JMIR Publications

ABSTRACT

Background:

Adults with mild learning disabilities (MLDs) face a plethora of obstacles when accessing effective healthcare. Central to many of these barriers is communication, with medical practitioners often remaining untrained on how to interact with patients who have learning disabilities. To date, research on how to promote this communication has largely centered on the development of low-tech aids.

Objective:

To assess the feasibility of utilizing tablet technologies to promote communication between General Practitioners and patients with MLDs. We have achieved this by identifying a set of design requirements from experts in LDs.

Methods:

A set of design guidelines was formed during a 2-phase process. Phase 1 involved conducting a series of requirements gathering interviews with n=10 experts in LDs – the protocol of which emerged from the results of a separate scoping review. The interviews were subjected to a framework analysis to discern the key requirements discussed by the experts and these were embedded within a technology probe. In phase 2, this probe was presented to a subset (n=4) of the experts during a round of usability studies and the feedback received was used to update the requirements identified in phase 1.

Results:

An initial set of design requirements have been produced that may assist in the development of clinical Alternative and Augmentative Communication technologies for adults with MLDs. Factors that must be considered range from the health, physical and cognitive needs of stakeholders, to the more individual needs of users.

Conclusions:

The experts involved in the study were optimistic about the proposed application. They believe that such technologies can help to alleviate time constraints and promote communication by presenting information in a form understood by both practitioners and patients.