Patient self care 1
Track 18
| Sunday, October 29, 2023 |
| 2:00 PM - 3:15 PM |
| Meeting Room C4.10 |
Speaker
Mr Juan Antonio Lopez Rodriguez
Semfyc
Usability study of a technological tool aimed at self-care in patients with multimorbidity.
2:00 PM - 2:15 PMSummary
Aim: To analyse the effectiveness, efficiency and satisfaction in usability of a technological tool dedicated to health and self-care in patients with multimorbidity in primary care.
Material and methods: Cross-sectional observational descriptive study of usability within the framework of the clinical trial in Primary Care in Madrid of the TeNDER project (NCT05681065). Patients over 60 years of age with one or more chronic diseases were included. The main study variable was usability effectiveness which was determined as the degree of completion and the total number of errors per task. Five tasks based on real case scenarios were evaluated. Sociodemographic variables and technology affinity and satisfaction were collected. Descriptive analysis was performed and factors associated with task completion were estimated using a logistic regression model.
Results
12% (30/250) of the included patients agreed to participate in the usability study. The usability effectiveness was 89.3% (134/150 tasks completed). 66.7% of patients (20/30) completed all tasks and 56.7% (17/30) required personalised help on at least one of the tasks. In multivariate analysis educational level acted as a facilitating factor (OR 1.79 (0.47 - 6.83)) for independent task completion. The median time to complete all tasks was 296 seconds (RIQ 210-397) and the median satisfaction was 55 (RIQ 45-62.5) out of 100.
Conclusion: Task-based usability effectiveness was high. The moderate usability satisfaction scores and the dispersion of usability efficiency scores suggest that other factors may be interfering. No association has been described between multimorbidity and the usability results of this technological tool.
Material and methods: Cross-sectional observational descriptive study of usability within the framework of the clinical trial in Primary Care in Madrid of the TeNDER project (NCT05681065). Patients over 60 years of age with one or more chronic diseases were included. The main study variable was usability effectiveness which was determined as the degree of completion and the total number of errors per task. Five tasks based on real case scenarios were evaluated. Sociodemographic variables and technology affinity and satisfaction were collected. Descriptive analysis was performed and factors associated with task completion were estimated using a logistic regression model.
Results
12% (30/250) of the included patients agreed to participate in the usability study. The usability effectiveness was 89.3% (134/150 tasks completed). 66.7% of patients (20/30) completed all tasks and 56.7% (17/30) required personalised help on at least one of the tasks. In multivariate analysis educational level acted as a facilitating factor (OR 1.79 (0.47 - 6.83)) for independent task completion. The median time to complete all tasks was 296 seconds (RIQ 210-397) and the median satisfaction was 55 (RIQ 45-62.5) out of 100.
Conclusion: Task-based usability effectiveness was high. The moderate usability satisfaction scores and the dispersion of usability efficiency scores suggest that other factors may be interfering. No association has been described between multimorbidity and the usability results of this technological tool.
Takeaways
1. The interaction between patient and technology, called usability, is particularly important for achieving positive health outcomes.
2. Usability could be affected by the specific characteristics of patients with chronic diseases, including multimorbidity.
3.The educational level could act as a facilitating factor to complete the task in an independently manner.
2. Usability could be affected by the specific characteristics of patients with chronic diseases, including multimorbidity.
3.The educational level could act as a facilitating factor to complete the task in an independently manner.
Biography
Currently I work combining clinical care work as a Specialist in Family and Community Medicine at the General Ricardos Health Center in the center of Madrid with research work as a Contract Researcher for the Foundation for Biomedical Research and Innovation in Primary Care in the Research Unit of the Primary Care Management in charge of a project of a RICORS Network (RICAPPS) focused on the study of health services in chronic diseases.
During 2017 I received my PhD in Medicine from the Complutense University of Madrid with a thesis on screening for mental health problems with three publications with impact factor published in 2018 (FI 5,475, Q1). Since then, I participate in several national competitive concurrence projects (PI14/00477, PI15/00572, PI18/01515) focused on the study of Multimorbidity and computerized decision support systems for professionals.
