Supporting rural public health practice to address local-level social determinants of health across Northwest states: Development of an interactive visualization dashboard.

Humans Public Health Public Health Practice Social Determinants of Health Washington
Data visualization Health disparities Health equity Informatics Public health Public health informatics Rural health User-centered design

Journal

Journal of biomedical informatics
ISSN: 1532-0480
Titre abrégé: J Biomed Inform
Pays: United States
ID NLM: 100970413

Informations de publication

Date de publication:
05 2022
Historique:
received: 23 10 2021
revised: 06 03 2022
accepted: 09 03 2022
pubmed: 24 3 2022
medline: 11 5 2022
entrez: 23 3 2022
Statut: ppublish

Résumé

Rural local health departments (LHDs) lack adequate capacity and funding to effectively make data-driven decisions to support their communities that face greater health disparities compared to urban counterparts. The need, therefore, exists for informatics solutions to support rural LHDs. We describe the user-centered design (UCD) of SHARE-NW: Solutions in Health Analytics for Rural Equity across the Northwest, a website (sharenw.nwcphp.org) with data visualization dashboards for rural LHD practitioners in Alaska, Idaho, Oregon, and Washington to help them identify health disparities in their jurisdictions. In this UCD study guided by Munzner's Nested Model for Visualization Design and Validation, we (1) completed a needs assessment, (2) created and evaluated mockups, and (3) conducted usability testing of a functional alpha testing website. Potential end-users (rural LHD practitioners) and Equity Advisory Committee members (public health experts from state, rural local, and tribal public health agencies) across our four-state catchment area were engaged throughout the website development and testing. We adapted traditional in-person UCD methods to be remote to reach participants across a large geographic area and in rural/frontier areas of Alaska, Idaho, Oregon, and Washington. We recruited participants from all four states to engage in each stage of the project. Needs assessment findings informed the mockup development, and findings from the mockup evaluations informed the development of the functional website. Usability testing of the website overall was positive, with priority usability issues identified. By applying Munzner's Nested Model and UCD, we could purposefully and intentionally design evidence-based solutions, specifically for rural LHD practitioners. Adaptations of traditional UCD methods were successful and allowed us to reach end-users across a large geographic area. Future work on SHARE-NW will involve the evaluation of the website. We provide insights on our lessons learned to support future public health informatics solution development.

Sections du résumé

BACKGROUND
Rural local health departments (LHDs) lack adequate capacity and funding to effectively make data-driven decisions to support their communities that face greater health disparities compared to urban counterparts. The need, therefore, exists for informatics solutions to support rural LHDs.
PURPOSE
We describe the user-centered design (UCD) of SHARE-NW: Solutions in Health Analytics for Rural Equity across the Northwest, a website (sharenw.nwcphp.org) with data visualization dashboards for rural LHD practitioners in Alaska, Idaho, Oregon, and Washington to help them identify health disparities in their jurisdictions.
METHODS
In this UCD study guided by Munzner's Nested Model for Visualization Design and Validation, we (1) completed a needs assessment, (2) created and evaluated mockups, and (3) conducted usability testing of a functional alpha testing website. Potential end-users (rural LHD practitioners) and Equity Advisory Committee members (public health experts from state, rural local, and tribal public health agencies) across our four-state catchment area were engaged throughout the website development and testing. We adapted traditional in-person UCD methods to be remote to reach participants across a large geographic area and in rural/frontier areas of Alaska, Idaho, Oregon, and Washington.
RESULTS
We recruited participants from all four states to engage in each stage of the project. Needs assessment findings informed the mockup development, and findings from the mockup evaluations informed the development of the functional website. Usability testing of the website overall was positive, with priority usability issues identified.
CONCLUSIONS
By applying Munzner's Nested Model and UCD, we could purposefully and intentionally design evidence-based solutions, specifically for rural LHD practitioners. Adaptations of traditional UCD methods were successful and allowed us to reach end-users across a large geographic area. Future work on SHARE-NW will involve the evaluation of the website. We provide insights on our lessons learned to support future public health informatics solution development.

Identifiants

DOI: 10.1016/j.jbi.2022.104051 PMID: 35318149
pubmed: 35318149
pii: S1532-0464(22)00067-3
doi: 10.1016/j.jbi.2022.104051
pii:
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S. Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

104051

Subventions

Organisme : NICHD NIH HHS
ID : P2C HD042828
Pays : United States

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Auteurs

Uba Backonja (U)

School of Nursing and Healthcare Leadership, University of Washington Tacoma, 1900 Commerce Street, Box 358421, Tacoma, WA 98402-3100, USA; Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, 1959 NE Pacific Street, Box 357263, Seattle, WA 98195, USA; Department of Biomedical Informatics and Medical Education, University of Washington School of Medicine, 850 Republican Street, Building C, Box 358047, Seattle, WA 98109-4714, USA.

Seungeun Park (S)

Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, 1959 NE Pacific Street, Box 357263, Seattle, WA 98195, USA; Health Systems and Population Health, University of Washington, School of Public Health, 1959 NE Pacific Street, Box 357660, Seattle, WA 98195, USA; Sungkyunkwan University, Natural Sciences Campus, 2066 Seobu-ro, Jangan-gu, Suwon, Gyeonggi-do 16419, Republic of Korea. Electronic address: separk@uw.edu.

Amae Kurre (A)

School of Human Centered Design and Engineering, University of Washington, 3960 Benton Lane NE, 428 Sieg Hall, Seattle, WA 98195, USA.

Hayley Yudelman (H)

School of Human Centered Design and Engineering, University of Washington, 3960 Benton Lane NE, 428 Sieg Hall, Seattle, WA 98195, USA.

Sam Heindel (S)

School of Human Centered Design and Engineering, University of Washington, 3960 Benton Lane NE, 428 Sieg Hall, Seattle, WA 98195, USA.

Melinda Schultz (M)

Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, 1959 NE Pacific Street, Box 357263, Seattle, WA 98195, USA.

Greg Whitman (G)

Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, 1959 NE Pacific Street, Box 357263, Seattle, WA 98195, USA.

Anne M Turner (AM)

Department of Biomedical Informatics and Medical Education, University of Washington School of Medicine, 850 Republican Street, Building C, Box 358047, Seattle, WA 98109-4714, USA; Health Systems and Population Health, University of Washington, School of Public Health, 1959 NE Pacific Street, Box 357660, Seattle, WA 98195, USA.

Natasza T Marchak (NT)

School of Nursing and Healthcare Leadership, University of Washington Tacoma, 1900 Commerce Street, Box 358421, Tacoma, WA 98402-3100, USA.

Betty Bekemeier (B)

Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, 1959 NE Pacific Street, Box 357263, Seattle, WA 98195, USA; Health Systems and Population Health, University of Washington, School of Public Health, 1959 NE Pacific Street, Box 357660, Seattle, WA 98195, USA; Northwest Center for Public Health Practice, University of Washington, 3980 15th Ave NE, Box 351621, Seattle, WA 98195, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Supporting rural public health practice to...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Supporting rural public health practice to...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Supporting rural public health practice to...
questionsmedicales.fr › Caractéristiques de la population › Santé › Déterminants sociaux de la santé › Supporting rural public health practice to...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › États du Pacifique › Washington › Supporting rural public health practice to...