title: Iterative Design and Usability Testing of the Imhere System for Managing Chronic Conditions and Disability.
abstract: A novel mobile health platform, Interactive Mobile Health and Rehabilitation (iMHere), is being developed to support wellness and self-management among people with chronic disabilities. The iMHere system currently includes a smartphone app with six modules for use by persons with disabilities and a web portal for use by medical and rehabilitation professionals or other support personnel. Our initial clinical research applying use of this system provides insight into the feasibility of employing iMHere in the development of self-management skills in young adults (ages 18-40 years) with spina bifida (SB) (Dicianno, Fairman, et al., 2015). This article describes the iterative design of the iMHere system including usability testing of both the app modules and clinician portal. Our pilot population of persons with SB fostered the creation of a system appropriate for people with a wide variety of functional abilities and needs. As a result, the system is appropriate for use by persons with various disabilities and chronic conditions, not only SB. In addition, the diversity of professionals and support personnel involved in the care of persons with SB also enabled the design and implementation of the iMHere system to meet the needs of an interdisciplinary team of providers who treat various conditions. The iMHere system has the potential to foster communication and collaboration among members of an interdisciplinary healthcare team, including individuals with chronic conditions and disabilities, for a client-centered approach to support self-management skills.
authors: MGH INSTITUTE OF HEALTH PROFESSIONS, SCHOOL OF HEALTH AND REHABILITATION SCIENCES, DEPARTMENT OF OCCUPATIONAL THERAPY, BOSTON, MASSACHUSETTS, USA.
authors: Andrea D
authors: AD
authors: Fairman
authors: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE, PITTSBURGH, PENNSYLVANIA, USA.
authors: Erika T
authors: ET
authors: Yih
authors: UNIVERSITY OF PITTSBURGH, DIETRICH SCHOOL OF ARTS AND SCIENCES, DEPARTMENT OF COMMUNICATION, PITTSBURGH, PENNSYLVANIA, USA.
authors: Daniel F
authors: DF
authors: McCoy
authors: UPMC ENTERPISE PROVIDER SOLUTIONS, PITTSBURGH, PENNSYLVANIA, USA.
authors: Edmund F
authors: EF
authors: Lopresti
authors: UNIVERSITY OF PITTSBURGH, SCHOOL OF HEALTH AND REHABILITATION SCIENCES, DEPARTMENT OF REHABILITATION SCIENCE AND TECHNOLOGY, PITTSBURGH, PENNSYLVANIA, USA.
authors: Michael P
authors: MP
authors: McCue
authors: UNIVERSITY OF PITTSBURGH, SCHOOL OF HEALTH AND REHABILITATION SCIENCES, DEPARTMENT OF HEALTH INFORMATION MANAGEMENT AND BIOMEDICAL INFORMATICS, PITTSBURGH, PENNSYLVANIA, USA.
authors: Bambang
authors: B
authors: Parmanto
authors: UNIVERSITY OF PITTSBURGH, SCHOOL OF HEALTH AND REHABILITATION SCIENCES, DEPARTMENT OF REHABILITATION SCIENCE AND TECHNOLOGY, PITTSBURGH, PENNSYLVANIA, USA; HUMAN ENGINEERING RESEARCH LABORATORIES, VA PITTSBURGH HEALTHCARE SYSTEM, PITTSBURGH, PENNSYLVANIA, USA; DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION, UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE, PITTSBURGH, PENNSYLVANIA, USA.
authors: Brad E
authors: BE
authors: Dicianno
keywords: Assistive technology; Self-management Smartphone; Spina bifida; Telehealth; Telerehabilitation; Usability; Wellness; mHealth