Abstract：
OBJECTIVE:To investigate whether the use of the think-aloud method with propositional analysis could be helpful in the design of a Clinical Decision Support System (CDSS) providing guideline recommendations about long-term follow-up of childhood cancer survivors. MATERIALS AND METHODS:The think-aloud method was used to gain insight into healthcare professionals' information processing while reviewing a paper-based guideline. A total of 13 healthcare professionals (6 physicians and 7 physician assistants) prepared 2 fictitious patient consults using the paper-based guideline. Propositional analysis was used to analyze verbal protocols of the think-aloud sessions. A prototype CDSS was developed and a usability study was performed, again with the think-aloud method. RESULTS:The analysis revealed that the paper-based guideline did not support healthcare practitioners in finding patient-specific recommendations. An information processing model for retrieving recommendations was developed and used as input for the design of a CDSS prototype user interface. Usability analysis of the prototype CDSS showed that the navigational structure of the system fitted well with healthcare practitioners' daily practices. CONCLUSIONS:The think-aloud method combined with propositional analysis of healthcare practitioners' verbal utterances while they processed a paper-based guideline was useful in the design of a usable CDSS providing patient-specific guideline recommendations.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Kilsdonk E,Peute LW,Riezebos RJ,Kremer LC,Jaspers MWdoi
10.1016/j.ijmedinf.2015.11.011subject
Has Abstractpub_date
2016-02-01 00:00:00pages
10-9eissn
1386-5056issn
1872-8243pii
S1386-5056(15)30062-9journal_volume
86pub_type
杂志文章abstract：INTRODUCTION:Epilepsy is a chronic neurological disorder characterized by recurrent spontaneous seizures. Over 70% epilepsy patients can live normally if their seizures can be controlled. For this, many factors should be tracked and managed, but doing so is hard because of individual differences. There are mobile appli...
journal_title：International journal of medical informatics
pub_type： 杂志文章
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journal_title：International journal of medical informatics
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journal_title：International journal of medical informatics
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journal_title：International journal of medical informatics
pub_type： 杂志文章
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journal_title：International journal of medical informatics
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journal_title：International journal of medical informatics
pub_type： 杂志文章
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journal_title：International journal of medical informatics
pub_type： 杂志文章
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journal_title：International journal of medical informatics
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journal_title：International journal of medical informatics
pub_type： 杂志文章
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journal_title：International journal of medical informatics
pub_type： 杂志文章,评审
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journal_title：International journal of medical informatics
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journal_title：International journal of medical informatics
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更新日期：2002-12-18 00:00:00
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更新日期：2003-03-01 00:00:00
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journal_title：International journal of medical informatics
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journal_title：International journal of medical informatics
pub_type： 杂志文章
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更新日期：2007-06-01 00:00:00
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journal_title：International journal of medical informatics
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2001-07-01 00:00:00
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journal_title：International journal of medical informatics
pub_type： 杂志文章
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更新日期：1999-02-01 00:00:00
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journal_title：International journal of medical informatics
pub_type： 杂志文章
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更新日期：2004-09-01 00:00:00