At the same time I have been working as Associate Professor for seven years at the Universidad Rey Juan Carlos with teaching activity in the degrees of Physiotherapy, Medicine, Master of Epidemiology and Public Health and as part of the International Doctoral School in which I co-directed my first thesis in progress, with the first one defended in 2021.
I have participated as a member of the scientific committee in the congress of Family and Community Medicine held in Madrid in 2017 and the VI Jornada de Urgencias semFyC 2020.
I participate as Academic Editor of the journal PLOS ONE, Review Editor of the journal Frontiers in Health Services (Mental Health https://loop.frontiersin.org/people/1950284/overview) as a member of the Editorial Board of the Journal of Multimorbidity and Comorbidity
(https://journals.sagepub.com/editorial-board/COB)
A/Prof Katrina Anderson
Australian National University
Self-Care and Self-Management. Enabling doctors to assist patients to be agents rather than recipients of health care
2:20 PM - 3:15 PMSummary
In medical training there has long been a tension between the doctor centred model in which the doctor is expert and the patient centred model in which the patient is the one who knows best how to manage their care based on advice. Modern technology and access to information has transformed the ability of patients to access latest evidence and to make their own judgments on what is best for them. Patients generally are wanting to have more say, more control and responsibility for their health. Orienting the institutional health lens towards patients as agents rather than recipients of health care is a resource-efficient and people-centred approach that is crucial in many settings.
In Australia, health staff shortages exacerbated by the Covid Pandemic has brought into sharp relief the need for primary care doctors to support self-care for their patients. As defined by WHO, self-care is the ability of individuals, families, and communities to promote health, prevent disease, maintain health, and to cope with illness and disability. Primary care is the ideal place for health professionals to support the self-care of individuals who may engage in a range of self-management activities and to continue to enhance the self-efficacy of individuals to manage their health pro-actively. The World Health Organization is developing new competencies for health workers to support and enhance the self-care of their patients.
This interactive session will explore the concepts of Self-care and Self-management and consider the challenges for patients and doctors navigating the complex world of medical information and technology. What training is required for GP and primary care practitioners to enable them to support patient self-care and thereby reduce the need for direct clinical care in stretched health system?
In Australia, health staff shortages exacerbated by the Covid Pandemic has brought into sharp relief the need for primary care doctors to support self-care for their patients. As defined by WHO, self-care is the ability of individuals, families, and communities to promote health, prevent disease, maintain health, and to cope with illness and disability. Primary care is the ideal place for health professionals to support the self-care of individuals who may engage in a range of self-management activities and to continue to enhance the self-efficacy of individuals to manage their health pro-actively. The World Health Organization is developing new competencies for health workers to support and enhance the self-care of their patients.
This interactive session will explore the concepts of Self-care and Self-management and consider the challenges for patients and doctors navigating the complex world of medical information and technology. What training is required for GP and primary care practitioners to enable them to support patient self-care and thereby reduce the need for direct clinical care in stretched health system?
Takeaways
Discuss the strengths and challenges for patients in self-management activities.
Identify how technology can support and challenge patients in their self care.
Identify the key skills and attributes that are required in doctors supporting self-care in patients.
Identify how technology can support and challenge patients in their self care.
Identify the key skills and attributes that are required in doctors supporting self-care in patients.
Biography
Katrina Anderson is a general practitioner, academic and educator who cares passionately about patient centred wholistic health care and improving health outcomes for vulnerable and disadvantaged patients. She is Associate Professor, General Practice, Australian National University Medical School and Medical Education Adviser , Canberra Region Medical Education Council and has been an educator of medical students, junior doctors and GP registrars for over 30 years. In 2018 she was awarded the RACGP NSW & ACT GP of the Year and in 2017 she was awarded an Australian University Teaching award. She has published 18 peer reviewed papers as well as two books focused on supporting GPs to build learning communities within primary care. Katrina works with refugees and asylum seekers and has a specific interest in how psychological and emotional experiences interface with the physical and how people manage stress and anxiety under a variety of different circumstances.
