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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

Color design concepts of the My Interventional Drug-Eluting Stent Educational App: (A) Concept 3 and (B) Concept 4.
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figure5: Color design concepts of the My Interventional Drug-Eluting Stent Educational App: (A) Concept 3 and (B) Concept 4.

Mentions: The seventh wireframe focused on information simplicity and clarity for the patient. The buttons were located at the bottom of the screen, so the patient would focus on the content, not the buttons. One patient adviser said, “Using the program is essential; do not skip the introduction. The patient needs to know what all the buttons are for and where to call or email for program assistance. Make this as simplistic as possible because many patients many not be computer literate. Most may dislike computers and have been fighting it for years. The key is getting the patients to follow the postcardiac instructions.” Of the 2 color designs, the patient advisers were concerned with the text being difficult to read. Another concern was the font size. MyIDEA color design concept 2 was simpler but was described as “not eye-catching.” Another patient adviser stated, “Make this pleasing and eye-catching. It needs to have a positive vibe, so shades of yellow, green, or roman red can be used to create a continuum.” MyIDEA color design concept 2 also incorporated the color palettes of a sports team the patient advisers favored. Patient advisers strongly recommended colors that were bright, as well as common color combinations. MyIDEA color design concept 3 and 4 were created (Figure 5) as a result and patient advisers suggested using MyIDEA color design concept 3. After a few final touches improved the concept for the final design, the patient advisers said it was innovative, and easy to follow.


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)

Color design concepts of the My Interventional Drug-Eluting Stent Educational App: (A) Concept 3 and (B) Concept 4.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

figure5: Color design concepts of the My Interventional Drug-Eluting Stent Educational App: (A) Concept 3 and (B) Concept 4.
Mentions: The seventh wireframe focused on information simplicity and clarity for the patient. The buttons were located at the bottom of the screen, so the patient would focus on the content, not the buttons. One patient adviser said, “Using the program is essential; do not skip the introduction. The patient needs to know what all the buttons are for and where to call or email for program assistance. Make this as simplistic as possible because many patients many not be computer literate. Most may dislike computers and have been fighting it for years. The key is getting the patients to follow the postcardiac instructions.” Of the 2 color designs, the patient advisers were concerned with the text being difficult to read. Another concern was the font size. MyIDEA color design concept 2 was simpler but was described as “not eye-catching.” Another patient adviser stated, “Make this pleasing and eye-catching. It needs to have a positive vibe, so shades of yellow, green, or roman red can be used to create a continuum.” MyIDEA color design concept 2 also incorporated the color palettes of a sports team the patient advisers favored. Patient advisers strongly recommended colors that were bright, as well as common color combinations. MyIDEA color design concept 3 and 4 were created (Figure 5) as a result and patient advisers suggested using MyIDEA color design concept 3. After a few final touches improved the concept for the final design, the patient advisers said it was innovative, and easy to follow.

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