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User-Centered Design for Cancer Care

The document outlines design principles and choices for a cancer patient information application. It focuses on serving post-treatment cancer patients and their caregivers with a universally accessible website. Key principles include Keep It Simple Stupid (KISS) through big fonts, wide layouts, few choices and short scroll pages. Human faces are used to increase engagement. The register page separates information into steps with instructions and feedback. The patient portal focuses on daily self-assessment, communication and quick lookups. Self-assessment uses a conversational interface to ask one question at a time and provide a customized report. The communication portal allows easy access to care team contacts and peer forums.

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0% found this document useful (0 votes)
55 views10 pages

User-Centered Design for Cancer Care

The document outlines design principles and choices for a cancer patient information application. It focuses on serving post-treatment cancer patients and their caregivers with a universally accessible website. Key principles include Keep It Simple Stupid (KISS) through big fonts, wide layouts, few choices and short scroll pages. Human faces are used to increase engagement. The register page separates information into steps with instructions and feedback. The patient portal focuses on daily self-assessment, communication and quick lookups. Self-assessment uses a conversational interface to ask one question at a time and provide a customized report. The communication portal allows easy access to care team contacts and peer forums.

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lsnzgi
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© All Rights Reserved
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INTERFACE DESIGN PRINCIPLE

OVERALL STATEMENT

The Cancer Patient Information Application focuses primarily on serving the post-treatment,
non-institutionalized Stoma Cancer patients, with a secondary focus on attending to the
information needs of the patients’ caregivers and family members. Our users fall within a broad
range of demographics – difference age, digital literacy, physical abilities, etc. Yet considering
that the majority of stoma patients are around 50s1, as well as having low level of literacy2 and
digital literacy, a universally accessible, user-centered information portal design shall be built as
a standalone website designed based on the following principles:

KISS DESIGN PRINCIPLE


KISS is an acronym for "Keep it simple, stupid" as a design principle noted by the U.S. Navy in
1960. It states that most systems work best if they are kept simple rather than made
complicated; therefore, simplicity should be a key goal in design and unnecessary complexity
should be avoided.

In our design, the KISS principle would be practiced by several ways:

▪ Big font size


▪ Wide layout
▪ Few choices
▪ Short-scroll page

USE HUMAN FACES TO INCREASE USER ENGAGEMENT


“When we see a face, we are automatically triggered to feel something or to empathize with
that person. If we recognize content on a website — such as a problem, dilemma, habit or
whatever else — we feel connected and understood. ”—Sabina Idler3

1
Simon, C., Everitt, H., Van Dorp, F., & Burke, M. (2014). Oxford handbook of general practice. Oxford University
Press.

2
Cardenas, C., Schleimer, L. E., Olsen, M., Manzo, V., Guay, R., Kim, T., ... & Bhatt, A. S. (2016). Global Design
Strategy for Cancer Patient Education Materials: Haiti Pilot Case Study. Design Management Journal, 11(1), 15-31.

3
Idler, S. (2012, April 12). Not Just Pretty: Building Emotion Into Your Websites. Retrieved April 08, 2018, from
[Link]
Human Faces are powerful tools to increase the users’ engagement, in this case, we believe
that putting professionals’ photograph and interacting with users by a conversation mode to
“talk” with them can create trust, as well as authority, and help users to relate to our design.

DESIGN CHOICES

REGISTER PAGE

Considering the low digital literacy of majority of users, we separate the information needed in
the register page and group them into 4 parts. In this way, users would fill in their information
step by step followed by the instruction we provided through description, icons and the flow.
Some of the problems are expressed from the first-person perspective to help people
memorize and relate.
[1] Use the Conversation mode to give the target user a brief introduction about WHAT kind of
information we ask for and WHY we need them.

[2] Use mark icon to give the user instant feedback of the correctness of the information they
typed in, which can avoid them from repeated submitting because of errors.
[3] In the bottom of the page, the flow sequence can help the users to know which step they
are in and how far they will step into, which can avoid users from losing patience during the
registration process.

[4] [5] Considering that the built-in features like calendar, location and search bar may be
unfamiliar for our target users, we provide instructions to help them understand how they can
fill in their information with the help of those tools and release they typing workload.

