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MacCallum L, McGaw H, Meshkat N, Valentinis A, Ashley LB, Bhatia RS, Benson K, Ivers N, Leblanc K, Morra D. Use of an interdisciplinary, participatory design approach to develop a usable patient self-assessment tool in atrial fibrillation. Patient Prefer Adherence 2013; 7:1139-46. [PMID: 24235817 PMCID: PMC3821835 DOI: 10.2147/ppa.s51285] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
After identifying that significant care gaps exist within the management of atrial fibrillation (AF), a patient-focused tool was developed to help patients better assess and manage their AF. This tool aims to provide education and awareness regarding the management of symptoms and stroke risk associated with AF, while engaging patients to identify if their condition is optimally managed and to become involved in their own care. An interdisciplinary group of health care providers and designers worked together in a participatory design approach to develop the tool with input from patients. Usability testing was completed with 22 patients of varying demographics to represent the characteristics of the patient population. The findings from usability testing interviews were used to further improve and develop the tool to improve ease of use. A physician-facing tool was also developed to help to explain the tool and provide a brief summary of the 2012 Canadian Cardiovascular Society atrial fibrillation guidelines. By incorporating patient input and human-centered design with the knowledge, experience, and medical expertise of health care providers, we have used an approach in developing the tool that tries to more effectively meet patients' needs.
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Affiliation(s)
- Lori MacCallum
- Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, ON, Canada
- Leslie Dan Faculty of Pharmacy, University of Toronto, ON, Canada
- Correspondence: Lori MacCallum, Banting and Best Diabetes Centre, Faculty of Medicine, University of Toronto, 200 Elizabeth St Eaton Building, 12E252, ON M5G 2C4, Canada, Tel +1 416 340 4800 ext 2784, Fax +1 416 978 4108, Email
| | - Heather McGaw
- Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, ON, Canada
| | - Nazanin Meshkat
- Department of Medicine, University of Toronto, Toronto, ON, Canada
| | | | | | - Rajan Sacha Bhatia
- Department of Medicine, University of Toronto, Toronto, ON, Canada
- Women’s College Hospital, Toronto, ON, Canada
- Centre for Innovation in Complex Care, University Health Network, Toronto, ON, Canada
| | - Kaye Benson
- Centre for Innovation in Complex Care, University Health Network, Toronto, ON, Canada
| | - Noah Ivers
- Women’s College Hospital, Toronto, ON, Canada
- Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada
| | - Kori Leblanc
- Leslie Dan Faculty of Pharmacy, University of Toronto, ON, Canada
- Centre for Innovation in Complex Care, University Health Network, Toronto, ON, Canada
| | - Dante Morra
- Department of Medicine, University of Toronto, Toronto, ON, Canada
- Trillium Health Partners, Mississauga, ON, Canada
- Centre for Innovation in Complex Care, University Health Network, Toronto, ON, Canada
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