User-centered design of a scalable, electronic health record-integrated remote symptom monitoring intervention for patients with asthma and providers in primary care
To determine user and electronic health records (EHR) integration requirements for a scalable remote symptom monitoring intervention for asthma patients and their providers. Guided by the Non-Adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework, we conducted a user-centered...
Uloženo v:
| Vydáno v: | Journal of the American Medical Informatics Association : JAMIA Ročník 28; číslo 11; s. 2433 |
|---|---|
| Hlavní autoři: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
England
12.10.2021
|
| Témata: | |
| ISSN: | 1527-974X, 1527-974X |
| On-line přístup: | Zjistit podrobnosti o přístupu |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | To determine user and electronic health records (EHR) integration requirements for a scalable remote symptom monitoring intervention for asthma patients and their providers.
Guided by the Non-Adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework, we conducted a user-centered design process involving English- and Spanish-speaking patients and providers affiliated with an academic medical center. We conducted a secondary analysis of interview transcripts from our prior study, new design sessions with patients and primary care providers (PCPs), and a survey of PCPs. We determined EHR integration requirements as part of the asthma app design and development process.
Analysis of 26 transcripts (21 patients, 5 providers) from the prior study, 21 new design sessions (15 patients, 6 providers), and survey responses from 55 PCPs (71% of 78) identified requirements. Patient-facing requirements included: 1- or 5-item symptom questionnaires each week, depending on asthma control; option to request a callback; ability to enter notes, triggers, and peak flows; and tips pushed via the app prior to a clinic visit. PCP-facing requirements included a clinician-facing dashboard accessible from the EHR and an EHR inbox message preceding the visit. PCP preferences diverged regarding graphical presentations of patient-reported outcomes (PROs). Nurse-facing requirements included callback requests sent as an EHR inbox message. Requirements were consistent for English- and Spanish-speaking patients. EHR integration required use of custom application programming interfaces (APIs).
Using the NASSS framework to guide our user-centered design process, we identified patient and provider requirements for scaling an EHR-integrated remote symptom monitoring intervention in primary care. These requirements met the needs of patients and providers. Additional standards for PRO displays and EHR inbox APIs are needed to facilitate spread. |
|---|---|
| AbstractList | To determine user and electronic health records (EHR) integration requirements for a scalable remote symptom monitoring intervention for asthma patients and their providers.
Guided by the Non-Adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework, we conducted a user-centered design process involving English- and Spanish-speaking patients and providers affiliated with an academic medical center. We conducted a secondary analysis of interview transcripts from our prior study, new design sessions with patients and primary care providers (PCPs), and a survey of PCPs. We determined EHR integration requirements as part of the asthma app design and development process.
Analysis of 26 transcripts (21 patients, 5 providers) from the prior study, 21 new design sessions (15 patients, 6 providers), and survey responses from 55 PCPs (71% of 78) identified requirements. Patient-facing requirements included: 1- or 5-item symptom questionnaires each week, depending on asthma control; option to request a callback; ability to enter notes, triggers, and peak flows; and tips pushed via the app prior to a clinic visit. PCP-facing requirements included a clinician-facing dashboard accessible from the EHR and an EHR inbox message preceding the visit. PCP preferences diverged regarding graphical presentations of patient-reported outcomes (PROs). Nurse-facing requirements included callback requests sent as an EHR inbox message. Requirements were consistent for English- and Spanish-speaking patients. EHR integration required use of custom application programming interfaces (APIs).
