Development and Usability Testing of a Web-Based Decision Support for Users and Health Professionals in Psychiatric Services
Development and Usability Testing of a Web-Based Decision Support for Users and Health Professionals in Psychiatric Services
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DOI：
10.1037/prj0000278
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发表时间：
2017-09-01
影响因子：
1.9
通讯作者：
Schon, Ulla-Karin
中科院分区：
文献类型：
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作者：
Grim, Katarina;Rosenberg, David;Schon, Ulla-Karin
目的：与治疗和康复相关的共同决策（SMD）被认为是康复导向实践的核心组成部分。虽然决策辅助被认为是成功实施SDM的重要组成部分，但在精神科服务中往往缺乏这些辅助。本研究的目的是使用参与式设计来促进用户生成的基于网络的决策援助的发展，以帮助接受精神科服务的个人。报告了这项工作的结果以及在开发和可用性过程中获得的经验教训。方法：参与式设计包括4个迭代开发周期。使用了各种定性的数据收集方法，潜在的最终用户作为焦点小组和个人访谈的信息提供者以及可用性和试点测试人员参与。结果：访谈和测试确定了可用性问题，然后导致了改进，并使后续的原型越来越用户友好和相关。在这一过程的每一阶段，来自潜在最终用户的反馈为发展基于网络的决策辅助工具提供了指导，这种辅助工具通过将获取有关替代支助的信息、工作人员和用户之间的互动以及用户偏好作为工具的持续重点来加强用户的地位。结论和实践意义：这种基于网络的决策辅助有可能加强服务使用者的自我效能感和控制体验，并为工作人员提供用户知识和偏好。采用以可用性为重点的参与式模型的研究有可能为反映用户观点的工具的开发和实施做出重大贡献。
Objective: Shared decision making (SMD) related to treatment and rehabilitation is considered a central component in recovery-oriented practice. Although decision aids are regarded as an essential component for successfully implementing SDM, these aids are often lacking within psychiatric services. The aim of this study was to use a participatory design to facilitate the development of a user-generated, web-based decision aid for individuals receiving psychiatric services. The results of this effort as well as the lessons learned during the development and usability processes are reported. Method: The participatory design included 4 iterative cycles of development. Various qualitative methods for data collection were used with potential end users participating as informants in focus group and individual interviews and as usability and pilot testers. Results: Interviewing and testing identified usability problems that then led to refinements and making the subsequent prototypes increasingly user-friendly and relevant. In each phase of the process, feedback from potential end-users provided guidance in developing the formation of the web-based decision aid that strengthens the position of users by integrating access to information regarding alternative supports, interactivity between staff and users, and user preferences as a continual focus in the tool. Conclusions and Implications for Practice: This web-based decision aid has the potential to strengthen service users' experience of self-efficacy and control as well as provide staff access to user knowledge and preferences. Studies employing participatory models focusing on usability have potential to significantly contribute to the development and implementation of tools that reflect user perspectives.