[6] When users fill up their caregiver information, we provide a shortcut to let them invite their
caregiver into our system. Ideally, it will send a link through the email/phone number to the
caregiver and, under the admission, the caregiver can directly build up the connection with the
patient instead of registering for the system.
PATIENT PORTAL

Follow the KISS principles, our design for the Patient Portal differentiates itself from those
offered by traditional hospitals, which offer an enormous list of functionalities—most of which
of too technical, irrelevant, or simply confusing to a regular patient with moderate level of
information need and quite limited attention span.

[1] Instead of showing every function facilitated by the website, we decided to reduce the
amount of information in the Menu bar. To be more specific, we chose not to list those
functions that are already on the Patient Portal such as Self-Assessment and Information Look-
up. What is more, de chose to free the webpage from being too crowded, adopting a wide
layout without introducing side-menu.

[2] In deciding what key features to be placed on the patient portal, which is the first page the
patient will see when he or she logged in. We examined the users’ expected behaviors and
came down to a few evaluating criteria:

1. Given that the users will typically spend a limited amount of time on the website, we
speculate that the Patient Portal is likely to be the only page a regular patient will visit
on a regular basis. Thus, the functions should represent the core functions of the
website in an uncomplicated way.

2. The function should serve the users on a regular or daily basis. Thus, features a
patient uses less frequently, such as browsing medical-related articles, may not appear
in the portal page but instead find a place in a separate page.

We came to three main functions:

1. Daily Self-Assessment Tool


2. Instant Communication Tool
3. Quick Information Look-up

[3] The Information Look-up Section is designed based on the principle of Affordance—to
follow what users were conditioned to think about and to perform a certain task. In this case,
we borrowed the simple and elegant one-search-bar-for-all design adopted by Google and
other popular search engines, based on the assumption that even the less-competent users of
technology had grown accustomed to the simple search functions in past occasions.

[4] The Self-Assessment Function adopts a design that is unconventional in medical-related


applications: using conversational interface to guide the users through the daily health
condition assessment and to auto-generate customized report based on the patient’s feedback
and suggest possible help. The design will be illustrated more in later section.
SELF ASSESSMENT TOOL

Ideally, a patient will take a brief self-assessment quiz on a daily basis-- to keep an account of
his or her health conditions for future use of the health specialists and to identify anomalies in
the pattern and offer suggestions and help. The design of such function is critical: an
uncomplicated, easy-to-follow, intuitive interaction design will help the users remain on rack,
and vice versa. Thus, instead of asking the users to a long list of survey questions, we
introduce a conversational interface.

[1] The conversational style resembles what nurse practitioners and doctors do at every
occasion of meeting a patient: a series of question-asking and documenting—a process which
the patients are accustomed to. This, again, reinforces the idea of Affordance in designing an
interaction.

[2] The navigation in the dialog is quite simple: there are buttons for navigating back and forth;
doing so offers the patients place for occasional slips, such as an accidental missed question. In
implementation, the patient input will be auto-saved, meaning that navigating between
questions won’t interrupt the users’ flow of experience.

[3] Another goal of the design is to save the patients’ time. Of course, these functions demand
effort, therefore we intend to make it seem as easy and fun as possible. Organizing questions
into conversation will make the task appears less formidable since the users are exposed to one
question at a time rather than seeing them all at once.

[4] The assessment tool is integrated into the Patient Portal, the users’ first stop at the website.
This way, it also serves as a reminder. An alternative is to place it on a separate page that can
be accessed in the menu. However, this may cause the users to forget about it completely, thus
breaking the habit of tracking. Our design takes the concept of Proximity into consideration,
making the most important feature the most accessible to the user’s reach.

The 3 states of auto-generated report:


[5] At the end of the survey, the user will see a short report based on his or her inputs. We put
together three cases:

This auto-generated report makes reasonable suggestions to the users; what is more, it
provides direct link to guide users to the specific resources which may help them. In
implementation, the function will be actualized using built-in data analytics or machine learning
algorithms.

[6] On the other hand, we believe that providing feedback is essential to an effective design;
the users will know how they are doing: both as a patient (if he or she is under normal
condition) and as a system user (if he or she is effectively using the system).
COMMUNICATION PORTAL

[1] The navigation bar with highlighted tab helps the user keep track of where they are, and
easily locate other pages.

[2] The main content of the page is the individual patient's care team contacts. This way they
can easily, email or call the people they need to get in touch with. There is also a link next to
both sections which allows the patient to edit their care team, adding or subtracting members
as necessary for more easily facilitated direct communication.

