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2.
J Oncol Pharm Pract ; 26(1): 105-115, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30955468

RESUMO

OBJECTIVE: To design a mobile app based on the needs of the onco-hematological patient receiving oral antineoplastic agents. METHODS: A multidisciplinary working group (pharmacy-oncology-hematology) was created to design the app. The study was developed in three phases: first, we analyzed the features of patients receiving oral antineoplastic agents. We then analyzed available apps for cancer patients. Finally, we designed the app's functionalities. RESULTS: We included 51 patients with middle-advanced age (68.7 years (SD=10.7)). They were polymedicated (mean: 5.3 (SD = 2.7), with numerous drug-drug interactions and adverse effects (all patients presented adverse effects). We then analyzed 166 apps. Most apps had more than one use, the most frequent being information (39.8%) and diagnosis (38.6%). Ten apps (6%) were for registering and monitoring treatment and adverse effects. Almost half of the apps (48.8%) were developed by healthcare organizations. Finally, we designed an app (e-OncoSalud®) with the following functionalities: (a) agenda; (b) treatment and drug interactions checker; (c) continuous recording of self-controls (weight, blood pressure, general condition) and adverse effects. The management of the adverse effects are based on an algorithm which provides different recommendations according to the adverse effects severity; (d) patient-pharmacist messaging in real-time; (e) education. CONCLUSIONS: After analysis of the main problems affecting these patients and the needs not covered by the existing apps, we designed e-OncoSalud®. It integrates relevant information about their treatment, focused on drug interactions identification and the prevention, and management of adverse effects.


Assuntos
Antineoplásicos/administração & dosagem , Aplicativos Móveis , Neoplasias/tratamento farmacológico , Smartphone , Telemedicina/métodos , Administração Oral , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Aplicativos Móveis/tendências , Neoplasias/diagnóstico , Smartphone/tendências , Telemedicina/tendências
3.
Diabetes Res Clin Pract ; 158: 107896, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31669627

RESUMO

Mobile health (mHealth) applications (apps) have been recently introduced as an easily accessible tool for providing information to pregnant women with diabetes. Despite the growing number of apps on the topic "diabetes & pregnancy", a smartphone app offering comprehensive and individualized information to both women (before and during gestation) and their healthcare professionals was still missing. To overcome this lack, the Italian Diabetes and Pregnancy Study Group conceived and realized in 2016 a novel mobile app called "MySweetGestation". It is designed to be an interactive educational tool for both patients and physicians not expert in the field. Through an interactive way of learning, it provides validated information to the user, focusing on different area of interest: from prevention and risk factors for developing diabetes during pregnancy to treatment and follow-up strategies after gestation. Three years since its publication, MySweetGestation has been downloaded in different western and eastern countries worldwide, suggesting a widespread social impact. Easily accessible personalized information made available via mHealth technology may be of great importance to spread controlled information among the pregnant population. MySweetGestation, being an interactive educational device for both patients and healthcare professionals, may contribute to improve the management of pregnant women with diabetes.


Assuntos
Diabetes Gestacional/epidemiologia , Aplicativos Móveis/tendências , Telemedicina/tendências , Feminino , Humanos , Gravidez , Fatores de Risco
5.
Zhonghua Shao Shang Za Zhi ; 35(9): 697-700, 2019 Sep 20.
Artigo em Chinês | MEDLINE | ID: mdl-31594190

RESUMO

Telemedicine refers to two or more medical institutions using communication, computer, and network technology to provide remote diagnosis, treatment, and care for patients. The necessity and feasibility of applying telemedicine are determined by the characteristics of burn injury. This paper reviewed the application of telemedicine in burn surgery at home and abroad, then analyzed the significance and problems of using this technology in the field of burns, finally forecasted the future of application of telemedicine in burn surgery.


