webpage interfaces enable digital consultation between home care and general practices and pharmacies. The webpages were considered convenient, clear, easy, and usable. CONCLUSIONS By employing an HCD approach, the eHOME-instrument was found to be an easy-to-use system. The systematic approach promises a valuable contribution for the future development of digital mobile systems of paper-based tools.

Resolution of drug-related problems in home care patients through a pharmacy referral service

2003 ◽  
Vol 60 (9) ◽  
pp. 905-910 ◽  
Author(s):  
Darren M. Triller ◽  
Steven L. Clause ◽  
Laurie L. Briceland ◽  
Robert A. Hamilton
Keyword(s):  
Home Care ◽  
Drug Related Problems ◽  
Referral Service

scholarly journals Can Practical Nurses Identify Older Home Care Clients at Risk of Drug-Related Problems–Geriatricians’ Appraisal of Their Risk Screenings: A Pilot Study

2018 ◽  
Vol 34 (3) ◽  
pp. 99-108 ◽  
Author(s):  
Maarit Dimitrow ◽  
Juha Puustinen ◽  
Paula Viikari ◽  
Emmi Puumalainen ◽  
Tero Vahlberg ◽  
...  
Keyword(s):  
At Risk ◽  
Pilot Study ◽  
Home Care ◽  
Clinical Decision Making ◽  
Significant Risk ◽  
Small Sample ◽  
Drug Related Problems ◽  
Medication List ◽  
Predicting Factors ◽  
Risk Patients

Background: Home care (HC) clients are increasingly older, have many chronic diseases, and use multiple medicines and thus are at high risk for drug-related problems (DRPs). Objective: Establish the sensitivity of practical nurse (PN) administered DRP risk assessment tool (DRP-RAT) compared with geriatrician’s assessment of the medical record. Identify the clinically most significant DRPs needing action. Methods: Twenty-six PNs working in HC of Härkätie Health Center in Lieto, Finland, 46 HC clients (≥65 years), and a geriatrician participated in this pilot study. The geriatrician reviewed HC clients’ medications using 3 different methods. The reviews were based on the following: (1) the PN’s risk screening (ie, PN-completed DRP-RAT) and medication list, (2) health center’s medical records, and (3) methods 1 and 2 together. The main outcome was the number of “at-risk patients” (ie, the patient is at risk of clinically significant DRPs) by using each review method. Secondary outcomes were clinically most significant DRP-risk predicting factors identified by the geriatrician. Results: The geriatrician reviewed 45 clients’ medications using all 3 methods. Based on PN-completed DRP-RAT and medication list, 93% (42/45) of the clients were classified as “at-risk patients.” Two other review methods resulted in 45/45 (100%) “at-risk patients.” Symptoms suggestive of adverse drug reactions were the most significant risk predicting factors. Small sample size limits the generalizability of the results. Conclusions: The PN-completed DRP-RAT was able to provide clinically important timely patient information for clinical decision making. DRP-RAT could make it possible to more effectively involve PNs in medication risk management among older HC clients.

Patient-Focused Interdisciplinary Care Planning: Tools and Processes for Home Anti-Infective Therapies

1997 ◽  
Vol 10 (6) ◽  
pp. 418-425
Author(s):  
Caryn M. Bing ◽  
Anna Nowobilski-Vasilios
Keyword(s):  
Home Care ◽  
Patient Outcomes ◽  
Care Coordination ◽  
Care Plan ◽  
Collaborative Management ◽  
Care Planning ◽  
Interdisciplinary Care ◽  
Drug Related Problems ◽  
Planning Tools

A systematic, patient-focused approach to home care planning transcends organizational, clinical discipline and departmental boundaries. True patient-focused care planning incorporates collaborative management of the factors critical to successful patient outcomes. This article discusses operational and content issues seen in interdisciplinary care planning, as well as approaches and considerations for successful home care planning. Tools provided by the authors include a communication checklist for home anti-infective therapy and a sample interdisciplinary care plan/care coordination record. A home anti-infective therapy case illustrates the concepts, processes, and benefits of moving from the “drug related problems” approach to patient-focused interdisciplinary care planning.

