Accessibility, usability, and usefulness of a Web-based clinical decision support tool to enhance provider–patient communication around Self-management TO Prevent (STOP) Stroke. (December 2014)

• Record Type: Journal Article
• Authors: Anderson, Jane A; Godwin, Kyler M; Saleem, Jason J; Russell, Scott; Robinson, Joshua J; Kimmel, Barbara
• Is Part Of: Health informatics journal. Volume 20:Number 4(2014:Dec.)
• Page Start: 261
• Page End: 274
• Publication Date: 2014-12
• Subjects: Clinical decision support tool -- clinical-practice guidelines -- prevention -- provider–patient communication -- stroke; Medical informatics -- Periodicals; 610.285
• DOI: 10.1177/1460458213493195
• Languages: English
• ISSNs: 1460-4582

Abstract

This article reports redesign strategies identified to create a Web-based user-interface for the Self-management TO Prevent (STOP) Stroke Tool. Members of a Stroke Quality Improvement Network (N = 12) viewed a visualization video of a proposed prototype and provided feedback on implementation barriers/facilitators. Stroke-care providers (N = 10) tested the Web-based prototype in think-aloud sessions of simulated clinic visits. Participants' dialogues were coded into themes. Access to comprehensive information and the automated features/systematized processes were the primary accessibility and usability facilitator themes. The need for training, time to complete the tool, and computer-centric care were identified as possible usability barriers. Patient accountability, reminders for best practice, goal-focused care, and communication/counseling themes indicate that the STOP Stroke Tool supports the paradigm of patient-centered care. The STOP Stroke Tool was found to prompt clinicians on secondary stroke-prevention clinical-practice guidelines, facilitate comprehensive documentation of evidence-based care, and support clinicians in providing patient-centered care through the shared decision-making process that occurred while using the action-planning/goal-setting feature of the tool.