Assuntos
Queimaduras/terapia , Telemedicina/tendências , Humanos
6.
BMC Health Serv Res ; 19(1): 681, 2019 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-31547824

RESUMO

BACKGROUND: Telemedicine services are promoting more access to healthcare. Portugal was an early adopter of telemedicine to overcome both its geological barriers and the shortage of healthcare professionals. The Pediatric Cardiology Service (PCS) at Coimbra University Hospital Centre (CHUC) has been using telemedicine to increase access and coverage since 1998. Their Pediatric Telecardiology Service has been daily connecting CHUC with 13 other Portuguese national hospitals, and regularly connecting with Portuguese-speaking African countries, through a teleconsultation platform. METHODS: This study aims at exploring the Pediatric Telecardiology Service's evolution, through a comprehensive assessment of the PCS's development, evolution and impact in public health, to better understand the critical factors for implementation and sustainability of telemedicine, in the context of healthcare services digitalization. A case study was performed, with cost-benefit, critical factors and organizational culture assessment. Finally, the Kingdon's framework helped to understand the implementation and scale-up process and the role of policy-making. RESULTS: With the total of 32,685 out-patient teleconsultations, growing steadily from 1998 to 2016, the Pediatric Telecardiology Service has reached national and international recognition, being a pioneer and an active promotor of telemedicine. This telemedicine service has saved significant resources, about 1.1 million euros for the health system (e.g. in administrative and logistic costs) and approximately 419 euros per patient (considering an average of 1777 patients per year). PCS presents a dominant "Clan" culture. The Momentum's critical factors for telemedicine service implementation enabled us to understand how barriers were overcome (e.g. political forces). Willingness, perseverance and teamwork, allied with partnership with key stakeholders, were the foundation for professionals' engagement and service networking development. Its positive results, new regulations and the increasing support from the hospital board, set up a window of opportunity to establish a sustainable telemedicine service. CONCLUSION: The Pediatric Telecardiology Service enables real-time communication and the sharing of clinical information, overcoming many barriers (from geographical ones to shortage of healthcare professionals), improving access to specialized care both in Portugal and Africa. Motivation and teamwork, and perseverance, were key for the Pediatric Telecardiology Service to tackle the window of opportunity which created conditions for sustainability.


Assuntos
Cardiologia/métodos , Pediatria/métodos , Consulta Remota/organização & administração , Telemedicina/organização & administração , África , Criança , Comunicação , Assistência à Saúde/organização & administração , Assistência à Saúde/estatística & dados numéricos , Hospitais/estatística & dados numéricos , Humanos , Portugal , Consulta Remota/estatística & dados numéricos , Consulta Remota/tendências , Telemedicina/estatística & dados numéricos , Telemedicina/tendências
8.
Int J Med Inform ; 130: 103947, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31450080

RESUMO

BACKGROUND: In recent years, the development and application of emerging information technologies, such as artificial intelligence, cloud computing, Internet of Things, and wearable devices, has expanded the content of electronic health (e-health). Electronic health has become a research focus, but few studies have explored its knowledge structure from a global perspective. METHODS: To detect the evolution track, knowledge base and research hotspots of e-health, we conducted a series of bibliometric analyses on the retrieved 3,085 papers from the Web of Science core database in 1992-2017. We used several bibliometric tools, such as HistCite, CiteSpace, NetDraw, and NEViewer, to describe the evolution process, time-and-space knowledge map, and hotspots in e-health. RESULTS: The research results are as follows. (a) The number of publications has been obviously increasing after 2005 and according to the trend line it is expected to continue increase exponentially in the future. (b) Countries/regions conducting e-health research have close cooperative relationship, among which European countries have the closest cooperation. (c) Electronic health records, mobile health and health information technology are research hotspots in electronic health. Moreover, scholars also pay attention to the hot issues such as privacy, security, and quality improvement. CONCLUSIONS: Electronic health is a large and growing field with quite a number of research articles in medical journals. This study provides a comprehensive knowledge structure of electronic health for scholars in the healthcare informatics field, which can help them quickly grasp research hotspots and choose future research projects.


