Noack, Eva Maria

[["dc.bibliographiccitation.firstpage","e21586"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Journal of Medical Internet Research. Mhealth & Uhealth"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Noack, Eva Maria"],["dc.contributor.author","Schulze, Jennifer"],["dc.contributor.author","Müller, Frank"],["dc.date.accessioned","2021-06-01T09:42:21Z"],["dc.date.available","2021-06-01T09:42:21Z"],["dc.date.issued","2021"],["dc.description.abstract","Background In emergencies, language barriers may have dangerous consequences for the patients. There have been some technical approaches to overcome language barriers in medical care but not yet in the prehospital emergency care setting. The use of digital technologies in health care is expanding rapidly. Involving end users at all stages of the development process may help to ensure such technologies are usable and can be implemented. Objective We aimed to develop a digital communication tool that addresses paramedic needs in the specific circumstances of prehospital emergency care and helps paramedics to overcome language barriers when providing care to foreign-language patients. Methods We actively engaged paramedics and software designers in an action-oriented, participatory, iterative development process, which included field observations, workshops, background conversations, questionnaires on rescue missions, studying the literature, and preliminary testing in the field. Results With input from paramedics, we created an app with 600 fixed phrases supporting 18 languages. The app includes medical history–taking questions, phrases asking for consent, and phrases providing specific additional information. Children as patients, as well as their carers and other third parties, can be addressed with appropriate wording. All phrases can be played back audibly or displayed as text. The comprehensive content is grouped into categories and adapted to diverse scenarios, which makes the tool rapidly usable. The app includes a function to document patient responses and the conversation history. For evaluation in a clinical study, the app is run on a smartphone with extra speakers to be of use in noisy environments. The use of prototypes proved valuable to verify that the content, structure, and functions discussed in theory were of value and genuinely needed in practice and that the various device control elements were intuitive. Conclusions The nature of the paramedic work environment places specific demands on the communication options used and need for such devices. The active involvement of paramedics in the development process allowed us to understand and subsequently consider their experience-based knowledge. Software designers could understand the paramedics’ work environment and consider respective needs in the menu navigation and design principles of the app. We argue that the development of any medical software product should actively involve both end users and developers in all phases of the development process. Providing the users with the opportunity to influence technology development ensures that the result is closer to their needs, which can be seen as crucial for successful implementation and sustainable use. Trial Registration German Clinical Trials Register DRKS00016719; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00016719 International Registered Report Identifier (IRRID) RR2-10.1186/s12913-020-05098-5"],["dc.identifier.doi","10.2196/21586"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85226"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.eissn","2291-5222"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Designing an App to Overcome Language Barriers in the Delivery of Emergency Medical Services: Participatory Development Process"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.contributor.author","Müller, Frank"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Schulze, Jennifer"],["dc.contributor.author","Noack, Eva Maria"],["dc.date.accessioned","2021-08-12T07:46:11Z"],["dc.date.available","2021-08-12T07:46:11Z"],["dc.date.issued","2021"],["dc.description.abstract","Zusammenfassung Hintergrund Im Rettungsdienst können, im Gegensatz zum stationären Setting, adäquate Dolmetscher häufig nicht ohne Weiteres hinzugezogen werden. Gleichzeitig erfordern Notfallsituationen aber eine rasche Anamnese und ein Assessment als Basis für jedes therapeutische Handeln. Material und Methoden Eine Smartphone-App, die auf 18 Sprachen eine basale Kommunikation mittels 600 fest eingesprochener unterschiedlicher Phrasen auf 20 Sprachen ermöglicht, wurde über 6 Monate in vier Rettungswachen pilotiert. Abschließend wurde die Nutzbarkeit der App durch das gesamte Rettungsdienstpersonal in einer Fragebogenstudie unter Verwendung des System Usability Scores und des AttrakDiff-Fragebogens bewertet. Ergebnisse Die Rücklaufquote betrug 48,5 % und n  = 48 Fragebögen wurden ausgewertet. Das Durchschnittsalter der Befragten betrug 36 Jahre und fast zwei Drittel waren männlichen Geschlechts. Der System Usability Score zeigte im Median 67,5 Punkte, was eine grenzwertig gute Nutzbarkeit zeigte. Im AttrakDiff-Fragebogen zeigte sich die pragmatische Qualität mit durchschnittlich 0,69 (SD 0,86), die hedonische Qualität mit 0,59 (SD 0,58) und die Attraktivität (ATT) mit 0,64 Punkten (SD 0,83). Die Durchschnittswerte zeigen zufriedenstellende Werte jeweils oberhalb der neutral markierenden Grenze von 0. Auffällig zeigte sich, dass in wesentlichen Bewertungskriterien diejenigen Rettungsdienstkräfte, die angaben, die App bereits aktiv im Einsatz mit Patienten genutzt zu haben, die App signifikant besser einschätzten. Diskussion Vor dem Hintergrund, dass es sich bei der untersuchten App um ein komplexes Arbeitswerkzeug handelt, werden die Nutzbarkeit und Attraktivität als insgesamt gut eingeschätzt, wobei in der Nutzung erfahrene Rettungskräfte diese noch positiver einschätzten. Dies könnte auf eine Art Schwellenangst hindeuten, einer bereits durch Sprach- und kulturelle Barrieren geprägten Rettungssituation mit einer ebenfalls recht komplexen Intervention zu begegnen."],["dc.description.abstract","Abstract Background Communication with foreign-speaking patients in emergency medical situations can be challenging. In contrast to the inpatient setting, adequate interpreters are often not readily available in emergency services. At the same time, however, emergency situations require rapid assessment as the basis for any treatment. Materials and methods A smartphone app that enables basic communication in 18 languages using 600 different phrases was piloted over a period of 6 months in four emergency medical service stations. Finally, the usability of the app was evaluated by the whole rescue service staff in a questionnaire study using the System Usability Score and the AttrakDiff questionnaire. Results The response rate was 48.5% and n  = 48 questionnaires were evaluated. The average age of the respondents was 36 years and almost two-thirds were male. The System Usability Score showed a median of 67.5 points, indicating borderline good usability. The AttrakDiff questionnaire showed pragmatic quality with an average of 0.69 (SD 0.86), hedonic quality with 0.59 (SD 0.58), and attractiveness (ATT) with 0.64 points (SD 0.83). The average values show satisfying results above the neutral limit of 0. It was observed that those rescue workers who stated that they had already actively used the app with patients rated the app significantly better. Discussion Given that the app studied is a complex work tool, its usability and attractiveness were rated as overall good, and paramedics who had already used the app rated it even more positively. This could indicate a hesitancy by some paramedics to use a complex digital tool in complex situations that are already characterized by language and cultural barriers."],["dc.identifier.doi","10.1007/s10049-021-00913-w"],["dc.identifier.pii","913"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88637"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-448"],["dc.relation","DICTUM-Braunschweig Digitale Kommunikationshilfen für nicht-deutschsprechende Patienten im Rettungsdienst"],["dc.relation.eissn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Nutz- und Bedienbarkeit einer App zur Überwindung von Sprachbarrieren im Rettungsdienst"],["dc.title.translated","Usability of an app to overcome language barriers in paramedic care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]