Factors influencing feasibility of patient use of a novel skin inspection device.

CONTEXT: Pressure injuries remain highly prevalent in the spinal cord injury and Disorder (SCI/D) population, despite evidence that supports preventive behaviors such as daily self-skin inspection. Long-handled mirrors are issued as standard of care in the Veterans Health Administration (VHA) but are of little utility when the patient has impaired mobility. VHA researchers sought to test a skin inspection tool (now known as the Habit Camera™) which has features intended to overcome the need for excessive trunk rotation and excellent coordination. Pictures can be captured, edited, and uploaded for communication to healthcare practitioners. Gaps still exist regarding the feasibility of use in daily life. The purpose of this report is to explore patterns influencing feasibility of use during pilot field testing of the first commercially available version of the Habit Camera.

METHODS: We employed a user-centered design with Veterans with SCI/D. Participants tested the Habit Camera for four weeks. Semi-structured interviews were conducted at the start, and completion of the 4-week period. Interviews were recorded and field notes collected. Data were analyzed using a rapid qualitative assessment.

RESULTS: Five Veterans with SCI/D participated. The following were identified as influencing feasibility of the Habit Camera for skin inspection: design features, learning skills for use, and technical proficiency.

CONCLUSIONS: Interactions may occur between identified factors influencing feasibility of a device for skin inspection, with a potential overarching influence of motivation and caregiver support. This work highlights the need to measure these factors when assessing the feasibility of new devices and technologies.