GANESH10203@GMAIL.COM

Interactive Visualization for Medication Adherence Exploration

Introduction

In this project, we introduce an interactive visualization tool, Pills, that analyzes the electronic medical prescription records and visualizes statistical measures relating to medication adherence. This tool provides dynamic user control to explore the duration and length of gaps and overlaps and to dynamically adjust parameters of the analysis. It also provides userdefined data group to facilitate custom analysis with demographic data (gender, age) as well as medical data (prescribed drug, medication lifetime).

Why

Drug prescription record that contains the prescription history of a patient is valuable information for medical practitioners as well as pharmaceutical researchers. This information helps practitioners better understand a patient's medical condition and provide appropriate medical treatment. However, analyzing drug prescription record is challenging and time-consuming because the data is massive and the data scheme is not well organized. Even after some statistical values are obtained, it is still difficult to discover general patterns and useful insights by just viewing the numbers.

This tool helps doctors and researchers better understand the pattern in which patients consume a drug.

Due to privacy reasons the actual tool and the data can not be included in this website. The link below is the prototype with dummy data. It is just 20% of the actual tool.

Live Prototype

infoviz
infoviz
sketch
sketch

My Role

The team consisted of a software engineer, UI designer, UX designer, and medical researcher. I was actively involved in all phases of the project but was mainly responsible for visualization, prototyping, and user testing.

My Contributions:
Research - 30%
Ideation - 10%
Experience strategy - 30%
Planning and scope definition - 40%
Prototyping - 70%
Final design - 70%
Programming and implementation - 50%
User testing - 90%

Data

The dataset we used for prototyping had approximately 10,000 prescription records for 1,000 patients taking up to five drugs. Each prescription record has four fields: patient ID, drug ID, prescription start date, and end date.

MPR (Medication Possession Ratio) is the ratio of the total number of days patients are supplied a drug to the total number of days patients actually take the drug. It indicates how well a patient adheres to the drug throughout the medication period.

User Interface Design and Prototype

We brainstormed two different initial designs (see the the designs in the image gallery below). We required the designs to have two common properties:
1. Dynamic inquiries for information exploration: select drug types, select gender, select age, modify gaps and overlaps length
2. Information visualization to view the data: value distribution of the measures, temporal change of the measures

The user interface consists of three parts:
The user control panel
The chart view panel
The group panel

The user control panel houses controls to manipulate the dataset and support exploratory visualizations. Based on these selections, the chart view panel displays the relevant graphs. The group panel displays user generated or auto created groups along with the size of the group, its definition, visibility, and a legend.

Pilot Study

Before running the usability test, we conducted a pilot study with two participants from University of Maryland, College Park and University of Maryland School of Pharmacy. These sessions were conducted over Skype/in-person and sought preliminary feedback. We used this feedback to inform the design and functionality of our tool. One major feedback we received was to make the tool display feedback immediately when the parameters are changed.

InfoViz

Usability Test

Consent: Before starting the usability test, we asked the participants to sign a consent form stating their participation was voluntary and that they could leave the test whenever they wished. We also informed the participants that one of the authors was recording their interaction with the tool.

Briefing: We briefed each participant with the details of the goal of the tool, its different components (control panel, charts, and groups) and answered all questions.

Pre-Test Questions
What do you think the tool is about?
What is the first thing you noticed?
What would you click on first?

Usability Test Questions
Use drug analysis to find difference in MPR between Drug A vs Drug B
How does medication adherence change over time for the patient who took more than a year of medication?

Post-Test Questions
What three things do you remember on the homepage?
Any other feedback that you would like to provide?

SDK

Conclusion

To evaluate the tool in terms of functionality and usability, we conducted a pilot study with two HCI and pharmacoeconomics researchers, and a usability study with three pharmacoeconomic researchers. We identified critical issues from their feedback and improved user interface and data processing. These participants appreciated the usefulness of the tool and asked for further development.