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      15 Usability Recommendations for Delivering Clinical Guidelines on Mobile Devices

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      34th British HCI Conference (HCI2021)

      Post-pandemic HCI – Living Digitally

      20th - 21st July 2021

      User centred design, Clinical guidelines, Mobile application design

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          Abstract

          Local point of care clinical guidelines exist in numerous formats and cover a variety of clinical information, normally created on a national and local level. They are generally available as basic web pages, PDFs or documents. Despite widespread availability and use, accessing clinical guidelines and information can be highly inefficient and restrictive. This reflective study investigates the evaluation of a clinical guidelines mobile application in the challenging area of co-design with clinicians. It aimed to answer if the selected methods of user centred design were suitable when working with limited access to users and what design recommendations can be elicited/changed by utilising user centred design (UCD) methods to gather feedback on features and functions. Specifically, this study utilised a mixed-method UCD approach and triangulation technique (Think-aloud and idea writing, screen recording and system usability scale). This culminated into the creation of 15 recommendations for developing clinical guidelines applications for mobile devices.

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          Most cited references 24

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          A century of Gestalt psychology in visual perception: I. Perceptual grouping and figure-ground organization.

          In 1912, Max Wertheimer published his paper on phi motion, widely recognized as the start of Gestalt psychology. Because of its continued relevance in modern psychology, this centennial anniversary is an excellent opportunity to take stock of what Gestalt psychology has offered and how it has changed since its inception. We first introduce the key findings and ideas in the Berlin school of Gestalt psychology, and then briefly sketch its development, rise, and fall. Next, we discuss its empirical and conceptual problems, and indicate how they are addressed in contemporary research on perceptual grouping and figure-ground organization. In particular, we review the principles of grouping, both classical (e.g., proximity, similarity, common fate, good continuation, closure, symmetry, parallelism) and new (e.g., synchrony, common region, element and uniform connectedness), and their role in contour integration and completion. We then review classic and new image-based principles of figure-ground organization, how it is influenced by past experience and attention, and how it relates to shape and depth perception. After an integrated review of the neural mechanisms involved in contour grouping, border ownership, and figure-ground perception, we conclude by evaluating what modern vision science has offered compared to traditional Gestalt psychology, whether we can speak of a Gestalt revival, and where the remaining limitations and challenges lie. A better integration of this research tradition with the rest of vision science requires further progress regarding the conceptual and theoretical foundations of the Gestalt approach, which is the focus of a second review article.
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            Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): a regional survey

            Background Smartphone usage has spread to many settings including that of healthcare with numerous potential and realised benefits. The ability to download custom-built software applications (apps) has created a new wealth of clinical resources available to healthcare staff, providing evidence-based decisional tools to reduce medical errors. Previous literature has examined how smartphones can be utilised by both medical student and doctor populations, to enhance educational and workplace activities, with the potential to improve overall patient care. However, this literature has not examined smartphone acceptance and patterns of medical app usage within the student and junior doctor populations. Methods An online survey of medical student and foundation level junior doctor cohorts was undertaken within one United Kingdom healthcare region. Participants were asked whether they owned a Smartphone and if they used apps on their Smartphones to support their education and practice activities. Frequency of use and type of app used was also investigated. Open response questions explored participants’ views on apps that were desired or recommended and the characteristics of apps that were useful. Results 257 medical students and 131 junior doctors responded, equating to a response rate of 15.0% and 21.8% respectively. 79.0% (n=203/257) of medical students and 74.8% (n=98/131) of junior doctors owned a smartphone, with 56.6% (n=115/203) of students and 68.4% (n=67/98) of doctors owning an iPhone. The majority of students and doctors owned 1–5 medical related applications, with very few owning more than 10, and iPhone owners significantly more likely to own apps (Chi sq, p<0.001). Both populations showed similar trends of app usage of several times a day. Over 24hours apps were used for between 1–30 minutes for students and 1–20 minutes for doctors, students used disease diagnosis/management and drug reference apps, with doctors favouring clinical score/calculator apps. Conclusions This study found a high level of smartphone ownership and usage among medical students and junior doctors. Both groups endorse the development of more apps to support their education and clinical practice.
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              User Centered System Design

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                Author and article information

                Contributors
                Conference
                July 2021
                July 2021
                : 82-93
                Affiliations
                Keele University
                Article
                10.14236/ewic/HCI2021.7
                © Mitchell et al. Published by BCS Learning & Development Ltd. Proceedings of the BCS 34th British HCI Conference 2021, UK

                This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                34th British HCI Conference
                HCI2021
                34
                London, UK
                20th - 21st July 2021
                Electronic Workshops in Computing (eWiC)
                Post-pandemic HCI – Living Digitally
                Product
                Product Information: 1477-9358BCS Learning & Development
                Self URI (journal page): https://ewic.bcs.org/
                Categories
                Electronic Workshops in Computing

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