Summary
Background: Early involvement of stakeholders in the design of medical software is particularly
important due to the need to incorporate complex knowledge and actions associated
with clinical work. Standard user-centered design methods include focus groups and
participatory design sessions with individual stakeholders, which generally limit
user involvement to a small number of individuals due to the significant time investments
from designers and end users.
Objectives: The goal of this project was to reduce the effort for end users to participate in
co-design of a software user interface by developing an interactive web-based crowd-
sourcing platform.
Methods: In a randomized trial, we compared a new web-based crowdsourcing platform to standard
participatory design sessions. We developed an interactive, modular platform that
allows responsive remote customization and design feedback on a visual user interface
based on user preferences. The responsive canvas is a dynamic HTML template that responds
in real time to user preference selections. Upon completion, the design team can view
the user’s interface creations through an administrator portal and download the structured
selections through a REDCap interface.
Results: We have created a software platform that allows users to customize a user interface
and see the results of that customization in real time, receiving immediate feedback
on the impact of their design choices. Neonatal clinicians used the new platform to
successfully design and customize a neonatal handoff tool. They received no specific
instruction and yet were able to use the software easily and reported high usability.
Conclusions: VandAID, a new web-based crowdsourcing platform, can involve multiple users in user-centered
design simultaneously and provides means of obtaining design feedback remotely. The
software can provide design feedback at any stage in the design process, but it will
be of greatest utility for specifying user requirements and evaluating iterative designs
with multiple options.
Keywords
Computers - informatics - human factors and engineering - human-computer interface