Assuntos
Bibliometria , Pesquisa Biomédica/tendências , Mineração de Dados/métodos , Bases de Dados Factuais , Registros Eletrônicos de Saúde/estatística & dados numéricos , Informática Médica/tendências , Telemedicina/tendências , Inteligência Artificial , Computação em Nuvem , Europa (Continente) , Humanos
9.
Surg Infect (Larchmt) ; 20(7): 555-565, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31424335

RESUMO

Background: Emerging technologies such as smartphones and wearable sensors have enabled the paradigm shift to new patient-centered healthcare, together with recent mobile health (mHealth) app development. One such promising healthcare app is incision monitoring based on patient-taken incision images. In this review, challenges and potential solution strategies are investigated for surgical site infection (SSI) detection and evaluation using surgical site images taken at home. Methods: Potential image quality issues, feature extraction, and surgical site image analysis challenges are discussed. Recent image analysis and machine learning solutions are reviewed to extract meaningful representations as image markers for incision monitoring. Discussions on opportunities and challenges of applying these methods to derive accurate SSI prediction are provided. Conclusions: Interactive image acquisition as well as customized image analysis and machine learning methods for SSI monitoring will play critical roles in developing sustainable mHealth apps to achieve the expected outcomes of patient-taken incision images for effective out-of-clinic patient-centered healthcare with substantially reduced cost.


Assuntos
Processamento Eletrônico de Dados/métodos , Processamento de Imagem Assistida por Computador/métodos , Dados de Saúde Gerados pelo Paciente , Infecção da Ferida Cirúrgica/diagnóstico por imagem , Telemedicina/métodos , Processamento Eletrônico de Dados/tendências , Humanos , Processamento de Imagem Assistida por Computador/tendências , Telemedicina/tendências
10.
Surg Infect (Larchmt) ; 20(7): 541-545, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31460834

RESUMO

Background: Surgical site infection (SSI) continues to be a common and costly complication after surgery. The current commonly used definitions of SSI were devised more than two decades ago and do not take in to account more modern technology that could be used to make diagnosis more consistent and precise. Patient-generated health data (PGHD), including digital imaging, may be able to fulfill this objective. Methods: The published literature was examined to determine the current state of development in terms of using digital imaging as an aide to diagnose SSI. This information was used to devise possible methodology that could be used to integrate digital images to more objectively define SSI, as well as using these data for both surveillance activities and clinical management. Results: Digital imaging is a highly promising means to help define and diagnose SSI, particularly in remote settings. Multiple groups continue to actively study these emerging technologies, however, present methods remain based generally on subjective rather than objective observations. Although current images may be useful on a case-by-case basis, similar to physical examination information, integrating imaging in the definition of SSI to allow more automated diagnosis in the future will require complex image analysis combined with other available quantified data. Conclusions: Digital imaging technology, once adequately evolved, should become a cornerstone of the criteria for both the clinical and surveillance definitions of SSI.


Assuntos
Processamento Eletrônico de Dados/métodos , Monitoramento Epidemiológico , Processamento de Imagem Assistida por Computador/métodos , Dados de Saúde Gerados pelo Paciente/métodos , Infecção da Ferida Cirúrgica/diagnóstico por imagem , Telemedicina/métodos , Processamento Eletrônico de Dados/tendências , Humanos , Processamento de Imagem Assistida por Computador/tendências , Dados de Saúde Gerados pelo Paciente/tendências , Telemedicina/tendências
13.
Medicina (Kaunas) ; 55(7)2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-31266263

RESUMO

Background and Objectives: The term "telepharmacy" indicates a form of pharmaceutical care in which pharmacists and patients are not in the same place and can interact using information and communication technology (ICT) facilities. Telepharmacy has been adopted to provide pharmaceutical services to underserved areas and to address the problem of pharmacist shortage. This paper has reviewed the multi-faceted phenomenon of telepharmacy, summarizing different experiences in the area. Advantages and limitations of telepharmacy are discussed as well. Materials and Methods: A literature analysis was carried out on PubMed, using as entry term "telepharmacy" and including articles on the topic published between 2012 and 2018. Results: The studies reviewed were divided into three categories of pharmacy practice, namely (1) support to clinical services, (2) remote education and handling of "special pharmacies", and (3) prescription and reconciliation of drug therapies. In general, different telepharmacy services were effective and accompanied by a satisfaction of their targets. Conclusions: Nowadays, the shortage of health personnel, and in particular pharmacists, is a challenging issue that the health systems have to face. The use of a new technology such as telepharmacy can represent a possible option to solve these problems. However, there are unsolved limitations (e.g., legal implications) that make greater diffusion of telepharmacy difficult. Stronger data on the effectiveness of this area of pharmacy care, together with a critical evaluation of its limits, can make actors involved aware about the potentialities of it and could contribute to a larger diffusion of telepharmacy services in the interest of communities and citizens.