scholarly journals Developing Intervention Concepts for Reducing Adolescent Relationship Abuse Inequities for Sexual and Gender Minority Youth: Protocol for an Online, Longitudinal, Human-Centered Design Study (Preprint)

2020 ◽  
Author(s):  
Robert W. S. Coulter ◽  
Shannon Mitchell ◽  
Kelly Prangley ◽  
Seth Smallwood ◽  
Leyna Bonanno ◽  
...  
Keyword(s):  
Design Methods ◽  
Minority Youth ◽  
Design Study ◽  
Human Centered Design ◽  
Relationship Abuse ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
Adolescent Relationship Abuse ◽  
And Gender ◽  
Adolescent Relationship

BACKGROUND Sexual and gender minority youth (SGMY; e.g., lesbian, gay, bisexual, and transgender youth) are at greater risk than their cisgender heterosexual peers for adolescent relationship abuse (ARA; physical, sexual, or psychological abuse in a romantic relationship). However, there is a death of efficacious interventions for reducing ARA among SGMY. To address this intervention gap, we designed a novel online methodology leveraging the field of human-centered design to have SGMY generate multiple ARA intervention concepts. OBJECTIVE This protocol paper aims to describe study procedures for a pilot study to rigorously test the feasibility, acceptability, and appropriateness for using online human-centered design methods with SGMY to create novel, stakeholder-driven ARA intervention concepts. METHODS We are conducting a longitudinal online human-centered design study with 45-60 SGMY (aged 14-18) recruited via social media from across the U.S. Using MURAL (a collaborative visual online workspace) and Zoom, SGMY participate in 4 group-based sessions (1.5 hours each). In Session 1, SGMY use Rose-Thorn-Bud to individually document their ideas about healthy and unhealthy relationship characteristics, and then use Affinity Clustering as a group to categorize their self-reported ideas by similarities and differences. In Session 2, SGMY use Rose-Thorn-Bud to individually critique a universal evidence-based intervention reducing ARA, and Affinity Clustering to aggregate their ideas as a group. In Session 3, SGMY use a Creative Matrix to generate intervention ideas for reducing ARA among SGMY, and force-ranked the intervention ideas based on their potential ease of implementation and potential impact using an Importance-Difficulty Matrix. In Session 4, SGMY generate and refine intervention concepts (from Session 3 ideations) for reducing ARA using Round Robin (for rapid iteration) and Concept Poster (for fleshing out ideas more fully). We will use content analyses to document the intervention concepts. In a follow-up survey, SGMY complete validated measures about the feasibility, acceptability, and appropriateness of the online human-centered design methods (a priori benchmarks for success: means>3.75 on each 5-point scale). RESULTS The study was funded in February 2020. Data collection started in August 2020, and will be completed by April 2021. CONCLUSIONS By rigorously testing the feasibility of our online human-centered design methodology, our study has the potential to help legitimize the use of human-centered design methods to engage hard-toreach stakeholders in the field of public health and to actively involve them in the co-creation of interventions that may impact them directly. Successful completion of this project also has the potential to catalyze intervention research for addressing ARA inequities for SGMY. Finally, our method can be transported to other populations and health topics, thereby more generally advancing prevention science and health equity.

Human-centered design of home care technologies

1999 ◽  
Vol 12 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Corinna E. Lathan ◽  
Marilyn Sue Bogner ◽  
Douglas Hamilton ◽  
Adrian Blanarovich
Keyword(s):  
Home Care ◽  
Human Centered Design

scholarly journals Human-Centered Design Study: Enhancing the Usability of a Mobile Phone App in an Integrated Falls Risk Detection System for Use by Older Adult Users

2017 ◽  
Vol 5 (5) ◽  
pp. e71 ◽  
Author(s):  
Richard Harte ◽  
Leo R Quinlan ◽  
Liam Glynn ◽  
Alejandro Rodríguez-Molinero ◽  
Paul MA Baker ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Older Adult ◽  
Detection System ◽  
Design Study ◽  
Human Centered Design ◽  
Falls Risk ◽  
Risk Detection
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