The stadium diagram, a web-based tool for visualizing the expected outcomes of alternative clinical management strategies.

Douglas S. Bell, Steven Sobolevsky, Frank C. Day, Jerome R. Hoffman, Jerilyn K. Higa, Michael S Wilkes

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

OBJECTIVE: To explore the use of graphical animation for helping clinicians to understand the evidence about expected risks and benefits associated with multi-step clinical management strategies. METHODS: We used Flash and XML to create a tool capable of displaying the sequence of health state changes that may result from a specific management strategy, as applied to a simulated population. We evaluated this tool in 6 focus groups involving a total of 44 community internists and family physicians. We successively revised the tool based on grounded theory analysis of the focus group transcripts. RESULTS: The process of responding to design issues raised in focus groups resulted in a final tool that presents a group of person icons arranged in rows to give the illusion of people in a stadium or theater. Each action in the management strategy causes persons to change color and move among rows to reflect changes in health state. The tool can play audio narration to explain each step and links are provided to the supporting evidence. Most physicians found these visualizations to be attractive and clear. Some were interested in using the tool with patients. Others rejected the specific decision model used to demonstrate the tool and a few rejected the notion of applying quantitative risks to individual patients. CONCLUSIONS: A visual approach to demonstrating the possible benefits and harms of a given management strategy holds interest for many clinicians. However, visualizations may fail to influence clinicians who do not believe the available evidence.

Original languageEnglish (US)
Pages (from-to)36-40
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
StatePublished - 2005

Fingerprint

Focus Groups
Narration
Family Physicians
Health
Color
Physicians
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The stadium diagram, a web-based tool for visualizing the expected outcomes of alternative clinical management strategies. / Bell, Douglas S.; Sobolevsky, Steven; Day, Frank C.; Hoffman, Jerome R.; Higa, Jerilyn K.; Wilkes, Michael S.

In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2005, p. 36-40.

Research output: Contribution to journalArticle

@article{85fec095edc54d209668ef995100ed4a,
title = "The stadium diagram, a web-based tool for visualizing the expected outcomes of alternative clinical management strategies.",
abstract = "OBJECTIVE: To explore the use of graphical animation for helping clinicians to understand the evidence about expected risks and benefits associated with multi-step clinical management strategies. METHODS: We used Flash and XML to create a tool capable of displaying the sequence of health state changes that may result from a specific management strategy, as applied to a simulated population. We evaluated this tool in 6 focus groups involving a total of 44 community internists and family physicians. We successively revised the tool based on grounded theory analysis of the focus group transcripts. RESULTS: The process of responding to design issues raised in focus groups resulted in a final tool that presents a group of person icons arranged in rows to give the illusion of people in a stadium or theater. Each action in the management strategy causes persons to change color and move among rows to reflect changes in health state. The tool can play audio narration to explain each step and links are provided to the supporting evidence. Most physicians found these visualizations to be attractive and clear. Some were interested in using the tool with patients. Others rejected the specific decision model used to demonstrate the tool and a few rejected the notion of applying quantitative risks to individual patients. CONCLUSIONS: A visual approach to demonstrating the possible benefits and harms of a given management strategy holds interest for many clinicians. However, visualizations may fail to influence clinicians who do not believe the available evidence.",
author = "Bell, {Douglas S.} and Steven Sobolevsky and Day, {Frank C.} and Hoffman, {Jerome R.} and Higa, {Jerilyn K.} and Wilkes, {Michael S}",
year = "2005",
language = "English (US)",
pages = "36--40",
journal = "AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium",
issn = "1559-4076",
publisher = "American Medical Informatics Association",

}

TY - JOUR

T1 - The stadium diagram, a web-based tool for visualizing the expected outcomes of alternative clinical management strategies.

AU - Bell, Douglas S.

AU - Sobolevsky, Steven

AU - Day, Frank C.

AU - Hoffman, Jerome R.

AU - Higa, Jerilyn K.

AU - Wilkes, Michael S

PY - 2005

Y1 - 2005

N2 - OBJECTIVE: To explore the use of graphical animation for helping clinicians to understand the evidence about expected risks and benefits associated with multi-step clinical management strategies. METHODS: We used Flash and XML to create a tool capable of displaying the sequence of health state changes that may result from a specific management strategy, as applied to a simulated population. We evaluated this tool in 6 focus groups involving a total of 44 community internists and family physicians. We successively revised the tool based on grounded theory analysis of the focus group transcripts. RESULTS: The process of responding to design issues raised in focus groups resulted in a final tool that presents a group of person icons arranged in rows to give the illusion of people in a stadium or theater. Each action in the management strategy causes persons to change color and move among rows to reflect changes in health state. The tool can play audio narration to explain each step and links are provided to the supporting evidence. Most physicians found these visualizations to be attractive and clear. Some were interested in using the tool with patients. Others rejected the specific decision model used to demonstrate the tool and a few rejected the notion of applying quantitative risks to individual patients. CONCLUSIONS: A visual approach to demonstrating the possible benefits and harms of a given management strategy holds interest for many clinicians. However, visualizations may fail to influence clinicians who do not believe the available evidence.

AB - OBJECTIVE: To explore the use of graphical animation for helping clinicians to understand the evidence about expected risks and benefits associated with multi-step clinical management strategies. METHODS: We used Flash and XML to create a tool capable of displaying the sequence of health state changes that may result from a specific management strategy, as applied to a simulated population. We evaluated this tool in 6 focus groups involving a total of 44 community internists and family physicians. We successively revised the tool based on grounded theory analysis of the focus group transcripts. RESULTS: The process of responding to design issues raised in focus groups resulted in a final tool that presents a group of person icons arranged in rows to give the illusion of people in a stadium or theater. Each action in the management strategy causes persons to change color and move among rows to reflect changes in health state. The tool can play audio narration to explain each step and links are provided to the supporting evidence. Most physicians found these visualizations to be attractive and clear. Some were interested in using the tool with patients. Others rejected the specific decision model used to demonstrate the tool and a few rejected the notion of applying quantitative risks to individual patients. CONCLUSIONS: A visual approach to demonstrating the possible benefits and harms of a given management strategy holds interest for many clinicians. However, visualizations may fail to influence clinicians who do not believe the available evidence.

UR - http://www.scopus.com/inward/record.url?scp=39049187597&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=39049187597&partnerID=8YFLogxK

M3 - Article

C2 - 16778997

AN - SCOPUS:39049187597

SP - 36

EP - 40

JO - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium

JF - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium

SN - 1559-4076

ER -