New hardware solutions for GP consultations - research participants required

At City University London we are running a small study to explore the potential for new hardware technologies, such as tablet PCs and tabletop computers, to be used in GP consultations. We are looking to recruit London-based General Practitioners (GPs) and General Practice Registrars (GPRs) to take part in simulated consultations.

It is expected that participation will take no more than an hour. Each participant will be required to take part in three simulated consultations.

Participants will be paid £50 as a thank you for their time and participation. Travel expenses will not be paid.

The study will take place in the Centre for HCI Design’s Interaction Lab.

If you are interested in taking part, please contact Rebecca by either telephone or email.

Workshop summary

The workshop took place at CHI on Saturday 4th April 2009. Following introductions, we had two sessions where participants worked in groups to develop evaluation plans for an example technology. In the first session, participants were looking at two example home care technologies and scenarios. Key reflections from this session were:

- Relationship between designers and evalutors
- The disconnect between an ‘ideal’ evaluation plan which starts vague and the need to ‘sell’ specifics
- Mixed methods and mixed data (qualitative and quantitative)
- Compliance – how to incentivise, encourage and measure value for users
- How to get sufficient engagement with participants
- Need to have range of participants – patients, clinicians, carers
- Iterative approach and its implications e.g. longer term and does it provide adequate benefit?
- Different views of clinical trials as evaluation
- Which parameters to isolate?
- Scope of evaluation + goals of system determine methods and process

In the second session, participants were looking at two example hospital technologies and scenarios. Key reflections from this session were:
- Usability evaluation onsite or in lab?
- Difficulty getting clinician time
- Importance of getting basic issues sorted before deployment
- Value of doing studies in hospital – but can still improve on current state of art
- Importance of maintaining safety
- Running two parallel systems – trade offs
- How to understand what aspects of multiple components are having an impact – need to separate them?
- Impact on whole team even if focus looks like on only one person
- Can you separate effects? Sum more than individual parts – can’t be reductionist
- Importance of choosing right setting

After a poster session, we concluded by considering issues which still need to be further explored. The 'top issues' identified in this session were:
- What/how to preserve integrity of ‘ideal world’ in real world? Often no control
- What does it make sense to look at whole or pull apart? (Technology and environment)
- Looked at process approach but what about levels (e.g. micro, organisational)? What are the appropriate levels?
- How to account for different values of different stakeholders?
- Where to undertake evaluations? What’s appropriate? Lab – simulation – in situ. How close to the real world does the simulation have to be?
- Need to do more studies of long term impact? How to evaluate long term trials? Are RCTs right?
- What constitutes evidence? For who?
- How to bring design team to know enough for evaluation?
- How to account for all different roles of people using one technology?
- How do we work out in what context a technology has most benefit?
- How to generalise artifacts and methodologies
- Ethics, privacy, trust issues
- Inherent risks to clinician-patient relationships
- Accessing real patient data
- Being able to report findings from studies
- How can we evaluate real usage if people don’t tell/hide pieces?
- How to capture and share evaluator experiences – what has worked/not worked?
- Why do we do evaluation? How to describe complex findings?
- How to share what matters to users/organisations? Can we do this across contexts/countries etc?
- How to capture domain knowledge of the clinical experts?
- What are parallels in other domains that we can use?
- How much do we need to specialise in this?
- How does new/changing technology change research?
- Let’s not lose sight of ‘health outcomes’
- Can we capture lessons learned?

These are issues that we can continue to explore and discuss within this blog. Other ways of taking this discussion forward that were suggested were:
- The special issue of the International Journal for Human-Computer Interaction
- A google group as a less public discussion forum
- A LinkedIn group as a way of maintaining contact

All in all, it was a very productive day and thanks to everyone who took part.

Call for papers: Special issue of the International Journal of Human-Computer Interaction

Submission deadline: Friday 19th June 2009


New mobile, wireless and sensor-based technologies for supporting the provision of healthcare are increasingly pervasive. Within hospitals, technology is moving out of the consulting room and to the bedside via devices such as tablet PCs and interactive displays. Healthcare technologies are making their way into patients’ homes, in the form of telecare and assistive technology packages to enable carers and clinicians to remotely monitor patients and to enable patients to take greater control of their health. At the same time, both clinicians and patients have access to an increasing amount of information via a broad range of software solutions such as electronic patient records and computerised decision support systems. Such changes raise a number of challenges regarding the evaluation of the use and impact of such technologies.

