ArticleHealth policy and technology2015
Medication-related cognitive artifacts used by older adults with heart failure.
Article in Health policy and technology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Caregivers' Contributions to Heart Failure Self-care: An Updated Systematic Review.The Journal of cardiovascular nursingPooled it
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- Analysis of Publications on Health Information Management Using the Science Mapping Method: A Holistic Perspective.Healthcare (Basel, Switzerland) · 2024Article
- A Description of Personal Health Information Management Work With a Spotlight on the Practices of Older Adults: Qualitative e-Delphi Study With Professional Organizers.Journal of medical Internet research · 2023Article
- Article
- Cognitive impairment in heart failure: clinical implications, tools of assessment, and therapeutic considerations.Heart failure reviews · 2022Review
- A picture is worth a thousand words: exploring the roles of caregivers and the home environment of ventricular assist device patients.European journal of cardiovascular nursing · 2021Article
- SEIPS 101 and seven simple SEIPS tools.BMJ quality & safety · 2021Review
- Personal Health Information Management Among Older Adults: Scoping Review.Journal of medical Internet research · 2021Article
- Medication transitions: Vulnerable periods of change in need of human factors and ergonomics.Applied ergonomics · 2021Article
- The desktop, or the top of the desk? The relative usefulness of household features for personal health information management.Applied ergonomics · 2020Article
- Home is where the head is: a distributed cognition account of personal health information management in the home among those with chronic illness.Ergonomics · 2018Article
- Medication practices and experiences of older adults discharged home from hospital: a feasibility study protocol.Patient preference and adherence · 2018Article
- Activity Theory Analysis of Heart Failure Self-Care.Mind, culture, and activity · 2018Article
- Human factors in mental healthcare: A work system analysis of a community-based program for older adults with depression and dementia.Applied ergonomics · 2017Article
- User-Centered Evaluations with Older Adults: Testing the Usability of a Mobile Health System for Heart Failure Self-Management.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2017Article
- Human factors analysis, design, and evaluation of Engage, a consumer health IT application for geriatric heart failure self-care.International journal of human-computer interaction · 2017Article
- Macroergonomic factors in the patient work system: examining the context of patients with chronic illness.Ergonomics · 2017Article
- Medication Management: The Macrocognitive Workflow of Older Adults With Heart Failure.JMIR human factors · 2016Article
- Learning from the patient: Human factors engineering in outpatient parenteral antimicrobial therapy.American journal of infection control · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo use a human factors perspective to examine how older adult patients with heart failure use cognitive artifacts for medication management.
methodsWe performed a secondary analysis of data collected from 30 patients and 14 informal caregivers enrolled in a larger study of heart failure self-care. Data included photographs, observation notes, interviews, video recordings, medical record data, and surveys. These data were analyzed using an iterative content analysis.
resultsFindings revealed that medication management was complex, inseparable from other patient activities, distributed across people, time, and place, and complicated by knowledge gaps. We identified fifteen types of cognitive artifacts including medical devices, pillboxes, medication lists, and electronic personal health records used for: 1) measurement/evaluation; 2) tracking/communication; 3) organization/administration; and 4) information/sensemaking. These artifacts were characterized by fit and misfit with the patient's sociotechnical system and demonstrated both advantages and disadvantages. We found that patients often modified or "finished the design" of existing artifacts and relied on "assemblages" of artifacts, routines, and actors to accomplish their self-care goals.
conclusionsCognitive artifacts are useful but sometimes are poorly designed or are not used optimally. If appropriately designed for usability and acceptance, paper-based and computer-based information technologies can improve medication management for individuals living with chronic illness. These technologies can be designed for use by patients, caregivers, and clinicians; should support collaboration and communication between these individuals; can be coupled with home-based and wearable sensor technology; and must fit their users' needs, limitations, abilities, tasks, routines, and contexts of use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.