Development and Usability Testing of a Web-based COVID-19 Self-triage Platform.
Identifieur interne : 000668 ( Main/Exploration ); précédent : 000667; suivant : 000669Development and Usability Testing of a Web-based COVID-19 Self-triage Platform.
Auteurs : Justin D. Schrager [Géorgie (pays)] ; Keke Schuler [États-Unis] ; Alexander P. Isakov [Géorgie (pays)] ; David W. Wright [Géorgie (pays)] ; Anna Q. Yaffee [Géorgie (pays)] ; Kara L. Jacobson [Géorgie (pays)] ; Ruth M. Parker [Géorgie (pays)] ; Craig Goolsby [États-Unis]Source :
- The western journal of emergency medicine [ 1936-9018 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Autosoins (méthodes), Betacoronavirus (MeSH), Compréhension (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (diagnostic), Infections à coronavirus (thérapie), Interface utilisateur (MeSH), Internet (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (diagnostic), Pneumopathie virale (thérapie), Rappel mnésique (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Triage (méthodes), Études de faisabilité (MeSH), Études transversales (MeSH).
- MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- méthodes : Autosoins, Triage.
- thérapie : Infections à coronavirus, Pneumopathie virale.
- Adulte, Adulte d'âge moyen, Betacoronavirus, Compréhension, Femelle, Humains, Interface utilisateur, Internet, Jeune adulte, Mâle, Pandémies, Rappel mnésique, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de faisabilité, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Comprehension (MeSH), Coronavirus Infections (diagnosis), Coronavirus Infections (therapy), Cross-Sectional Studies (MeSH), Feasibility Studies (MeSH), Female (MeSH), Humans (MeSH), Internet (MeSH), Male (MeSH), Mental Recall (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (diagnosis), Pneumonia, Viral (therapy), Self Care (methods), Triage (methods), User-Computer Interface (MeSH), Young Adult (MeSH).
- MESH :
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- methods : Self Care, Triage.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- Adult, Aged, Aged, 80 and over, Betacoronavirus, Comprehension, Cross-Sectional Studies, Feasibility Studies, Female, Humans, Internet, Male, Mental Recall, Middle Aged, Pandemics, User-Computer Interface, Young Adult.
Abstract
INTRODUCTION
The development and deployment of a web-based, self-triage tool for severe respiratory syndrome coronavirus 2 (COVID-19 disease) aimed at preventing surges in healthcare utilization could provide easily understandable health guidance with the goal of mitigating unnecessary emergency department (ED) and healthcare visits. We describe the iterative development and usability testing of such a tool. We hypothesized that adult users could understand and recall the recommendations provided by a COVID-19 web-based, self-triage tool.
METHODS
We convened a multidisciplinary panel of medical experts at two academic medical schools in an iterative redesign process of a previously validated web-based, epidemic screening tool for the current COVID-19 pandemic. We then conducted a cross-sectional usability study over a 24-hour period among faculty, staff, and students at the two participating universities. Participants were randomly assigned a pre-written health script to enter into the self-triage website for testing. The primary outcome was immediate recall of website recommendations. Secondary outcomes included usability measures. We stratified outcomes by demographic characteristics.
RESULTS
A final sample of 877 participants (mean age, 32 years [range, 19-84 years]; 65.3% female) was used in the analysis. We found that 79.4% of the participants accurately recalled the recommendations provided by the website. Almost all participants (96.9%) found the website easy to use and navigate.
CONCLUSION
Adult users of a COVID-19 self-triage website, recruited from an academic setting, were able to successfully recall self-care instructions from the website and found it user-friendly. This website appears to be a feasible way to provide evidence-based health guidance to adult patients during a pandemic. Website guidance could be used to reduce unnecessary ED and healthcare visits.
DOI: 10.5811/westjem.2020.7.48217
PubMed: 32970554
PubMed Central: PMC7514387
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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We describe the iterative development and usability testing of such a tool. We hypothesized that adult users could understand and recall the recommendations provided by a COVID-19 web-based, self-triage tool.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We convened a multidisciplinary panel of medical experts at two academic medical schools in an iterative redesign process of a previously validated web-based, epidemic screening tool for the current COVID-19 pandemic. We then conducted a cross-sectional usability study over a 24-hour period among faculty, staff, and students at the two participating universities. Participants were randomly assigned a pre-written health script to enter into the self-triage website for testing. The primary outcome was immediate recall of website recommendations. Secondary outcomes included usability measures. We stratified outcomes by demographic characteristics.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A final sample of 877 participants (mean age, 32 years [range, 19-84 years]; 65.3% female) was used in the analysis. We found that 79.4% of the participants accurately recalled the recommendations provided by the website. Almost all participants (96.9%) found the website easy to use and navigate.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Adult users of a COVID-19 self-triage website, recruited from an academic setting, were able to successfully recall self-care instructions from the website and found it user-friendly. This website appears to be a feasible way to provide evidence-based health guidance to adult patients during a pandemic. Website guidance could be used to reduce unnecessary ED and healthcare visits.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32970554</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>02</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>09</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1936-9018</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>5</Issue><PubDate><Year>2020</Year><Month>Aug</Month><Day>19</Day></PubDate></JournalIssue><Title>The western journal of emergency medicine</Title><ISOAbbreviation>West J Emerg Med</ISOAbbreviation></Journal><ArticleTitle>Development and Usability Testing of a Web-based COVID-19 Self-triage Platform.