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

2. 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

3. What is Kiosk?

4. Types b Advertise product b Dispense information b Exchange information

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

6. Issue The Web “A Competing Medium”

7. Issue Technology is changing.

8. Issue Leaders change

9. Kiosks in Health Care b Information b Interactive

10. 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

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

12. 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

13. 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

14. Findings Patients welcome computers across groups.

15. Findings Clinic 3

16. Findings Cost Savings

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

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

19. 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

20. Kiosks in Patient Learning Centers

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

22. Evaluating Software b Validity b Value b Use

23. Format Networked or Stand-alone computer

24. 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

25. Building a Kiosk b Hardware b Software b Components

26. 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

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

28. Costs HUD $16,000/unit

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

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

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

32. 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

33. Future Directions Information Appliances Questions?