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. 2018 Oct 16;5(4):e11826. doi: 10.2196/11826

Table 1.

Themes identified from interviews with health care practitioners while evaluating visualizations to support cancer care of an individual with multiple chronic conditions.

Theme Description Specific content regarding the theme
Data elements Existing or future or potential data elements (eg, weight, blood pressure, medication adherence, and symptoms)
  • data useful for specific role in cancer care included weight and medications (Figures 1,5, and 6) and the list of symptoms (Figure 10) [MDa1 and RNb2]

  • data less critical for some given job roles included blood glucose measures (Figures 3 and 4) [RN4 and MD4]

  • suggestions for additional data elements or information included additional measures such as heart rate [MD1 and RN4], temperature [RN1 and RN2], body mass index [MD3], lab values [RN1], meal times or what eaten [RN1, RN2, MD3, and MD4], physical activity engagement [RN1], sleep [MD1], swelling [MD2], symptoms that may be particular or specific to certain cancer therapies [MD2, RN2, and MD3]

  • patient-identified symptoms [RN2 and MD3]

  • a legend defining the symptoms [MD1]

  • meaning of the symptom scale ratings [MD1]

  • reasons for missed medications [MD2, MD3, and RN1]

  • values and description of the normal values and ranges for blood glucose and blood pressure [MD2]

  • goals of care [RN1]

  • treatments [RN1]

  • patient-reported reasons for abnormal values [RN2]

Supportive elements Aspects of the visualization that supported the participant’s understanding of the patient or that they thought were helpful
  • the color orange drew attention and helped participants find data points or patterns in the data that might require attention or indicate something abnormal more easily [MD1, MD3, MD4, RN1, RN3, and RN4]

  • icons of different shapes in Figures 5 and 6 helped participants follow the line graph progression [MD1, MD2, MD4, and RN2]

  • gray bands indicating normal ranges (Figures 3-6) helped identify abnormal data points [MD2, MD3, RN1, and RN4]

  • calendar format and line graphs were helpful because clinicians are accustomed to them [MD1, RN1, RN2, and RN4], are used in practice [MD1 and RN1], and help see trends [MD1-MD4 and RN1-RN4]

  • having details on demand was helpful [MD1-MD4 and RN1-RN4] and does not to lead to overpopulation of data within the visualization [MD3]

  • suggestions for additional supportive elements included a pop-up with a numeric scale for normal ranges [MD4] or an indication of how the normal range was derived [MD3]

Confusing elements Aspects of the visualization that the participant does not understand or finds confusing or unhelpful
  • Figure 1: Unsure if blank spaces indicated that measurements were normal or not taken [MD2, MD3, and MD4]

  • Figures 1 and 5: Unclear about how the weight increase was calculated [MD2, MD3, and RN4]

  • Figure 7: Circles confusing or overwhelming [MD2, MD4, RN2, RN3, and RN4]

  • Figure 8: Unsure if the empty rectangles indicated normal readings or no measures taken that day [RN2, RN3, RN4, and MD4]

  • Figure 10: Lack of clarity about the meaning of the numeric scale [RN3 and RN4]; unsure about threshold values for the numeric scores that led to values being highlighted in orange or whether the thresholds were the same across all symptoms [RN1]; miniature line graphs hard to interpret [MD1, MD2, MD4, and RN3]; and hard to understand, compare, and interpret the 2 different ways of quantifying symptoms [RN1, RN2, and RN4]

Interpretation Information obtained or conclusions drawn about the patient from the visualization
  • Figures 1 and 2: Used calendar view to identify issue of missed medications of Thursdays [MD1-MD4, RN2, and RN4]

  • Figures 3 and 4: Dips and peaks in the blood glucose line graph helped identify instances of hypo- or hyperglycemia [MD1 and MD2] or hypothesize if patient had well-controlled blood glucose [MD7 and MD8]; time indications at the top of the graph or pop-up helped hypothesize how meals may relate to dips and peaks [MD2, MD4, and RN1]

Use of visualization Ways the participant would or could use the visualization
  • visualizations could help clinicians gain an understanding of patient outside the clinic [MD1 and MD2], help them prepare specific questions regarding Thursdays [MD1-MD4, and RN4] and the cause of rapid weight gain [MD2], discuss the patient’s symptom experiences or management [RN4 and MD4], make clinic time more efficient [MD1 and MD2]

  • visualizations could help patients remember health experiences [MD2] and empower patients to engage in health management [MD4]. Together clinicians and patients could use visualizations to support personalized cancer care [MD1-MD4, and RN1-RN4], facilitate interactions that focused more on the patient and their specific needs [MD1, MD2, RN2], and better guide conversations between clinicians and patients [RN3, RN4, MD3, and MD4]

aMD: medical doctor.

bRN: registered nurse.