title: My Interventional Drug-Eluting Stent Educational App (MyIDEA): Patient-Centered Design Methodology.
abstract: BACKGROUND
  Patient adherence to medication regimens is critical in most chronic disease treatment plans. This study uses a patient-centered tablet app, "My Interventional Drug-Eluting Stent Educational App (MyIDEA)." This is an educational program designed to improve patient medication adherence.
  
  
  OBJECTIVE
  Our goal is to describe the design, methodology, limitations, and results of the MyIDEA tablet app. We created a mobile technology-based patient education app to improve dual antiplatelet therapy adherence in patients who underwent a percutaneous coronary intervention and received a drug-eluting stent.
  
  
  METHODS
  Patient advisers were involved in the development process of MyIDEA from the initial wireframe to the final launch of the product. The program was restructured and redesigned based on the patient advisers' suggestions as well as those from multidisciplinary team members. To accommodate those with low health literacy, we modified the language and employed attractive color schemes to improve ease of use. We assumed that the target patient population may have little to no experience with electronic tablets, and therefore, we designed the interface to be as intuitive as possible.
  
  
  RESULTS
  The MyIDEA app has been successfully deployed to a low-health-literate elderly patient population in the hospital setting. A total of 6 patients have interacted with MyIDEA for an average of 17.6 minutes/session.
  
  
  CONCLUSIONS
  Including patient advisers in the early phases of a mobile patient education development process is critical. A number of changes in text order, language, and color schemes occurred to improve ease of use. The MyIDEA program has been successfully deployed to a low-health-literate elderly patient population. Leveraging patient advisers throughout the development process helps to ensure implementation success.
authors.affiliation: Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, IL, United States. boyda@uic.edu.
authors.forename: Andrew Dallas
authors.identifier: http://orcid.org/0000-0002-3459-9379
authors.initials: AD
authors.lastname: Boyd
authors.forename: Kaitlin
authors.identifier: http://orcid.org/0000-0003-1626-6834
authors.initials: K
authors.lastname: Moores
authors.forename: Vicki
authors.identifier: http://orcid.org/0000-0001-6113-748X
authors.initials: V
authors.lastname: Shah
authors.forename: Eugene
authors.identifier: http://orcid.org/0000-0001-9155-6730
authors.initials: E
authors.lastname: Sadhu
authors.forename: Adhir
authors.identifier: http://orcid.org/0000-0003-3964-9619
authors.initials: A
authors.lastname: Shroff
authors.forename: Vicki
authors.identifier: http://orcid.org/0000-0003-1288-7430
authors.initials: V
authors.lastname: Groo
authors.forename: Carolyn
authors.identifier: http://orcid.org/0000-0003-3395-8357
authors.initials: C
authors.lastname: Dickens
authors.forename: Jerry
authors.identifier: http://orcid.org/0000-0002-9252-3743
authors.initials: J
authors.lastname: Field
authors.forename: Matthew
authors.identifier: http://orcid.org/0000-0003-0194-281X
authors.initials: M
authors.lastname: Baumann
authors.forename: Betty
authors.identifier: http://orcid.org/0000-0003-2654-157X
authors.initials: B
authors.lastname: Welland
authors.forename: Gerry
authors.identifier: http://orcid.org/0000-0002-9682-1342
authors.initials: G
authors.lastname: Gutowski
authors.forename: Jose D
authors.identifier: http://orcid.org/0000-0002-5909-5919
authors.initials: JD
authors.lastname: Flores
authors.forename: Zhongsheng
authors.identifier: http://orcid.org/0000-0002-6301-0754
authors.initials: Z
authors.lastname: Zhao
authors.forename: Neil
authors.identifier: http://orcid.org/0000-0002-6522-1213
authors.initials: N
authors.lastname: Bahroos
authors.forename: Denise M
authors.identifier: http://orcid.org/0000-0002-6436-7157
authors.initials: DM
authors.lastname: Hynes
authors.forename: Diana J
authors.identifier: http://orcid.org/0000-0002-3954-8933
authors.initials: DJ
authors.lastname: Wilkie
keywords: Kolb's learning theory; drug-eluting stents; health informatics; mHealth; patient education; patient-centered design