A Web Application for Improving Communication on Hemodialysis Rounds

Overview

To evaluate a web application tool that hemodialysis patients can use outside of dialysis time to log and prioritize their concerns for the nephrologists. Specifically, the investigators will compare the usability of a web application tool to a structured paper form. The investigators will also use data from semi-structured interviews to better understand the experience and acceptability of the web app among patient participants randomized to the web application and among participating nephrologists. Primary outcome -Usability (effectiveness, efficiency, satisfaction) Secondary outcomes -Quality of the patient-physician interaction (Communication Assessment Tool (CAT-14))

Usability is defined as Effectiveness (\>70%) * Number of people submitting a concern/ number of people with opportunity to submit a concern * Number of concerns entered/number of times concern was satisfactorily addressed Efficiency * Proportion of non-completed tasks (\<70%) * The amount of time to complete one concern Satisfaction * Semistructured interviews * Usability survey

Conditions

Interventions