Streamlining HIV Testing in the Emergency Department-Leveraging Kiosks to Provide True Universal Screening: A Usability Study
Streamlining HIV Testing in the Emergency Department-Leveraging Kiosks to Provide True Universal Screening: A Usability Study
复制标题
DOI：
10.1089/tmj.2013.0045
复制
发表时间：
2014-02-01
影响因子：
4.7
通讯作者：
Hsieh, Yu-Hsiang
中科院分区：
文献类型：
--
作者：
Rothman, Richard E.;Gauvey-Kern, Megan;Hsieh, Yu-Hsiang
背景：急诊科（艾德）的人类免疫缺陷病毒（HIV）筛查项目面临着外部人员成本不可持续和普及率相对较低的挑战。Kiosk系统提高了各种临床环境中的登记效率，并在推进各种公共卫生举措方面取得了可喜的成果。本研究评估了现有的艾滋病毒检测程序内的亭的可用性和评估患者的可接受性的亭为基础的筛选在艾德.Subjects和方法：艾德患者（n=88）被要求完成注册模块（旨在集成到艾德的未决亭注册系统）和风险评估模块使用基于笔的触摸屏平板电脑平台。参与者在计划完成后提供反馈。记录所有评论、问题和错误。Kiosk程序跟踪在每个屏幕上花费的时间。定量（卡方检验或t检验）和定性的数据analyses.Results：60%的女性，69%是黑人，平均+/-标准差年龄为37.8 +/- 11.4岁，52%有高中学历或更低，50%的人没有以前的亭经验。用于注册和风险评估模块的平均时间分别为2：35 +/- 1：24 min和5：09 +/- 1：58 min。确定的主要技术挑战是登录：84%的患者需要帮助。删除登录屏幕将时间减少到1：05 +/- 0：36分钟和4：10 +/- 1：38分钟。95%的受试者报告使用时间刚刚好，超过75%的患者发现该软件易于使用，无需帮助即可回答问题，并且更喜欢在信息亭上进行筛选而不是亲自访谈。最受欢迎的方面包括易用性（52%），隐私（48%）和速度（30%）。66%的患者报告说，没有什么他们不喜欢或会changed.Conclusions：艾德病人的反应亭系统是有利的。受试者可以轻松快速地浏览程序，除了登录屏幕，这可以通过使用ID手镯扫描仪自动登录来消除。
Background:Emergency department (ED) human immunodeficiency virus (HIV) screening programs are challenged by the unsustainable cost of exogenous staff and the relatively low penetration rates. Kiosk systems have increased registration efficiency in various clinical settings and have shown promising results for advancing various public health initiatives. This study evaluated the usability of kiosks within the existing HIV testing program and assessed patients' perceived acceptability of kiosk-based screening in the ED.Subjects and Methods:ED patients (n=88) were asked to complete both a Registration Module (intended to integrate into the ED's pending kiosk registration system) and a Risk Assessment Module using a pen-based touchscreen tablet platform. Participants provided feedback upon program completion. All comments, questions, and errors were documented. Kiosk programs tracked time spent on each screen. Quantitative (chi-squared test or t test) and qualitative data analyses were performed.Results:Consented subjects (n=62) were 60% female, 69% were black, the mean +/- standard deviation age was 37.8 +/- 11.4 years, 52% had a high school degree or less, and 50% reported no prior kiosk experience. Mean time spent on the Registration and Risk Assessment Modules was 2:35 +/- 1:24min and 5:09 +/- 1:58min, respectively. The leading technical challenge identified was login: 84% of patients required assistance. Removal of the login screen reduced times to 1:05 +/- 0:36min and 4:10 +/- 1:38min. Ninety-five percent of subjects reported length of use as just right, and over 75% of patients found the software easy to use, answered questions without help, and preferred screening on the kiosk to in-person interviews. Favorite aspects of the program included ease of use (52%), privacy (48%), and speed (30%). Sixty-six percent of patients reported there was nothing they disliked or would change.Conclusions:ED patient response to the kiosk system was favorable. Subjects easily and quickly navigated the program, with the exception of a login screen, which could be eliminated via automated login using ID bracelet scanners.