Using the NASSS framework to guide our user-centered design process, we identified patient and provider requirements for scaling an EHR-integrated remote symptom monitoring intervention in primary care. These requirements met the needs of patients and providers. Additional standards for PRO displays and EHR inbox APIs are needed to facilitate spread. To determine user and electronic health records (EHR) integration requirements for a scalable remote symptom monitoring intervention for asthma patients and their providers.OBJECTIVETo determine user and electronic health records (EHR) integration requirements for a scalable remote symptom monitoring intervention for asthma patients and their providers.Guided by the Non-Adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework, we conducted a user-centered design process involving English- and Spanish-speaking patients and providers affiliated with an academic medical center. We conducted a secondary analysis of interview transcripts from our prior study, new design sessions with patients and primary care providers (PCPs), and a survey of PCPs. We determined EHR integration requirements as part of the asthma app design and development process.METHODSGuided by the Non-Adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework, we conducted a user-centered design process involving English- and Spanish-speaking patients and providers affiliated with an academic medical center. We conducted a secondary analysis of interview transcripts from our prior study, new design sessions with patients and primary care providers (PCPs), and a survey of PCPs. We determined EHR integration requirements as part of the asthma app design and development process.Analysis of 26 transcripts (21 patients, 5 providers) from the prior study, 21 new design sessions (15 patients, 6 providers), and survey responses from 55 PCPs (71% of 78) identified requirements. Patient-facing requirements included: 1- or 5-item symptom questionnaires each week, depending on asthma control; option to request a callback; ability to enter notes, triggers, and peak flows; and tips pushed via the app prior to a clinic visit. PCP-facing requirements included a clinician-facing dashboard accessible from the EHR and an EHR inbox message preceding the visit. PCP preferences diverged regarding graphical presentations of patient-reported outcomes (PROs). Nurse-facing requirements included callback requests sent as an EHR inbox message. Requirements were consistent for English- and Spanish-speaking patients. EHR integration required use of custom application programming interfaces (APIs).RESULTSAnalysis of 26 transcripts (21 patients, 5 providers) from the prior study, 21 new design sessions (15 patients, 6 providers), and survey responses from 55 PCPs (71% of 78) identified requirements. Patient-facing requirements included: 1- or 5-item symptom questionnaires each week, depending on asthma control; option to request a callback; ability to enter notes, triggers, and peak flows; and tips pushed via the app prior to a clinic visit. PCP-facing requirements included a clinician-facing dashboard accessible from the EHR and an EHR inbox message preceding the visit. PCP preferences diverged regarding graphical presentations of patient-reported outcomes (PROs). Nurse-facing requirements included callback requests sent as an EHR inbox message. Requirements were consistent for English- and Spanish-speaking patients. EHR integration required use of custom application programming interfaces (APIs).Using the NASSS framework to guide our user-centered design process, we identified patient and provider requirements for scaling an EHR-integrated remote symptom monitoring intervention in primary care. These requirements met the needs of patients and providers. Additional standards for PRO displays and EHR inbox APIs are needed to facilitate spread.CONCLUSIONUsing the NASSS framework to guide our user-centered design process, we identified patient and provider requirements for scaling an EHR-integrated remote symptom monitoring intervention in primary care. These requirements met the needs of patients and providers. Additional standards for PRO displays and EHR inbox APIs are needed to facilitate spread. |