</ArticleTitle><Pagination><MedlinePgn>1054-1058</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5811/westjem.2020.7.48217</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The development and deployment of a web-based, self-triage tool for severe respiratory syndrome coronavirus 2 (COVID-19 disease) aimed at preventing surges in healthcare utilization could provide easily understandable health guidance with the goal of mitigating unnecessary emergency department (ED) and healthcare visits. We describe the iterative development and usability testing of such a tool. We hypothesized that adult users could understand and recall the recommendations provided by a COVID-19 web-based, self-triage tool.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We convened a multidisciplinary panel of medical experts at two academic medical schools in an iterative redesign process of a previously validated web-based, epidemic screening tool for the current COVID-19 pandemic. We then conducted a cross-sectional usability study over a 24-hour period among faculty, staff, and students at the two participating universities. Participants were randomly assigned a pre-written health script to enter into the self-triage website for testing. The primary outcome was immediate recall of website recommendations. Secondary outcomes included usability measures. We stratified outcomes by demographic characteristics.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A final sample of 877 participants (mean age, 32 years [range, 19-84 years]; 65.3% female) was used in the analysis. We found that 79.4% of the participants accurately recalled the recommendations provided by the website. Almost all participants (96.9%) found the website easy to use and navigate.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Adult users of a COVID-19 self-triage website, recruited from an academic setting, were able to successfully recall self-care instructions from the website and found it user-friendly. This website appears to be a feasible way to provide evidence-based health guidance to adult patients during a pandemic. Website guidance could be used to reduce unnecessary ED and healthcare visits.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schrager</LastName><ForeName>Justin D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schuler</LastName><ForeName>Keke</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>National Center for Disaster Medicine and Public Health, Department, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Isakov</LastName><ForeName>Alexander P</ForeName><Initials>AP</Initials><AffiliationInfo><Affiliation>Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wright</LastName><ForeName>David W</ForeName><Initials>DW</Initials><AffiliationInfo><Affiliation>Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yaffee</LastName><ForeName>Anna Q</ForeName><Initials>AQ</Initials><AffiliationInfo><Affiliation>Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jacobson</LastName><ForeName>Kara L</ForeName><Initials>KL</Initials><AffiliationInfo><Affiliation>Rollins School of Public Health, Department of Health Policy and Management, Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parker</LastName><ForeName>Ruth M</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goolsby</LastName><ForeName>Craig</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Uniformed Services University of the Health Sciences, Department of Military and Emergency Medicine, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>West J Emerg Med</MedlineTA><NlmUniqueID>101476450</NlmUniqueID><ISSNLinking>1936-900X</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D032882" MajorTopicYN="N">Comprehension</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020407" MajorTopicYN="Y">Internet</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011939" MajorTopicYN="N">Mental Recall</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014218" MajorTopicYN="N">Triage</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014584" MajorTopicYN="N">User-Computer Interface</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>24</Day><Hour>17</Hour><Minute>13</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32970554</ArticleId><ArticleId IdType="pii">westjem.2020.7.48217</ArticleId><ArticleId IdType="doi">10.5811/westjem.2020.7.48217</ArticleId><ArticleId IdType="pmc">PMC7514387</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Emerg Med Pract. 2020 May 01;22(5):1-28</Citation><ArticleIdList><ArticleId IdType="pubmed">32207910</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ. 2020 Mar 20;368:m1117</Citation><ArticleIdList><ArticleId IdType="pubmed">32198166</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Apr 30;382(18):1679-1681</Citation><ArticleIdList><ArticleId IdType="pubmed">32160451</ArticleId></ArticleIdList></Reference><Reference><Citation>Ann Emerg Med. 2010 Sep;56(3):288-294.e6</Citation><ArticleIdList><ArticleId IdType="pubmed">20605260</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ. 2020 Mar 12;368:m998</Citation><ArticleIdList><ArticleId IdType="pubmed">32165352</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Géorgie (pays)</li><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><country name="Géorgie (pays)"><noRegion><name sortKey="Schrager, Justin D" sort="Schrager, Justin D" uniqKey="Schrager J" first="Justin D" last="Schrager">Justin D. Schrager</name></noRegion><name sortKey="Isakov, Alexander P" sort="Isakov, Alexander P" uniqKey="Isakov A" first="Alexander P" last="Isakov">Alexander P. Isakov</name><name sortKey="Jacobson, Kara L" sort="Jacobson, Kara L" uniqKey="Jacobson K" first="Kara L" last="Jacobson">Kara L. Jacobson</name><name sortKey="Parker, Ruth M" sort="Parker, Ruth M" uniqKey="Parker R" first="Ruth M" last="Parker">Ruth M. Parker</name><name sortKey="Wright, David W" sort="Wright, David W" uniqKey="Wright D" first="David W" last="Wright">David W. Wright</name><name sortKey="Yaffee, Anna Q" sort="Yaffee, Anna Q" uniqKey="Yaffee A" first="Anna Q" last="Yaffee">Anna Q. Yaffee</name></country><country name="États-Unis"><region name="Maryland"><name sortKey="Schuler, Keke" sort="Schuler, Keke" uniqKey="Schuler K" first="Keke" last="Schuler">Keke Schuler</name></region><name sortKey="Goolsby, Craig" sort="Goolsby, Craig" uniqKey="Goolsby C" first="Craig" last="Goolsby">Craig Goolsby</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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