A Multi-step Usability Evaluation of a Self-Management App to Support Medication Adherence in Persons Living with HIV.

Purpose: Adherence to antiretroviral therapy is essential to HIV management and sustaining viral suppression. Despite simplified regimens, adherence remains difficult for certain persons living with HIV (PLWH). There is evidence to support the use of mHealth apps for effective self-management in PLW...

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Publicado en:International Journal of Medical Informatics Vol. 122; pp. 37 - 45
Autores principales: Beauchemin, Melissa, Gradilla, Melissa, Baik, Dawon, Cho, Hwayoung, Schnall, Rebecca
Formato: research Journal Article
Publicado: Elsevier B.V. Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
      vid: 122
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.ijmedinf.2018.11.012
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        atl: A Multi-step Usability Evaluation of a Self-Management App to Support Medication Adherence in Persons Living with HIV.
      aug:
        au:
          Beauchemin, Melissa
          Gradilla, Melissa
          Baik, Dawon
          Cho, Hwayoung
          Schnall, Rebecca
        affil: School of Nursing, Columbia University, New York, NY, 10032, United States
      sug:
        subj:
          HIV Infections Drug Therapy
          Telemedicine Statistics and Numerical Data
          Mobile Applications
          Human Immunodeficiency Virus Drug Effects
          Medication Compliance
          Female
          Aged
          Human
          Male
          Middle Age
          Adult
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: Purpose: Adherence to antiretroviral therapy is essential to HIV management and sustaining viral suppression. Despite simplified regimens, adherence remains difficult for certain persons living with HIV (PLWH). There is evidence to support the use of mHealth apps for effective self-management in PLWH; however, a medication adherence app with real-time monitoring for this population has not been developed and rigorously evaluated by PLWH. We developed a mHealth app (WiseApp) for HIV self-management to help PLWH self-manage their health. The purpose of this study was to evaluate the usability of the WiseApp.Methods: We conducted a three-step usability evaluation using 1) a traditional think-aloud protocol with end-users, 2) a heuristic evaluation with experts in informatics, and 3) a cognitive walkthrough with end-users. During the cognitive walkthrough, we tested two devices (fitness tracker and medication tracking bottle) that were linked to the WiseApp.Results: The think-aloud protocol informed iterative updates to the app, specifically to make it easier to see different sections of the app. The heuristic evaluation confirmed the necessity of these design changes. The cognitive walkthrough informed additional updates and confirmed that overall, the app and the linked devices were usable for the end-users.Conclusion: The results of the cognitive walkthrough with both experts and end-users informed iterative refinements to the WiseApp and finalization of a mHealth app for PLWH to better self-manage their health.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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