To follow on from a CHI2009 workshop on ‘Evaluating new interactions in healthcare: challenges and approaches’, we are pleased to announce a call for papers for a special issue of the International Journal of Human Computer Interaction on this theme. This special issue invites original papers that contribute to our understanding of how to evaluate the use and impact of new technologies in healthcare. Researchers are encouraged share their experiences and perspectives, and reflect on the theory and methods of evaluating technologies designed to support the delivery of healthcare.

Research areas include, but are not limited to the following:
- Benefits and limitations of different evaluation methods and how they can be adapted to meet the challenges of evaluating new healthcare technologies;
- Approaches for increasing the potential of lab-based studies and simulations to provide insight into how healthcare technologies may be used in practice;
- Novel methods for the evaluation of healthcare technologies once they have been deployed that meet the challenges of evaluating technologies in particular settings such as hospitals, patients’ homes or other community settings;
- Questions of who should be involved in an evaluation and innovative methods for capturing the experience of the patient and/or other stakeholders;
- Theoretical perspectives that can inform our approach to the evaluation of healthcare technologies;
- Insights from other domains that could provide a framework for evaluation.

Submissions
Papers should be submitted via email to Rebecca Randell (rebecca.randell.1@city.ac.uk) by Friday 19th June 2009 as either a Word document or PDF file.

Manuscripts should be between 9,000 and 14,000 words long (excluding references and tables). All manuscripts should be double-spaced with 1" margins on all sides and pages should be numbered consecutively throughout the paper. You should use 10-12 point Times New Roman font or a similar font. Authors should also supply a shortened version of the title for a running head, not exceeding 50 character spaces, an abstract of approximately 100-150 words, three to six keywords, and the author(s) affiliation and location. Each submitted article must contain author(s) mailing address, telephone number, and email. Literature referenced should be indicated in the text by author and date. Listed references should be complete and journal abbreviations should conform to Chemical Abstracts style.


Important dates
Submission deadline: Friday 19th June 2009
Notification to authors: Friday 21st August 2009
Submission of revised papers: Friday 23rd October 2009

It is expected that the special issue will be published mid 2010.

Guest editors
Rebecca Randell, City University London, UK.
Geraldine Fitzpatrick, University of Sussex, UK.
Stephanie Wilson, City University London, UK.

For further information, please contact Rebecca Randell at rebecca.randell.1@city.ac.uk.

Any envisioned use of this for health care user experiences?

Twitter for health care?

According to this article in E-Health Insider, there are now several UK hospitals using Twitter to keep in touch with patients and staff...

Surface User Interfaces

Large horizontal or vertical shared displays are an aspect of HCI or UbiComp in which computation is everywhere and computer functions are integrated into everything. Computationally enhanced basic objects such as whiteboards, tables, benches and desks allow for enhanced forms of face to face computer supported interaction and collaboration not possible with conventional desktop or mobile computing [1,2]. The interaction can be with a stand alone system [1] or with an eco-system of surfaces [2].

Figure 1: SharePic photo sharing system[1]

For example, the projected system shown in collaborative tabletop photo sharing system (SharePic [1]) allows older people the social sharing and story telling common with physical photos using digital photos. In SharePic, users do not feel they are using a computer to collaborate instead the media supports the actions directly. Ultimately, computer supported face to face collaboration will become so common place in bars, restaurants, schools, offices and homes that no one will notice its presence. It will be powerful and enhance our lives but it will be commonplace, obvious and boring.

Generally speaking, a Surface User Interface (SUI), is a class of user interface which relies on a self illuminated (e.g. LCD) or projected horizontal, vertical or spherical interactive surface coupled with control of computation into the same physical surface (e.g. a touch-screen). As with a tangible user interface the outputs and inputs to a SUI are tightly-coupled. They rely on computational techniques including computer vision, resistive membrane, capacitive and surface acoustic wave detection, to determine user input to the system. They are often used in public places (kiosks, ATMs) or small personal devices (PDA, iPhone) where a separate keyboard and mouse cannot or should not be used.

