Development of eHOME, a Mobile Instrument for Reporting, Monitoring, and Consulting Drug-Related Problems in Home Care: Human-Centered Design Study

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Abstract

Background

Home care patients often use many medications and are prone to drug-related problems (DRPs). For the management of problems related to drug use, home care could add to the multidisciplinary expertise of general practitioners (GPs) and pharmacists. The home care observation of medication-related problems by home care employees (HOME)-instrument is paper-based and assists home care workers in reporting potential DRPs. To facilitate the multiprofessional consultation, a digital report of DRPs from the HOME-instrument and digital monitoring and consulting of DRPs between home care and general practices and pharmacies is desired.

Objective

The objective of this study was to develop an electronic HOME system (eHOME), a mobile version of the HOME-instrument that includes a monitoring and a consulting system for primary care.

Methods

The development phase of the Medical Research Council (MRC) framework was followed in which an iterative human-centered design (HCD) approach was applied. The approach involved a Delphi round for the context of use and user requirements analysis of the digital HOME-instrument and the monitoring and consulting system followed by 2 series of pilots for testing the usability and redesign.

Results

By using an iterative design approach and by involving home care workers, GPs, and pharmacists throughout the process as informants, design partners, and testers, important aspects that were crucial for system realization and user acceptance were revealed. Through the report webpage interface, which includes the adjusted content of the HOME-instrument and added home care practice–based problems, home care workers can digitally report observed DRPs. Furthermore, it was found that the monitoring and consulting webpage interfaces enable digital consultation between home care and general practices and pharmacies. The webpages were considered convenient, clear, easy, and usable.

Conclusions

By employing an HCD approach, the eHOME-instrument was found to be an easy-to-use system. The systematic approach promises a valuable contribution for the future development of digital mobile systems of paper-based tools.

Related collections

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Author and article information

Contributors

Nienke Elske Dijkstra:

Research Group Care for the Chronically IllUniversity of Applied Sciences UtrechtHeidelberglaan 7Utrecht, 3584CSNetherlands31 641620681nienke.dijkstra@hu.nl

ORCID: http://orcid.org/0000-0002-4901-0408

Journal

Journal ID (nlm-ta): JMIR Hum Factors

Journal ID (iso-abbrev): JMIR Hum Factors

Journal ID (publisher-id): JMIR Human Factors

Title: JMIR Human Factors

Publisher: JMIR Publications (Toronto, Canada )

ISSN (Electronic): 2292-9495

Publication date Collection: Jan-Mar 2018

Publication date (Electronic): 07 March 2018

Volume: 5

Issue: 1

Electronic Location Identifier: e10

Affiliations

[1] ¹ Research Group Care for the Chronically Ill University of Applied Sciences Utrecht Utrecht Netherlands

[2] ² Research group Innovation in Pharmaceutical Care University of Applied Sciences Utrecht Utrecht Netherlands

[3] ³ Division of Pharmacoepidemiology and Clinical Pharmacology Utrecht Institute for Pharmaceutical Sciences Utrecht Netherlands

[4] ⁴ Julius Center for Health Sciences and Primary Care Department of General Practice University Medical Center Utrecht Utrecht Netherlands

Author notes

Corresponding Author: Nienke Elske Dijkstra nienke.dijkstra@ 123456hu.nl

Author information

Nienke Elske Dijkstra http://orcid.org/0000-0002-4901-0408

Carolina Geertruida Maria Sino http://orcid.org/0000-0001-8907-1478

Eibert Rob Heerdink http://orcid.org/0000-0002-5946-7209

Marieke Joanna Schuurmans http://orcid.org/0000-0001-6679-2141

Article

Publisher ID: v5i1e10

DOI: 10.2196/humanfactors.8319

PMC ID: 5863008

PubMed ID: 29514771

SO-VID: 8ee32a2c-c686-45b1-96ac-a3229aeb873b

Copyright © ©Nienke Elske Dijkstra, Carolina Geertruida Maria Sino, Eibert Rob Heerdink, Marieke Joanna Schuurmans. Originally published in JMIR Human Factors (http://humanfactors.jmir.org), 07.03.2018.

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Human Factors, is properly cited. The complete bibliographic information, a link to the original publication on http://humanfactors.jmir.org, as well as this copyright and license information must be included.

History

Date received : 29 June 2017

Date revision requested : 1 October 2017

Date revision received : 4 November 2017

Date accepted : 24 November 2017

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