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Know thy eHealth user: Development of biopsychosocial personas from a study of older adults with heart failure.

ABSTRACT: BACKGROUND:Personas are a canonical user-centered design method increasingly used in health informatics research. Personas-empirically-derived user archetypes-can be used by eHealth designers to gain a robust understanding of their target end users such as patients. OBJECTIVE:To develop biopsychosocial personas of older patients with heart failure using quantitative analysis of survey data. METHOD:Data were collected using standardized surveys and medical record abstraction from 32 older adults with heart failure recently hospitalized for acute heart failure exacerbation. Hierarchical cluster analysis was performed on a final dataset of n=30. Nonparametric analyses were used to identify differences between clusters on 30 clustering variables and seven outcome variables. RESULTS:Six clusters were produced, ranging in size from two to eight patients per cluster. Clusters differed significantly on these biopsychosocial domains and subdomains: demographics (age, sex); medical status (comorbid diabetes); functional status (exhaustion, household work ability, hygiene care ability, physical ability); psychological status (depression, health literacy, numeracy); technology (Internet availability); healthcare system (visit by home healthcare, trust in providers); social context (informal caregiver support, cohabitation, marital status); and economic context (employment status). Tabular and narrative persona descriptions provide an easy reference guide for informatics designers. DISCUSSION:Personas development using approaches such as clustering of structured survey data is an important tool for health informatics professionals. We describe insights from our study of patients with heart failure, then recommend a generic ten-step personas development process. Methods strengths and limitations of the study and of personas development generally are discussed.

SUBMITTER: Holden RJ

PROVIDER: S-EPMC5793874 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Know thy eHealth user: Development of biopsychosocial personas from a study of older adults with heart failure.

Holden Richard J RJ Kulanthaivel Anand A Purkayastha Saptarshi S Goggins Kathryn M KM Kripalani Sunil S

International journal of medical informatics 20171009

<h4>Background</h4>Personas are a canonical user-centered design method increasingly used in health informatics research. Personas-empirically-derived user archetypes-can be used by eHealth designers to gain a robust understanding of their target end users such as patients.<h4>Objective</h4>To develop biopsychosocial personas of older patients with heart failure using quantitative analysis of survey data.<h4>Method</h4>Data were collected using standardized surveys and medical record abstraction ...[more]

PMID: 29132622

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Project description:PurposeThe successful design and innovation of eHealth solutions directly involve end users in the process to seek a better understanding of their needs. This article presents user-innovated eHealth solutions targeting older persons with hearing impairment. Our research question was: What are the key users' needs, expectations, and visions within future hearing rehabilitation service delivery?MethodWe applied a participatory design approach to facilitate the design of future eHealth solutions via focus groups. We involved older persons with hearing impairment (n = 36), significant others (n = 10), and audiologists (n = 8) following 2 methods: (a) human-centered design for interactive systems and (b) user innovation management. Through 3 rounds of focus groups, we facilitated a process progressing from insights and visions for requirements (Phase 1), to app such as paper version wireframes (Phase 2), and to digital prototypes envisioning future eHealth solutions (Phase 3). Each focus group was video-recorded and photographed, resulting in a rich data set that was analyzed through inductive thematic analysis.ResultsThe results are presented via (a) a storyboard envisioning future client journeys, (b) 3 key themes for future eHealth solutions, (c) 4 levels of interest and willingness to invest time and effort in digital solutions, and (d) 2 technical savviness types and their different preferences for rehabilitation strategies.ConclusionsFuture eHealth solutions must offer personalized rehabilitation strategies that are appropriate for every person with hearing impairment and their level of technical savviness. Thus, a central requirement is anchoring of digital support in the clients' everyday life situations by facilitating easy access to personalized information, communication, and learning milieus. Moreover, the participants' visions for eHealth solutions call for providing both traditional analogue and digital services.Supplemental materialhttps://doi.org/10.23641/asha.7310729.

Dataset Information

Know thy eHealth user: Development of biopsychosocial personas from a study of older adults with heart failure.

Publications

Know thy eHealth user: Development of biopsychosocial personas from a study of older adults with heart failure.

Similar Datasets

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