Integrating Information Technology in Primary Care Weight Management: A Socio-Technical Evaluation for Enhanced Implementation

Presentation Time: 08:30 AM - 08:45 AM

Abstract Keywords: User-centered Design Methods, Behavioral Change, Chronic Care Management, Informatics Implementation
Primary Track: Applications
Programmatic Theme: Clinical Informatics

We report on a mixed methods formative evaluation conducted to aid the design and implementation of information technology (IT) tools supporting a primary care weight management intervention delivered via the patient portal, with primary care staff serving as coaches. Qualitative needs assessments informed IT tool design and adaptation. Actionable implementation metrics were developed and monitored using real-world electronic health record (EHR) data. The study highlights the importance of IT in facilitating weight management interventions in primary care, including for patient identification, enabling coaching through portal messages, and enabling tracking weight and calories by patients in the EHR. The findings underscore the necessity of comprehensive IT solutions and multi-level implementation strategies to ensure successful primary care-based weight management interventions. The study contributes to bridging the gap between informatics and implementation science, employing socio-technical formative evaluation methods to support IT tool implementation.

Speaker(s):
Polina Kukhareva, PhD, MPH, FAMIA
University of Utah

Author(s):

Discovery of User Requirements to Support Remote Health Coaching and Care Coordination in a CMS Demonstration Project

Presentation Time: 08:45 AM - 09:00 AM

Abstract Keywords: User-centered Design Methods, Participatory Approach/Science, Aging in Place, Tracking and Self-management Systems
Primary Track: Applications
Programmatic Theme: Consumer Health Informatics

Remote interventionists in the novel ASSETs for Aging in Place demonstration project rely on smart home and wearable sensor data to understand daily behavior patterns of older adult clients discharged from nursing homes to the community and to inform coaching during telehealth visits to help clients self-manage personal goals for health and independence. We employed contextual inquiry during design of the interventionist dashboard to support the new ASSETs program. Focus groups with interventionists and leadership characterized themes for primary dashboard goals, interface and technology needs, and data collection expectations. Four contextual inquiry sessions with interventionists characterized user goals, barriers, and standardized user workflows. We articulated a sequential discovery process for user requirements that can be replicated in dashboard design for future remote service delivery programs that will rely on sensor data and telehealth visits.

Speaker(s):
Katrina Boles, MS
University of Missouri

Author(s):
Lisa Young, MSN, RN-BC; Chuka Emezue, MPH, MPA, PhD Student - University of Missouri - Columbia; Knoo Lee, PhD RN - University of Missouri - Columbia; Lori Popejoy - University of Missouri; Blaine Reeder, PhD - University of Missouri - Columbia;

Effectiveness of Video-game Based Swallowing Function Training in Patients with Dysphagia: A Pilot Randomized Controlled Trial

Presentation Time: 09:00 AM - 09:15 AM

Abstract Keywords: Nursing Informatics, Usability, Human-computer Interaction
Primary Track: Applications
Programmatic Theme: Clinical Informatics

This pilot randomized controlled trial assessed the effectiveness of video-game based swallowing exercises for patients with post-stroke dysphagia. Improvements in swallowing function, nutrition, and adherence were greater in the video-game group compared to the control group. There was a high level of acceptance and satisfaction with the use of video-games for rehabilitation.

Speaker(s):
Vivian Hui, RN, PhD
The Hong Kong Polytechnic University

Author(s):
Bohan Zhang, MM - The Hong Kong Polytechnic University; Yue Liu, DsN - Beijing Xiaotangshan Hospital; Vivian Hui, RN, PhD - The Hong Kong Polytechnic University; Qian Xiao, PhD - Capital Medical University; Jing Qin, PhD - The Hong Kong Polytechnic University;

Considerations for the design, development, and implementation of digital technology for the early detection of dementia-causing diseases: perspectives from healthcare professionals.

