Usability and acceptability testing of a Plan of Safe Care in a mobile health platform

Frontiers in Psychiatry

Psychiatry

Katie Chang¹  Krystyna R. Isaacs¹  Elina Bajracharya¹  Tony X. Ma¹  David A. Paul²  Shantae Taylor³  Trenee Parker⁴  Yukiko Washio⁵ 

[1] Benten Technologies, Manassas, VA, United States;ChristianaCare – Department of Pediatrics, Wilmington, DE, United States;Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, United States;ChristianaCare – Department of Pediatrics, Wilmington, DE, United States;Substance Use, Gender and Applied Research, RTI International, Research Triangle Park, Durham, NC, United States;Delaware Division of Family Services, Department of Services for Children, Youth and Their Families, Wilmington, DE, United States;Substance Use, Gender and Applied Research, RTI International, Research Triangle Park, Durham, NC, United States;Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University Lewis Katz School of Medicine, Philadelphia, PA, United States;

关键词: substance use disorder;    opioid use disorder;    web-based case management;    Agile;    mHealth;    contingency management;    user-centered design;    usability testing;   

DOI  :  10.3389/fpsyt.2023.1182630

 received in 2023-03-09, accepted in 2023-05-09,  发布年份 2023

来源: Frontiers

【 摘 要 】

PurposeWomen who are pregnant or parenting while recovering from substance use disorder (SUD) are at risk for insufficient recovery support. With the federal mandate, implementation has been left to each state for the Plan of Safe Care (POSC), leading to challenges in providing comprehensive care coordination and meeting federal reporting requirements.MethodsThis research tests the usability and acceptability of a POSC platform, called SAFE4BOTH, which combines a mobile health (mHealth) app for use by mothers with substance use disorder (MSUD) with a web-based case management system for use by stakeholders to reduce the issue of fragmented postnatal maternal and infant care. The platform was designed to enable access to services, improve reporting task workflow, and assist in improving interactions between mothers and service providers.After applying a user-centered design approach, the usability and acceptability of the SAFE4BOTH platform were evaluated using focus groups, interviews, and a System Usability Scale (SUS). The evaluation involved four staff members from a Medication for Addiction Treatment clinic (comprising of three case management workers and one peer counselor), four state employees of the Delaware Division of Family Services, and 20 mothers with MSUD who had delivered infants in need of a POSC.Features tested in the SAFE4BOTH platform included a secure, web-based POSC, a contingency management-based reward system, a micro-learning library, a resources locator, a chat messaging and videoconferencing system, a directory for contact management, a QR code reader, use of an appointment compliance system engaging geofencing, and an enhanced calendar. Family services and treatment center staff accessed SAFE4BOTH from their laptops or tablets, and MSUD accessed SAFE4BOTH from their phones.ResultsFamily services staff, treatment center staff, and MSUD participants rated SAFE4BOTH as usable and acceptable with average System Usability Scale scores of 68.1 (SD 8.5), 92.5 (SD 11.73), and 78.4 (SD 12.5) (respectively).ConclusionThe platform was judged both usable and acceptable by all three target populations (family services staff, treatment center staff, and MSUD). Further studies are planned to explore the efficacy of longitudinally supporting the mother’s recovery and the infant’s healthy development.

【 授权许可】

Unknown   
Copyright © 2023 Isaacs, Bajracharya, Taylor, Chang, Washio, Parker, Paul and Ma.