A cognitive framework for understanding barriers to the productive use of a diabetes home telemedicine system.

David R. Kaufman, Justin Starren, Vimla L. Patel, Philip C. Morin, Charlyn Hilliman, Jenia Pevzner, Ruth S. Weinstock, Robin Goland, Steven Shea

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Telemedicine has the potential to transcend geographic and socio-cultural barriers to the delivery of high quality health care to the medically underserved populations. However, there are significant cognitive and usability barriers. This paper presents a multifaceted cognitive evaluation of the IDEATel diabetes education and telemedicine program. The evaluation included a cognitive walkthrough analysis to characterize task complexity and identify potential problems as well as field usability testing in patients' homes. The study revealed dimensions of the interface that impeded optimal access to system resources. In addition, we found significant obstacles corresponding to perceptual-motoric skills, mental models of the system, and health literacy. The objective of this work is to contribute to a design framework so that participants with a wide range of skills can better manage their chronic illnesses.

Original languageEnglish (US)
Pages (from-to)356-360
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
StatePublished - 2003

ASJC Scopus subject areas

  • Medicine(all)

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