Ergonomics, Human Factors & Device Agnostic Software in Remote Internet based Optometry

IBisVision为测试Vision开发基于软件的产品和基础设施。我们的设备和软件通常由验光师在检查室使用，但在封锁期间，我们提出了一项开发远程远程验光系统的工作计划，以回应社会距离测试的需求。基础技术和基础设施需要安全、可靠、临床验证，并具有加密数据和通信处理。我们的目标是使验光师能够通过患者自己的互联网和设备与患者实时互动，从而远程参加会诊。这种方法是创新的，与大多数其他方法不同，因为其他方法正试图通过使用计算机算法来消除对验光师的物理需求。我们认为，重要的是支持验光师和验光企业，并利用他们所有的人类技能和培训，为他们提供一种渠道，通过数字和真实咨询的混合，但始终由临床医生领导，充分承担临床医生的责任，并与患者同步音频、视频和数据参与，尽可能接近双方的真实检查室体验，从而维持护理、个人关系和业务发展的连续性。一个巨大的挑战，也是先前向我们指出的，是为了进行临床有效的眼睛检查，无论出于何种原因，患者(远程)端都需要有一些质量控制手段，这个应用程序是为了了解在远程位置引入噪音和可变性的因素：**患者设备和屏幕的适合性。**屏幕上的可变性(亮度、颜色、对比度)可能会影响结果的有效性。我们正在开发远程评估单个屏幕的适宜性的方法，并解决或补偿不一致的问题。**人体工程学**患者处于相对于他们的屏幕和输入设备最放松和舒适的位置是很重要的。我们正在开发方法，以确保他们在利用有限的国内资源的情况下处于最佳位置，**人为因素/心理**我们正在开发标准的操作程序和脚本说明，以优化患者和技术之间的关系，并帮助建立验光师和患者之间的融洽和合作。**项目输出*一种解决或补偿患者显示设备(屏幕)变化的方法，足以确保有效结果的高概率。*确保患者处于最佳位置的方法，使他们在测试过程中不会移动。*进行测试的程序和脚本以最具吸引力和协作性的方式进行测试，以优化合规性。为了帮助我们，我们将招募一组测试人群，这些人在封锁期间被介绍到虚拟会议中，但在其他方面没有技术头脑。我们知道教会和慈善团体愿意提供帮助，我们相信这些人将代表我们的目标人群。

IbisVision develops software-based products and infrastructure for testing vision. Our equipment and software is normally used by an optometrist in an examination room but during lockdown we responded to the need for socially distanced testing by bringing forward a work programme to develop a remote tele-optometry system.The underlying technology and infrastructure needs to be secure, reliable, clinically validated and with encrypted data and communications handling. Our goal is to enable the optometrist to attend the consultation remotely by engaging in real-time with the patient via the patient's own internet and devices. This approach is innovative and different from most other approaches because others are trying to remove the physical need for an optometrist through the use of computer algorithms. We believe it is important to support optometrists and optometry businesses and also take advantage of all their human skill and training by providing a conduit for them to maintain continuity of care, personal relationships and business development through a mixture of digital and real consultations but always clinician-led with full clinician accountability and a synchronous audio, video and data engagement with the patient- as close as possible to a real examination room experience for both parties.A big challenge and one that has previously been pointed out to us is that to conduct a clinically valid eye examination for any reason one needs to have some means of quality control at the patient (remote) end, over which we have very little control.This application is to understand the factors introducing noise and variability at the remote location looking at:**Suitability of the patient's device and screen.**Variability across a screen (brightness, colour, contrast) may affect the validity of the result. We are developing ways to assess suitability of individual screens remotely and to either work around or compensate for the lack of uniformity.**Ergonomics**It is important that the patient is at the most relaxed and comfortable position relative to their screen and input device. We are developing methods to ensure they are optimally positioned using the limited domestic resources they have to hand, and ensure their movement and fidgeting during the test is minimised.**Human Factors/psychology**We are developing standard operating procedures and scripted instructions to optimise the relationship between the patient and the technology and to help build rapport and cooperation between the optometrist and the patient.**Project output*** A means of working around or compensating for variability in the patient's display device (screen) sufficient to ensure a high probability of a valid result.* A means of ensuring the patient is in the best possible position so they don't move during the test.* Procedures and scripts to conduct the tests in the most engaging and collaborative way to optimise compliance.To help us we will recruit a test population of those who have been introduced to virtual meetings during lockdown but are otherwise not technically minded. We know church and charity groups willing to help and we believe these individuals will be representative of our target demographic.