Crowe, John A.

Lang, Alexandra. R.

Martin, Jennifer. L.

Sharples, Sarah

Name not available

Adolescent participation in HTA: the identification of appropriate proxies for adolescent user needs of medical devices

Nottingham eTheses

Lang, Alexandra. R. and Martin, Jennifer. L. and Sharples, Sarah and Crowe, John A. (2010) Adolescent participation in HTA: the identification of appropriate proxies for adolescent user needs of medical devices. In: 7th Annual Conference of the International Society for Health Technology Assessment (HTAi 2010),, 6th-9th June 2010., Dublin, Ireland. (Unpublished) Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/1349/1/HTAi_posterAL_eprint.pdfCopyright and reuse: The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions.This article is made available under the University of Nottingham End User licence and may be reused according to the conditions of the licence.  For more details see: http://eprints.nottingham.ac.uk/end_user_agreement.pdfA note on versions: The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher’s version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.ukWorkshopMethodsACKNOWLEDGEMENTSThis work was funded by the Multidisciplinary Assessment of Technology Centre for Healthcare (MATCH) program (EPSRC Grant EP/GO12393/1), although the views expressed are entirely those of the authors.Conclusions*Corresponding author, Email:eexal2@nottingham.ac.uk(Alex Lang)AMDAT (Adolescent MedicalDevice Assessment Tool)Triangulation of literature review data, interview data from clinicians and adults working with children, and workshop data with healthy adolescents, helped to identify characteristics of adolescent user needs (Figure 2).Adolescent participation in HTA: the identification of appropriate proxies for adolescent user needs of medical devicesAlexandra R. Lang1, Jennifer L. Martin1, Sarah Sharples1, 2,  John A. Crowe1, 31.  MATCH (Multidisciplinary Assessment of Technology Centre for Healthcare).2. Human Factors Research Group. Faculty of Engineering, University of Nottingham, University Park, NG7 2RD, UK3.  Electrical Systems & Applied Optics Research Division. Faculty of Engineering, University of Nottingham, University Park, NG7 2RD, UKBackground & ObjectivesThe use of proxy users by industry is useful for both health technology design and assessment. Adolescents are a key group who frequently suffer from under-ƌĞƉƌĞƐĞŶƚĂƚŝŽŶ ? ?ƚŚĞŝƌ ?ŝŶƉƵƚis often largely provided by proxies. Adolescents as a specific user group are known to be poor compliers with medical treatment recommendations.Relevant proxies for adolescent users of medical devices currently include; healthy adolescents, parents, carers and a variety of clinical staff. There can be long term economic benefit to medical device manufacturers when technology adequately meets the needs of younger users. The aim of this study was to investigate the opinions of healthy adolescent  participants on the design of a number of current medical devicesůƚŚŽƵŐŚƚŚĞƵƐĞŽĨ ?ƌĞĂů ?ƵƐĞƌƐŝƐƚŚĞŐŽůĚƐƚĂŶĚĂƌĚ ?ŝƚŝƐnot always feasible for industry to involve adolescent users in device design or assessment processes. When proxies have to be utilised, the next best solution is to have a thorough understanding of which proxy user groups provide the most valid information. By utilising different methods to understand proxy users and include real users in the design process, manufacturers of medical devices can improve their capture of user requirements; producing devices which are designed more inclusively for younger users.What do teenagers think of current medical device design?Methods to target the inclusion of adolescents in medical device R&D.How can we compare data from adolescent users with proxy user data?AMDAT tool developed to provide a data capture technique to enable direct comparison of data from adolescent and proxy users.Medical devices that meet the requirements and needs of adolescents (identified through the involvement of real users and, where appropriate, proxy users) will help address  the issue of poor compliance and improve long term health outcomes.Workshop method and activity interviews developed. Designed to be appropriate and engaging for teenage participants.Fig 1. Workshop development diagramExcluding clinical effectiveness, six heuristics of user needs were identified; Portability and Practicality, Social Acceptance, Maintenance, Ease of Use, Aesthetics and Adherence to regular and correct use. Figure. 3 presents an output from AMDAT, demonstrating how real user and proxy views can be directly compared using the heuristic categories. This output will enable manufacturers to decide if proxy user input adequately represents the views of adolescent users. 0246810Heuristic ScoreHeuristic Category TitlesHeuristic Evaluation of an Asthma InhalerAdolescentsProxiesFig 2. AMDAT development pyramidFig 3. AMDAT example output

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Adolescent participation in HTA: the identification of appropriate proxies for adolescent user needs of medical devices

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