Development of a prototype continuity of care record with context-specific links to meet the information needs of case managers for persons living with HIV.
OBJECTIVE
(1) To develop a prototype Continuity of Care Record (CCR) with context-specific links to electronic HIV information resources; and (2) to assess case managers' perceptions regarding the usability of the prototype.


METHODS
We integrated context-specific links to HIV case management information resources into a prototype CCR using the Infobutton Manager and Librarian Infobutton Tailoring Environment (LITE). Case managers (N=9) completed a think-aloud protocol and the Computer System Usability Questionnaire (CSUQ) to evaluate the usability of the prototype. Verbalizations from the think-aloud protocol were summarized using thematic analysis. CSUQ data were analyzed with descriptive statistics.


RESULTS
Although participants expressed positive comments regarding the usability of the prototype, the think-aloud protocol also identified the need for improvement in resource labels and for additional resources. On a scale ranging from 1 (strongly agree) to 7 (strongly disagree), the average CSUQ overall satisfaction was 2.25 indicating that users (n=9) were generally satisfied with the system. Mean CSUQ factor scores were: System Usefulness (M=2.13), Information Quality (M=2.46), and Interface Quality (M=2.26).


CONCLUSIONS
Our novel application of the Infobutton Manager and LITE in the context of case management for persons living with HIV in community-based settings resulted in a prototype CCR with infobuttons that met the majority of case managers' information needs and received relatively positive usability ratings. Findings from this study inform future integration of context-specific links into CCRs and electronic health records and support their use for meeting end-users information needs.
Columbia University School of Nursing, 617 W. 168th Street, New York, NY 10032, USA. rb897@columbia.edu
Rebecca
R
Schnall
James J
JJ
Cimino
Suzanne
S
Bakken
D019090:Case Management; D003266:Continuity of Patient Care; D006678:HIV; D015658:HIV Infections / Q000628:therapy*; D006801:Humans; D019451:Information Management; D020407:Internet; D008498:Medical Record Linkage / Q000379:methods*; D016347:Medical Records Systems, Computerized; D020380:Needs Assessment; D016730:Program Development