Scenario 4: Care Plan
Description
Our prototype demonstrates access to patient care plans. Care Plans are important documents in supporting patient engagement in their own care. Our approach goes beyond storage and access to static documents and allows both clinicians and patients to add links to any supporting content including movies or pictures made on their mobile phone, additional documents or files, links and applications.
Advantages over Current PHR/Patient Portals
We have yet to discover any PHR or patient portal that provides care plan access let alone supporting content linking in any way.
Usability Test Scenario Description: Scenario 4a
Background:
Imagine that you have a personal care assistant who comes to your home every day to help you manage your care. The assistant performs many tasks including helping you get in and out of bed, bathing, planning your meals, taking your medications and more. Your assistant is taking a two week vacation and a new assistant will be taking his place. You want to make sure the replacement assistant has all the information and resources he/she needs to help you follow your daily care plan.
Goal:
Use the system to do the following:
- Use the system to find a list of all the tasks that need to be performed each day.
- Review an exercise handout and videos on your daily exercises made by your physical therapist.
- Email the care plan to the new assistant.
Usability Test Scenario Description: Scenario 4b
Background:
Imagine that you are the parent of a child with severe asthma. Your child's doctor has developed an asthma care plan that provides detailed instructions on how to respond to your child’s symptoms. Your child is going to a summer camp for two weeks and you want to make sure the camp has this information.
Goal:
Use the system to do the following:
- Use the system to find the detailed steps for your child's asthma care plan.
- Review instructional materials about asthma triggers.
- Email the plan to the summer camp.
Usability Test Results
Objective Results:
| Task Completion: | 94% (1 participant failed to complete the task) |
|---|---|
| Usability Error: | 19% (3 participants encountered non-critical errors) |
| Accessibility Error: | 6% (1 participant encountered non-critical errors) |
| Time on Task: | Mean 6:04 (Minimum 2:02, Maximum 16:42) |
Subjective Results:
| Strongly disagree | Disagree | Some. disagree | Neutral | Some. agree | Agree | Strongly Agree | % Agree | |
|---|---|---|---|---|---|---|---|---|
| This scenario presented a task(s) important to my healthcare | 2 | 1 | 6 | 7 | 88% | |||
| The system was easy to use | 1 | 1 | 5 | 9 | 94% | |||
| The system was accessible | 1 | 1 | 5 | 9 | 94% | |||
| The system provided useful features and information | 1 | 1 | 6 | 8 | 94% | |||
| The system requires no changes or improvements | 2 | 1 | 5 | 5 | 3 | 81% | ||
| The system would be useful to me in managing my own health care | 1 | 1 | 5 | 9 | 94% | |||
| Overall I am satisfied with the system | 1 | 5 | 10 | 94% |
Participant Comments:
- This is an excellent feature. I would make videos for all kinds of things related to my care. Positioning, information on catheters and more.
- ‘Care plan’ was not the word I was thinking. I was looking for activities of daily living or ADL.
- The images and videos attached to the care plan could help a lot of people who have trouble communicating.
- There are many types of care plans including the agency model or consumer. I keep all of this documented for my care givers.
- I really like this. I would make my own videos too.
- This would be useful to me.
- I don't need the videos, but I suppose some might.
- I'm getting used to the screen reader problems now.
- It would be nice if the links told me (via screen reader) if it was a video or a website or whatever it was.
- Awesome to have all this in one place.
- System should provide content in ASL.
- I have difficult experiences with the people who are supposed to take care of my care plan and ADL. If the person cared about their job, this would be very useful.
Discussion and Recommendations:
One participant encountered critical errors and failed to complete this task. Participant #7 did not self identify as having a cognitive impairment, but had difficulty in understanding and recalling scenario objectives. As a result this participant could not complete this task (and all others) without assistance. Though not meant to be a definitive finding participant #6 self-identified as having a cognitive disability and seemed to have difficulty in understanding and recalling scenario objectives for all scenarios and failed to complete every scenario except this one. This participant commented that her own daughter has asthma and an asthma care plan. It may be that her difficulty with other scenarios was, in some part, based on a difficulty in relating to the scenarios.