Pizza HCI: Improving Medical App HCI

HCI recognises the “sandwich” of users/interactive systems/tasks – ideally achieving effectiveness, efficiency and satisfaction for the user – hence user centred design and other key methodologies of HCI. For medical apps this is not sufficient, as patient outcomes are more important than usability. We aim to stimulate discussion on the need for a new approach, we tentatively call “pizza HCI,” which emphasises the more rounded form of HCI needed to respect the patient: patient/clinician/system/clinical task/patient. Core user-centred design methods, such as think aloud, need extending into pizza HCI by greater emphasis on stakeholders than on users in isolation.

Content

Author and article information

Contributors

Meike Irene Nakovics

Harold Thimbleby

Conference

Publication date: July 2018

Publication date (Print): July 2018

Pages: 1-5

Affiliations

[0001]Swansea University

Dr.-Emil-König-Str. 3

D-69214 Eppelheim

[0002]Swansea University

SWANSEA, SA2 8PP

Article

DOI: 10.14236/ewic/HCI2018.82

SO-VID: 2843ee82-26b4-447a-8508-734190ec3ced

License:

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/

Conference name: Proceedings of the 32nd International BCS Human Computer Interaction Conference

Conference acronym: HCI

Conference number: 32

Conference location: Belfast, UK

Conference date: 4 - 6 July 2018

Conference sponsor: Electronic Workshops in Computing (eWiC)

Conference theme: Human Computer Interaction Conference

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1477-9358 BCS Learning & Development

Self URI (article page): https://www.scienceopen.com/hosted-document?doi=10.14236/ewic/HCI2018.82

