@文章{信息:doi/10.2196/40634，作者=“Haun, Jolie N和Melillo, Christine和Schneider, Tali和Merzier, Marie M和Klanchar, S Angelina和Fowler, Christopher A和Benzinger, Rachel C”，标题=“老兵授权工具的用户测试:定性调查”，期刊=“J Med Internet Res”，年=“2023”，月=“Feb”，日=“23”，卷=“25”，页=“e40634”，关键词=“电子健康门户;以人为中心的设计;委托;电子资源;代表团;保健合作伙伴;经验丰富的;老兵授权工具;背景:非正式护理人员或护理伙伴在管理医疗保健时为护理对象提供关键支持。退伍军人健康管理局(VHA)优先确定在支持退伍军人护理管理方面至关重要的护理伙伴。 The Veteran Delegation Tool (VDT) is VHA's Health Insurance Portability and Accountability Act--compliant solution for care partners to comanage veterans' care through VHA's electronic health portal. Human-centered design approaches in VDT development are needed to inform enhancements aimed at promoting uptake and sustained use. Objective: The objective of this prospective descriptive quality improvement project was to use a human-centered design approach to examine VDT use perceptions and practical experiences. Methods: This project was conducted using a 4-phase approach: frame, discover, design, and deliver. The frame phase designed the protocol and prepared the VDT system for testing. This paper reports on the discover phase, which used semistructured and follow-up interviews and user testing to examine VDT's benefits, facilitators, and barriers. The discover phase data informed the design and deliver phases, which are underway. Results: Veterans (24/54, 44{\%}), care partners (21/54, 39{\%}), and individuals who represented dual roles (9/54, 17{\%})---namely veteran care partner (4/54, 7{\%}), veteran clinical provider (2/54, 4{\%}), and care partner provider (3/54, 6{\%})---participated in semistructured interviews in the discover phase. A subsample of these participants (3/54, 6{\%}) participated in the follow-up interviews and user testing. Analysis of the semistructured interviews indicated convergence on the respondents' perceptions of VDT's benefits, facilitators, and barriers and recommendations for improving VDT. The perceived benefits were authorized access, comanagement of care needs on the web, communication with the clinical team, access to resources, and ease of burden. Perceived barriers were nonrecognition of the benefits of VDT, technical literacy access issues, increased stress in or burden on care partners, and personal health information security. Participant experiences across 4 VDT activity domains were upgrade to My HealtheVet Premium account, registration, sign-in, and use. User testing demonstrated users' challenges to register, navigate, and use VDT. Findings informed VDT development enhancements and recommendations. Conclusions: Care partners need Health Insurance Portability and Accountability Act--compliant access to electronic health portals to assist with care management. VDT is VHA's solution, allowing communication among delegates, veterans, and clinical care teams. Users value VDT's potential use and benefits, while access and navigation improvements to ensure uptake and sustained use are needed. Future efforts need to iteratively evaluate the human-centered phases, design and deliver, of VDT to target audiences. Continued efforts to understand and respond to care partners' needs are warranted. ", issn="1438-8871", doi="10.2196/40634", url="//www.mybigtv.com/2023/1/e40634", url="https://doi.org/10.2196/40634", url="http://www.ncbi.nlm.nih.gov/pubmed/36821364" }