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Implementing Experience Sampling Technology for Functional Analysis in Family Medicine - A Design Thinking Approach
Naomi E M Daniëls1,2, Laura M J Hochstenbach3, Marloes A van Bokhoven2
1Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands.
Redesigning an Experience Sampling Method (ESM) platform for family medicine revealed key user needs for better patient monitoring. However, implementation faced barriers due to insufficient support for healthcare professionals.
Area of Science:
- Digital health
- eHealth
- Health informatics
Background:
- Healthcare is shifting from illness treatment to wellbeing promotion.
- New assessment technologies are needed for this paradigm shift.
- Experience Sampling Method (ESM) tools offer self-monitoring of patient vulnerability and resilience.
Purpose of the Study:
- To redesign an existing ESM data collection platform for family medicine.
- To improve functional analysis and disease management for psychological assistants to the general practitioner (PAGPs).
Main Methods:
- A design thinking framework guided the redesign in three phases: understand, explore, and materialize.
- Psychological assistants to the general practitioner (PAGPs) were involved in co-creation sessions.
- Methods included nominal group technique, empathy mapping, and moderated user testing, followed by a 4-month clinical practice test.
Main Results:
- PAGPs highlighted the value of moment-to-moment assessment of mood and behavior in daily life.
- Key user requirements identified for improvement included motivational functionalities, technological performance, and instructions.
- Barriers to platform implementation were encountered, including insufficient facilitation and support.
Conclusions:
- Co-creation yielded valuable insights into family medicine needs for the ESM platform.
- Significant barriers related to healthcare professional time, knowledge, and skills hinder platform uptake.
- Future research should focus on the platform's applicability in family medicine, incorporating patient perspectives.
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