Assuntos
Disponibilidade de Medicamentos Via Internet/tendências , Telemedicina/métodos , Humanos , Invenções/tendências , Telemedicina/tendências
14.
JMIR Mhealth Uhealth ; 7(7): e12952, 2019 07 02.
Artigo em Inglês | MEDLINE | ID: mdl-31267979

RESUMO

BACKGROUND: In contrast to the use of traditional unidimensional paper-based scales, a mobile health (mHealth) assessment of pain in children and young people (CYP) with juvenile idiopathic arthritis (JIA) enables comprehensive and complex multidimensional pain data to be captured remotely by individuals. However, how professionals use multidimensional pain data to interpret and synthesize pain reports gathered using mHealth tools is not yet known. OBJECTIVE: The aim of this study was to explore the salience and prioritization of different mHealth pain features as interpreted by key stakeholders involved in research and management of pain in CYP with JIA. METHODS: Pain and rheumatology specialists were purposively recruited via professional organizations. Face-to-face focus groups were conducted for each specialist group. Participants were asked to rank order 9 static vignette scenarios created from real patient mHealth multidimensional pain data. These data had been collected by a researcher in a separate study using My Pain Tracker, a valid and acceptable mHealth iPad pain communication tool that collects information about intensity, severity, location, emotion, and pictorial pain qualities. In the focus groups, specialists discussed their decision-making processes behind each rank order in the focus groups. The total group rank ordering of vignette scenarios was calculated. Qualitative data from discussions were analyzed using latent thematic analysis. RESULTS: A total of 9 pain specialists took part in 1 focus group and 10 rheumatology specialists in another. In pain specialists, the consensus for the highest pain experience (44%) was poorer than their ranking of the lowest pain experiences (55%). Conversely, in rheumatology specialists, the consensus for the highest pain experience (70%) was stronger than their ranking of the lowest pain experience (50%). Pain intensity was a high priority for pain specialists, but rheumatology specialists gave high priority to intensity and severity taken together. Pain spread was highly prioritized, with the number of pain locations (particular areas or joints) being a high priority for both groups; radiating pain was a high priority for pain specialists only. Pain emotion was challenging for both groups and was only perceived to be a high priority when specialists had additional confirmatory evidence (such as information about pain interference or clinical observations) to validate the pain emotion report. Pain qualities such as particular word descriptors, use of the color red, and fire symbols were seen to be high priority by both groups in interpretation of CYP pain reports. CONCLUSIONS: Pain interpretation is complex. Findings from this study of specialists' decision-making processes indicate which aspects of pain are prioritized and weighted more heavily than others by those interpreting mHealth data. Findings are useful for developing electronic graphical summaries which assist specialists in interpreting patient-reported mHealth pain data more efficiently in clinical and research settings.


Assuntos
Manejo da Dor/instrumentação , Dor/classificação , Reumatologistas/psicologia , Adulto , Artrite Juvenil/complicações , Artrite Juvenil/psicologia , Feminino , Grupos Focais/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Dor/psicologia , Manejo da Dor/psicologia , Manejo da Dor/normas , Medição da Dor/métodos , Pesquisa Qualitativa , Reumatologistas/estatística & dados numéricos , Reumatologia/instrumentação , Reumatologia/métodos , Telemedicina/tendências
15.
Respir Res ; 20(1): 146, 2019 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-31291945

RESUMO

BACKGROUND: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients' involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. AIM: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. METHODS: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the intervention. RESULTS: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0.20% before the intervention and 0.27% after the intervention; this difference in slopes was statistically significant (P = 0.027). The decrease of CCQ-mental was 0.97% before the intervention and after the intervention there was an increase of 0.017%; this difference was statistically significant (P = 0.01). No significant difference was found in the slopes of CCQ (P = 0.12) and CCQ-function (P = 0.11) before and after the intervention. CONCLUSION: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management. TRIAL REGISTRATION: Our study is registered in the Dutch Trial Register (national registration of clinical trails, mandatory for publication) with number NTR4098 and can be found at http://www.trialregister.nl/trial/3936 . Date registered: 2013-07-31. First participant: 2014-01-01.


