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My Interventional Drug-Eluting Stent Educational App (MyIDEA): Patient-Centered Design Methodology.

Boyd AD, Moores K, Shah V, Sadhu E, Shroff A, Groo V, Dickens C, Field J, Baumann M, Welland B, Gutowski G, Flores JD, Zhao Z, Bahroos N, Hynes DM, Wilkie DJ - JMIR Mhealth Uhealth (2015)

Bottom Line: The MyIDEA app has been successfully deployed to a low-health-literate elderly patient population in the hospital setting.The MyIDEA program has been successfully deployed to a low-health-literate elderly patient population.Leveraging patient advisers throughout the development process helps to ensure implementation success.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, IL, United States. boyda@uic.edu.

ABSTRACT

Background: Patient adherence to medication regimens is critical in most chronic disease treatment plans. This study uses a patient-centered tablet app, "My Interventional Drug-Eluting Stent Educational App (MyIDEA)." This is an educational program designed to improve patient medication adherence.

Objective: Our goal is to describe the design, methodology, limitations, and results of the MyIDEA tablet app. We created a mobile technology-based patient education app to improve dual antiplatelet therapy adherence in patients who underwent a percutaneous coronary intervention and received a drug-eluting stent.

Methods: Patient advisers were involved in the development process of MyIDEA from the initial wireframe to the final launch of the product. The program was restructured and redesigned based on the patient advisers' suggestions as well as those from multidisciplinary team members. To accommodate those with low health literacy, we modified the language and employed attractive color schemes to improve ease of use. We assumed that the target patient population may have little to no experience with electronic tablets, and therefore, we designed the interface to be as intuitive as possible.

Results: The MyIDEA app has been successfully deployed to a low-health-literate elderly patient population in the hospital setting. A total of 6 patients have interacted with MyIDEA for an average of 17.6 minutes/session.

Conclusions: Including patient advisers in the early phases of a mobile patient education development process is critical. A number of changes in text order, language, and color schemes occurred to improve ease of use. The MyIDEA program has been successfully deployed to a low-health-literate elderly patient population. Leveraging patient advisers throughout the development process helps to ensure implementation success.

No MeSH data available.


Related in: MedlinePlus

Sample page from the initial wireframe shown to the multidisciplinary team and patient advisers for feedback.
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figure1: Sample page from the initial wireframe shown to the multidisciplinary team and patient advisers for feedback.

Mentions: When the patient advisers and development team first met, we discovered that none of the advisers had any experience with software development, which necessitated description of the purpose of the wireframe (Figure 1) and the envisioned educational app. One of the novel aspects of the patient-centered education was customizing the program to the findings of the individual patient, such as symptoms, medication, and procedure findings. The advisers indicated that the pictures and draft diagrams were too vague for meaningful critique. They indicated that the program should also include an audio component, that the app objectives for medication adherence needed to be explained in the initial screen, and that the duration of DAPT needed to be clearly stated.


My Interventional Drug-Eluting Stent Educational App (MyIDEA): Patient-Centered Design Methodology.

Boyd AD, Moores K, Shah V, Sadhu E, Shroff A, Groo V, Dickens C, Field J, Baumann M, Welland B, Gutowski G, Flores JD, Zhao Z, Bahroos N, Hynes DM, Wilkie DJ - JMIR Mhealth Uhealth (2015)

Sample page from the initial wireframe shown to the multidisciplinary team and patient advisers for feedback.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4526975&req=5

figure1: Sample page from the initial wireframe shown to the multidisciplinary team and patient advisers for feedback.
Mentions: When the patient advisers and development team first met, we discovered that none of the advisers had any experience with software development, which necessitated description of the purpose of the wireframe (Figure 1) and the envisioned educational app. One of the novel aspects of the patient-centered education was customizing the program to the findings of the individual patient, such as symptoms, medication, and procedure findings. The advisers indicated that the pictures and draft diagrams were too vague for meaningful critique. They indicated that the program should also include an audio component, that the app objectives for medication adherence needed to be explained in the initial screen, and that the duration of DAPT needed to be clearly stated.

Bottom Line: The MyIDEA app has been successfully deployed to a low-health-literate elderly patient population in the hospital setting.The MyIDEA program has been successfully deployed to a low-health-literate elderly patient population.Leveraging patient advisers throughout the development process helps to ensure implementation success.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, IL, United States. boyda@uic.edu.

ABSTRACT

Background: Patient adherence to medication regimens is critical in most chronic disease treatment plans. This study uses a patient-centered tablet app, "My Interventional Drug-Eluting Stent Educational App (MyIDEA)." This is an educational program designed to improve patient medication adherence.

Objective: Our goal is to describe the design, methodology, limitations, and results of the MyIDEA tablet app. We created a mobile technology-based patient education app to improve dual antiplatelet therapy adherence in patients who underwent a percutaneous coronary intervention and received a drug-eluting stent.

Methods: Patient advisers were involved in the development process of MyIDEA from the initial wireframe to the final launch of the product. The program was restructured and redesigned based on the patient advisers' suggestions as well as those from multidisciplinary team members. To accommodate those with low health literacy, we modified the language and employed attractive color schemes to improve ease of use. We assumed that the target patient population may have little to no experience with electronic tablets, and therefore, we designed the interface to be as intuitive as possible.

Results: The MyIDEA app has been successfully deployed to a low-health-literate elderly patient population in the hospital setting. A total of 6 patients have interacted with MyIDEA for an average of 17.6 minutes/session.

Conclusions: Including patient advisers in the early phases of a mobile patient education development process is critical. A number of changes in text order, language, and color schemes occurred to improve ease of use. The MyIDEA program has been successfully deployed to a low-health-literate elderly patient population. Leveraging patient advisers throughout the development process helps to ensure implementation success.

No MeSH data available.


Related in: MedlinePlus