Evidence map›Paper›PMID 36599446›Full record

Trial reportApplied clinical informatics2023

Usability Testing of an Interoperable Computerized Clinical Decision Support Tool for Fall Risk Management in Primary Care.

Kristen Shear, Hannah Rice, Pamela M Garabedian, Ragnhildur Bjarnadottir, Nancy Lathum, Ann L Horgas, Christopher A Harle, Patricia C Dykes, Robert Lucero

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Applied clinical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kristen ShearDepartment of Family, Community, and Health Systems Science, College of Nursing, University of Florida, Gainesville, Florida, United States.
Hannah RiceDepartment of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States.
Pamela M GarabedianDepartment of Information Systems, Mass General Brigham, Somerville, Massachusetts, United States.
Ragnhildur BjarnadottirDepartment of Family, Community, and Health Systems Science, College of Nursing, University of Florida, Gainesville, Florida, United States.
Nancy LathumDepartment of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States.
Ann L HorgasDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, Florida, United States.
Christopher A HarleDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, United States.
Patricia C DykesDepartment of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States.
Robert LuceroUCLA School of Nursing, University of California Los Angeles, Los Angeles, California, United States.

Funding

Shareable, Interoperable Clinical decision Support for Older Adults: Advancing Fall assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices (ASPIRE)U18HS027557 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI DYKES, PATRICIA C · 2020 to 2021
$994k
AHRQ HHS U18 HS027557
6 · The paper itself

Abstract

backgroundFalls are a widespread and persistent problem for community-dwelling older adults. Use of fall prevention guidelines in the primary care setting has been suboptimal. Interoperable computerized clinical decision support systems have the potential to increase engagement with fall risk management at scale. To support fall risk management across organizations, our team developed the ASPIRE tool for use in differing primary care clinics using interoperable standards.

objectivesUsability testing of ASPIRE was conducted to measure ease of access, overall usability, learnability, and acceptability prior to pilot .

methodsParticipants were recruited using purposive sampling from two sites with different electronic health records and different clinical organizations. Formative testing rooted in user-centered design was followed by summative testing using a simulation approach. During summative testing participants used ASPIRE across two clinical scenarios and were randomized to determine which scenario they saw first. Single Ease Question and System Usability Scale were used in addition to analysis of recorded sessions in NVivo.

resultsAll 14 participants rated the usability of ASPIRE as above average based on usability benchmarks for the System Usability Scale metric. Time on task decreased significantly between the first and second scenarios indicating good learnability. However, acceptability data were more mixed with some recommendations being consistently accepted while others were adopted less frequently.

conclusionThis study described the usability testing of the ASPIRE system within two different organizations using different electronic health records. Overall, the system was rated well, and further pilot testing should be done to validate that these positive results translate into clinical practice. Due to its interoperable design, ASPIRE could be integrated into diverse organizations allowing a tailored implementation without the need to build a new system for each organization. This distinction makes ASPIRE well positioned to impact the challenge of falls at scale.

Indexed as

Decision Support Systems, ClinicalUser-Centered DesignAgedHumansPrimary Health CareUser-Computer Interface

Identifiers

PMID36599446
PMCPMC10017195

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.