The Value of Patient Education Kiosks Jackie A. Smith, Ph.D. April 12, 2000

Presentation Topics b Introduction b Use of Kiosks b + and - b Findings b Kiosk in learning centers b Kiosk providers b Format options b Costs b Research, evaluation b Future directions

What is Kiosk?

Types b Advertise product b Dispense information b Exchange information

Design Factors b Services provided b Goals b Functional requirements b Filtering needed b Target population b Location b Monitoring

Issue The Web “A Competing Medium”

Issue Technology is changing.

Issue Leaders change

Kiosks in Health Care b Information b Interactive

Uses b Direction giving b Discussion groups b Decision making b Referral tools b Links to providers b Profile the “at risk” b Medical reminders b Handouts b Disease monitoring b Self-care

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

Advantages b Interactive b Big databases b Stores and organizes b Fast retrieval b Recent info. b Patients in control b Time efficient b Increases satisfaction b Increases compliance b Better outcomes

Disadvantages b Cognitive domain b Expensive b Complex b Limited use for some patients b Hardware failure b Space b Immovable b Time required to teach staff b Patients require help b Maintenance b Hard to evaluate

Findings Patients welcome computers across groups.

Findings Clinic 3

Findings Cost Savings

Review of Literature b Lewis (JAMIA, Jul/Aug 1999) b All computer-based approaches had positive impact.

Impacts b Knowledge b Clinical outcomes b Self-care b Skill development

Topics b Urine collection b Sexual history b Rheumatoid arthritis b Asthma b Diabetes b Arthritis b Medication recall b Coronary artery disease b Medication knowledge b Hyperlipidemia

Kiosks in Patient Learning Centers

Providers b HealthWise  b Helios b X-Plain b HealthTouch b HealthVision

Evaluating Software b Validity b Value b Use

Format Networked or Stand-alone computer

Factors b Printing b Location b Simplicity b Interface b Internet failure b Remote monitoring b Visual consistency b Measuring response b Key board b Other options b Languages b Other options b ADA compliant

Building a Kiosk b Hardware b Software b Components

Evaluating a System - Morris et. al. b Choice of application b Quality of application b Security b Cost/benefit analysis b Overall interface b Screens b Turnaround b Accessibility b Comfort b Convenience b Accessibility b Output b Standards b Enabling evaluation b Security b Auditing b Response

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

Costs HUD $16,000/unit

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

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

Evaluating Use b Videotape b Verbal b Online feedback b Personal interviews b Focus groups b Automatic tracking b Manger feedback

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

Future Directions Information Appliances Questions?