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Factual:
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Beyond Words: Enhancing Clinical Guideline Comprehension With Icons.

Isin Y Comba¹, John C O'Horo^1,2, Joel E Gordon³

¹Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Open Forum Infectious Diseases

|November 12, 2024

Summary

This summary is machine-generated.

Visual aids in clinical guidelines show promise but did not improve usability metrics in this study. Further research is needed on icon design and testing for better healthcare provider guidance.

Keywords:

GRADE evidence-based medicine icons infectious disease guidelines visual aids

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Area of Science:

Clinical Informatics
Health Services Research
Medical Guideline Development

Background:

The Grading Recommendations, Assessment, Development, and Evaluations (GRADE) framework ensures transparent evidence evaluation in clinical guidelines.
The Infectious Diseases Society of America (IDSA) sought visual aids for COVID-19 guidelines to aid bedside providers.

Purpose of the Study:

To evaluate the usability of a newly designed infographic/icon for COVID-19 clinical guidelines.
To assess the impact of visual aids on healthcare providers' comprehension and efficiency.

Main Methods:

A mixed-methods study combining surveys and focus groups.
Survey participants used simulated COVID-19 IDSA guidelines with and without a novel icon, followed by comprehension questions.
Focus groups provided qualitative feedback on the Grading Recommendations, Assessment, Development, and Evaluations (GRADE) methodology and icon usability.

Main Results:

No statistical difference in correct response rates between icon-aided and non-icon-aided guidelines.
Icon use increased time and clicks for initial questions but not subsequent ones.
85% of participants felt the icon improved guideline readability, though focus groups suggested design improvements.

Conclusions:

Iconography holds potential for enhancing clinical guidelines.
The specific icons tested did not measurably improve usability metrics.
Future research should focus on icon design and formal usability testing within the Grading Recommendations, Assessment, Development, and Evaluations (GRADE) framework.