A clinical decision support system for integrating tuberculosis and HIV care in Kenya

A human-centered design approach

Caricia Catalani, Eric Green, Philip Owiti, Aggrey Keny, Lameck Diero, Ada Yeung, Dennis Israelski, Paul Biondich

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

With the aim of integrating HIV and tuberculosis care in rural Kenya, a team of researchers, clinicians, and technologists used the human-centered design approach to facilitate design, development, and deployment processes of new patient-specific TB clinical decision support system for medical providers. In Kenya, approximately 1.6 million people are living with HIV and have a 20-times higher risk of dying of tuberculosis. Although tuberculosis prevention and treatment medication is widely available, proven to save lives, and prioritized by the World Health Organization, ensuring that it reaches the most vulnerable communities remains challenging. Human-centered design, used in the fields of industrial design and information technology for decades, is an approach to improving the effectiveness and impact of innovations that has been scarcely used in the health field. Using this approach, our team followed a 3-step process, involving mixed methods assessment to (1) understand the situation through the collection and analysis of site observation sessions and key informant interviews; (2) develop a new clinical decision support system through iterative prototyping, end-user engagement, and usability testing; and, (3) implement and evaluate the system across 24 clinics in rural West Kenya. Through the application of this approach, we found that human-centered design facilitated the process of digital innovation in a complex and resource-constrained context.

Original languageEnglish (US)
Article numbere103205
JournalPLoS One
Volume9
Issue number8
DOIs
StatePublished - Aug 29 2014

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Clinical Decision Support Systems
Kenya
decision support systems
Decision support systems
tuberculosis
Tuberculosis
HIV
Innovation
Health
Product design
Research Personnel
Observation
Interviews
information technology
Technology
Information technology
World Health Organization
drug therapy
interviews
researchers

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

A clinical decision support system for integrating tuberculosis and HIV care in Kenya : A human-centered design approach. / Catalani, Caricia; Green, Eric; Owiti, Philip; Keny, Aggrey; Diero, Lameck; Yeung, Ada; Israelski, Dennis; Biondich, Paul.

In: PLoS One, Vol. 9, No. 8, e103205, 29.08.2014.

Research output: Contribution to journalArticle

Catalani, Caricia ; Green, Eric ; Owiti, Philip ; Keny, Aggrey ; Diero, Lameck ; Yeung, Ada ; Israelski, Dennis ; Biondich, Paul. / A clinical decision support system for integrating tuberculosis and HIV care in Kenya : A human-centered design approach. In: PLoS One. 2014 ; Vol. 9, No. 8.
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