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

IbisVision开发用于测试视觉的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，我们通过提出开发远程远程验光系统的工作计划来应对社会远程检测的需求。底层技术和基础设施需要安全、可靠、经过临床验证，并具有加密的数据和通信处理。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进行实时互动，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，因为其他人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，重要的是要支持验光师和验光业务，并利用他们所有的人力技能和培训，为他们提供一个渠道，通过数字和真实咨询的混合，保持护理的连续性、个人关系和业务发展，但始终由临床医生主导，完全由临床医生负责，并提供同步音频。与患者进行视频和数据接触-尽可能接近双方的真实检查室体验。一个很大的挑战，一个之前已经向我们指出的挑战是，为了进行临床有效的眼科检查，无论出于何种原因，都需要在患者（远程）端有一些质量控制手段，而我们对此几乎没有控制能力。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：**患者的设备和屏幕的适用性。**屏幕上的差异（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适用性的方法，并解决或补偿缺乏一致性的问题。**人体工程学**重要的是，患者相对于他们的屏幕和输入设备处于最放松和舒适的位置。我们正在开发方法，以确保他们在使用有限的国内资源时处于最佳位置，并确保他们在测试期间的移动和坐立不安最小化。**人为因素/心理学**我们正在制定标准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合作关系。**项目输出***一种绕过或补偿患者显示设备（屏幕）可变性的方法，足以确保有效结果的高概率。*一种确保患者处于最佳位置的方法，这样他们在检查过程中就不会移动。*以最具吸引力和协作性的方式进行测试的程序和脚本，以优化合规性。为了帮助我们，我们将招募一个测试人群，这些人在封锁期间被介绍参加虚拟会议，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，我们相信这些人将是我们目标人群的代表。

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.