Innovative Simulation of Health Care Services in the Usability Laboratory: Experiences from the Model for Telecare Alarm Services-project

Berglind Smaradottir
Department of Information and Communication Technology, University of Agder, Grimstad, Norway

Santiago Martinez
Department of Health and Nursing Science, University of Agder, Grimstad, Norway

Elin Thygesen
Department of Health and Nursing Science, University of Agder, Grimstad, Norway

Elisabeth Holen-Rabbersvik
Department of Health and Nursing Science, University of Agder, Grimstad, Norway

Torunn Vatnøy
Department of Health and Nursing Science, University of Agder, Grimstad, Norway

Rune Fensli
Department of Information and Communication Technology, University of Agder, Grimstad, Norway

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Ingår i: Proceedings from The 15th Scandinavian Conference on Health Informatics 2017 Kristiansand, Norway, August 29–30, 2017

Linköping Electronic Conference Proceedings 145:10, s. 60-65

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Publicerad: 2018-01-04

ISBN: 978-91-7685-364-1

ISSN: 1650-3686 (tryckt), 1650-3740 (online)


In Norway, a recent health reform urged municipalities to prepare for telecare alarm services to handle alarms associated to welfare technology and telecare technology in citizens’ homes. That requires a re-organisation of health and social services in many municipalities and several are preparing to establish new telecare alarm services operated in inter-municipal response centres. In this context, the research project “Model for Telecare Alarm Services” aims to study how existing telecare alarm services in Norwegian municipalities are organised and operated, and identify critical factors when designing new models for future services. This paper presents how an innovative simulation of health care services was used in the research project, when key informants from several municipalities, research partners and industry tested different models of telecare alarm services in a usability laboratory. The lessons learned by the research group showed that laboratory simulation was an efficient way of testing different scenarios of new telecare service models, together with key informants from heterogenous end-user groups.


Clinical Simulation, Usability Laboratory, Telecare Alarm Services, Health Informatics.


[1] NHS England Publications Gateway Reference 04250. Quick guide: better use of care at home. Retrieved from: http://www.nhs.uk/NHSEngland/keoghreview/Documents/quick-guides/Quick-Guidebetter-use-of-care-at-home.pdf [Accessed 2017 June 15].

[2] World Health Organization. 2010, Telemedicine in Member States: Global Observatory for eHealth series Vol. 2. Retrieved from: http://www.who.int/goe/publications/goe_telemedicine_2010.pdf [Accessed 2017 June 15].

[3] World Health Organization. 2004, A glossary of terms for community health care and services for older persons. Centre for Health Development Ageing and Health Technical Report Vol. 5. Retrieved from: http://www.who.int/kobe_centre/ageing/ahp_vol5_glossary.pdf [Accessed 2017 June 15].

[4] Schülke, A.M., Plischke, H., Kohls, N.B. 2010, Ambient Assistive Technologies (AAT): sociotechnology as a powerful tool for facing the inevitable sociodemographic challenges? in Philos Ethics Humanit Med Vol. 5, Issue 1, 8.

[5] Norwegian Ministry of Health and Care Services. 2008-2009, Report No. 47. The Coordination Reform, Proper treatment – at the right place and right time. Retrieved from:
https://www.regjeringen.no/contentassets/d4f0e16ad32e4bbd8d8ab5c21445a5dc/no/pdfs/stm200820090047000dddpdfs.pdf [Accessed 2017 June 15].

[6] Fensli, R., Vatnøy, T., Svagård, S., Boysen, E.S. 2016, Evaluation of Organizational Models for Response Centres for Telecare Services of the Future in Int J Integr Care Vol. 16, Issue 5, S13.

[7] Svagård, I., Boysen, E.S., Fensli, R., Vatnøy T. 2016, Response Centres for Telecare Services: Needs and vision of the future (in Norwegian Responssentertjenester i helse- og omsorgstjenesten: Behov og fremtidsbilder). Subreport 1-2016 in the Model for Telecare Alarm Services Project, SINTEF A27689.

