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WikiBuild: A New Online Collaboration Process For Multistakeholder Tool Development and Consensus Building

BACKGROUND: Production of media such as patient education tools requires methods that can integrate multiple stakeholder perspectives. Existing consensus techniques are poorly suited to design of visual media, can be expensive and logistically demanding, and are subject to caveats arising from group...

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Autores principales: Gupta, Samir, Wan, Flora T, Newton, David, Bhattacharyya, Onil K, Chignell, Mark H, Straus, Sharon E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Gunther Eysenbach 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278094/
https://www.ncbi.nlm.nih.gov/pubmed/22155694
http://dx.doi.org/10.2196/jmir.1833
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author Gupta, Samir
Wan, Flora T
Newton, David
Bhattacharyya, Onil K
Chignell, Mark H
Straus, Sharon E
author_facet Gupta, Samir
Wan, Flora T
Newton, David
Bhattacharyya, Onil K
Chignell, Mark H
Straus, Sharon E
author_sort Gupta, Samir
collection PubMed
description BACKGROUND: Production of media such as patient education tools requires methods that can integrate multiple stakeholder perspectives. Existing consensus techniques are poorly suited to design of visual media, can be expensive and logistically demanding, and are subject to caveats arising from group dynamics such as participant hierarchies. OBJECTIVE: Our objective was to develop a method that enables multistakeholder tool building while averting these difficulties. METHODS: We developed a wiki-inspired method and tested this through the collaborative design of an asthma action plan (AAP). In the development stage, we developed the Web-based tool by (1) establishing AAP content and format options, (2) building a Web-based application capable of representing each content and format permutation, (3) testing this tool among stakeholders, and (4) revising this tool based on stakeholder feedback. In the wiki stage, groups of participants used the revised tool in three separate 1-week “wiki” periods during which each group collaboratively authored an AAP by making multiple online selections. RESULTS: In the development stage, we recruited 16 participants (9/16 male) (4 pulmonologists, 4 primary care physicians, 3 certified asthma educators, and 5 patients) for system testing. The mean System Usability Scale (SUS) score for the tool used in testing was 72.2 (SD 10.2). In the wiki stage, we recruited 41 participants (15/41 male) (9 pulmonologists, 6 primary care physicians, 5 certified asthma educators, and 21 patients) from diverse locations. The mean SUS score for the revised tool was 75.9 (SD 19.6). Users made 872, 466, and 599 successful changes to the AAP in weeks 1, 2, and 3, respectively. The site was used actively for a mean of 32.0 hours per week, of which 3.1 hours per week (9.7%) constituted synchronous multiuser use (2–4 users at the same time). Participants averaged 23 (SD 33) minutes of login time and made 7.7 (SD 15) changes to the AAP per day. Among participants, 28/35 (80%) were satisfied with the final AAP, and only 3/34 (9%) perceived interstakeholder group hierarchies. CONCLUSION: Use of a wiki-inspired method allowed for effective collaborative design of content and format aspects of an AAP while minimizing logistical requirements, maximizing geographical representation, and mitigating hierarchical group dynamics. Our method faced unique software and hardware challenges, and raises certain questions regarding its effect on group functioning. Potential uses of our method are broad, and further studies are required.
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spelling pubmed-32780942012-02-13 WikiBuild: A New Online Collaboration Process For Multistakeholder Tool Development and Consensus Building Gupta, Samir Wan, Flora T Newton, David Bhattacharyya, Onil K Chignell, Mark H Straus, Sharon E J Med Internet Res Original Paper BACKGROUND: Production of media such as patient education tools requires methods that can integrate multiple stakeholder perspectives. Existing consensus techniques are poorly suited to design of visual media, can be expensive and logistically demanding, and are subject to caveats arising from group dynamics such as participant hierarchies. OBJECTIVE: Our objective was to develop a method that enables multistakeholder tool building while averting these difficulties. METHODS: We developed a wiki-inspired method and tested this through the collaborative design of an asthma action plan (AAP). In the development stage, we developed the Web-based tool by (1) establishing AAP content and format options, (2) building a Web-based application capable of representing each content and format permutation, (3) testing this tool among stakeholders, and (4) revising this tool based on stakeholder feedback. In the wiki stage, groups of participants used the revised tool in three separate 1-week “wiki” periods during which each group collaboratively authored an AAP by making multiple online selections. RESULTS: In the development stage, we recruited 16 participants (9/16 male) (4 pulmonologists, 4 primary care physicians, 3 certified asthma educators, and 5 patients) for system testing. The mean System Usability Scale (SUS) score for the tool used in testing was 72.2 (SD 10.2). In the wiki stage, we recruited 41 participants (15/41 male) (9 pulmonologists, 6 primary care physicians, 5 certified asthma educators, and 21 patients) from diverse locations. The mean SUS score for the revised tool was 75.9 (SD 19.6). Users made 872, 466, and 599 successful changes to the AAP in weeks 1, 2, and 3, respectively. The site was used actively for a mean of 32.0 hours per week, of which 3.1 hours per week (9.7%) constituted synchronous multiuser use (2–4 users at the same time). Participants averaged 23 (SD 33) minutes of login time and made 7.7 (SD 15) changes to the AAP per day. Among participants, 28/35 (80%) were satisfied with the final AAP, and only 3/34 (9%) perceived interstakeholder group hierarchies. CONCLUSION: Use of a wiki-inspired method allowed for effective collaborative design of content and format aspects of an AAP while minimizing logistical requirements, maximizing geographical representation, and mitigating hierarchical group dynamics. Our method faced unique software and hardware challenges, and raises certain questions regarding its effect on group functioning. Potential uses of our method are broad, and further studies are required. Gunther Eysenbach 2011-12-08 /pmc/articles/PMC3278094/ /pubmed/22155694 http://dx.doi.org/10.2196/jmir.1833 Text en ©Samir Gupta, Flora T Wan, David Newton, Onil K Bhattacharyya, Mark H Chignell, Sharon E Straus. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 08.12.2011. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Gupta, Samir
Wan, Flora T
Newton, David
Bhattacharyya, Onil K
Chignell, Mark H
Straus, Sharon E
WikiBuild: A New Online Collaboration Process For Multistakeholder Tool Development and Consensus Building
title WikiBuild: A New Online Collaboration Process For Multistakeholder Tool Development and Consensus Building
title_full WikiBuild: A New Online Collaboration Process For Multistakeholder Tool Development and Consensus Building
title_fullStr WikiBuild: A New Online Collaboration Process For Multistakeholder Tool Development and Consensus Building
title_full_unstemmed WikiBuild: A New Online Collaboration Process For Multistakeholder Tool Development and Consensus Building
title_short WikiBuild: A New Online Collaboration Process For Multistakeholder Tool Development and Consensus Building
title_sort wikibuild: a new online collaboration process for multistakeholder tool development and consensus building
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278094/
https://www.ncbi.nlm.nih.gov/pubmed/22155694
http://dx.doi.org/10.2196/jmir.1833
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