Medicine 2.0'10: Patient usability in on line health information

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"Patient usability in on line health information" as presented at Medicine2.0'10 in Maastricht

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Medicine 2.0'10: Patient usability in on line health information

  1. 1. Patient usability in on line health information casus Dutch national health portal kiesBeter1 30 november 2010
  2. 2. 1. Usability 2. www.kiesbeter.nl 3. Research - Methods - Outcomes 4. Implications2 30 november 2010
  3. 3. 1. Usability● Human Centered Design● Adherence – Usability essential for adherence  “perceived ease-of-use” (Davis, 1998)  design  navigation  findability  searchability  persuasiveness3 30 november 2010
  4. 4. 1. Usability ● Usability research: social science meets technology meets design meets people4 30 november 2010
  5. 5. 2. National health and care portal Assignment of NL Ministry of Health 2004 – 2012 Objectives - to help people with questions and choices in health and health care - to disseminate information on quality - to encourage choice behaviour> Annual budget: circa 3M euro, 12 fte5 30 november 2010
  6. 6. 6 30 november 2010
  7. 7. 2. National health and care portal Unique visitors per month 600.000 500.000 2006 400.000 2007 300.000 2008 200.000 2009 2010 100.000 0 jan feb mrt apr mei jun jul aug sep okt nov dec7 30 november 2010
  8. 8. 2. National health and care portal● How about the usability for chronic patients and their carers?● Should it be improved?8 30 november 2010
  9. 9. 3. Research Cooperation between RIVM and IBR-Center for eHealth Research and Disease management (University of Twente) Objectives: 1. Formulate recommendations for usability improvement portal 1. Contribute to usability research9 30 november 2010
  10. 10. 3. Research● Participants (n = 21) mean age 54y mean age 36y mean age 36y mean age 54y● Education (medium-high) 8 mean age 50y mean age 50y 7● eHealth literacy (high) 6 5 fe male 4 male 3 2 1 0 Arthritis Asthma Diabetes mean age 47yrs mean age 47yrs SD = 15,5 SD = 15,510 30 november 2010
  11. 11. 3. Research● Methods 1. Scenario study › Think-aloud protocol › Cognitive walk throughs › Screen capture software 2. Website Evaluation Questionnaire 3. Focus group11 30 november 2010
  12. 12. 3. Research● OutcomesScenario- Basic search strategy is ORIENTEERING (65%) vs TELEPORTING (16%)- Partial and/or unsuccessful scenarios are common Topic % of ss who % successful- Age & Education correspond finished a scenario completion with performance Medical 81% 60% information Care 100% 71% providers Health 71% 33% insurances
  13. 13. 3. Research● Outcomes - Recorded verbal expressions - Think-aloud usability category scenarios interviews Lay out Interviews Navigation 81%; 43%+ 33%; 51%+ Content 18%; 34%+ 47%; 74%+ Acceptance Satisfaction Empowerment All 41%+ 61% + 13 30 november 2010
  14. 14. 3. Research● OutcomesFocusgroup Disagreement and consenus with regard to Lay out presentation of search results; font size; colour Navigation search options; autocomplete; readspeaker; Content comprehensiveness, language Acceptance dead links, consistency14 30 november 2010
  15. 15. 3. ResearchConsensus:Chronic patients need comprehensive information; expect supportin searching to quickly find informationImprove Findability, Simplicity, NavigationLay out, Acceptance, Satisfaction +/-Content +(no priority: small changes increase overall usability) 15 30 november 2010
  16. 16. 4. Implications Many front end / back end adaptations16 30 november 2010
  17. 17. 4. Implications● For usability research – Intensive but productive: social science works: qualitative methods combined with quantitative measurement – Outcomes comply with other findings – Applicable to 2.0 interventions (co-creation, co-design)17 30 november 2010
  18. 18. Thank you18 30 november 2010

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