[8] Boysen, E.S., Svagård, I., Ausen, D. 2016, A study of telecare alarms in seven municipalities. When and why are the alarms triggered? (in Norwegian Studie av utløste trygghetsalarmen i syv kommuner. Når og hvorfor utløses trygghetsalarmene?). Sub-report 2-2016 in the Model for Telecare Alarm Services Project. SINTEF A27757, ISBN 9788214061291

[9] Askedal, K., Sjaavaag, S. 2016, Municipal Response Centres for Telecare Services. Mapping and recommendations for establishments (in Norwegian Kommunal responssentertjeneste. Kartlegging og anbefaling for etablering). Statement report. Municipality of Kristiansand, Norway.

[10] Jensen, S. 2015, Clinical Simulation: For what and how can it be used in design and evaluation of health IT in Stud Health Technol Inform Vol. 215, 217-28.

[11] Svanæs, D., Alsos, O.A. Dahl, Y. 2010, Usability testing of mobile ICT for clinical settings: Methodological and practical challenges in Int J Med Inform Vol. 79, Issue 4, e24-e34.

[12] Bambini, D., Washburn, J., Perkins, R. 2009, Outcomes of clinical simulation for novice nursing students: Communication, confidence, clinical judgment in Nurs Educ Perspect Vol. 30, Issue 2, 79-82.

[13] McAllister, M., Levett-Jones, T., Downer, T., Harrison, P., Harvey, T., Reid-Searl, K., Lynch, K., Arthur, C., Layh, J., Calleja, P. 2013, Snapshots of simulation: Creative strategies used by Australian educators to enhance simulation learning experiences for nursing students in Nurse Educ Pract Vol. 13, Issue 6, 567-572.

[14] Ericsson, K.A., Simon, H.A. 1980, Verbal reports as data in Psychol Rev Vol. 87, Issue 3, 215-251.

[15] Burbach, B., Barnason, S., Thompson, S.A. 2015, Using “think aloud” to capture clinical reasoning during patient simulation in Int J Nurs Educ Scholarsh Vol. 12, Issue 1, 1-7.

[16] Jaspers, M.A. 2009, Comparison of usability methods for testing interactive health technologies: methodological aspects and empirical evidence in Int J Med Inform Vol. 78, Issue 5, 340-53.

[17] Bastien, J.C. 2010, Usability testing: a review of some methodological and technical aspects of the method in Int J Med Inform Vol. 79, Issue 4, e18-e23.

[18] Kushniruk, A.W., Patel, V.L. 2004, Cognitive and usability engineering methods for the evaluation of clinical information systems in J Biomed Inform Vol. 37, Issue 1, 56-76.

[19] Li, A.C., Kannry, J.L., Kushniruk, A., Chrimes, D., McGinn, T.G., Edonyabo, D., Mann, D.M. 2012, Integrating usability testing and think-aloud protocol analysis with “near-live” clinical simulations in evaluating clinical decision support in Int J Med Inform Vol. 81, Issue 11, 761-772.

[20] Borycki, E., Kushniruk, A. 2005, Identifying and preventing technology-induced error using simulations: Application of usability engineering techniques in Healthc Q Vol. 8, 99-105.

[21] Smaradottir, B., Fensli, R., Sundby, E.B., Martinez, S. 2017, Infrastructure for health care simulation recommendations from the Model for Telecare Alarm Services project in Proceedings of the 2017 International Conference on Health Informatics and Medical Systems, CSREA Press, ISBN 1601324596.

[22] Wirecast. Retrieved from: http://www.telestream.net/wirecast/overview.htm
[Accessed 2017 June 15].

[23] Norwegian Centre for Research Data (NSD). Retrieved from: http://www.nsd.uib.no/personvern/en/index.html [Accessed 2017 June 15].

[24] Overstreet, M. 2008, The use of simulation technology in the education of nursing students in Nurs Clin North Am Vol. 43, Issue 4, 593-603.

[25] Fonteyn, M.E., Kuipers, B., Grobe, S.J. 1993, A description of think aloud method and protocol analysis in Qual Health Res Vol. 3, Issue 4, 430-441.

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