Facilitating the adoption of digital technologies by the elderly.

This study examined the major criteria needed to facilitate the adoption of a technology that aims to support elderly autonomy. A User Centered Design process was instigated to design a digital tablet-based application. The two first stages consisted of a literature review and two focus groups that aimed respectively: to specify interaction principles, and to define the needs and expectations of the elderly and collect their feedback on the application's usability. The results show that to be accepted the technology has to provide relevant and useful information on nearby services, aids and social activities. It also has to facilitate the controlled sharing of information and the communication with close family/relations, and residential home and external services to both empower the elderly and counter loneliness. A summative evaluation will be organised after taking into account the current guidelines to further validate the usability of the application with elderly people.

Improving access to clinical practice guidelines with an interactive graphical interface using an iconic language.

BACKGROUND: Clinical practice guidelines are useful for physicians, and guidelines are available on the Internet from various websites such as Vidal Recos. However, these guidelines are long and difficult to read, especially during consultation. Similar difficulties have been encountered with drug summaries of product characteristics. In a previous work, we have proposed an iconic language (called VCM, for Visualization of Concepts in Medicine) for representing patient conditions, treatments and laboratory tests, and we have used these icons to design a user interface that graphically indexes summaries of product characteristics. In the current study, our objective was to design and evaluate an iconic user interface for the consultation of clinical practice guidelines by physicians. METHODS: Focus groups of physicians were set up to identify the difficulties encountered when reading guidelines. Icons were integrated into Vidal Recos, taking human factors into account. The resulting interface includes a graphical summary and an iconic indexation of the guideline. The new interface was evaluated. We compared the response times and the number of errors recorded when physicians answered questions about two clinical scenarios using the interactive iconic interface or a textual interface. Users' perceived usability was evaluated with the System Usability Scale. RESULTS: The main difficulties encountered by physicians when reading guidelines were obtaining an overview and finding recommendations for patients corresponding to "particular cases". We designed a graphical interface for guideline consultation, using icons to identify particular cases and providing a graphical summary of the icons organized by anatomy and etiology. The evaluation showed that physicians gave clinical responses more rapidly with the iconic interface than the textual interface (25.2 seconds versus 45.6, p < 0.05). The physicians appreciated the new interface, and the System Usability Scale score value was 75 (between good and excellent). CONCLUSION: An interactive iconic interface can provide physicians with an overview of clinical practice guidelines, and can decrease the time required to access the content of such guidelines.

Perceived usefulness of a usability issues reporting form to help understand "usability-induced use-errors": a preliminary study.

The Medical Device regulation requires manufacturers to anticipate and prevent risks of use errors of their medical device. However, manufacturers experience difficulties to understand the concept of "usability-induced use-errors". Based on a "usability framework" aiming at describing the relationship between usability design principles, usability flaws, usage problems, and outcomes, a usability evaluation reporting form had been designed to support understanding the use-error concept. This paper reports the preliminary evaluation of the perceived usefulness of this form. Results show that manufacturers found helpful the presentation of the results of a usability evaluation through this form for it supports the understanding of the usability origins and the consequences of use-errors. Even if the use of this reporting form should be made easier as usability experts experience difficulties to fill it, it seems a promising way to clearly present "usability-induced use-errors" to manufacturers.

Design and usability study of an iconic user interface to ease information retrieval of medical guidelines.

BACKGROUND AND OBJECTIVE: Doc'CISMeF (DC) is a semantic search engine used to find resources in CISMeF-BP, a quality controlled health gateway, which gathers guidelines available on the internet in French. Visualization of Concepts in Medicine (VCM) is an iconic language that may ease information retrieval tasks. This study aimed to describe the creation and evaluation of an interface integrating VCM in DC in order to make this search engine much easier to use. METHODS: Focus groups were organized to suggest ways to enhance information retrieval tasks using VCM in DC. A VCM interface was created and improved using the ergonomic evaluation approach. 20 physicians were recruited to compare the VCM interface with the non-VCM one. Each evaluator answered two different clinical scenarios in each interface. The ability and time taken to select a relevant resource were recorded and compared. A usability analysis was performed using the System Usability Scale (SUS). RESULTS: The VCM interface contains a filter based on icons, and icons describing each resource according to focus group recommendations. Some ergonomic issues were resolved before evaluation. Use of VCM significantly increased the success of information retrieval tasks (OR=11; 95% CI 1.4 to 507). Nonetheless, it took significantly more time to find a relevant resource with VCM interface (101 vs 65 s; p=0.02). SUS revealed 'good' usability with an average score of 74/100. CONCLUSIONS: VCM was successfully implemented in DC as an option. It increased the success rate of information retrieval tasks, despite requiring slightly more time, and was well accepted by end-users.

Impact of the context of use analysis for the extension of an existing medical device: an analgesia monitor case study.

The EU revised Medical Device Directive introduces a major change in the CE marking of medical devices (MD) aiming at improving their safety. Manufacturers must now comply with an "ergonomics" essential requirement to prevent risks of use errors. This requirement is characterized by the integration of a usability engineering process in the MD design cycle to be documented in a usability engineering file. This study focuses on the first step of the usability engineering process, i.e. the analysis of the intended context of use of the MD, and shows the benefits of this analysis when performed early in the MD design cycle. Usability experts have conducted an analysis of the intended contexts of use for the extension of an existing device (analgesia monitor) in order to support manufacturer's design choices. Observations and interviews were carried out in two neonatology units (Maternity and Neonatology Intensive Care units) with a particular focus on pain management activities performed by physicians and nursery nurses. The results highlight irreducible differences between the two environments which led to identify different risks of use errors and specific ergonomics requirements. The results provided the manufacturer enough information to make informed decision about the extension of the device.