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HEALTH
                     DASHBOARD




                                           Dale Chesney
                                           Andrea Dwyer
Project Sponsor:                                Rebecca
                                                  Gulotta
Melanie Turieo
Cambridge                                          Leslie
                                                Johnston
Consultants                               Emily Maretsky
Final Presentation
April 29, 2010              ENP 120 Tufts University
Introduction
 Requirements Gathering
 Design Concepts
 Prototyping
 Usability Testing
 Guidelines for Future Work




Introduction
What is a Health Dashboard?
   Enables tracking and monitoring of health
    information for elderly patients.
   Allows professional caregivers to remotely
    monitor a patient’s baseline health condition.
   Allows lay caregivers to understand the
    patient’s day-to-day health concerns and
    receive alerts about potentially dangerous
    medical situations.
   Gives elderly patients a better understanding
    of their own health and wellness.
Goals
   Create a health monitoring product that is
    attractive to elderly patients.
   Design a system that is useful for professional
    and lay care providers.
   Manage health information collected from
    external sensors in a way that is easier and
    more efficient than existing methods.
   Allow for 2-way communication between this
    system and electronic medical records
    systems.
Requirements Gathering
Sensors



Withings Wireless Scale
                                        Heart Monitor by Proteus




FitBit Trainer            Diabetes Monitor by Alive   Heart Rate Monitor by Polar
User Group: Patients
   This group is comprised of older adults who
    are receiving medical care.

   Important Issues:
     Individualhealth concerns
     Health monitoring needs

     Privacy and security of information

     Access to health resources
User Group: Informal
Caregivers
   This group is comprised of the family and
    friends of people who are receiving medical
    care.

   Important Issues:
     Access  to patient information
     Level of medical knowledge

     Relationship to patient
User Group: Formal Caregivers
   This group is comprised of the health care
    professionals who provide medical care to the
    patients. This group includes doctors and
    nurses.

   Important Issues:
     Informationsharing between formal caregivers
     Remote monitoring

     Adding and removing information from the system
Focus Groups
   Talked with ten Brookhaven residents

   Talked with Nurse Practitioner

   Key Takeaways:
       Resident and caregiver health concerns
     Current   medical information tracking
     Comfort with technology
     Relationships with caregivers/patients
     Device expectations and implementation methods
     Security and privacy issues
Requirements Gathering
Summary
   Users
       Use of electronic devices in public considered “rude”
       Accommodation of different stages of life
   Environment
       Privacy of information in the home
       Flexibility to complement users’ routines
   Functional
       Reference for health concerns but not diagnostic
       Interaction with wired and wireless sensors
   Performance
       Short term and long term storage capacity
       Locator for misplaced handhelds
Design Concepts
Design Concept: Kiosk
Design Concept: Dock with
Handheld
Design Concept: Dial
Design Concept: Folio
Narrowing Design Ideas
    Considered feedback from focus groups and
    initial design presentation.
    Rated and discussed how well each concept
    met the defined requirements:
       User needs
       Functional requirements
       Performance requirements
       Environment requirements
    Selected combination of most appropriate
    concepts.
Selected Design Ideas

Dial            Dock
Prototype Development
Physical Prototype
Development
   Importance of rapid prototyping of hardware
   Dial
     Rotary controls
     Universal portability
     Screen space
     Keyboard for input

   Dock
     Space for dial as control
     Low resemblance to computer
     Portability within home

   Interface prototyping: Balsamiq and InkScape
    wireframes.
Interface Design: Dial
                            Interface Sample: Home
Dial Interface Attributes
                            Screen
   On-the-go input and
    reference

   Limitations of a
    round, non-
    touchscreen interface

   Information
    architecture
     Health categories
     Structure of sample
      tasks
Interface Design: Dial

First Level of Meds Category   Information in “View meds”
Interface Design: Dock
   In-home long-term information center
   Role of dial vs role of dock touchscreen
   Categories of sample tasks:
     Vitals
       Trend history
       Updating readings using sensors

     Current   health
       A customizable   dashboard for most relevant health
        needs
Interface Design: Dock
Interface Design: Dock
Interface Design: Dock
Usability Testing
Usability Test Design
   Assess preliminary design and gather information
    for further improvements.
   Main Goals:
     Ensure that users can easily navigate through the
      interface
     Ensure that users are satisfied with the dashboard’s
      features
     Identify potential feature changes and additions
     Understand how users interact with the device and
      dial/dock
     Is information presented in an easy to interpret
      manner?
     Evaluate usefulness and acceptability of proposed
      health measurements and data.
Usability Testing

   Usability tests conducted
    with five sample users
    from Brookhaven
    consisted of:
     Pre-test questionnaires
     Two example use
      scenarios each for dial
      and dock
     Follow-up survey about
      experiences with sample
      tasks, overall
      experience, and opinions
Usability Testing
    Looked for
      Objective results regarding the user's
       performance on accomplishing tasks
      Subjective feedback concerning how user felt
       about the system
Usability Test Results

