40-80% of medical information is forgotten immediately after discharge.
40-80% of medical information is forgotten immediately after discharge.
Many patients are confused about their health care instructions after hospital discharge.
Doctors use the teach-back method to ensure patients understand their care instructions clearly.
Many patients are confused about their health care instructions after hospital discharge.
Doctors use the teach-back method to ensure patients understand their care instructions clearly.
What is Teach-back?
Concern for teach-back at home
Concern for teach-back at home
How would teach-back work at home without doctor's supervision?
How would teach-back work at home without doctor's supervision?
The focus of project
How can we implement teach-back method digitally and improve patient understanding at home?
How can we implement teach-back method digitally and improve patient understanding at home?
Note: This university project was sponsored by Healthwise (now acquired by WebMD).
TLDR;
We proposed a scalable framework of digital activities that would allow patients to engage with the health information and consequently improve their understanding at home without clinician's presence. This framework is aimed to provide support to clinicians rather than eliminating them from the loop.
My role & insights along "the way"
"The way"
Assisted in planning the meeting agenda and project related questionnaire.
We started the project with kickoff meeting with sponsors.
We started the project with kickoff meeting with sponsors.
To understand project, expectations & deliverables
Documentation
Documentation
Sponsor communication
Sponsor communication
Help in planning the meeting agenda and project related questionnaire.
Then, we interviewed doctors' and nurses' to understand their perspective on Teach-back
Then, we interviewed doctors' and nurses' to understand their perspective on Teach-back
Main learnings from doctors & nurses
Main learnings from doctors & nurses
Teach-back is never a knowledge check.
Using a non-intimidating & simple language is necessary.
Teach-back varies for different types of instructions & procedures.
Make them repeat after few instructions (chunk information)
How many types of instructions are there?
Is teach-back same for every type?
What about the content from Healthwise?
How can we make a template of activities
How many types of instructions are there?
Is teach-back same for every type?
What about the content from Healthwise?
How can we make a template of activities
1 thing became clear, teach-back is highly personalized.
1 thing became clear, teach-back is highly personalized.
Personalized based on patient's demographics, medical condition & couple of other factors.
Personalized based on patient's demographics, medical condition & couple of other factors.
Majorly worked on Speakout concept. Participated in concept ideation and worked with the team to do whiteboarding session and bring out ideas.
Majorly worked on Speakout concept. Participated in concept ideation and worked with the team to do whiteboarding session and bring out ideas.
We started exploring 2 concepts - Speakout and VirtualBuddy. And peer reviewed it from 5 different project teams.
We started exploring 2 concepts - Speakout and VirtualBuddy. And peer reviewed it from 5 different project teams.
We showed both the concepts to our peers in the class and the sponsors to get feedback.
We showed both the concepts to our peers in the class and the sponsors to get feedback.
Explore concepts
Majorly worked on Speakout concept. Participated in concept ideation and worked with the team to do whiteboarding session and bring out ideas.
Use of AI was not welcomed as concerns regarding privacy were raised.
Scope narrowing was required because the scope of medical treatments was HUGE.
Use of AI was not welcomed as concerns regarding privacy were raised.
Scope narrowing was required because the scope of medical treatments was HUGE.
Hence, we decided to try and implement teach back for just one procedure - colonoscopy.
Hence, we decided to try and implement teach back for just one procedure - colonoscopy.
Why colonoscopy?
Researched steps for "After Colonoscopy" and made the journey map for the same.
Researched steps for "After Colonoscopy" and made the journey map for the same.
Next step was pretty straightforward, understand patient's journey for colonoscopy
Next step was pretty straightforward, understand patient's journey for colonoscopy
We mostly thought in the direction, what were the touchpoints, actions of patients and clinicians?
We mostly thought in the direction, what were the touchpoints, actions of patients and clinicians?
See whole journey map
Researched steps for "After Colonoscopy" and made the journey map for the same.
Helped in creating the story for storyboard. The key was, to help others easily understand what we had worked on so that they can easily critique our work.
Helped in creating the story for storyboard. The key was, to help others easily understand what we had worked on so that they can easily critique our work.
After journey mapping, we built newly iterated storyboards and presented it in gallery walk.
After journey mapping, we built newly iterated storyboards and presented it in gallery walk.
We tried a little bit of gamification in some storyboards to test out what was the feedback.
We tried a little bit of gamification in some storyboards to test out what was the feedback.
Helped in creating the story for storyboard. The key was, to help others easily understand what we had worked on so that they can easily critique our work.
Concerns regarding use of digital technologies for elders.
Chunking of information received a lot of appreciation.
Concerns regarding use of digital technologies for elders.
Chunking of information received a lot of appreciation.
Around that time, Healthwise sent nurses interview summaries. This boosted our confidence in the approach to chunking.
Around that time, Healthwise sent nurses interview summaries. This boosted our confidence in the approach to chunking.
We brainstormed some digital activities that one can do after a chunk of information is presented to patients.
We brainstormed some digital activities that one can do after a chunk of information is presented to patients.
See prototype
We tested this concept with some real users who went through medical checkups recently.
We tested this concept with some real users who went through medical checkups recently.
Using their own voice recording for doing digital teach back was appreciated by some and not welcomed by others.
Using their own voice recording for doing digital teach back was appreciated by some and not welcomed by others.
Soon we realized that we can make a set of activities which can be reused by different procedures, making this a scalable solution.
Soon we realized that we can make a set of activities which can be reused by different procedures, making this a scalable solution.
This scalable aspect was loved by the sponsors.
This scalable aspect was loved by the sponsors.
As a deliverable, we made a scalable activity guide, which would help Healthwise designers make more activities for Teach-Back.
As a deliverable, we made a scalable activity guide, which would help Healthwise designers make more activities for Teach-Back.
Things I learned
There is a big scope for good design in Health-Tech space because transparency, trust and reliability are important for people. This can only be bridged by good design.
There is a big scope for good design in Health-Tech space because transparency, trust and reliability are important for people. This can only be bridged by good design.
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Things I would love to talk over a cup of tea!
Design philosophy
Jony Ive
Anime
Music
Shrimad Bhagwad Geeta
Karate Goju Ryu style
Dan Brown novels
Swimming
Trekking to Mt Everest Base camp
Copyright © 2024 Dharam Lokhandwala
Things I would love to talk over a cup of tea!
Design philosophy
Jony Ive
Anime
Music
Shrimad Bhagwad Geeta
Karate Goju Ryu style
Dan Brown novels
Swimming
Trekking to Mt Everest Base camp
Copyright © 2024 Dharam Lokhandwala
Things I would love to talk over a cup of tea!
Design philosophy
Jony Ive
Anime
Music
Shrimad Bhagwad Geeta
Karate Goju Ryu style
Dan Brown novels
Swimming
Trekking to Mt Everest Base camp
Copyright © 2024 Dharam Lokhandwala