Self URI (journal page): https://ewic.bcs.org/

References

M. AitkenB. ClancyD. Nass 2017 The Growing Value of Digital Health in the United Kingdom IMS Institute for healthcare Informatics
M. AitkenL. Lyle 2015 Patient Adoption of MHealth, No. Use, Evidence and Remaining Barriers to Mainstream Acceptance IMS Institute for healthcare Informatics
G. BennettCarol DealeyJohn Posnett 2004 “The cost of pressure ulcers in the UK” Age and Ageing 33 3 230 235
A. BlandfordJ. GibbsN. NewhouseO. PerskiA. SinghE. Murray 2018 “Seven lessons for interdisciplinary research on interactive digital health interventions” DIGITAL HEALTH 4 1 13
W. BrownP. Yen-Y., M. RojasR. Schnall 2013 “Assessment of the Health IT Usability Evaluation Model (Health-ITUEM) for evaluating mobile health (mHealth) technology” Journal of Biomedical Informatics 46 6 1080 1087
P. CairnsA.L. Cox 2008 Research Methods for Human-Computer Interaction 1 Cambridge University Press Cambridge, UK?; New York
L. ChungJ.C.S. do Prado Leite 2009 “On Non-Functional Requirements in Software Engineering” A.T. BorgidaV.K. ChaudhriP. GiorginiE.S. Yu Conceptual Modeling: Foundations and Applications 5600 Springer Berlin Heidelberg Berlin, Heidelberg 363 379
European Commission 2014 GREEN PAPER on Mobile Health (“mHealth” 219 final, European Comission, Brussels
M. FiordelliN. DivianiP.J. Schulz 2013 “Mapping mHealth Research: A Decade of Evolution” Journal of Medical Internet Research 15 5 e95
P. GuoK. WattsH. Wharrad 2016 “An integrative review of the impact of mobile technologies used by healthcare professionals to support education and practice” Nursing Open 3 2 66 78
S. HamineE. Gerth-GuyetteD. FaulxB.B. GreenA.S. Ginsburg 2015 “Impact of mHealth Chronic Disease Management on Treatment Adherence and Patient Outcomes: A Systematic Review” Journal of Medical Internet Research 17 2 e52
H. KhalilM. CullenH. ChambersM. CarrollJ. Walker 2016 “Reduction in wound healing times, cost of consumables and number of visits treated through the implementation of an electronic wound care system in rural Australia: Prospective study of wound healing times and cost in a rural population” International Wound Journal 13 5 945 950
A. KushnirukM. TriolaB. SteinE. BoryckiJ. Kannry 2004 “The Relationship of Usability to Medical Error: An Evaluation of Errors Associated with Usability Problems in the Use of Handheld Application for Prescribing Medications” Studies in Health Technology and Informatics 107 1073 1076
C. McDonnellK. WernerL. Wendel 2010 “Electronic health record usability” Vendor Practices and Perspectives: AHRQ, James Bell Associates, The Altarum Institute, Rockville
M. MeulendijkE. MeulendijksP. JansenM. NumansM. Spruit 2014 “WHAT CONCERNS USERS OF MEDICAL APPS? EXPLORING NON-FUNCTIONAL REQUIREMENTS OF MEDICAL MOBILE APPLICATIONS” Tel Aviv 17
MHRA. (2017 “Human Factors and Usability Engineering - Guidance for Medical Devices Including Drug-device Combination Products” available at: http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/645862/HumanFactors_Medical-Devices_v1.0.pdf 18 January 2018
NHS 2014 “App Development: An NHS Guide for Developing Mobile Healthcare Applications” NHS
NHS 2017 “NHS statistics, facts and figures” NHS Statistics, Facts and Figures 14 July available at: http://www.nhsconfed.org/confed18 24 February 2018
NHS 2018 “Stop the Pressure | NHS Improvement” available at: http://nhs.stopthepressure.co.uk/ 24 February 2018
NHS NationalPatient Safety Agency 2010 “Design for patient safety - User testing in the development of medical devices” NHS available at: www.nhs.npsa.uk/design 24 February 2018
NPUAP 2016 “National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury | The National Pressure Ulcer Advisory Panel - NPUAP” Npuap.Org 13 April available at: http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/ 24 February 2018
J. PosnettP.J. Franks 2008 “The burden of chronic wounds in the UK” Diabetic Med 14 5 S7 S85
PWC 2013 Socio-Economic Impact-of-MHealth - An Assessment Report for the European Union
C.Z. QiangM. YamamichiV. HausmanD. AltmanI.S. Unit 2011 “Mobile applications for the health sector” Washington World Bank 2
E.S. ShahinT. DassenR.J. Halfens 2008 “Pressure ulcer prevalence and incidence in intensive care patients: a literature review” Nursing in Critical Care 13 2 71 79
K.-W SuC.-L. Liu 2012 “A Mobile Nursing Information System Based on Human-Computer Interaction Design for Improving Quality of Nursing” Journal of Medical Systems 36 3 1139 1153
M. ThomasH. Thimbleby 2018), „Computer Bugs in Hospitals: A New Killer‟ – IT, Cybersecurity and Risk to Patients Gresham College, Gresham College 26 February 2018
A. ThoroddsenG. SigurjónsdóttirM. EhnforsA. Ehrenberg 2013 “Accuracy, completeness and comprehensiveness of information on pressure ulcers recorded in the patient record: Accuracy, completeness and comprehensiveness of information on pressure ulcers” Scandinavian Journal of Caring Sciences 27 1 84 91
U. Varshney 2014 “Mobile health: Four emerging themes of research” Decision Support Systems 66 20 35
R. Whittaker 2012 “Issues in mHealth: Findings From Key Informant Interviews” Journal of Medical Internet Research 14 5 e129
WHO 2011a Global Health and Aging No. Global Health and Aging
WHO. (2011b), MHealth: New Horizons for Health through Mobile Technologies, World Health Organization, Geneva
World Bank 2018 “Health expenditure per capita (current US$) | Data” The World Bank Data Available at: http://data.worldbank.org/indicator/SH. XPD.PCAP 24 February 2018
J. Wyatt 2015 Rapid Literature Review for National Information Board Workstream 1.2 - Final Report , No. 0.797h, Royal College of Physicians
G.M. Yarkony 1994 “Pressure Ulcers: A Review” Archieves of Physical Medicine and Rehabilitation 75 908 925
C. ZhangX. ZhangR. Halstead-Nussloch 2014 “ASSESSMENT METRICS, CHALLENGES AND STRATEGIES FOR MOBILE HEALTH APPS.” Issues in Information Systems 15 2
D. ZhangB. Adipat 2005 “Challenges, Methodologies, and Issues in the Usability Testing of Mobile Applications” International Journal of Human-Computer Interaction 18 3 293 308

