Supervisor: A/Prof Josip Car Co-supervisor: Prof Helen Smith Smartphone app co-design workshop with caregivers of children with Atopic dermatitis XU Xiaomeng Ph.D. student Lee Kong Chian School of Medicine 21st Sep 2017 1
Challenges in personalised management of chronic diseases Lack of follow-up strategies and patient involvement Lack real-time self-management guidance after discharge High medication cost for chronic disease patients Brunner-La Rocca, H. et al. (2015). Challenges in personalised management of chronic diseases heart failure as prominent example to advance the care process. EPMA Journal, 7(1). doi:10.1186/s13167-016-0051-9
Integrating mhealth into the chronic care process mhealth is valuable for keeping patients engaged and aware of their health status Remote patient monitoring systems provide real-time medication guidance mhealth as a solution to improve healthcare cost-efficiency mhealth could represent up to $370 Billion in annual healthcare cost savings worldwide by the end of 2017 Research, R. (2017). mhealth Market to Represent $370 Billion in Annual Healthcare Cost Savings Worldwide by 2017. Prnewswire.com. Retrieved 13 September 2017
My current work Smartphone app for carers of children with atopic dermatitis: scope, co-design and evaluation Project overview Investigators Dr YEW Yik Weng, National Skin Center Dr Koh Jean Aan Mark, KK Women's and Children's Hospital (KKH)
co-design is an approach to actively involve all stakeholders (e.g. Patients, caregivers, end users and healthcare professionals, etc. ) in the design process to ensure the result meets their needs co-design WHAT?
co-design WHY? Pragmatic Lacking interactions between stakeholders leads to poor comprehensibility of the care process. There is a need to facilitate communication including patients to personalise management Innovation Leads to new perspectives and alternative ways of doing things Political People have the right to participate in the design of things that impact them
co-design HOW? Brainstorming workshops Qualitative analysis Wireframe prototyping Evaluative pilot study App development Wireframe prototype testing
co-design HOW?- Brainstorming workshops Participant narrate the real cases of problems encountered within their daily life when they take care their AD child Story setting analysis Care needs How to meet the expressed needs What features can be adopted by smartphone apps Discuss the scenario
co-design HOW?- Qualitative analysis Workshops will be video recorded, transcribed Qualitative analysis Constant comparative method 2 observers will take notes on contextual factors, the collaboration between participants, interesting situations and events, and the observers own reflections Comparing incidents applicable to each category Integrating categories and their properties Delimiting the theory 9
co-design HOW?- Wireframe prototyping Wireframe prototype is sketching screenshots on paper as substitutes for digital representations. Advantages Rapid iteration Inexpensive Team-building Less learning curve Automatic documentation
co-design HOW?- Wireframe prototype testing Researchers Tasks Designate one person play the computer Rehearse Follow standard usability test best practices Guide to Usability Testing Feedbacks and comments from participants will be recorded during the testing process Participants Tasks Participants will perform each of the major tasks the app supports Select most useful and least useful features Think aloud and verbalize their reactions as they are viewing screens Describe their navigational choices as they make them
co-design HOW?- Evaluative pilot study Smartphone app usage Usability and acceptability User Experience Questionnaire Quality of life assessments The Dermatitis Family Impact questionnaire RAND 36 The Children s Dermatology Life Quality Index (CDLQI) The Infants Dermatitis Quality of Life Index (IDQoL) Control group: Usual care Participants recruitment Assessment Intervention group: App disease management
21 st September