Obtaining patients' medical history using a digital device prior to consultation in primary care: study protocol for a usability and validity study.
App
Digital medical history taking
Primary care
User friendliness
Journal
BMC medical informatics and decision making
ISSN: 1472-6947
Titre abrégé: BMC Med Inform Decis Mak
Pays: England
ID NLM: 101088682
Informations de publication
Date de publication:
19 07 2022
19 07 2022
Historique:
received:
25
05
2022
accepted:
08
07
2022
entrez:
19
7
2022
pubmed:
20
7
2022
medline:
22
7
2022
Statut:
epublish
Résumé
With the help of digital tools patients' medical histories can be collected quickly and transferred into their electronic medical records. This information can facilitate treatment planning, reduce documentation work, and improve care. However, it is still unclear whether the information collected from patients in this way is reliable. In this study, we assess the accuracy of the information collected by patients using an app for medical history taking by comparing it with the information collected in a face-to-face medical interview. We also study the app's usability from the patients' point of view and analysing usage data. We developed a software application (app) for symptom-oriented medical history taking specialized for general practice. Medical history taking will take place involving patients with acute somatic or psychological complaints (1) using the app and (2) verbally with trained study staff. To assess the perceived usability, patients will complete a questionnaire for the System Usability Scale. We will collect sociodemographic data, information about media use and health literacy, and app usage data. Digital tools offer the opportunity to improve patient care. However, it is not self-evident that the medical history taken by digital tools corresponds to the medical history that would be taken in an interview. If simply due to a design flaw patients answer questions about signs and symptoms that indicate possible serious underlying conditions 'wrong', this could have severe consequences. By additionally assessing the app's usability as perceived by a diverse group of patients, potential weaknesses in content, design and navigation can be identified and subsequently improved. This is essential in order to ensure that the app meets the need of different groups of patients. Trial registration German Clinical Trials Register DRKS00026659 , registered Nov 03 2021. World Health Organization Trial Registration Data Set, https://trialsearch.who.int/Trial2.aspx? TrialID = DRKS00026659.
Sections du résumé
BACKGROUND
With the help of digital tools patients' medical histories can be collected quickly and transferred into their electronic medical records. This information can facilitate treatment planning, reduce documentation work, and improve care. However, it is still unclear whether the information collected from patients in this way is reliable. In this study, we assess the accuracy of the information collected by patients using an app for medical history taking by comparing it with the information collected in a face-to-face medical interview. We also study the app's usability from the patients' point of view and analysing usage data.
METHODS
We developed a software application (app) for symptom-oriented medical history taking specialized for general practice. Medical history taking will take place involving patients with acute somatic or psychological complaints (1) using the app and (2) verbally with trained study staff. To assess the perceived usability, patients will complete a questionnaire for the System Usability Scale. We will collect sociodemographic data, information about media use and health literacy, and app usage data.
DISCUSSION
Digital tools offer the opportunity to improve patient care. However, it is not self-evident that the medical history taken by digital tools corresponds to the medical history that would be taken in an interview. If simply due to a design flaw patients answer questions about signs and symptoms that indicate possible serious underlying conditions 'wrong', this could have severe consequences. By additionally assessing the app's usability as perceived by a diverse group of patients, potential weaknesses in content, design and navigation can be identified and subsequently improved. This is essential in order to ensure that the app meets the need of different groups of patients. Trial registration German Clinical Trials Register DRKS00026659 , registered Nov 03 2021. World Health Organization Trial Registration Data Set, https://trialsearch.who.int/Trial2.aspx? TrialID = DRKS00026659.
Identifiants
pubmed: 35854290
doi: 10.1186/s12911-022-01928-0
pii: 10.1186/s12911-022-01928-0
pmc: PMC9297616
doi:
Banques de données
DRKS
['DRKS00026659']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
189Informations de copyright
© 2022. The Author(s).
Références
BMJ Open. 2017 Nov 8;7(10):e017902
pubmed: 29118053
Int J Med Inform. 2015 Dec;84(12):1111-7
pubmed: 26254875
JMIR Form Res. 2019 Oct 29;3(4):e13863
pubmed: 31663858
JMIR Hum Factors. 2018 May 14;5(2):e10308
pubmed: 29759955
Am J Gastroenterol. 2015 Jan;110(1):170-9
pubmed: 25461620
Int J Environ Res Public Health. 2020 Feb 20;17(4):
pubmed: 32093286
JMIR Hum Factors. 2021 Jul 27;8(3):e24927
pubmed: 34313596
J Med Syst. 2021 Jan 28;45(3):30
pubmed: 33511485
J Assoc Physicians India. 2000 Aug;48(8):771-5
pubmed: 11273467
Gesundheitswesen. 2021 Jul;83(7):531-537
pubmed: 32413911
Am Fam Physician. 2015 Jul 15;92(2):118-24
pubmed: 26176370
JMIR Hum Factors. 2020 Jul 10;7(3):e19713
pubmed: 32540836
BMC Health Serv Res. 2021 Jul 30;21(1):755
pubmed: 34330279
J Intern Med. 2016 Sep;280(3):287-99
pubmed: 27071980
BMJ Open. 2020 Jan 21;10(1):e031871
pubmed: 31969363
Br Med J. 1975 May 31;2(5969):486-9
pubmed: 1148666