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Use of Theoretic Frameworks and Models to Inform Design of Health Information Technology to Support Treatment of Heart Failure in VA Primary Care

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Garvin J, Smith MW, Brown C, Virani S, Weir CR, Petersen LA. Use of Theoretic Frameworks and Models to Inform Design of Health Information Technology to Support Treatment of Heart Failure in VA Primary Care. Oral presentation at 2017 SciTS Conference. Clearwater Beach, FL. Jun 13, 2017. New Technologies and Evaluation Approaches. Online at:

Our multi-disciplinary team, of cardiologists, primary care providers, informatics and human factors researchers, designed a communication mechanism for primary care teams to improve beta blocker titration for patients with heart failure. We used theoretic frameworks and models to inform our work. The Cabana model identifies clinician knowledge, attitudes, and behavior constraints. The socio-technical model for health information technology addresses factors including clinical content, workflow, and organizational culture. The Promoting Action on Research in Health Services (PARiHS) framework identifies the role of evidence, context, and facilitation in clinical practice. We were primarily a distributed, virtual team using the Department of Veterans Affairs (VA) resources to complete our work. We used the theoretic frameworks to inform Cognitive Task Analysis (CTA) interviews and subsequent usability assessments (UA) with primary care providers, clinical pharmacists, and nurses. The theoretic frameworks contributed to our team interactions. For example, the Cabana model provided a frame of reference for clinicians and human factors researchers to communicate about provider’s information needs. The socio-technical model facilitated communication about workflow and clinical content among the informatics, clinical, and human factors specialists. The PARiHS framework helped different team members jointly conceptualize barriers and facilitators of the adoption of beta blocker titration practices. Due to the frameworks and the interactions they supported, we were able to identify challenges facing care teams, and to develop and assess a prototype decision support tool to assist them. Our work illustrates the use of constructs from theoretic frameworks, in a transdisciplinary approach, focused our work on clinical content and communication to support provider’s clinical needs and workflow. This research was supported by the VA, HSRD CRE 12- 037 funding. Views expressed are of the authors and are not necessarily the views of the VA, their academic affiliates, or the U.S. Government.



Type of Publication:

Oral presentation


scits 2017 conference, presentation, VA, treatment of heart failure

Addresses these goal(s):

  • Learn about the field of team science: history, theory and concepts

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Resource created by Jane Hwang on 10/3/2017 5:12:35 PM.

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