Usability of implementing a tablet-based decision support and integrated record-keeping (DESIRE) tool in the nurse management of hypertension in rural Kenya

Evan Blank, Nelly Tuikong, Lawrence Misoi, Jemima Kamano, Claire Hutchinson, Sylvester Kimaiyo, Valentin Fustera, Martin Were, Rajesh Vedanthan

Research output: Chapter in Book/Report/Conference proceedingConference contribution

4 Scopus citations

Abstract

In sub-Saharan Africa (SSA), cardiovascular disease (CVD) is the leading cause of death among individuals over the age of 30. Hypertension, a major risk factor for CVD, contributes significantly to the CVD burden in SSA. In order to address the human resource challenge of managing hypertension in low- and middle-income countries (LMICs), task-shifting hypertension care from physicians to nurses has been proposed. To support this task-shifting strategy, the Academic Partnership Providing Access to Healthcare (AMPATH) has developed an Android tablet-based electronic Decision Support and Integrated Record-Keeping (DESIRE) tool to record patient data and assist with clinical decision-making. We investigated the usability of the DESIRE tool in the setting of nurse management of hypertension in rural western Kenya through the use of 'mock patient' encounters and 'think aloud' exercises. Fiftyseven critical incidents were identified and twenty-three design changes were suggested. Optimization of the tool has the potential to broadly impact treatment of non-communicable diseases in LMICs by providing a model of electronic decision-support in task shifting.

Original languageEnglish (US)
Title of host publicationMEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
PublisherIOS Press
Number of pages1
Edition1-2
ISBN (Print)9781614992882
DOIs
StatePublished - Jan 1 2013
Event14th World Congress on Medical and Health Informatics, MEDINFO 2013 - Copenhagen, Denmark
Duration: Aug 20 2013Aug 23 2013

Publication series

NameStudies in Health Technology and Informatics
Number1-2
Volume192
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other14th World Congress on Medical and Health Informatics, MEDINFO 2013
CountryDenmark
CityCopenhagen
Period8/20/138/23/13

Keywords

  • Clinical
  • Decision Support Systems
  • Electronic Health Records
  • Root Cause Analysis
  • User-Computer Interface

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management
  • Medicine(all)

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    Blank, E., Tuikong, N., Misoi, L., Kamano, J., Hutchinson, C., Kimaiyo, S., Fustera, V., Were, M., & Vedanthan, R. (2013). Usability of implementing a tablet-based decision support and integrated record-keeping (DESIRE) tool in the nurse management of hypertension in rural Kenya. In MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics (1-2 ed.). (Studies in Health Technology and Informatics; Vol. 192, No. 1-2). IOS Press. https://doi.org/10.3233/978-1-61499-289-9-1002