| Author | Sousa, Jessica Rodriguez, Jorge A Foer, Dinah Bates, David W Perez, Sofia Rudin, Robert S Plombon, Savanna Arcia, Adriana Dalal, Anuj K |
| Author_xml | – sequence: 1 givenname: Robert S orcidid: 0000-0001-9172-5506 surname: Rudin fullname: Rudin, Robert S organization: Health Care Division, RAND Corporation, Boston, Massachusetts, USA – sequence: 2 givenname: Sofia surname: Perez fullname: Perez, Sofia organization: Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA – sequence: 3 givenname: Jorge A orcidid: 0000-0002-1833-6819 surname: Rodriguez fullname: Rodriguez, Jorge A organization: Harvard Medical School, Boston, Massachusetts, USA – sequence: 4 givenname: Jessica surname: Sousa fullname: Sousa, Jessica organization: Health Care Division, RAND Corporation, Boston, Massachusetts, USA – sequence: 5 givenname: Savanna surname: Plombon fullname: Plombon, Savanna organization: Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA – sequence: 6 givenname: Adriana orcidid: 0000-0002-4773-7195 surname: Arcia fullname: Arcia, Adriana organization: School of Nursing, Columbia University School of Nursing, New York, New York, USA – sequence: 7 givenname: Dinah surname: Foer fullname: Foer, Dinah organization: Division of General Internal Medicine and Division of Allergy and Clinical Immunology, Brigham and Women's Hospital, Boston, Massachusetts, USA – sequence: 8 givenname: David W surname: Bates fullname: Bates, David W organization: Harvard Medical School, Boston, Massachusetts, USA – sequence: 9 givenname: Anuj K surname: Dalal fullname: Dalal, Anuj K organization: Harvard Medical School, Boston, Massachusetts, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34406413$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkEtLQzEQhYMoaqtLt5KlC6_mcZ9LKb6g4EbBXZmbzG0jN0lN0oo_yP9pxAqu5sF3zhxmQvadd0jIGWdXnHXy-g2sgWuvoOdVs0eOeSWaomvK1_1__RGZxPjGGK-FrA7JkSxLVpdcHpOvl4ihUOgSBtRUYzRLR_1AgUYFI_QjXlIcUaXgnVF0hTCmFQ2ofNCFybJlgJSVAa1PSOOnXSdvqc108sG4Jf2BwjZfMN7RwQe6hmTyGOmHyVYQ08oCBafpOvit0Rhi1uTBWAifVEHAE3IwwBjxdFen5OXu9nn2UMyf7h9nN_NClYKlAspW1LrmnAvRyRYbpbpe5KVijZbdUA1Vr7XAumZ6gLYdZM1Fj62UZcc61ogpufj1zUneNxjTwpqocBzBod_EhahqUfGuETKj5zt001vUi13cxd9rxTfgpIH5 |
| CitedBy_id | crossref_primary_10_1093_jamia_ocac059 crossref_primary_10_1371_journal_pdig_0000418 crossref_primary_10_1093_jamia_ocac244 crossref_primary_10_1002_pon_6170 crossref_primary_10_2196_55267 crossref_primary_10_1055_a_2512_9647 crossref_primary_10_1055_a_2404_2129 crossref_primary_10_1002_jhm_70013 crossref_primary_10_1089_jpm_2022_0536 crossref_primary_10_1002_acr2_11498 crossref_primary_10_1055_a_2090_5745 crossref_primary_10_1055_a_2327_4121 crossref_primary_10_1080_02813432_2023_2229387 crossref_primary_10_1177_2327857924131053 crossref_primary_10_1093_jamiaopen_ooae056 crossref_primary_10_2196_67398 crossref_primary_10_1093_jamiaopen_ooad063 crossref_primary_10_1093_ageing_afad144 crossref_primary_10_2196_45602 crossref_primary_10_1016_j_semnephrol_2024_151552 crossref_primary_10_1055_s_0044_1788978 crossref_primary_10_1001_jamanetworkopen_2025_6219 crossref_primary_10_1093_jamia_ocab215 |
| ContentType | Journal Article |
| Copyright | The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com. |
| Copyright_xml | – notice: The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com. |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1093/jamia/ocab157 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1527-974X |
| ExternalDocumentID | 34406413 |
| Genre | Research Support, U.S. Gov't, P.H.S Journal Article |
| GrantInformation_xml | – fundername: AHRQ HHS grantid: R18 HS026432 – fundername: AHRQ HHS grantid: R18HS026432 |
