Simulated Clinical Encounters Using Patient-Operated mHealth: Experimental Study to Investigate Patient-Provider Communication.

摘要: Background: This study investigates patient-centered mobile health (mHealth) technology in terms of the secondary user experience (UX). Specifically, it examines how personal technology, under patient control, can be used to improve patient-provider communication about patient’s care during their first visit a provider. Common ground, theory language use, is as theoretical basis examine interactions. A novel concept this that one empirical studies explore relative meaningfulness UX for specific tasks. Objective: The objective was investigate extent patient-operated mHealth designed between and provider an initial face-to-face encounter. Methods: experimental conducted 2 large Midwestern cities from February 2016 May 2016. custom-designed smartphone app prototype treatment. design posttest-only control group included video-recorded simulated clinical encounters which actor role-played patient. Experienced clinicians consisting doctors (n=4) nurses (n=8) were participants. thematic analysis qualitative data performed. Quantitative collected time on task measurements analyzed using descriptive statistics. Results: Three themes represent grounding manifested encounter, what meant influenced provider’s perception emerged analysis. statistics important inferring evidence efficiency effectiveness providers. Overall, encounter times averaged slightly faster almost every instance treatment than group. ground clearly better group, indicating idea designing outcomes has merit. Conclusions: Combining notions common human-computer interaction design, resulted improved collaboration users. demonstrate investment high payoff tasks value but not all UXs are meaningful design. observation useful prioritizing resources should applied when considering UX.