UCLIC / FIT Lab PLATFORM: Healthy interactive systems : Resilient, Usable and Appropriate Systems in Healthcare

Lead Research Organisation: University College London
Department Name: UCL Interaction Centre

Abstract

When faced by complex problems, people turn to tools that improve their performance. Through studying the use of tools in highly demanding circumstances we gain valuable insights into how to design effective systems. The design of interactive computer systems is a complex and multi-faceted challenge that is amplified when such systems are used in the varied, sensitive and often pressurised environment of healthcare.Health is a domain of immense significance to society, and of great strategic importance. The use of interactive technologies in clinical practice, preventative education and the treatment of chronic conditions has become pervasive. However, there is compelling evidence that current healthcare systems are under-performing: often unreliable, difficult to use, and failing to address the needs of clinicians and patients adequately. Surprisingly little attention has been paid to people's interactions with those technologies and designing effective interactions. Interactive systems in health raise many problems of interest to interaction researchers. Clinical appliances such as syringe pumps have apparently simple interfaces that nonetheless have contributed to medical errors, while the proliferation of online material leads to many patients attempting to self-diagnose or understand a chronic condition. The design of effective interactions with healthcare systems requires a multidisciplinary approach; conversely, we can test and extend HCI approaches by working in this demanding setting. For example, the design of medical appliances raises challenges of developing formal modelling techniques that can be used to analyse complex, often messy, systems. Similarly studies of patient's internet searches, and the rich interactions they have with and around information, challenge our understanding of interactive information seeking.This Platform grant brings together two research groups with complementary skills and approaches, and a track record of effective collaboration. It will provide base-line support for developing a research agenda in healthy interactive systems , by which we mean systems that are dependable, usable and appropriate to their contexts of use, and that empower their users, augmenting people's understanding and capabilities.This proposal builds on outcomes from the current Platform grant on The design and use of complex information spaces . The focus on complexity has resulted in some important developments over the period of the grant, which have shaped this renewal. These include a shift in focus from compensating for users' limitations (e.g. designing out error, or helping users reformulate queries in information seeking) to augmenting their capabilities (e.g. enabling resilient behaviours, supporting sense-making) and improving their experiences in a health context. This Platform renewal will support the development of new research directions that cover user and system perspectives on individual and collaborative interactions with technologies in healthcare.Whereas the original grant was held in UCLIC, this renewal is joint between UCLIC and the FIT Lab in Swansea (following Thimbleby's move to found this new group). This collaboration brings together UCLIC's strengths in user-focused HCI with FIT's in technology-focused HCI, addressing research problems that demand a multi-disciplinary approach. The geographical split will need careful management, but offers benefits including complementary research approaches and different healthcare contexts and cultures to study. The Platform grant will provide career development opportunities and group stability, and support the strengthening of strategic collaborations with international groups and also with practitioners and policy makers.

Publications

10 25 50
 
Description As well as the grants facilitated by the Platform funding, we also investigated how clinicians and patients can be empowered to make sense of large quantities of health information. We identified an important gap in research on systems to help patients make sense of their own health data, and in empowering patients to engage with information meaningfully.
Exploitation Route The substantive findings of this grant (as opposed to findings that have formed the foundations of follow-on grants) are in the area of how to design effective information visualisations for making sense of health information and on how people engage with health information (focusing on patients, but also potentially of relevance to clinicians and researchers).
Sectors Digital/Communication/Information Technologies (including Software),Healthcare

 
Description This Platform grant facilitated several important activities in healthcare research, of which the most significant are follow-on funding on the design of safer interactive medical devices and on motion capture for pain management.
First Year Of Impact 2009
Sector Healthcare
 
Description MHRA Task & Finish group on Human Factors in device regulations
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
 
Description CHI+MED EPSRC Programme Grant
Amount £5,820,840 (GBP)
Funding ID EP/G059063/1 
Organisation Engineering and Physical Sciences Research Council (EPSRC) 
Sector Academic/University
Country United Kingdom
Start 10/2009 
End 09/2015
 
Description Exploring the Current Landscape of Intravenous Infusion Practices and Errors (ECLIPSE)
Amount £556,803 (GBP)
Funding ID 12/209/27 
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 07/2014 
End 06/2017
 
Description Pain rehabilitation: E/Motion-based automated coaching
Amount £1,154,532 (GBP)
Funding ID EP/H017178/1 
Organisation Engineering and Physical Sciences Research Council (EPSRC) 
Sector Academic/University
Country United Kingdom
Start 05/2010 
End 12/2015
 
Description MHRA 
Organisation Medicines and Healthcare Regulatory Agency
Country United Kingdom 
Sector Public 
PI Contribution Advising on human factors for medical device design, contributing to MHRA consultation meetings on this topic, and contributing to the authoring of MHRA guidance on human factors for medical devices (currently in draft form).
Collaborator Contribution Facilitating the impact of research on practice in medical device regulation.
Impact Report still at draft stage.
Start Year 2015
 
Description NHS England 
Organisation NHS England
Country United Kingdom 
Sector Public 
PI Contribution New interpretations of NRLS data to inform future incident reporting.
Collaborator Contribution Data sharing agreement giving access to NRLS incident data to complement other data sources informing research
Impact Ongoing. HCI and Pharmacy
Start Year 2014
 
Description Workshop at MHRA/ NHSEngland MSO/MDSO symposium 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Workshop on design and use of infusion devices, provoked significant discussion at the time and positive feedback.
Year(s) Of Engagement Activity 2016