a proof-of-concept visualization to increase comprehension of personal medication schemes

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A Proof-of-Concept Visualization to Increase Comprehension of Personal Medication Schemes Robin De Croon Joris Klerkx & Erik Duval † http://augment.cs.kuleuven.be [email protected] Thursday, January 26, 2017 1

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A Proof-of-Concept Visualization to Increase Comprehension of Personal Medication Schemes

Robin De Croon

Joris Klerkx & Erik Duval †

http://augment.cs.kuleuven.be

[email protected]

Thursday, January 26, 2017 1

Prof. dr. ir. Erik Duval✝

Thursday, January 26, 2017 2

Today

• Motivation and result

• User-centered rapid-prototyping

• Implementation details

• Evaluation

• Limitations

• Conclusion

Thursday, January 26, 2017 3

Medication information is complex

• 3 discussion groups

• “Why do I have to take so much medication?”

• “What are the adverse reactions for baby/wife?”

• “What are my adverse reactions?”

• “I need help with the choice between two bad alternatives”

• “GP asks me to bring all my medication to the practice”

• Health literacy

Thursday, January 26, 2017 5

Relevance in literature

6

D. Mohr, E. Montague, C. Stiles-Shields, S. Kaiser, C. Brenner, E. Carty-Fickes, H. Palac, J. Duffecy“MedLink: A Mobile Intervention to Address Failure Points in the Treatment of Depression in General Medicine,” in Pervasive Computing Technologies For Healthcare (PervasiveHealth), 2015 9th International Conference On, 2015.

September 22, 2015

Relevance in literature

7

D. Mohr, E. Montague, C. Stiles-Shields, S. Kaiser, C. Brenner, E. Carty-Fickes, H. Palac, J. Duffecy“MedLink: A Mobile Intervention to Address Failure Points in the Treatment of Depression in General Medicine,” in Pervasive Computing Technologies For Healthcare (PervasiveHealth), 2015 9th International Conference On, 2015.

September 22, 2015

Relevance in literature

8

D. Mohr, E. Montague, C. Stiles-Shields, S. Kaiser, C. Brenner, E. Carty-Fickes, H. Palac, J. Duffecy“MedLink: A Mobile Intervention to Address Failure Points in the Treatment of Depression in General Medicine,” in Pervasive Computing Technologies For Healthcare (PervasiveHealth), 2015 9th International Conference On, 2015.

September 22, 2015

Relevance in literature

9

D. Mohr, E. Montague, C. Stiles-Shields, S. Kaiser, C. Brenner, E. Carty-Fickes, H. Palac, J. Duffecy“MedLink: A Mobile Intervention to Address Failure Points in the Treatment of Depression in General Medicine,” in Pervasive Computing Technologies For Healthcare (PervasiveHealth), 2015 9th International Conference On, 2015.

September 22, 2015

Motivation

Thursday, January 26, 2017 10

Can information visualization techniques help?

Hard for general practitioner to explain

Patients bring all their medication to their GP

Medication information is complex and hard to understand

Augmented Table

Thursday, January 26, 2017 11

:

User-Centered, Rapid-Prototyping

Thursday, January 26, 2017 14

Low Fidelity High Fidelity ResultGP DemoPublic Demo

5 participants 5 participants 220 passers-by 2 general practitioners

design phase usability phase evaluation phase

User-Centered, Rapid-Prototyping

Thursday, January 26, 2017 15

Low Fidelity High Fidelity ResultGP DemoPublic Demo

5 participants 5 participants 220 passers-by 2 general practitioners

design phase usability phase evaluation phase

Closer look

User-Centered, Rapid-Prototyping

Thursday, January 26, 2017 19

Low Fidelity High Fidelity ResultGP DemoPublic Demo

5 participants 5 participants 220 passers-by 2 general practitioners

design phase usability phase evaluation phase

23

Episodesfrom medical record

Adverse reactions

Personal informationfrom medical record

reason

adverse reaction

unwanted interactions

September 22, 2015 25

how many days?

how many times a day?

User-Centered, Rapid-Prototyping

Thursday, January 26, 2017 27

Low Fidelity High Fidelity ResultGP DemoPublic Demo

5 participants 5 participants 220 passers-by 2 general practitioners

design phase usability phase evaluation phase

Biggest difference

Thursday, January 26, 2017 28

29

User-Centered, Rapid-Prototyping

Thursday, January 26, 2017 32

Low Fidelity High Fidelity ResultGP DemoPublic Demo

5 participants 5 participants 220 passers-by 2 general practitioners

design phase usability phase evaluation phase

Thursday, January 26, 2017 33

Patients General practitioners

• Patients• like to see all possible adverse reactions

• have the feeling their GP hides information for them

• like that they have the same view as their GP

• General practitioners• worried about the Nocebo phenomenon

• want to remain in control

Thursday, January 26, 2017 34

User-Centered, Rapid-Prototyping

Thursday, January 26, 2017 36

Low Fidelity High Fidelity ResultGP DemoPublic Demo

5 participants 5 participants 220 passers-by 2 general practitioners

design phase usability phase evaluation phase

Implementation details (1)

Thursday, January 26, 2017 38

Epson EH-TW5000

Logitech c930e

Medication boxes

Implementation details (2)

Thursday, January 26, 2017 39

Implementation details (3)

Thursday, January 26, 2017 40

Final evaluation

• 25 participants• 16 males + 9 females, average age 32 ranging from 18 to 75

• Pre-questionnaire• demographics, basic health information

• Task-based scenario• concurrent think aloud protocol

• time-to-task

• number of errors

• Post-questionnaires• dialogue questions

• perceived usefulness questionnaire

• system usability scale

Thursday, January 26, 2017 41

C. Lewis, Using the "thinking Aloud" Method in Cognitive Interface Design, Yorktown Heights, NY: IBM T.J. Watson Research Center

Brooke, John. "SUS-A quick and dirty usability scale." Usability evaluation in industry 189.194 (1996): 4-7

O’Leary, P., Carroll, N., & Richardson, I. (2014). The Practitioner’s Perspective on Clinical Pathway Support Systems. In 2014 IEEE International Conference on Healthcare Informatics (pp. 194–201)

System Usability Scale

Thursday, January 26, 2017

79.5

Bangor, A., Kortum, P., & Miller, J. (2009). Determining what individual SUS

scores mean: Adding an adjective rating scale. Journal of Usability Studies,

4(3), 114–123

Tasks

Thursday, January 26, 2017 43

1

1

3

2

1

Post-Questionnaire

Thursday, January 26, 2017 44

Limitations

• Animations not in real time• ± 1s per box

• Evaluation setting • not ’in the wild’

• No comparison• primarily to evaluate if visualization can increase

comprehension

• Privacy issues are not considered• used in private setting between GP and patient

Thursday, January 26, 2017 45

Looking for collaborations!

• Redesign the visualization for private use• improve detection of medication boxes

• consider difficulties of private use

• evaluate if self-reflection is triggered

Thursday, January 26, 2017 46

Conclusion

• Succesful proof-of-concept to increase

comprehension of medication information

• Our design shows useful feedback

• Better for personal use, as help of GP is not

needed

Thursday, January 26, 2017 47

http://cdn.makeuseof.com/wp-content/uploads/2012/12/3D-Man-Presenting-Intro-Image.jpg?a53b57

Acknowledgements

Thursday, January 26, 2017 48

+ All participants!

Thank you!

Thursday, January 26, 2017 49

http://2.bp.blogspot.com/-gZjNR3XVULs/T_ZOVgE-5lI/AAAAAAAAAg8/6YVmd5Q064o/s1600/questions11.jpg

[email protected]