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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

Conceptual framework for the My Interventional Drug-Eluting Stent Educational App. Integration of the multiple aspects of the project with Kolb’s experiential learning theory. The patient will start at the concrete experience of the symptoms of the disease and patient stories. The patient will then reflect on the patient stories. The biomedical visualization pulls in information from the percutaneous coronary intervention report and provides the learning content (abstract conceptualization). Finally, the active experimentation allows the patient to see the potential outcomes of failure to adhere to the suggested medication regimen.
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figure4: Conceptual framework for the My Interventional Drug-Eluting Stent Educational App. Integration of the multiple aspects of the project with Kolb’s experiential learning theory. The patient will start at the concrete experience of the symptoms of the disease and patient stories. The patient will then reflect on the patient stories. The biomedical visualization pulls in information from the percutaneous coronary intervention report and provides the learning content (abstract conceptualization). Finally, the active experimentation allows the patient to see the potential outcomes of failure to adhere to the suggested medication regimen.

Mentions: The updated app outline had 5 chapters and text rewritten to reflect the purposes of the DAPT (Figure 3). The specific program features were mapped to the Kolb’s experiential learning theory (Figure 4). Because of scheduling challenges, the patient advisers and the multidisciplinary team separately discussed the subsequent third wireframe. The patient stories developed from the prior comments focused on the following 5 reasons for medication discontinuation: (1) exhaustion after hospitalization, (2) information about duration of medication, (3) cost of medication, (4) travel and challenges of refills, and (5) side effects (Figure 4). Only 2 issues emerged from the discussions concerning the third wireframe: the need for an additional feature, a replay audio button in case someone wanted to hear the audio again, and the need to increase the size of the buttons and controls. Patient advisers focused on giving input about certain slides saying, “Since there are more recorded/narrative sections later on, is there a need to insert an audio practice example at this point (slide 23)? This will help validate clarity of patient’s speech and possibly make him/her adjust his/her voice for maximum playback quality.”


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)

Conceptual framework for the My Interventional Drug-Eluting Stent Educational App. Integration of the multiple aspects of the project with Kolb’s experiential learning theory. The patient will start at the concrete experience of the symptoms of the disease and patient stories. The patient will then reflect on the patient stories. The biomedical visualization pulls in information from the percutaneous coronary intervention report and provides the learning content (abstract conceptualization). Finally, the active experimentation allows the patient to see the potential outcomes of failure to adhere to the suggested medication regimen.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

figure4: Conceptual framework for the My Interventional Drug-Eluting Stent Educational App. Integration of the multiple aspects of the project with Kolb’s experiential learning theory. The patient will start at the concrete experience of the symptoms of the disease and patient stories. The patient will then reflect on the patient stories. The biomedical visualization pulls in information from the percutaneous coronary intervention report and provides the learning content (abstract conceptualization). Finally, the active experimentation allows the patient to see the potential outcomes of failure to adhere to the suggested medication regimen.
Mentions: The updated app outline had 5 chapters and text rewritten to reflect the purposes of the DAPT (Figure 3). The specific program features were mapped to the Kolb’s experiential learning theory (Figure 4). Because of scheduling challenges, the patient advisers and the multidisciplinary team separately discussed the subsequent third wireframe. The patient stories developed from the prior comments focused on the following 5 reasons for medication discontinuation: (1) exhaustion after hospitalization, (2) information about duration of medication, (3) cost of medication, (4) travel and challenges of refills, and (5) side effects (Figure 4). Only 2 issues emerged from the discussions concerning the third wireframe: the need for an additional feature, a replay audio button in case someone wanted to hear the audio again, and the need to increase the size of the buttons and controls. Patient advisers focused on giving input about certain slides saying, “Since there are more recorded/narrative sections later on, is there a need to insert an audio practice example at this point (slide 23)? This will help validate clarity of patient’s speech and possibly make him/her adjust his/her voice for maximum playback quality.”

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