Telemed J E Health - Streamlining HIV testing in the emergency department-leveraging kiosks to provide true universal screening: a usability study.

Tópicos

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Resumo

CKGROUND: Emergency department (ED) human immunodeficiency virus (HIV) screening programs are challenged by the unsustainable cost of exogenous staff and the relatively low penetration rates. Kiosk systems have increased registration efficiency in various clinical settings and have shown promising results for advancing various public health initiatives. This study evaluated the usability of kiosks within the existing HIV testing program and assessed patients' perceived acceptability of kiosk-based screening in the ED.SUBJECTS AND METHODS: ED patients (n=88) were asked to complete both a Registration Module (intended to integrate into the ED's pending kiosk registration system) and a Risk Assessment Module using a pen-based touchscreen tablet platform. Participants provided feedback upon program completion. All comments, questions, and errors were documented. Kiosk programs tracked time spent on each screen. Quantitative (chi-squared test or t test) and qualitative data analyses were performed.RESULTS: Consented subjects (n=62) were 60% female, 69% were black, the mean ? standard deviation age was 37.8 ? 11.4 years, 52% had a high school degree or less, and 50% reported no prior kiosk experience. Mean time spent on the Registration and Risk Assessment Modules was 2:35 ? 1:24min and 5:09 ? 1:58min, respectively. The leading technical challenge identified was login: 84% of patients required assistance. Removal of the login screen reduced times to 1:05 ? 0:36min and 4:10 ? 1:38min. Ninety-five percent of subjects reported length of use as "just right," and over 75% of patients found the software easy to use, answered questions without help, and preferred screening on the kiosk to in-person interviews. Favorite aspects of the program included ease of use (52%), privacy (48%), and speed (30%). Sixty-six percent of patients reported there was nothing they disliked or would change.CONCLUSIONS: ED patient response to the kiosk system was favorable. Subjects easily and quickly navigated the program, with the exception of a login screen, which could be eliminated via automated login using ID bracelet scanners.

Resumo Limpo

ckground emerg depart ed human immunodefici virus hiv screen program challeng unsustain cost exogen staff relat low penetr rate kiosk system increas registr effici various clinic set shown promis result advanc various public health initi studi evalu usabl kiosk within exist hiv test program assess patient perceiv accept kioskbas screen edsubject method ed patient n ask complet registr modul intend integr ed pend kiosk registr system risk assess modul use penbas touchscreen tablet platform particip provid feedback upon program complet comment question error document kiosk program track time spent screen quantit chisquar test t test qualit data analys performedresult consent subject n femal black mean standard deviat age year high school degre less report prior kiosk experi mean time spent registr risk assess modul min min respect lead technic challeng identifi login patient requir assist remov login screen reduc time min min ninetyf percent subject report length use just right patient found softwar easi use answer question without help prefer screen kiosk inperson interview favorit aspect program includ eas use privaci speed sixtysix percent patient report noth dislik changeconclus ed patient respons kiosk system favor subject easili quick navig program except login screen elimin via autom login use id bracelet scanner

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