[3] The peer forum is clearly labeled, but delegated to an additional page as not to crowd the
portal. Notice, each group is identified with a recognizable icon. This connects back to the
patient portal page which helps connect the icon with the group. The icons help patients more
easily find what they are looking for. Pictures and icons tend to be more engaging and
recognizable than simple text.

[4] This bubble gives a basic outline of the function of the page, as well as an important
reminder to call 911 in case of an emergency rather than using the communication portal. This
is still in the format of a conversational interaction. It makes it easy for patients to understand
what the page is used for.
[1] The navigation bar is again highlighted under the communication portal page. This is
because the forum is still part of the communication portal. Keeping the pages under the basic
navigation sections helps keep things simple.

[2] The main content of the page is the posts written and commented on by other patients. This
is a means of support for users going through similar experiences. The posts are kept
chronologically to make it easy for users to find posts. It is also clear how to enter comments
and participate in the forum.

[3] There is also a clear button marked with icons and text to get back to the main
communication portal page.

Common questions

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To accommodate users with low digital literacy, the Cancer Patient Information Application applies the KISS design principle, simplifying the user interface with large fonts, wide layout, limited choices, and short-scroll pages. Additionally, the registration process is divided into digestible steps with guidance through icons, descriptions, and flow sequences to prevent errors and frustration. Furthermore, the interface is made more intuitive by avoiding complex features and following designs familiar to users, such as search bars resembling those of popular engines .

The principle of affordance is applied in the Patient Portal by using a single search bar for all queries, a concept users are already familiar with from experiences with search engines like Google. This approach capitalizes on users' conditioned expectations, facilitating intuition and familiarity even among those with limited technological proficiency, enhancing accessibility and ease of use .

The main considerations include simplifying language and using visual cues like icons to provide clear, step-by-step instructions. Instructions for features like built-in calendars or search bars are essential to reduce cognitive load and typing errors. Instant feedback mechanisms on data input correctness help prevent user frustration and support seamless navigation through the registration process .

The incorporation of human faces in the user interface can increase users' engagement and trust because seeing a face triggers users to feel something or empathize, creating a sense of connection and understanding. This method not only builds trust but also establishes authority, as users are more likely to relate to and feel comfortable with the design when it includes professional photographs or interactive elements, such as conversation modes to 'talk' with them .

The communication portal facilitates effective interaction by providing highlighted navigation that keeps users aware of their location in the app and simplifying direct communication with a care team by allowing easy editing of contact lists. Clearly labeled peer forums and chronological post arrangements also support social interaction. Recognizable icons and conversational instructions streamline the process, ensuring users understand functionality quickly .

User feedback is integrated into the application through mechanisms such as the auto-generated reports after self-assessments, which provide users with health condition updates and system usage insights. This feedback system is crucial as it not only informs users of their health status and usage effectiveness but also links them to additional resources for improvement. These aspects ensure users feel engaged and aware of their progress, critical for maintaining positive user experiences .

The 'one-conversation-at-a-time' approach significantly impacts user engagement by reducing the cognitive load typically involved in long-form surveys. This method breaks down information into manageable pieces, increasing users' willingness to complete assessments. It aligns with patient-doctor conversational dynamics, thus familiarizing users with the process and maintaining their focus and interest throughout the interaction .

The principle of proximity in the Patient Portal's self-assessment feature ensures that the most important information—daily health condition assessments—is easily accessible. By integrating this feature within the main portal, it serves as an immediate reminder for users to conduct daily assessments, fostering a habit of regular health monitoring and facilitating seamless user interaction without the need for additional navigation .

The 'Daily Self-Assessment Tool' uses a conversational interface to guide users through health condition assessments, unlike traditional applications that often use lengthy surveys. This approach resembles typical patient-nurse conversations, using simple navigation and ensuring user input is auto-saved, thereby maintaining users' flow without overwhelming them with multiple questions at once .

The Patient Portal employs strategies aligning with the KISS principle to ensure users focus on core functionalities by reducing the information presented in the menu bar to essential functions. These include a Daily Self-Assessment Tool, Instant Communication Tool, and Quick Information Look-up, placing less frequently used features elsewhere. This minimalist approach ensures that users concentrate on daily or regular needs without distraction from unnecessarily complex functions .

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