Redesigning TUSK for the Small Screen: Bringing a Web-based LMS to the Small Screen

1. Redesigning a Content Delivery System, TUSK, for the Small Screen: Bringing a Web-based LMS to the Small Screen, a Ubiquitous Appliance in the Developing World Susan Albright, Daniel Walker, Theodora Hadjimichael,Daniel Jozwiak, Benjamin Schwartz, Mary Lee

2. Agenda What is TUSK ? Why TUSK Mobile? Methodology for redesign Design considerations Implementation Next steps

3. What is TUSK? Tufts University Sciences Knowledgebase

5. Features Tools for Content authoring/upload/replacement Quizzes Patient Logs Virtual Patients Evaluation Curriculum Management Collaboration Personal knowledge management etc

6. Leverage faculty expertise and optimize intellectual capital Learning object repository Reuse Robust indexing and search and retrieval Robust authoring tools http://www.intellectualcapital.nl/

7. Histology image used across three schools

8. Index Search and Retrieval: UMLS Controlled Vocabulary

9. Content Management Tools Create folders Upload any multimedia Reuse TUSK content Create links across any TUSK content Create external links Create API’s to external links Require metadata for all content

11. Tufts University Mission: Global Health andInternationalism

12. The Problems • Lack of computers in partner schools • Preceptors asking for support in the office • Students need to access content “on the go” Can a Mobile TUSK begin to address these issues and provide new opportunities for learning?

13. “I think it's time that we recognised that for the majority of the world's population, and for the foreseeable future, the cell phone is the computer, and it will be the portal to the internet, and the communications tool, and the schoolbook, and the vaccination record, and the family album, and many other things…” Joel Selanikio is a physician and co-founder of DataDyne.org, a non-profit creating open-source software for public health and international development BBC, Jan 2008

14. Cellular phone growth • 300 million computers vs 3 billion cell phones in the world (metcalf) • Spending in the developing world on telecommunications outstrips other sector including health care (Hammond) • Nearly 100% of students at our partner schools have phones, less than 10% have computers

15. Mobile Learning • Mobile represents and opportunity to reach learners – especially “just in time learning” • Increasing research on mobile learning including situated learning (Naismith) • M-learning is not just about readily accessible information -- it opens up the possibility for the delivery of audio information, interactive learning and assessment, and real-time distance collaboration. (coe.sdsu.edu)

16. Mobile Development Plan • Contract with students from human factors major at undergrad campus • Background research on design considerations • Survey current TUSK Users • Usability testing • Final Design Recommendations • Design implementation • Testing in the US and in developing countries • Research other mobile applications

17. Survey TUSK Users: Cell Phone Access

18. Rank Order of most requested Functions

19. ValuesRankedU.S.students

20. Design Challenges • Mobile provides different context for information access • Screen size • Load Time of complicated pages • Storage space • Many phone types

21. Initial Design Considerations • Understand user patterns (from survey) • Fewer links per page then web version • Allow more scrolling in favor of larger text size • Simplified pages

22. Usability Test – phase 1 • Students presented with 3 designs and 3 scenarios • Students asked to narrate choices • Users timed and errors noted for each task • Students were asked to state preferences for each of the three options with supporting reasons

23. 3 Versions of Log in Page

24. Phase 2 Usability testing • One interface created incorporating features that would address errors/likes/time from phase 1 • Phone emulators used • Statistically every user improved from the averages of the first usability test in time to completion and in total errors occurred

25. Log in Page • TUSK logo included with alt text: to connect mobile TUSK to website and deal with phones with images turned off • Password field masked • Remember me box checked by default • All element appear on screen – no scrolling

26. Main Menu Page • All entries numbered and assigned corresponding access key – Alternate plan for phones without functionality • Entries sorted by frequency of use or alphabetically • Announcements option to alert to new message • Search and logout option should be on the list

27. Announcements Page • Announcements sorted by course with options by date • Courses color coded to match website • Number of ann. Limited – by course and age • Length of announcements limited – truncate or abridge with access to full length. Length not to exceed 80 characters – ~3 lines on the screen

28. Schedule • Default to today’s schedule and next day. Days diff by bolded, italicized or underlined text • Course color coded • Option to select day in past or future though either calendar or entry format

29. Content Types • Content types divided into groups to reduce density with a link to switch between types • Search option to locate additional/related/new content • Content arranged in logical order assigned by content creator

30. Images

31. Implementation Changes • We can support all multimedia (flash coming along) • Whoops – forgot about faculty – fixed that • Opera mini browser works well for older phones

32. The Future • Mobile Discussions coordinated with web-based representation of same discussion • Discussions can easily be mobile – don’t need to worry about integrating sms messaging with discussions • Mobile Data collection – case logs the first step • Off-line data collection (our students and developing countries) • IVR – interactive voice response • Determine need for additional phone specific applications

33. Thank you! Questions?

34. Student Ambassador Program Contributions Participants are MD, MD/MPH, MPH, MD/MALD and BA/MPH students Time spent on site: 1 to 8 months

35. SuccessFactors - CMCperspective Motivated and trained Students Clinical postings and projects at CMC provide understanding of local conditions Good social and organizational skills

36. SuccessFactors – TuftsPerspectives Students Trained in “authoring and content management” aspects of TUSK Understanding of value of TUSK from a learner’s perspective Skype - good communication Good backup by Tufts technical staff when problems arise

37. Challenges • Sustainability • Transfer of all knowledge for system management • Transfer of skills to maintain the system • Retain trained staff • Technology • Access to computers • Bandwidth

38. How does TUSK support an integrated educational experience?

39. TUSK as a Complete System USERS Personalized tools Development and Management Tools CONTENT INFRASTRUCTURE Flexible and Extensible

40. Under Development…. • Competency Based Education • Input competencies and learning outcomes • Match/track content to outcomes/competencies • Track student competencies (eportfolio) • Student view • Faculty and curriculum planners view

41. Under DevelopmentMobile TUSK

42. TUSK Impact Knowledge about learner, content, system Integrated knowledge management Transform how we educate and assess Interdisciplinary collaboration and integration locally, globally Facilitates quality improvement