Appl Clin Inform 2018; 09(02): 302-312
DOI: 10.1055/s-0038-1645888
Research Article
Schattauer GmbH Stuttgart

Applying User-Centered Design Methods to the Development of an mHealth Application for Use in the Hospital Setting by Patients and Care Partners

Brittany Couture
1  Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States
,
Elizabeth Lilley
2  Department of Medicine, Harvard Medical School, Boston, Massachusetts, United States
3  Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, United States
,
Frank Chang
4  Clinical Informatics, Partners eCare, Partners Healthcare Systems, Boston, Massachusetts, United States
,
Ann DeBord Smith
2  Department of Medicine, Harvard Medical School, Boston, Massachusetts, United States
3  Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, United States
,
Jessica Cleveland
5  Northeastern University HealthCare Systems Engineering Institute, Boston, Massachusetts, United States
,
Awatef Ergai
5  Northeastern University HealthCare Systems Engineering Institute, Boston, Massachusetts, United States
,
Zachary Katsulis
5  Northeastern University HealthCare Systems Engineering Institute, Boston, Massachusetts, United States
,
James Benneyan
5  Northeastern University HealthCare Systems Engineering Institute, Boston, Massachusetts, United States
,
Esteban Gershanik
1  Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States
2  Department of Medicine, Harvard Medical School, Boston, Massachusetts, United States
,
David W. Bates
1  Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, United States
2  Department of Medicine, Harvard Medical School, Boston, Massachusetts, United States
,
Sarah A. Collins
6  Department of Biomedical Informatics, Columbia University, New York, New York, United States
7  School of Nursing, Columbia University, New York, New York, United States
› Author Affiliations
Funding This work was funded by AHRQ 1P30HS0235335 Making Acute Care More Patient Centered. Software development of MySafeCare was completed by OpenClinica, LLC.
Further Information

Publication History

29 November 2017

20 March 2018

Publication Date:
09 May 2018 (online)

Abstract

Introduction Developing an optimized and user-friendly mHealth application for patients and family members in the hospital environment presents unique challenges given the diverse patient population and patients' various states of well-being.

Objective This article describes user-centered design methods and results for developing the patient and family facing user interface and functionality of MySafeCare, a safety reporting tool for hospitalized patients and their family members.

Methods Individual and group usability sessions were conducted with specific testing scenarios for participants to follow to test the usability and functionality of the tool. Participants included patients, family members, and Patient and Family Advisory Council (PFAC) members. Engagement rounds were also conducted on study units and lessons learned provided additional information to the usability work. Usability results were aligned with Nielsen's Usability Heuristics.

Results Eleven patients and family members and 25 PFAC members participated in usability testing and over 250 patients and family members were engaged during research team rounding. Specific themes resulting from the usability testing sessions influenced the changes made to the user interface design, workflow functionality, and terminology.

Conclusion User-centered design should focus on workflow functionality, terminology, and user interface issues for mHealth applications. These themes illustrated issues aligned with four of Nielsen's Usability Heuristics: match between system and the real world, consistency and standards, flexibility and efficiency of use, and aesthetic and minimalist design. We identified workflow and terminology issues that may be specific to the use of an mHealth application focused on safety and used by hospitalized patients and their families.

Protection of Human and Animal Subjects

This study was reviewed by and performed in compliance with the Institutional Review Board.