Engaging Community Stakeholders to Evaluate the Design, Usability, and Acceptability of a Chronic Obstructive Pulmonary Disease Social Media Resource Center. Abstract. Background. Patients with chronic obstructive pulmonary disease (COPD) often report inadequate access to comprehensive patient education resources. Objective. The purpose of this study was to incorporate community- engagement principles within a mixed- method research design to evaluate the usability and acceptability of a self- tailored social media resource center for medically underserved patients with COPD. Methods. A multiphase sequential design (qual → QUANT → quant + QUAL) was incorporated into the current study, whereby a small- scale qualitative (qual) study informed the design of a social media website prototype that was tested with patients during a computer- based usability study (QUANT). To identify usability violations and determine whether or not patients found the website prototype acceptable for use, each patient was asked to complete an 1. QUAL). Results. The majority of medically underserved patients with COPD (n=8, mean 5. SD 7) found the social media website prototype to be easy to navigate and relevant to their self- management information needs. Mean responses on the 1. SD 0. 3. 3). However, the majority of patients identified several usability violations related to the prototype’s information design, interactive capabilities, and navigational structure. Specifically, 6 out of 8 (7. Conclusions. Patient perceptions of most social media website prototype features (eg, clickable picture- based screenshots of videos, comment tools) were largely positive. Mixed- method stakeholder feedback was used to make design recommendations, categorize usability violations, and prioritize potential solutions for improving the usability of a social media resource center for COPD patient education. Adobe InDesign CS5 Premium 7.0 1 cd Autodesk Autocad Architecture 2010 German 2 dvds Aperture 3.0 Full for Mac 1 dvd Adobe Acrobat 9 Pro for Mac 1 cd Adobe Photoshop. Top VIdeos. Warning: Invalid argument supplied for foreach() in /srv/users/serverpilot/apps/jujaitaly/public/index.php on line 447.· Engaging Community Stakeholders to Evaluate the Design, Usability, and Acceptability of a Chronic Obstructive Pulmonary Disease Social Media Resource Center. شما اینجا هستید : صفحه اصلی » دانلود دوبله فارسی فصل اول انیمیشن پرنسس سوفیا – Sofia the First Season 1. Keywords: COPD, health communication, social media, patient education. Introduction. Approximately 1. COPD) [1] and experience complications, such as breathing exacerbations that require frequent hospitalization [2]. Patients with COPD generally receive little information on the social and behavioral dimensions of living with breathing problems, such as techniques to improve self- management, self- efficacy, and self- regulation of dyspnea (ie, shortness of breath) [3,4]. Moreover, few patients with COPD are ever referred to pulmonary rehabilitation, primarily because most programs operate in outpatient hospital settings [5,6]. Pulmonary rehabilitation helps provide patient education on rehabilitative skills such as pursed- lipped and diaphragmatic breathing, stress management, and customized exercise [7,8]. With limited instruction and skill- building resources available to patients, a majority of patients living with COPD are unable to modify their lifestyles, which ultimately increases their risk of hospitalization [9]. Research suggests the most significant improvements in reducing health care utilization due to COPD complications have been achieved from educational interventions designed to meet the dynamic self- management learning needs of patients [3,1. Educational programs in COPD management interventions frequently include smoking cessation, medication use, exercise, breathing strategies, exacerbation prevention, and stress management [1. Patient education can help individuals living with COPD to achieve fundamental objectives such as increased knowledge and self- efficacy, which are both associated with exacerbation- related health care utilization [1. While patient education is fundamental to improving outcomes in COPD, older patients often experience impairments to memory and abstract reasoning which causes low health literacy [1. Low health literacy also often goes unrecognized by health care providers [1. Over the past decade, the Internet has become a common place where patients with chronic disease can access health information, improve health literacy, and interact socially with peers regarding common health conditions [2. Patients with COPD have participated in online self- management programs that have shown moderate levels of usability and effectiveness [2. However, one previous usability study of an e. Health behavior change intervention in COPD asked participants to read lengthy tailored messages in fixed educational modules, which was ultimately determined to be too much health information for most patients to process [2. Patients with chronic disease generally report difficulty accessing comprehensible disease- related content on the Internet, which has led to slow adoption of consumer health care technologies for chronic disease self- management [2. In particular, elderly and minority patients commonly experience difficulty using two- way health communication technologies (Web 2. Therefore, the design of easy- to- use, interactive websites for patients living with chronic disease is becoming increasingly important as the shift towards patient empowerment and self- control of health outcomes continues to become more and more pervasive throughout the health care system [3. Information and communication technologies, such as social media, have the potential to expand the reach of strategic health communication interventions that promote disease prevention and life- saving health protective behaviors. Social media is a “tool or platform that derives its content and principal value from user engagement and permits those users to interact with content as part of a larger movement in communications organized under Web 2. Specifically, social media is well suited for providing patients with motivational messages and key behavioral change resources that prompt and facilitate good health [3. Creating easy- to- use social media resources that enable two- way health communication among patients with chronic disease(s) and their informal caregivers (eg, friends, family members) may help to extend the efficacy of traditional patient education on self- management [3. Older adults with chronic disease often possess low e. Health literacy, or a low ability to seek, find, understand, and appraise online health information and apply knowledge gained to addressing or solving a health problem [3. For these reasons, it is important to explore the use of empowering, low- tech self- management tools that can be effectively controlled by the user. To prevent user dissatisfaction and abandonment of technology, consumer health informatics tools should be designed to allow even the novice user to interact with, and manipulate, the interface to accomplish personal task objectives with few errors [3. Self- tailored, chronic disease self- management programs structure interactive, self- directed learning experiences that cover topics such as stress management, personal fitness/exercise regimens, and preparing healthy meals. The concept of self- tailoring patient education is based on self- efficacy theory [3. This theory proposes that sociocognitive support resources are best suited to help groups and individuals pursue mastery experiences that build self- confidence for initiating, performing, and maintaining time- bound behavioral action plans that are both beneficial and achievable [4. Vicarious learning opportunities facilitated through interactive health communication technology represents a practical approach to using Web 2. A systematic review of Web 2. To date, no usability studies have evaluated patient use of popular social media to access and engage in online COPD patient education on respiratory therapy and self- management support. Usability testing is a fundamental step in patient- centered technology design that uses a systematic process to evaluate end users’ goals such as efficiency, avoiding errors, satisfaction, and learnability [3. Usability studies enable researchers to discover strengths and weaknesses in prototype technologies by exploring end users’ experiences using new technologies in controlled computer laboratory settings [4. In contrast, community- engaged research (CEn. R) methods take place outside of controlled laboratory settings. These methods are designed to foster collaborations with, and among groups of, people affiliated by geographic location, special interest, or similar situations with the goal of addressing issues that affect the health and well- being of the group [4.
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