Comments

Comment on this article

[1] M. AitkenB. ClancyD. Nass 2017 The Growing Value of Digital Health in the United Kingdom IMS Institute for healthcare Informatics

[2] M. AitkenL. Lyle 2015 Patient Adoption of MHealth, No. Use, Evidence and Remaining Barriers to Mainstream Acceptance IMS Institute for healthcare Informatics

[3] G. BennettCarol DealeyJohn Posnett 2004 “The cost of pressure ulcers in the UK” Age and Ageing 33 3 230 235

[4] A. BlandfordJ. GibbsN. NewhouseO. PerskiA. SinghE. Murray 2018 “Seven lessons for interdisciplinary research on interactive digital health interventions” DIGITAL HEALTH 4 1 13

[5] W. BrownP. Yen-Y., M. RojasR. Schnall 2013 “Assessment of the Health IT Usability Evaluation Model (Health-ITUEM) for evaluating mobile health (mHealth) technology” Journal of Biomedical Informatics 46 6 1080 1087

[6] P. CairnsA.L. Cox 2008 Research Methods for Human-Computer Interaction 1 Cambridge University Press Cambridge, UK?; New York

[7] L. ChungJ.C.S. do Prado Leite 2009 “On Non-Functional Requirements in Software Engineering” A.T. BorgidaV.K. ChaudhriP. GiorginiE.S. Yu Conceptual Modeling: Foundations and Applications 5600 Springer Berlin Heidelberg Berlin, Heidelberg 363 379

[8] European Commission 2014 GREEN PAPER on Mobile Health (“mHealth” 219 final, European Comission, Brussels

[9] M. FiordelliN. DivianiP.J. Schulz 2013 “Mapping mHealth Research: A Decade of Evolution” Journal of Medical Internet Research 15 5 e95

[10] P. GuoK. WattsH. Wharrad 2016 “An integrative review of the impact of mobile technologies used by healthcare professionals to support education and practice” Nursing Open 3 2 66 78

[11] S. HamineE. Gerth-GuyetteD. FaulxB.B. GreenA.S. Ginsburg 2015 “Impact of mHealth Chronic Disease Management on Treatment Adherence and Patient Outcomes: A Systematic Review” Journal of Medical Internet Research 17 2 e52

[12] H. KhalilM. CullenH. ChambersM. CarrollJ. Walker 2016 “Reduction in wound healing times, cost of consumables and number of visits treated through the implementation of an electronic wound care system in rural Australia: Prospective study of wound healing times and cost in a rural population” International Wound Journal 13 5 945 950

[13] A. KushnirukM. TriolaB. SteinE. BoryckiJ. Kannry 2004 “The Relationship of Usability to Medical Error: An Evaluation of Errors Associated with Usability Problems in the Use of Handheld Application for Prescribing Medications” Studies in Health Technology and Informatics 107 1073 1076

[14] C. McDonnellK. WernerL. Wendel 2010 “Electronic health record usability” Vendor Practices and Perspectives: AHRQ, James Bell Associates, The Altarum Institute, Rockville

[15] M. MeulendijkE. MeulendijksP. JansenM. NumansM. Spruit 2014 “WHAT CONCERNS USERS OF MEDICAL APPS? EXPLORING NON-FUNCTIONAL REQUIREMENTS OF MEDICAL MOBILE APPLICATIONS” Tel Aviv 17

