Low health literacy affects 35% of Americans,
meaning they cannot perform the basic reading tasks required to function in a health care environment.
Higher recall of medical information is associated with improved disease management, treatment adherence, and higher patient satisfaction; yet, recall of medical information during a clinical visit is often low, with between 40–80% of medical information forgotten immediately by patients. Poor knowledge of medical conditions has been identified as a significant barrier to self-management of health conditions associated with lower health status. This problem is exacerbated by low health literacy, affecting 35% of Americans, who cannot perform the basic reading and numerical tasks required to function in a health care environment.
However, patients are now beginning use their cell phones to audio-record clinic visits, and a number of clinics across the United States routinely offer patients recordings of their office visits. Yet, to date there is no dedicated system to facilitate recordings. We plan to develop such a system.
OF MEDICAL INFORMATION IS FORGOTTEN IMMEDIATELY BY PATIENTS.
Funded by the Gordon and Betty Moore Foundation, Dr. Barr is leading the development of the Open Recording Automated Logging System (ORALS).
ORALS will consist of software that utilizes automated machine-learning technology to enable accurate and automatic tagging of in-clinic audio recordings. Tagging involves identifying elements of the clinic visit most important to patients (e.g. treatment plan) on the recording. ORALS also will feature a secure, easy-to-use web interface, enabling the upload and accurate linkage of recordings to patients, which can be accessed at home.
Dartmouth Institute researchers will develop and formatively test ORALS in four iterative stages: a case study of pioneer clinics where recordings are currently offered to patients; ORALS design and user experience testing; ORALS software and user interface development; and rapid cycle testing of ORALS in a primary care clinic, assessing impact on patient and family engagement. Dartmouth’s Informatics Collaboratory for design, development and dissemination (ic3d) team, patients, patient-partners, caregivers, and clinicians will assist in developing ORALS.
Rebecca Faill, Craig Ganoe, Saeed Hassanpour, Will Haslett, Haley Reicher
Roger Arend, Sue Berg, Meredith Masel, Cathy Morrow, Sheri Piper, Randall Porter, James Ryan
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