Evaluating and refining a pain quality information visualization tool with patients and interpreters to facilitate pain assessment in primary care settings.
Evaluating and refining a pain quality information visualization tool with patients and interpreters to facilitate pain assessment in primary care settings.
复制标题
与患者和口译员一起评估和完善疼痛质量信息可视化工具，以促进初级保健机构的疼痛评估。
DOI：
10.1080/17538157.2023.2240411
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发表时间：
2023
影响因子：
2.4
通讯作者：
Bakken,Suzanne
中科院分区：
文献类型：
--
作者：
Lor,Maichou;Yang,NancyB;Backonja,Uba;Bakken,Suzanne
信息可视化（InfoViz）工具为疼痛沟通挑战提供了一个潜在的解决方案。英语水平有限的患者（LEP），口译员和供应商之间的沟通风格的不一致，有助于疼痛护理和结果的显着差异。本研究的目的是评估和完善一个文化上适当的InfoViz疼痛质量评估工具，LEP苗族患者。我们进行了一项由三部分组成的以用户为中心的迭代研究，其中包括LEP苗族，苗族双语和苗族口译员，（1）参与式设计会议，以评估和完善疼痛信息图，以纳入工具，（2）卡片分类，以组织信息图，以匹配LEP患者的心理模型，以及（3）工具评估以确定哪种工具准确地代表LEP患者的心理模型并且在临床设置中是优选的。55名参与者提供了三个共同的主题疼痛信息图细化：文化相关的颜色，类似于人体解剖学的信息图，和动作特定的曲线。卡片分类会议揭示了三个组织主题：感觉（n= 15; 71.4%），定位（n= 6; 28.6%）和疼痛质量的严重程度（n= 5; 24.3%）。大多数参与者选择定位作为最准确的工具，并首选在临床设置。使用多步骤，以用户为中心的方法，导致在文化上适当的疼痛InfoViz工具LEP苗族患者。
Information visualization (InfoViz) tools offer a potential solution to pain communication challenges. Incongruencies in communication styles between patients with limited English proficiency (LEP), interpreters, and providers contribute to significant disparities in pain care and outcomes. This study’s purpose is to evaluate and refine a culturally appropriate InfoViz pain quality assessment tool for LEP Hmong patients. We conducted a three-part iterative user-centered study with LEP Hmong, bilingual Hmong, and Hmong interpreters with (1) participatory design sessions to evaluate and refine pain infographics for inclusion on the tool, (2) card-sorting to organize the infographics to match the mental models of LEP patients, and (3) a tool assessment to identify which tool accurately represented LEP patients’ mental models and was preferred in clinical settings. Fifty-five participants provided three common themes for pain infographics refinement: culturally-relevant colors, infographics resembling human anatomy, and action-specific squiggle lines. The card-sorting sessions revealed three organizational themes: sensation (n= 15; 71.4%), localization (n= 6; 28.6%), and severity of pain quality (n= 5; 24.3%). Most participants selected the localization as the most accurate tool and preferred it in clinical settings. Using a multi-step, user-centered approach resulted in a culturally appropriate pain InfoViz tool for LEP Hmong patients.