Assuntos
Doença Pulmonar Obstrutiva Crônica/psicologia , Doença Pulmonar Obstrutiva Crônica/terapia , Qualidade de Vida/psicologia , Autocuidado/métodos , Autocuidado/psicologia , Telemedicina/métodos , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Telemedicina/tendências , Resultado do Tratamento
17.
Hosp Top ; 97(3): 107-118, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31244391

RESUMO

Introduction: While for adults in Pennsylvania, obesity rates tripled from less than 10% in 1990 to 30% in 2015, the combined rates of overweight, obese, and severely obese children and adolescents in Pennsylvania are projected to approach 37.11% by the end of 2018. Method: Pediatric obesity rates in rural areas tend to be even higher than those in urban areas. Pediatric obesity needs to be addressed, since it is strongly correlated with several chronic diseases. Given the scarcity of resources to manage this trend, innovative population-based approaches are needed. Web-based telehealth, telemedicine, mobile health (mHealth), and telephone conferences have been proposed as solutions to treat and prevent childhood obesity in rural areas; the most suitable solution is through a family-based telemedicine intervention. The purpose of this study is to explore the feasibility of such a telehealth application especially for rural Pennsylvania. Results: Telehealth use in healthcare organizations in Pennsylvania is scarce; however, 92% of Pennsylvania's school districts meet the minimum internet connectivity standards. Discussions: This article, while acknowledging barriers to the adoption of the internet-based telemedicine resources, discusses solutions for increasing their availability and dissemination in rural Pennsylvania. Current internet connectivity standards in Pennsylvania schools reflect ability to participate in telehealth programs in terms of technological background, but schools are not engaged in such programs. An appraisal of the real-life challenges to implement this modality is critical and will pave the way for advocacy and implementation of useful telehealth services in low-resource areas.


Assuntos
Obesidade Pediátrica/prevenção & controle , Serviços de Saúde Rural/tendências , Telemedicina/métodos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Obesidade Pediátrica/epidemiologia , Obesidade Pediátrica/terapia , Pennsylvania/epidemiologia , População Rural/estatística & dados numéricos , Telemedicina/tendências
18.
Pediatr Ann ; 48(6): e243-e248, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31185116

RESUMO

Telemedicine (TM) is undergoing unprecedented growth that is being driven by numerous factors, one of which is patient preference. Providers who use this tool to deliver health care tend to be early adoptors of new technology, but do they also represent a nascent specialty of pediatric virtualist? We believe that such practitioners, although exhibiting characteristics common to all early adopters, represent the cutting edge of what will become routine medical care. They tend to engage in less small talk with patients, focus more on efficient problem-solving, and collect less data while achieving patient outcomes and satisfaction that are as good as, or possibly even better than, their colleagues who practice in traditional settings. In doing so, they are leading the way for all providers to deliver care to patients using this new technology. Eventually, we feel that medical encounters using TM will be referred to simply as "patient care." [Pediatr Ann. 2019;48(6):e243-e248.].


Assuntos
Pediatria/tendências , Especialização/tendências , Telemedicina/tendências , Adolescente , Criança , Humanos , Pediatria/métodos , Pediatria/organização & administração , Telemedicina/métodos , Telemedicina/organização & administração
19.
Crit Care ; 23(1): 220, 2019 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-31200761