   Key Takeaways:
     Menu labels were ambiguous but menu mode clearly
      communicated
     Interest in more information for medications and
      recording options for exercise
     Some options seemed directly “clickable” when they
      were not
     Interest in a physical arrow on the rotary dial
     Some users found the exercise log feature confusing
     Interest in a power button for the dock
     Tabs in Weight confused for action buttons
     Users emphasized customization for Current Health
      feature
Redesign Recommendations

    Re-label design menus
    Add screens for individual medication
     information
    Make more options “clickable”
    Add a physical arrow on the rotary dial
    Reorganize the exercise log feature
    Include a power button for the dock
    Change the tabs in Weight to a visual
     progression
Guidelines for Future Work
Guidelines for Future Work on
         Health Dashboard Concept
1.       Allow for customization
     •     Both caregivers and residents stressed the importance of being able to customize the
           content available in the system and its interface to reflect individual physical limitations
           and health concerns.

2.       Avoid ambiguity
     •     The residents were uncomfortable using interface elements that did not have
           a clear outcome. Menu items and icons should convey information about what
           lies beneath.
3.       Adapt to existing lifestyles
     •     The system should reflect the habits and routines that play a pivotal role in the
           care of adults with health issues or who are living in senior communities.
4.       Track appropriate metrics
     •     Health conditions can vary greatly from person to person and it is important to provide
           both patients and caregivers with the appropriate information and tools to collect that
           information.

5.       Encourage continued use
     •     In order for the system to have value to both caregivers and patients, it is important that
Acknowledgments
   Ryan Kilgore             Jim Freehling
                                 Brookhaven president
     Class   professor
                             Kristin Phillips
   Melanie Turieo               Brookhaven wellness
                                  coordinator
     Project   sponsor      Linda Robillard
   Pam McNamara                 Brookhaven nurse
                                  practitioner
     Project   sponsor      Harry Foden
                                 Head of Brookhaven tech
                                  group
                             Brookhaven residents
                                 Focus group and usability
                                  test participants
Citations
THANK YOU!