[16] MHRA. (2017 “Human Factors and Usability Engineering - Guidance for Medical Devices Including Drug-device Combination Products” available at: http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/645862/HumanFactors_Medical-Devices_v1.0.pdf 18 January 2018

[17] NHS 2014 “App Development: An NHS Guide for Developing Mobile Healthcare Applications” NHS

[18] NHS 2017 “NHS statistics, facts and figures” NHS Statistics, Facts and Figures 14 July available at: http://www.nhsconfed.org/confed18 24 February 2018

[19] NHS 2018 “Stop the Pressure | NHS Improvement” available at: http://nhs.stopthepressure.co.uk/ 24 February 2018

[20] NHS NationalPatient Safety Agency 2010 “Design for patient safety - User testing in the development of medical devices” NHS available at: www.nhs.npsa.uk/design 24 February 2018

[21] NPUAP 2016 “National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury | The National Pressure Ulcer Advisory Panel - NPUAP” Npuap.Org 13 April available at: http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/ 24 February 2018

[22] J. PosnettP.J. Franks 2008 “The burden of chronic wounds in the UK” Diabetic Med 14 5 S7 S85

[23] PWC 2013 Socio-Economic Impact-of-MHealth - An Assessment Report for the European Union

[24] C.Z. QiangM. YamamichiV. HausmanD. AltmanI.S. Unit 2011 “Mobile applications for the health sector” Washington World Bank 2

[25] E.S. ShahinT. DassenR.J. Halfens 2008 “Pressure ulcer prevalence and incidence in intensive care patients: a literature review” Nursing in Critical Care 13 2 71 79

[26] K.-W SuC.-L. Liu 2012 “A Mobile Nursing Information System Based on Human-Computer Interaction Design for Improving Quality of Nursing” Journal of Medical Systems 36 3 1139 1153

[27] M. ThomasH. Thimbleby 2018), „Computer Bugs in Hospitals: A New Killer‟ – IT, Cybersecurity and Risk to Patients Gresham College, Gresham College 26 February 2018

[28] A. ThoroddsenG. SigurjónsdóttirM. EhnforsA. Ehrenberg 2013 “Accuracy, completeness and comprehensiveness of information on pressure ulcers recorded in the patient record: Accuracy, completeness and comprehensiveness of information on pressure ulcers” Scandinavian Journal of Caring Sciences 27 1 84 91

[29] U. Varshney 2014 “Mobile health: Four emerging themes of research” Decision Support Systems 66 20 35

[30] R. Whittaker 2012 “Issues in mHealth: Findings From Key Informant Interviews” Journal of Medical Internet Research 14 5 e129

[31] WHO 2011a Global Health and Aging No. Global Health and Aging

[32] WHO. (2011b), MHealth: New Horizons for Health through Mobile Technologies, World Health Organization, Geneva

[33] World Bank 2018 “Health expenditure per capita (current US$) | Data” The World Bank Data Available at: http://data.worldbank.org/indicator/SH. XPD.PCAP 24 February 2018

[34] J. Wyatt 2015 Rapid Literature Review for National Information Board Workstream 1.2 - Final Report , No. 0.797h, Royal College of Physicians

[35] G.M. Yarkony 1994 “Pressure Ulcers: A Review” Archieves of Physical Medicine and Rehabilitation 75 908 925

[36] C. ZhangX. ZhangR. Halstead-Nussloch 2014 “ASSESSMENT METRICS, CHALLENGES AND STRATEGIES FOR MOBILE HEALTH APPS.” Issues in Information Systems 15 2

[37] D. ZhangB. Adipat 2005 “Challenges, Methodologies, and Issues in the Usability Testing of Mobile Applications” International Journal of Human-Computer Interaction 18 3 293 308

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