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| Id | 580 | |
| Author | Lipson-Smith R., White F., White A., Serong L., Cooper G., Price-Bell G., Hyatt A. | |
| Title | Co-design of a consultation audio-recording mobile app for people with cancer: The secondears app | |
| Reference | Lipson-Smith R., White F., White A., Serong L., Cooper G., Price-Bell G., Hyatt A.; Co-design of a consultation audio-recording mobile app for people with cancer: The secondears app ;JMIR Formative Research vol:3 issue: 1.0 page: |
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| Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85096872846&doi=10.2196%2f11111&partnerID=40&md5=34e41cbc60c1f666da39f363500e50ec |
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| Abstract | Background: Many patients choose to audio-record their medical consultations so that they can relisten to them at home and share them with family. Consultation audio-recordings can improve patients recall and understanding of medical information and increase their involvement in decision making. A hospital-endorsed consultation audio-recording mobile app would provide patients with the permission and means to audio-record their consultations. The Theory of Planned Behavior provides a framework for understanding how patients can be encouraged to appropriately audio-record consultations. Objective: The aim of this study was to use a co-design process to develop a consultation audio-recording mobile app called SecondEars. Methods: App development began with stakeholder engagement, followed by a series of 6 co-design workshops and then user acceptance testing. Stakeholder engagement included advice from legal, information technology (IT), clinical and allied health leads; digital strategy; and medical records. he co-design workshops were attended by: Patient consumers, members of the research team, IT staff, the app designers, clinicians, and staff from medical records. During workshops 1 to 4, the purpose and scope of the app were refined, possible pitfalls were addressed, and design features were discussed. The app designers then incorporated the results from these workshops to produce a wireframe mock-up of the proposed SecondEars app, which was presented for feedback at workshops 5 and 6. Results: The stakeholders identified 6 requirements for the app, including that it be patient driven, secure, clear in terms of legal responsibilities, linked to the patients medical record, and that it should require minimal upfront and ongoing resources. These requirements informed the scope of the co-design workshops. The workshops were attended by between 4 and 13 people. The workshop attendees developed a list of required features and suggestions for user interface design. The app developers used these requirements and recommendations to develop a prototype of the SecondEars app in iOS, which was then refined through user acceptance testing. Conclusions: The SecondEars app allows patients to have control and autonomy over audio-recording and sharing their consultations while maintaining privacy and safety for medical information and legal protection for clinicians. The app has been designed to have low upkeep and minimal impact on clinical processes. The SecondEars prototype is currently being tested with patients in a clinical setting. © 2020 JMIR Formative Research. All rights reserved. |
Co-design of a consultation audio-recording mobile app for people with cancer: The secondears app. The aim of this study was to use experience-based co-design to design a consultation audio-recording mobile app called SecondEars that utilizes this patient-identified solution while working to meet the implementation requirements identified by clinicians and hospital administrators. This method allowed the attendees to reach a common understanding of the scope of the project and the relative importance of each of the functions that were listed during workshops to. Future studies could also choose to repeat workshops to provide more opportunities for consumers to be involved. The pragmatic choices made in this project will allow the app to be piloted in a clinical setting before significant investment is made to integrate it with the medical record.
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