Development of an interactive computer-assisted instruction (ICAI) program for patient prenatal genetic screening and carrier testing for use in clinical settings.

Development of an interactive computer-assisted instruction (ICAI) program for patient prenatal genetic screening and carrier testing for use in clinical settings.
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开发交互式计算机辅助指导 (ICAI) 程序,用于患者产前基因筛查和临床环境中使用的携带者检测。

DOI:
10.1016/j.pec.2004.11.007
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发表时间:
2005
影响因子:
3.5
通讯作者:
Fowler,Beth
Fowler,Beth
中科院分区:
医学2区
文献类型:
--
作者:
Griffith,JenniferM;Sorenson,JamesR;Jennings-Grant,Tracey;Fowler,Beth

文献摘要

相似文献

及时有效地对患者进行产前遗传筛查和携带者检测的教育面临着障碍,包括提供者的知识有限,并且在就诊期间很少有时间用于讨论筛查和检测。本文描述了认知反应访谈(CRI)和可用性测试(UT)在开发交互式计算机辅助教学(ICAI)程序中的使用,供产前患者在临床环境中使用。在程序开发过程中吸取的经验教训包括简化内容和适应导航功能,以响应对代表预期人群的患者样本的观察和访谈。由此产生的程序作为有针对性的患者教育程序,以患者友好的格式保持专业实践指南规定的所需医疗信息水平。此外,这个ICAI程序作为一个研究工具,可以收集有关程序有效性的数据。开发其他患者教育项目的研究人员将从本ICAI项目开发过程中吸取经验教训,考虑改写内容以适应患者的理解,并增加导航功能,以帮助进一步促进有效的程序使用。
Educating patients on prenatal genetic screening and carrier testing in a timely and effective manner is faced with barriers including, providers’ limited knowledge, and little time available to spend discussing screening and testing during a visit. This paper describes the use of cognitive response interviews (CRI) and usability testing (UT) in the development of an interactive computer assisted instruction (ICAI) program for use by prenatal patients in clinical settings. Lessons learned during the program development process included simplification of content and adaptation of navigational features in response to observations and interviews of a sample of patients representing the intended population. The resulting program functions as a targeted patient education program that maintains the level of medical information needed, as specified by professional practices guidelines, in a patient friendly format. In addition, this ICAI program functions as a research tool that can collect data on program effectiveness. Researchers developing other patient education programs will benefit from the lessons learned during development of this ICAI program by considering rephrasing of content to fit patient understanding, and adding navigational features to help further facilitate effective program use.