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Health Tech Presentation

  • 1. HEALTH DASHBOARD Dale Chesney Andrea Dwyer Project Sponsor: Rebecca Gulotta Melanie Turieo Cambridge Leslie Johnston Consultants Emily Maretsky Final Presentation April 29, 2010 ENP 120 Tufts University
  • 2. Introduction Requirements Gathering Design Concepts Prototyping Usability Testing Guidelines for Future Work Introduction
  • 3. What is a Health Dashboard?  Enables tracking and monitoring of health information for elderly patients.  Allows professional caregivers to remotely monitor a patient’s baseline health condition.  Allows lay caregivers to understand the patient’s day-to-day health concerns and receive alerts about potentially dangerous medical situations.  Gives elderly patients a better understanding of their own health and wellness.
  • 4. Goals  Create a health monitoring product that is attractive to elderly patients.  Design a system that is useful for professional and lay care providers.  Manage health information collected from external sensors in a way that is easier and more efficient than existing methods.  Allow for 2-way communication between this system and electronic medical records systems.
  • 6. Sensors Withings Wireless Scale Heart Monitor by Proteus FitBit Trainer Diabetes Monitor by Alive Heart Rate Monitor by Polar
  • 7. User Group: Patients  This group is comprised of older adults who are receiving medical care.  Important Issues:  Individualhealth concerns  Health monitoring needs  Privacy and security of information  Access to health resources
  • 8. User Group: Informal Caregivers  This group is comprised of the family and friends of people who are receiving medical care.  Important Issues:  Access to patient information  Level of medical knowledge  Relationship to patient
  • 9. User Group: Formal Caregivers  This group is comprised of the health care professionals who provide medical care to the patients. This group includes doctors and nurses.  Important Issues:  Informationsharing between formal caregivers  Remote monitoring  Adding and removing information from the system
  • 10. Focus Groups  Talked with ten Brookhaven residents  Talked with Nurse Practitioner  Key Takeaways:  Resident and caregiver health concerns  Current medical information tracking  Comfort with technology  Relationships with caregivers/patients  Device expectations and implementation methods  Security and privacy issues
  • 11. Requirements Gathering Summary  Users  Use of electronic devices in public considered “rude”  Accommodation of different stages of life  Environment  Privacy of information in the home  Flexibility to complement users’ routines  Functional  Reference for health concerns but not diagnostic  Interaction with wired and wireless sensors  Performance  Short term and long term storage capacity  Locator for misplaced handhelds
  • 14. Design Concept: Dock with Handheld
  • 17. Narrowing Design Ideas  Considered feedback from focus groups and initial design presentation.  Rated and discussed how well each concept met the defined requirements:  User needs  Functional requirements  Performance requirements  Environment requirements  Selected combination of most appropriate concepts.
  • 20. Physical Prototype Development  Importance of rapid prototyping of hardware  Dial  Rotary controls  Universal portability  Screen space  Keyboard for input  Dock  Space for dial as control  Low resemblance to computer  Portability within home  Interface prototyping: Balsamiq and InkScape wireframes.
  • 21. Interface Design: Dial Interface Sample: Home Dial Interface Attributes Screen  On-the-go input and reference  Limitations of a round, non- touchscreen interface  Information architecture  Health categories  Structure of sample tasks
  • 22. Interface Design: Dial First Level of Meds Category Information in “View meds”
  • 23. Interface Design: Dock  In-home long-term information center  Role of dial vs role of dock touchscreen  Categories of sample tasks:  Vitals  Trend history  Updating readings using sensors  Current health  A customizable dashboard for most relevant health needs
  • 28. Usability Test Design  Assess preliminary design and gather information for further improvements.  Main Goals:  Ensure that users can easily navigate through the interface  Ensure that users are satisfied with the dashboard’s features  Identify potential feature changes and additions  Understand how users interact with the device and dial/dock  Is information presented in an easy to interpret manner?  Evaluate usefulness and acceptability of proposed health measurements and data.
  • 29. Usability Testing  Usability tests conducted with five sample users from Brookhaven consisted of:  Pre-test questionnaires  Two example use scenarios each for dial and dock  Follow-up survey about experiences with sample tasks, overall experience, and opinions
  • 30. Usability Testing  Looked for  Objective results regarding the user's performance on accomplishing tasks  Subjective feedback concerning how user felt about the system
  • 31. Usability Test Results  Key Takeaways:  Menu labels were ambiguous but menu mode clearly communicated  Interest in more information for medications and recording options for exercise  Some options seemed directly “clickable” when they were not  Interest in a physical arrow on the rotary dial  Some users found the exercise log feature confusing  Interest in a power button for the dock  Tabs in Weight confused for action buttons  Users emphasized customization for Current Health feature
  • 32. Redesign Recommendations  Re-label design menus  Add screens for individual medication information  Make more options “clickable”  Add a physical arrow on the rotary dial  Reorganize the exercise log feature  Include a power button for the dock  Change the tabs in Weight to a visual progression
  • 34. Guidelines for Future Work on Health Dashboard Concept 1. Allow for customization • Both caregivers and residents stressed the importance of being able to customize the content available in the system and its interface to reflect individual physical limitations and health concerns. 2. Avoid ambiguity • The residents were uncomfortable using interface elements that did not have a clear outcome. Menu items and icons should convey information about what lies beneath. 3. Adapt to existing lifestyles • The system should reflect the habits and routines that play a pivotal role in the care of adults with health issues or who are living in senior communities. 4. Track appropriate metrics • Health conditions can vary greatly from person to person and it is important to provide both patients and caregivers with the appropriate information and tools to collect that information. 5. Encourage continued use • In order for the system to have value to both caregivers and patients, it is important that
  • 35. Acknowledgments  Ryan Kilgore  Jim Freehling  Brookhaven president  Class professor  Kristin Phillips  Melanie Turieo  Brookhaven wellness coordinator  Project sponsor  Linda Robillard  Pam McNamara  Brookhaven nurse practitioner  Project sponsor  Harry Foden  Head of Brookhaven tech group  Brookhaven residents  Focus group and usability test participants

Hinweis der Redaktion

  1. User demographics and health concernsPrivacy and securitySensors (types, implementation, and interaction)Home health care trends
  2. Sensors also a performance
  3. -Pros:-cost saving-power and capacity-great for community livingCons:Security of a shared deviceConsistency of trafficPrivacy/Limited access
  4. Cost considerations
  5. -flexibility-incorporation of rotary controls (less reliance on a touch screen interface)-significantly different looking than a computer-most innovative of ideas, and one we think could be highly marketable -personal feeling of the dial, multiple dials could be purchased (one for each in a couple, perhaps) but only one dial would be needed. -caregiver could interact with the dock in the apartment (it could have a caregiver mode) without needing to use the (more personal) dial-potential for further integration/interaction with a central kiosk in retirement community or doctor's office
  6. Also, what the roles of the dial are How we came up with the categories-listed out all the functions we wanted to have and grouped them based on what was most desired
  7. Looking for recommendations as opposed to quantitative info
  8. Emily“in support of” vs. “difficulties”
  9. Emily-these are more specific design choices
  10. Ability for shared use by a husband and wife or close family membersMaintaining a more personal component (such as the dial), while also having a component that can be used by visiting caregivers.Avoid ambiguity in menu design (not likely to adapt/explore)Metric trackingCustomizabilityAcceptability of public useImportance of not resembling a computer