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首页> 外文期刊>BMC Medical Informatics and Decision Making >Development and assessment of the usability of a web-based referral to treatment tool for persons with substance use disorders
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Development and assessment of the usability of a web-based referral to treatment tool for persons with substance use disorders

机译：开发和评估基于Web的转诊到治疗工具的可用性，用于物质使用障碍的人员

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Hospitalized people with unhealthy substance use should be referred to treatment. Although inpatient referral resources are often available, clinicians report that outpatient referral networks are not well-established. The purpose of this manuscript is to describe the development and usability testing of a web-based Referral to Treatment Tool (RTT ? 2020 Trustees of Indiana University, all rights reserved) designed to identify treatment centers for people with unhealthy substance use. The RTT was conceptualized, developed, and then populated with public use and local survey data of treatment centers from 14 market ZIP codes of hospitals participating in an SBIRT implementation study. The tool underwent initial heuristic testing, followed by usability testing at three hospitals within a large healthcare system in the Midwest region of the United States. Administrative (n?=?6) and provider (n?=?12) users of the RTT completed a list of tasks and provided feedback through Think-Aloud Tests, the System Usability Scale, and in-person interviews. Patients (n?=?4) assessed multiple versions of a take-home printout of referral sites that met their specifications and completed in-person interviews to provide feedback. Each administrative task was completed in less than 3?min, and providers took an average of 4?min and 3?s to identify appropriate referral sites for a patient and print a referral list for the patient. The mean System Usability Scale score (M?=?77.22, SD?=?15.57, p?=?0.03) was significantly higher than the passable score of 70, indicating favorable perceptions of the usability of the RTT. Administrative and provider users felt that the RTT was useful and easy to use, but the settings and search features could be refined. Patients indicated that the printouts contained useful information and that it was helpful to include multiple referral sites on the printout. The web-based referral tool has the potential to facilitate voluntary outpatient referral to treatment for patients with unhealthy substance use. The RTT can be customized for a variety of health care settings and patient needs. Additional revisions based on usability testing results are needed to prepare for a broader multi-site clinical evaluation. Trial Registration Not applicable.
机译：应住院人员使用不健康的物质使用应提及治疗。虽然住院转诊资源通常是可用的，但临床医生报告说，门诊转诊网络不是很好的。本手稿的目的是描述基于Web的转诊到治疗工具（RTT？2020年度的印第安纳大学托管人，保留所有权利）的开发和可用性测试，旨在为有不健康的物质使用的人识别治疗中心。 RTT被概念化，开发，然后填充了公共使用，然后填充了来自参加SBIRT实施研究的14个市场邮政编码的护理和当地调查数据。该工具接受了初始启发式测试，其次是在美国中西部地区的大型医疗保健系统内的三家医院的可用性测试。管理（n？=？6）和提供者（n？=？12）RTT的用户完成了任务列表，并通过思考的测试，系统可用性规模和人员访谈提供反馈。患者（n？=？4）评估了传记站点的多个版本，符合其规范并完成了接入人员访谈以提供反馈。每个行政任务在不到3个？最多的时间内完成，并且提供者平均花4？最小，3？s，以确定患者的适当推荐网站，并打印患者的推荐列表。平均系统可用性比例得分（m？=Δ77.22，sd？15.57，p？= 0.03）显着高于可通过得分为70，表明对RTT的可用性有利的看法。管理和提供商用户认为RTT是有用且易于使用的，但可以精制设置和搜索功能。患者表明，打印输出包含有用的信息，并且有助于在打印输出上包含多个推荐网站。基于Web的推荐工具有可能促进志愿门诊对不健康的药物使用患者的治疗。 RTT可用于各种医疗保健设置和患者需求。需要基于可用性测试结果进行额外的修订，以准备更广泛的多站点临床评估。试验登记不适用。

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