RESUMO

BACKGROUND: Limited critical care subspecialty training and experience is available in many low- and middle-income countries, creating barriers to the delivery of evidence-based critical care. We hypothesized that a structured tele-education critical care program using case-based learning and ICU management principles is an efficient method for knowledge translation and quality improvement in this setting. METHODS AND INTERVENTIONS: Weekly 45-min case-based tele-education rounds were conducted in the recently established medical intensive care unit (MICU) in Banja Luka, Bosnia and Herzegovina. The Checklist for Early Recognition and Treatment of Acute Illness (CERTAIN) was used as a platform for structured evaluation of critically ill cases. Two practicing US intensivists fluent in the local language served as preceptors using a secure two-way video communication platform. Intensive care unit structure, processes, and outcomes were evaluated before and after the introduction of the tele-education intervention. RESULTS: Patient demographics and acuity were similar before (2015) and 2 years after (2016 and 2017) the intervention. Sixteen providers (10 physicians, 4 nurses, and 2 physical therapists) evaluated changes in the ICU structure and processes after the intervention. Structural changes prompted by the intervention included standardized admission and rounding practices, incorporation of a pharmacist and physical therapist into the interprofessional ICU team, development of ICU antibiogram and hand hygiene programs, and ready access to point of care ultrasound. Process changes included daily sedation interruption, protocolized mechanical ventilation management and liberation, documentation of daily fluid balance with restrictive fluid and transfusion strategies, daily device assessment, and increased family presence and participation in care decisions. Less effective (dopamine, thiopental, aminophylline) or expensive (low molecular weight heparin, proton pump inhibitor) medications were replaced with more effective (norepinephrine, propofol) or cheaper (unfractionated heparin, H2 blocker) alternatives. The intervention was associated with reduction in ICU (43% vs 27%) and hospital (51% vs 44%) mortality, length of stay (8.3 vs 3.6 days), cost savings ($400,000 over 2 years), and a high level of staff satisfaction and engagement with the tele-education program. CONCLUSIONS: Weekly, structured case-based tele-education offers an attractive option for knowledge translation and quality improvement in the emerging ICUs in low- and middle-income countries.


Assuntos
Educação Continuada/normas , Qualidade da Assistência à Saúde/normas , Ensino/tendências , Telemedicina/métodos , Idoso , Idoso de 80 Anos ou mais , Bósnia e Herzegóvina , Educação Continuada/métodos , Educação Continuada/estatística & dados numéricos , Feminino , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Qualidade da Assistência à Saúde/estatística & dados numéricos , Inquéritos e Questionários , Telemedicina/tendências
20.
Int J Med Inform ; 128: 24-31, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31160008

RESUMO

BACKGROUND: It is generally assumed that usability benchmarking instruments are technology agnostic. The same methods for usability evaluations are used for digital commercial, educational, governmental and healthcare systems. However, eHealth technologies have unique characteristics. They need to support patients' health, provide treatment or monitor progress. Little research is done on the effectiveness of different benchmarks (qualitative and quantitative) within the eHealth context. OBJECTIVES: In this study, we compared three usability benchmarking instruments (logging task performance, think aloud and the SUS, the System Usability Scale) to assess which metric is most indicative of usability in an eHealth technology. Also, we analyzed how these outcome variables (task completion, system usability score, serious and critical usability issues) interacted with the acceptance factors Perceived benefits, Usefulness and Intention to use. METHODS: A usability evaluation protocol was set up that incorporated all three benchmarking methods. This protocol was deployed among 36 Dutch participants and across three different eHealth technologies: a gamified application for older adults (N = 19), an online tele-rehabilitation portal for healthcare professionals (N = 9), and a mobile health app for adolescents (N = 8). RESULTS: The main finding was that task completion, compared to the SUS, had stronger correlations with usability benchmarks. Also, serious and critical issues were stronger correlated to task metrics than the SUS. With regard to acceptance factors, there were no significant differences between the three usability benchmarking instruments. CONCLUSIONS: With this study, we took a first step in examining how to improve usability evaluations for eHealth. The results show that listing usability issues from think aloud protocols remains one of the most effective tools to explain the usability for eHealth. Using the SUS as a stand-alone usability metric for eHealth is not recommended. Preferably, the SUS should be combined with task metrics, especially task completion. We recommend to develop a usability benchmarking instrument specifically for eHealth.


Assuntos
Benchmarking , Aplicativos Móveis/estatística & dados numéricos , Telemedicina/instrumentação , Telemedicina/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Autogestão , Telemedicina/tendências , Interface Usuário-Computador , Adulto Jovem
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