| GroupedDBID | --- .DC 0R~ 18M 29L 2WC 4.4 48X 53G 5GY 5RE 5WD 6PF 7~T AABZA AACZT AAMVS AAOGV AAPQZ AAPXW AARHZ AAUAY AAVAP AAWTL ABDFA ABEJV ABEUO ABGNP ABIXL ABJNI ABNHQ ABOCM ABPQP ABPTD ABQLI ABQNK ABVGC ABWST ABXVV ACGFO ACGFS ACGOD ACHQT ACUFI ACUTJ ACYHN ADBBV ADGZP ADHKW ADHZD ADIPN ADNBA ADQBN ADRTK ADVEK ADYVW AEGPL AEJOX AEKSI AEMDU AEMQT AENEX AENZO AEPUE AETBJ AEWNT AFFZL AFIYH AFOFC AFXAL AFYAG AGINJ AGQXC AGSYK AGUTN AHMBA AHMMS AJEEA AJNCP ALIPV ALMA_UNASSIGNED_HOLDINGS ALUQC ALXQX APIBT ATGXG AVWKF AXUDD AYCSE BAWUL BAYMD BCRHZ BEYMZ BHONS BTRTY BVRKM C45 CDBKE CGR CS3 CUY CVF DAKXR DIK DILTD DU5 E3Z EBD EBS ECM EIF EMOBN ENERS F5P FDB FECEO FLUFQ FOEOM FOTVD FQBLK G-Q GAUVT GJXCC GX1 H13 HAR IH2 IHE J21 JXSIZ KBUDW KOP KSI KSN LSO MHKGH NOMLY NOYVH NPM NQ- O9- OAUYM OAWHX OCZFY ODMLO OJQWA OJZSN OK1 OPAEJ OVD OWPYF P2P PAFKI PEELM Q5Y ROX ROZ RPM RPZ RUSNO RWL RXO SV3 TAE TEORI TJX TMA WOW YAYTL YKOAZ YXANX ~S- 77I 7X8 AHGBF AJBYB |
| ID | FETCH-LOGICAL-c420t-a4826d611122938e7cc9b2482c07d39f5f5bdd2e660dfa88f3612be8334909072 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 23 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000711702400014&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1527-974X |
| IngestDate | Sun Sep 28 11:28:38 EDT 2025 Thu Apr 03 06:55:04 EDT 2025 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 11 |
| Keywords | remote symptom monitoring intervention design user-centered design application programmer interfaces electronic health record integration |
| Language | English |
| License | The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c420t-a4826d611122938e7cc9b2482c07d39f5f5bdd2e660dfa88f3612be8334909072 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ORCID | 0000-0001-9172-5506 0000-0002-1833-6819 0000-0002-4773-7195 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/8510383 |
| PMID | 34406413 |
| PQID | 2562519723 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_2562519723 pubmed_primary_34406413 |
| PublicationCentury | 2000 |
| PublicationDate | 2021-10-12 |
| PublicationDateYYYYMMDD | 2021-10-12 |
| PublicationDate_xml | – month: 10 year: 2021 text: 2021-10-12 day: 12 |
| PublicationDecade | 2020 |
| PublicationPlace | England |
| PublicationPlace_xml | – name: England |
| PublicationTitle | Journal of the American Medical Informatics Association : JAMIA |
| PublicationTitleAlternate | J Am Med Inform Assoc |
| PublicationYear | 2021 |
| SSID | ssj0016235 |
| Score | 2.4845283 |
| Snippet | To determine user and electronic health records (EHR) integration requirements for a scalable remote symptom monitoring intervention for asthma patients and... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 2433 |
| SubjectTerms | Asthma - therapy Electronic Health Records Humans Primary Health Care Surveys and Questionnaires User-Centered Design |
| Title | User-centered design of a scalable, electronic health record-integrated remote symptom monitoring intervention for patients with asthma and providers in primary care |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/34406413 https://www.proquest.com/docview/2562519723 |
| Volume | 28 |
| WOSCitedRecordID | wos000711702400014&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LS8QwEA7qinjx_VhfjODR4DZ9pD2JiIuXXfbgQm8lTVLcQ9vVVsEf5P90kmZdL4LgpdBASmCmM9_MfJkh5EohpjZd9qjOI00DwTwqvBxjHl9GObpcjACUHTbBx-M4TZOJS7g1jla5sInWUKtamhz5DTNI3c7Iup2_UDM1ylRX3QiNVdLzEcoYShdPl1UEdO2h7ZfKOEXcnLoemxjEm65DM3GD7iL3Qv47urReZrj93_PtkC2HL-GuU4hdsqKrPbIxchX0ffI5RZ2jhpJphnSCsgQOqAsQ0KC4zEWqa1jOxoHuniR0uRz63VxC4QoKWUPzUc7buoTS2gaTJITZDxolICYG17u1AZP0BdG0z6UAUSlYXANscA--2L4XYLhoB2Q6fHi6f6RuVAOVARu0VAQYpqgIDSdD_BBrLmWSM1yUA678pAiLMFeK6SgaqELEceEjssp17PtBMsD4nB2Staqu9DEBjGGYkl6OSBM_EHAhBNc60kUihIx00ieXCwFk-CuY-oaodP3WZEsR9MlRJ8XMnT3zA0Qu6LBP_rD7lGwyw1yxvJUz0ivQEOhzsi7f21nzemF1DJ_jyegL3HXg1A |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=User-centered+design+of+a+scalable%2C+electronic+health+record-integrated+remote+symptom+monitoring+intervention+for+patients+with+asthma+and+providers+in+primary+care&rft.jtitle=Journal+of+the+American+Medical+Informatics+Association+%3A+JAMIA&rft.au=Rudin%2C+Robert+S&rft.au=Perez%2C+Sofia&rft.au=Rodriguez%2C+Jorge+A&rft.au=Sousa%2C+Jessica&rft.date=2021-10-12&rft.issn=1527-974X&rft.eissn=1527-974X&rft.volume=28&rft.issue=11&rft.spage=2433&rft_id=info:doi/10.1093%2Fjamia%2Focab157&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1527-974X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1527-974X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1527-974X&client=summon |