Presentation Time: 09:15 AM - 09:30 AM

Abstract Keywords: Qualitative Methods, Population Health, User-centered Design Methods
Primary Track: Applications
Programmatic Theme: Public Health Informatics

We explored healthcare professionals' (HCPs) views on key considerations for the design, development, and implementation of digital health technologies (DHTs) for early dementia detection. Eleven primary care and seven secondary care HCPs were interviewed. Three key themes emerged regarding: (1) the impact of usage on healthcare users, (2) acceptance of this technological approach, and (3) technology accuracy. These findings should be considered in the creation of clinically suitable DHTs for early dementia detection.

Speaker(s):
Sarah Wilson, MSc, BSc
Newcastle University

Author(s):
Sarah Wilson, MSc, BSc - Newcastle University; Clare Tolley - Newcastle University; Riona McArdle, PhD - Newcastle University; Emily Beswick, PhD - Trinity College Dublin; Sarah Slight, PhD - Newcastle University;

Impact of AI Decision Support on Clinical Experts’ Radiographic Interpretation of Adamantinomatous Craniopharyngioma

Presentation Time: 09:30 AM - 09:45 AM

Abstract Keywords: User-centered Design Methods, Clinical Decision Support, Pediatrics, Imaging Informatics, Diagnostic Systems
Primary Track: Applications
Programmatic Theme: Clinical Research Informatics

This research explores the integration of Artificial Intelligence (AI) into clinical decision-making in pediatric brain tumor care, specifically Adamantinomatous Craniopharyngioma (ACP). We present a user-centered design approach to introducing AI tools into clinical workflows to support decision-making in managing Central Nervous System tumors. We conducted a controlled experiment with six clinical experts to explore the hypothesis that AI integrated into clinical contexts can improve the radiographic interpretation of ACP. We found that AI assistance reduced task difficulty and improved clinical efficiency; we also discovered variations in user behavior during the annotation process. We identified multiple challenges, including the interpretive complexity of radiographic images and increased disagreements among clinicians when AI was employed. Our study underscores the importance of a nuanced understanding of clinician experiences for successful AI integration into a high-stakes clinical workflow.

Speaker(s):
Eric Prince


Author(s):
Eric Prince; David Mirsky, MD - Children's Hospital Colorado; Todd Hankinson, MD - Children's Hospital Colorado; Carsten Goerg;

Identifying Stakeholder Requirements for the Development of an Electronic Care Transitions Tool to Improve Health Outcomes for Patients with Multiple Chronic Conditions

Presentation Time: 09:45 AM - 10:00 AM

Abstract Keywords: User-centered Design Methods, Mobile Health, Chronic Care Management, Interoperability and Health Information Exchange
Primary Track: Applications
Programmatic Theme: Clinical Informatics

The transition from hospital to home can be a vulnerable and challenging period for patients, especially those living with multiple chronic conditions (MCC), as evidenced by their disproportionately high rates of readmission.1 Low health literacy, complexity of a new medication schedule, and “post-hospital syndrome” can all contribute to suboptimal adherence to discharge instructions. Timely and adequate support during transitional care has the potential to prevent adverse events and avoidable hospital readmissions. The use of mobile technology has been shown to improve health outcomes among those living with chronic illness by promoting self-management and adherence behavior.2 However, current digital interventions focus on the long-term management of a single chronic illness, failing to target the pivotal transition from hospital to home and to address the complex care needs required by those living with MCC. In this study, we describe the stakeholder requirement-gathering process used to inform the design of an electronic tool to effectively address common care transition challenges for patients with MCC.

Speaker(s):
PATRICIA C DYKES, PhD, MA, RN
Brigham and Women's Hospital

Author(s):
Christian Tejeda, B.S. - Brigham and Women's Hospital; Allison McCoy, PhD, ACHIP, FACMI, FAMIA - Vanderbilt University Medical Center; Lipika Samal, MD - Brigham and Women's Hospital; Pamela Garabedian, MS - Mass General Brigham Inc.; Joanne RomanJones, JD, PhD, RN - University of Massachusetts Boston; Hongyi Wu, Bachelor of Science - Brigham and Women's Hospital;