The scale of a SUI can range from small personal devices such as the iPhone or
PDA, through a Tablet PC up to large public interactive surfaces such as the MERL DiamondTouch or the Microsoft Surface. A SUI can rely on a range of input types including passive stylus, active stylus, fingers or tangible objects,or it may be tied to just one, as is the case with the Tablet PC with its active powered stylus. Where the input to the SUI is simply being used as a surrogate for a mouse input then many SUI applications function as classical GUIs do.

Useful example include

• Digital Desk
  
• MERL Diamondtouch
  
• Sony SmartSkin
  
• TANGerINE
  
• Microsoft TouchLight
  
• FTIR-based displays
  
• Microsoft Surface
  
• SMART table using Digital Vision Touch (DViT)
  
• LiveBoard
  
• HoloWall
  
• metaDesk
  
• UlteriorScape
  
• NUI Snowflake system (software system not hardware per se)
  
• Microsoft SecondLight
  
  

Issues includeing fatigue, the lack of haptic (e.g. force) feedback on such SUIs, cost, suitability has limited the adoption of large multi-user SUIs while small SUIs in iPhones, PDA, ATMs, Kiosks are commonplace. The coupling of personal displays with public shared displays remains an area of active research [2].

[1] Apted, T., Kay, J., and Quigley, A. 2006. Tabletop sharing of digital photographs for the elderly. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (Montréal, Québec, Canada, April 22 - 27, 2006). R. Grinter, T. Rodden, P. Aoki, E. Cutrell, R. Jeffries, and G. Olson, Eds. CHI '06. ACM, New York, NY, 781-790.

[2] Izadi S., Quigley A. and Subramanian S. (editors), Springer Journal of Personal and Ubiquitous Computing (PUC) Special Issue on Interaction with Coupled and Public Displays.

Note this text is adapted from some up coming book chapters I have so the text remains copyright. [ My Blog ]

Microsoft SecondLight

A very interesting new tabletop device that could have relevance in health care:

YouTube video of Microsoft SecondLight

Apparently, work is underway to develop the system for medical applications, e.g. enabling 3D imaging of CT scans.

UK case study

For those of you that don't know, there is currently a major initiative to introduce a series of new technologies into the NHS in England. The trials and tribulations of this process provide much interesting food for thought about how technologies are introduced into health care and their impact.

One system that is being introduced is called Choose and Book - the basic idea being that a GP can use the system to request an appointment for a patient with an appropriate specialist. The system is meant to increase choice for patients because they can see the range of locations where they could go.

I just came across this news article on the system.

Reading it made me think about the challenges of evaluating such a system but also the importance of doing so. If different health care providers are implementing and engaging with the system in different ways, there is the potential for huge variation in impact on the process of care. But it also means its important to understand the relationship between how the system is implemented (including features of the implementation process such as training) and its subsequent impact on the process of care.

Making use of the blog

Thank you Thomas for posting details of the CiteULike group.

I just wanted to take this opportunity to encourage all of you to make use of the blog as you see fit, whether it's:

• Posting links that you think will be of interest to the workshop participants, regarding new technologies, relevant research, interesting case studies;
  
• Advertising relevant events such as workshops and conferences;
• Reporting on research you're undertaking;
• Posting a topic for discussion.

Rebecca

Pervasive Healthcare group on Citeulike

Dear workshop participants,

I am looking really forward to the workshop and while we are waiting, I want to point you to a small group on Citeulike that might be of interest. In our Center for Pervasive Healthcare we have used Citeulike to collect papers, we have written about pervasive healthcare and novel interaction approaches within healthcare. Initially, it was a local group, but a number of other people from other groups have joined too. If you want to join and post your own papers within the area of pervasive healthcare please do so.

If you don’t know Citeulike, it is a tool for collecting references to research papers in a social manner. Use the following link to join the group.

See you,
Thomas

Workshop registration

The CHI 2009 registration site is now open at:

http://www.chi2009.org/Attending/Registration.html

* Early Registration Deadline: 15 February 2009
* Late Registration Deadline: 28 March 2009
* Onsite Registration Starts: 4 April 2009