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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

Wireframe number 2 sample page about how a stent works.
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figure2: Wireframe number 2 sample page about how a stent works.

Mentions: A second iteration (Figure 2) of the wireframes was created and discussed with patient advisers and team members during a second meeting. This discussion revealed that the overall message of the purpose of the DAPT was not portrayed adequately. The patient advisers suggested that the main message be integrated throughout the app with persuasive reasons for adherence clearly demonstrated, instead of only giving the information at the conclusion. Another identified issue was that the wireframes did not adhere sufficiently to Kolb’s theory. In response, we added patient stories and reflective observations about the stories, along with the patient’s symptoms to ensure integration of the entire Kolb’s learning circle, which was a large-scale restructuring of the app. This procedure offered reinforcement of several critical points, information on proper postcardiac medication regimen, rapid communication with the physician’s staff, and a comfort zone if symptoms should reoccur.


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)

Wireframe number 2 sample page about how a stent works.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

figure2: Wireframe number 2 sample page about how a stent works.
Mentions: A second iteration (Figure 2) of the wireframes was created and discussed with patient advisers and team members during a second meeting. This discussion revealed that the overall message of the purpose of the DAPT was not portrayed adequately. The patient advisers suggested that the main message be integrated throughout the app with persuasive reasons for adherence clearly demonstrated, instead of only giving the information at the conclusion. Another identified issue was that the wireframes did not adhere sufficiently to Kolb’s theory. In response, we added patient stories and reflective observations about the stories, along with the patient’s symptoms to ensure integration of the entire Kolb’s learning circle, which was a large-scale restructuring of the app. This procedure offered reinforcement of several critical points, information on proper postcardiac medication regimen, rapid communication with the physician’s staff, and a comfort zone if symptoms should reoccur.

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