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Currently accepted at: JMIR mHealth and uHealth

Date Submitted: May 25, 2018
Open Peer Review Period: May 29, 2018 - Jul 4, 2018
Date Accepted: Jul 18, 2018
(closed for review but you can still tweet)

This paper has been accepted and is currently in production.

It will appear shortly on 10.2196/11076

The final accepted version (not copyedited yet) is in this tab.

The final, peer-reviewed published version of this preprint can be found here:

Teleconsultation Using Mobile Phones for Diagnosis and Acute Care of Burn Injuries Among Emergency Physicians: Mixed-Methods Study

Klingberg A, Wallis LA, Hasselberg M, Yen P, Fritzell SC

Teleconsultation Using Mobile Phones for Diagnosis and Acute Care of Burn Injuries Among Emergency Physicians: Mixed-Methods Study

JMIR Mhealth Uhealth 2018;6(10):e11076

DOI: 10.2196/11076

PMID: 30341047

PMCID: 6231743

Teleconsultation Using Mobile Phones for Diagnosis and Acute Care of Burn Injuries Among Emergency Physicians: Mixed-Methods Study

  • Anders Klingberg; 
  • Lee Alan Wallis; 
  • Marie Hasselberg; 
  • Po-Yin Yen; 
  • Sara Caroline Fritzell

ABSTRACT

Background:

The referral process in acute care remains challenging in many areas including burn care. Mobile phone apps designed explicitly for medical referrals and consultations could streamline the referral process by using structured templates and integrating features specific to different specialties. However, as these apps are competing with commercial chat services, usability becomes a crucial factor for successful uptake.

Objective:

The aim of this study was to assess the usability of a mobile phone app for remote consultations and referrals of burn injuries.

Methods:

A total of 24 emergency doctors and 4 burns consultants were recruited for the study. A mixed-methods approach was used including a usability questionnaire and a think-aloud interview. Think-aloud sessions were video-recorded, and content analysis was undertaken with predefined codes relating to the following 3 themes: ease of use, usefulness of content, and technology-induced errors.

Results:

The users perceived the app to be easy to use and useful, but some problems were identified. Issues relating to usability were associated with navigation, such as scrolling and zooming. Users also had problems in understanding the meaning of some icons and terminologies. Sometimes, some users felt limited by predefined options, and they wanted to be able to freely express their clinical findings.

Conclusions:

We found that users faced problems mainly with navigation when the app did not work in the same way as the other apps that were frequently used. Our study also resonates with previous findings that when using standardized templates, the systems should also allow the user to express their clinical findings in their own words.


 Citation

Please cite as:

Klingberg A, Wallis LA, Hasselberg M, Yen P, Fritzell SC

Teleconsultation Using Mobile Phones for Diagnosis and Acute Care of Burn Injuries Among Emergency Physicians: Mixed-Methods Study

JMIR mHealth and uHealth. (forthcoming/in press)

DOI: 10.2196/11076

URL: https://preprints.jmir.org/preprint/11076

PMID: 30341047

PMCID: 6231743

Per the author's request the PDF is not available.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.