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Home Page > 4 Case - MiVIA Interview Analysis

Design Lesson Plan - Nathan Botts

Introduction - As the US healthcare system becomes more impacted by factors such as the oncoming flood of baby boomers, higher occurences of chronic illnesses (diabetes, hypertension, etc.), and an insufficient pool of incoming healthcare workers, the burden of managing one's own health, therapy, and medical transactions will increasingly fall on the patient and their family. As new systems for personal health management are developed it is critical then that these systems are responsive to the unique and specific needs of underserved populations. Designing systems that meet the needs of the most disadvantaged users can help to insure wider adoption of that system. By conducting interviews with current users, care managers and administrators of personal health record systems a framework for best practices can be created to assist providers and developers as they look to adopt and develop these resources.


Background - The MiVIA program is a web-based personal health record that allows migrant farm workers to update and keep track of their health information. The ability to hold their information in a centralized place through which they can access it no matter where they move is very important to this population due to all of the moving around that they do. Of equal importance is the ability to keep track of any medical interactions that they have. Many of these field workers do not have medical insurance and so in most cases whenever they go to a clinic doctors often have to start from scratch again and again. Not only is this a burden on the provider, but it can also have an impact on one's health (ex. conflicting prescriptions). In order to better find out how migrant farm workers are using these systems and how best to address their needs, interviews were conducted with this population and were analyzed to see whether there were any overarching issues that came up. 

Learning Objective – Our learning objective is to understand how qualitative software applications can be used to assess online health services.

Analysis – An understanding of the perceptions and experiences of migrant farm workers in use of the MiVIA application will be derived from a semi-structured interview given to 10-15 participants. Constructs within the interview include aspects of usability, access, motivation, and health outcomes.  

Evaluation and Extension - After completing this module we will understand how to identify and code comparisons and correlations of qualitative interview data between different users of the MiVIA application. 

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