The Value of Patient Education Kiosks

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The Value of Patient Education Kiosks

• Jackie A. Smith, Ph.D.
• April 12, 2000

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Presentation Topics

• Introduction
• Use of Kiosks
• and -
• Findings
• Kiosk in learning centers

• Kiosk providers
• Format options
• Costs
• Research, evaluation
• Future directions

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What is Kiosk?
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Types

• Advertise product
• Dispense information
• Exchange information

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Design Factors

• Services provided
• Goals
• Functional requirements
• Filtering needed
• Target population
• Location
• Monitoring

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Issue

• The Web A Competing Medium

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Issue

• Technology is changing.

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Issue

• Leaders change

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Kiosks in Health Care

• Information
• Interactive

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Uses

• Direction giving
• Discussion groups
• Decision making
• Referral tools
• Links to providers
• Profile the at risk

• Medical reminders
• Handouts
• Disease monitoring
• Self-care

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Interactive Programs

• CD-based
• Interactive videodisk
• Shared-decision making
• Health risk assessment
• Simulations

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Advantages

• Interactive
• Big databases
• Stores and organizes
• Fast retrieval
• Recent info.

• Patients in control
• Time efficient
• Increases satisfaction
• Increases compliance
• Better outcomes

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Disadvantages

• Cognitive domain
• Expensive
• Complex
• Limited use for some patients
• Hardware failure
• Space

• Immovable
• Time required to teach staff
• Patients require help
• Maintenance
• Hard to evaluate

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Findings

• Patients welcome computers across groups.

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Findings

• Clinic 3

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Findings

• Cost Savings

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Review of Literature

• Lewis (JAMIA, Jul/Aug 1999)
• All computer-based approaches had positive
  impact.

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Impacts

• Knowledge
• Clinical outcomes
• Self-care
• Skill development

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Topics

• Urine collection
• Sexual history
• Rheumatoid arthritis
• Asthma
• Diabetes
• Arthritis

• Medication recall
• Coronary artery disease
• Medication knowledge
• Hyperlipidemia

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Kiosks in Patient Learning Centers
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Providers

• HealthWise?
• Helios
• X-Plain
• HealthTouch
• HealthVision

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Evaluating Software

• Validity
• Value
• Use

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Format

• Networked or Stand-alone computer

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Factors

• Printing
• Location
• Simplicity
• Interface
• Internet failure
• Remote monitoring
• Visual consistency

• Measuring response
• Key board
• Other options
• Languages
• Other options
• ADA compliant

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Building a Kiosk

• Hardware
• Software
• Components

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Evaluating a System - Morris et. al.

• Choice of application
• Quality of application
• Security
• Cost/benefit analysis
• Overall interface
• Screens
• Turnaround
• Accessibility
• Comfort

• Convenience
• Accessibility
• Output
• Standards
• Enabling evaluation
• Security
• Auditing
• Response

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Costs

• Shared -decision making programs
• License 1,000/year
• Video system 6,000 to 8,000/year

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Costs HUD

• 16,000/unit

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Costs

• If purchase 100 Kiosks, average monthly cost
  over 5 years is 250/month or 15,000 total.

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Costs

• Renting - 2x cost of purchase per month.
• Value must be greater than 500/month to be cost
  effective.

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Evaluating Use

• Videotape
• Verbal
• Online feedback
• Personal interviews
• Focus groups
• Automatic tracking
• Manger feedback

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Future Directions

• Long-term outcomes
• Interaction of culture, etc.
• Age and learning styles
• Knowledge acquisition
• Retention
• Cost-benefit analysis
• Consequences of providing information
• Customized information

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Future Directions

• Information Appliances
• Questions?