Developing an integrated display of health data for aging in place

The goal of aging in place is to allow seniors to remain in the environment of their choice with supportive services as needed, living independently in old age. TigerPlace, a retirement community of residents assisting aging in place, has been equipped with different types of sensors with the potential of monitoring, identifying, and predicting deteriorating health conditions. Currently, the seniors' medical records and telemedicine data are stored in separate systems. Date- and time-stamped sensor data are stored in SQL databases and are not linked with the senior's personal health records. The systems related to health care data and daily activities are separately stored and do not communicate with each other. Using a human-centered design and evaluation framework, we conducted user, task, function, and representation analyses, which provide an in-depth description of user characteristics, preferences, systems functionality, basic tasks, and effective representations in such an information-distributed setting. In this article, we report our investigation of such an aging in place setting and present our preliminary results of analyses on design requirements and a couple of human-centered prototypes aiming at an integrated health data display. The project was proposed to design a holistic and comprehensive view of senior residents' health data that are currently available in disparate systems. The integrated health data display must be human-centered and should inform senior residents and health care providers in a timely manner to support decision making. This design demonstrates our effort to prototype a human-centered user interface for enhancing aging in place. © 2011 Wiley Periodicals, Inc.

[1]  E. Hutchins Cognition in the wild , 1995 .

[2]  Michael Weyrich,et al.  Human-Centered design of engineering applications: Success factors from a case study in the automotive industry: Research Articles , 2005 .

[3]  Jiajie Zhang,et al.  A representational analysis of relational information displays , 1996, Int. J. Hum. Comput. Stud..

[4]  Jiajie Zhang,et al.  UFuRT: A Work ⴀ Centered Framework and Process for Design and Evaluation of Information Systems , 2007 .

[5]  James M. Keller,et al.  A smart home application to eldercare: current status and lessons learned. , 2009, Technology and health care : official journal of the European Society for Engineering and Medicine.

[6]  Paul N. Gorman,et al.  Information needs of physicians , 1995 .

[7]  Marjorie Skubic,et al.  Using Technology to Enhance Aging in Place , 2008, ICOST.

[8]  D. Norman,et al.  A representational analysis of numeration systems , 1995, Cognition.

[9]  Jiajie Zhang,et al.  Toward A Human-Centered Hyperlipidemia Management System: The Interaction between Internal and External Information on Relational Data Search , 2011, Journal of Medical Systems.

[10]  David E. Kieras,et al.  Work-centered design: a case study of a mixed-initiative scheduler , 2007, CHI.

[11]  Stephen B. Johnson,et al.  Accessing Heterogeneous Sources of Evidence to Answer Clinical Questions , 2001, J. Biomed. Informatics.

[12]  Jiajie Zhang,et al.  A Human-Centered Design and Evaluation Framework for Information Search , 2005, AMIA.

[13]  Michael Weyrich,et al.  Human‐Centered design of engineering applications: Success factors from a case study in the automotive industry , 2005 .

[14]  Huafei Liao,et al.  Human performance in control rooms of nuclear power plants: A survey study , 2011 .

[15]  Donald A. Norman,et al.  Things That Make Us Smart: Defending Human Attributes In The Age Of The Machine , 1993 .

[16]  Charles G. Martin,et al.  Influence of data display formats on physician investigators' decisions to stop clinical trials: prospective trial with repeated measures , 1999, BMJ.

[17]  P. Gorman Excellent information is needed for excellent care, but so is good communication. , 2000, The Western journal of medicine.

[18]  M. Skubic,et al.  A technology and nursing collaboration to help older adults age in place. , 2005, Nursing outlook.

[19]  Michael May,et al.  Scale transformations and information presentation in supervisory control , 2006, Int. J. Hum. Comput. Stud..

[20]  W R Hersh,et al.  How well do physicians use electronic information retrieval systems? A framework for investigation and systematic review. , 1998, JAMA.

[21]  M. Skubic,et al.  Findings from a participatory evaluation of a smart home application for older adults. , 2008, Technology and health care : official journal of the European Society for Engineering and Medicine.

[22]  Lesley Strawderman,et al.  Human factors and usability in service quality measurement , 2008 .

[23]  Marjorie Skubic,et al.  Developing a comprehensive electronic health record to enhance nursing care coordination, use of technology, and research. , 2010, Journal of gerontological nursing.