Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians

Objective: We evaluated the usability and acceptability of My-Hip Fracture (My-HF), a web application that assists providers in delivering individualized prognostic information to patients hospitalized for hip fracture (HF). Methods: We observed a sample of 16 clinicians as they navigated My-HF. We...

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Main Authors: Erin L. Hommel, James P. Flaherty, Caitlin R. Aguirre, Amber S. McIlwain, Monique R. Pappadis, Pete Wegier, Peter Cram
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:PEC Innovation
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772628224001080
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author Erin L. Hommel
James P. Flaherty
Caitlin R. Aguirre
Amber S. McIlwain
Monique R. Pappadis
Pete Wegier
Peter Cram
author_facet Erin L. Hommel
James P. Flaherty
Caitlin R. Aguirre
Amber S. McIlwain
Monique R. Pappadis
Pete Wegier
Peter Cram
author_sort Erin L. Hommel
collection DOAJ
description Objective: We evaluated the usability and acceptability of My-Hip Fracture (My-HF), a web application that assists providers in delivering individualized prognostic information to patients hospitalized for hip fracture (HF). Methods: We observed a sample of 16 clinicians as they navigated My-HF. We then administered a structured questionnaire and conducted semi-structured interviews to explore participants' opinions about the app's content and the feasibility of incorporating the app into clinical workflows. Results: Clinicians required a median of 2-min and 45 s to navigate through the app. Nearly all participants indicated that My-HF was easy to use and would be useful for their practice. About half of participants had suggestions for additional useful peri-operative content. A few expressed concerns about communicating mortality risk. About half expressed concerns about how My-HF might be integrated into existing clinical workflows. Conclusions: Though clinicians rated My-HF high on usefulness in a structured usability questionnaire, qualitative interviews identified a number of suggestions for optimizing integration into clinical practice. Creating shared goals, establishing a decision coach, and developing a framework of communication across care settings could facilitate integration of My-HF by the multidisciplinary HF team. Innovation: My-Hip Fracture is a unique web application which provides personalized prognostic information to patients and families after HF. My-HF has potential to facilitate informed decision-making between clinicians and patients, but adaptations will be necessary to enhance its usability.
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spelling doaj-art-ee51ef5ca86043b992207b34d6a456e92024-12-14T06:34:28ZengElsevierPEC Innovation2772-62822024-12-015100360Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic cliniciansErin L. Hommel0James P. Flaherty1Caitlin R. Aguirre2Amber S. McIlwain3Monique R. Pappadis4Pete Wegier5Peter Cram6School of Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA; Corresponding author.School of Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USASchool of Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA; School of Public and Population Health, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USASealy Center on Aging, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USASchool of Public and Population Health, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USAInstitute of Health Policy, Management and Evaluation, The University of Toronto, 155 College St 4th Floor, Toronto, ON M5T 3M6, Canada; Department of Family and Community Medicine, The University of Toronto, 500 University Avenue, Toronto, ON M5G 1V7, Canada; Humber River Health Research Institute, 200 Church Street, Toronto, ON M9N 1N8, CanadaInstitute of Health Policy, Management and Evaluation, The University of Toronto, 155 College St 4th Floor, Toronto, ON M5T 3M6, Canada; School of Medicine, University of Maryland, 655 West Baltimore St, Baltimore, MD 21201, USAObjective: We evaluated the usability and acceptability of My-Hip Fracture (My-HF), a web application that assists providers in delivering individualized prognostic information to patients hospitalized for hip fracture (HF). Methods: We observed a sample of 16 clinicians as they navigated My-HF. We then administered a structured questionnaire and conducted semi-structured interviews to explore participants' opinions about the app's content and the feasibility of incorporating the app into clinical workflows. Results: Clinicians required a median of 2-min and 45 s to navigate through the app. Nearly all participants indicated that My-HF was easy to use and would be useful for their practice. About half of participants had suggestions for additional useful peri-operative content. A few expressed concerns about communicating mortality risk. About half expressed concerns about how My-HF might be integrated into existing clinical workflows. Conclusions: Though clinicians rated My-HF high on usefulness in a structured usability questionnaire, qualitative interviews identified a number of suggestions for optimizing integration into clinical practice. Creating shared goals, establishing a decision coach, and developing a framework of communication across care settings could facilitate integration of My-HF by the multidisciplinary HF team. Innovation: My-Hip Fracture is a unique web application which provides personalized prognostic information to patients and families after HF. My-HF has potential to facilitate informed decision-making between clinicians and patients, but adaptations will be necessary to enhance its usability.http://www.sciencedirect.com/science/article/pii/S2772628224001080Hip fracturePrognosisRisk communicationElectronic health
spellingShingle Erin L. Hommel
James P. Flaherty
Caitlin R. Aguirre
Amber S. McIlwain
Monique R. Pappadis
Pete Wegier
Peter Cram
Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians
PEC Innovation
Hip fracture
Prognosis
Risk communication
Electronic health
title Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians
title_full Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians
title_fullStr Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians
title_full_unstemmed Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians
title_short Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians
title_sort perceived usability and acceptability of the my hip fracture risk communication tool from the perspective of academic clinicians
topic Hip fracture
Prognosis
Risk communication
Electronic health
url http://www.sciencedirect.com/science/article/pii/S2772628224001080
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