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Sleeping behaviors of adolescents with depressive disorders: adolescent self-description of sleeping reported through a web-based support system 抑郁症青少年的睡眠行为:通过网络支持系统报告的青少年睡眠自我描述
Pub Date : 2019-07-24 DOI: 10.1080/17538157.2019.1640223
M. Anttila, M. Kurki, M. Välimäki
ABSTRACT Background: Depression is the leading health disorder in adolescence and often manifests itself as sleeping problems. A number of quantitative analyses have assessed the quality of adolescents’ sleeping, but there is still a lack of information on how adolescents themselves perceive their sleeping behavior. Method: Using a mixed-methods approach, we describe sleeping behaviors and sleeping habits among adolescents with depressive disorders, who have been referred to psychiatric outpatient services. Results: Adolescents monitored their own sleeping patterns (n = 13) and reported on them through self-reflecting writings (n = 16) on a web-based support system for one week. They went to bed to about 23:00, remained awake for around 40 minutes, slept eight and a half hours, woke up at 9:00, and described themselves as being tired after the night. Adolescents were able to self-reflect on their sleeping in various ways and find meanings and interpretations of it. Conclusion: The results contribute valuable information to health care personnel who work with adolescents, for example school nurses and mental health professionals. More emphasis should be put on adolescents’ perceptions of their sleeping behavior and how to increase their insight into their own wellbeing.
摘要背景:抑郁症是青少年主要的健康障碍,通常表现为睡眠问题。许多定量分析已经评估了青少年的睡眠质量,但仍然缺乏关于青少年自己如何看待自己的睡眠行为的信息。方法:采用混合方法的方法,我们描述了睡眠行为和睡眠习惯的青少年抑郁症,谁已经转介到精神科门诊服务。结果:青少年监测自己的睡眠模式(n = 13),并通过网络支持系统上的自我反思写作(n = 16)报告他们一周的睡眠模式。他们晚上11点上床睡觉,保持清醒约40分钟,睡了8个半小时,9点醒来,并形容自己在晚上很累。青少年能够以各种方式对自己的睡眠进行自我反思,并找到睡眠的意义和解释。结论:研究结果为青少年护理人员提供了有价值的信息,如学校护士和心理健康专业人员。应该更多地强调青少年对自己睡眠行为的认知,以及如何提高他们对自身健康的洞察力。
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引用次数: 1
Nurses’ experiences of the use of an Internet-based support system for adolescents with depressive disorders 护士对青少年抑郁症使用基于互联网的支持系统的经验
Pub Date : 2018-07-03 DOI: 10.1080/17538157.2016.1269110
M. Kurki, M. Anttila, M. Koivunen, M. Marttunen, M. Välimäki
ABSTRACT Background: Internet-based applications are potentially useful and effective interventions to reach and support adolescents with mental health problems. Adolescents’ commitment to the use of a new Internet-based intervention is closely related to the support they receive from healthcare professionals. This study describes nurses’ experiences of the use of an Internet-based support system for adolescents with depressive disorders. Method: Qualitative descriptive study design including individual interviews with nine nurses at two psychiatric outpatient clinics. The Technology Acceptance Model (TAM) was used as the theoretical background of the study. Results: Nurses described several benefits of using the Internet-based support system in the care of adolescents with depressive disorders if the nurses integrate it into daily nursing practices. As perceived disadvantages the nurses thought that an adolescent’s mental status might be a barrier to working with the support system. Perceived enablers could be organizational support, nurses’ attitudes, and technology-related factors. Nurses’ attitudes were identified as a barrier to supporting adolescents’ use of the Internet-based support system. Conclusion: The findings suggest that the implementation plan and support from the organization, including that from nurse managers, are crucial in the process of implementing a technology-based support system.
背景:基于互联网的应用程序是接触和支持有心理健康问题的青少年的潜在有用和有效的干预措施。青少年对使用新的基于互联网的干预措施的承诺与他们从保健专业人员那里得到的支持密切相关。本研究描述了护士使用基于互联网的青少年抑郁症支持系统的经验。方法:采用定性描述性研究设计,对两家精神科门诊的9名护士进行个别访谈。本文以技术接受模型(TAM)作为研究的理论背景。结果:护士描述了在青少年抑郁症护理中使用基于互联网的支持系统的几个好处,如果护士将其纳入日常护理实践。护士们认为青少年的心理状态可能是支持系统工作的障碍。感知的促成因素可能是组织支持、护士态度和技术相关因素。护士的态度被认为是支持青少年使用基于互联网的支持系统的障碍。结论:研究结果表明,在实施基于技术的支持系统的过程中,实施计划和来自组织(包括护士管理者)的支持至关重要。
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引用次数: 12
Hospital information system user acceptance factors: User group perspectives 医院信息系统用户接受因素:用户群体视角
Pub Date : 2018-01-02 DOI: 10.1080/17538157.2016.1269109
P. W. Handayani, A. Hidayanto, A. Pinem, P. Sandhyaduhita, I. Budi
ABSTRACT This study aimed to identify and rank user acceptance factors regarding the implementation of hospital information systems (HIS) based on the views of the following user groups: doctors, nurses, hospital management, and administrative staff (operators). The results should provide guidance for hospital management and HIS developers on meeting user requirements. The study was carried out using both qualitative and quantitative methods. The authors conducted interviews and distributed questionnaires to doctors, nurses, hospital management, and administrative staff in a government-owned Indonesian public hospital. Entropy measurements were used to analyze the questionnaire data. The study identified 15 important HIS user acceptance factors, which were ranked differently by each user group. The results show that non-technological dimensions, such as human and organizational dimensions, influence HIS user acceptance to a greater extent than technological dimensions. More work should be carried out to gain a better understanding of the relationship between user acceptance factors in order to increase the success of HIS implementations.
本研究旨在根据以下用户群体:医生、护士、医院管理人员和行政人员(操作员)的观点,识别和排名用户对医院信息系统(HIS)实施的接受度因素。研究结果将为医院管理和HIS开发人员满足用户需求提供指导。本研究采用定性和定量两种方法进行。作者对印度尼西亚一家国有公立医院的医生、护士、医院管理人员和行政人员进行了访谈和分发问卷。采用熵值法对问卷数据进行分析。该研究确定了15个重要的HIS用户接受因素,每个用户群体对这些因素的排名不同。结果表明,非技术维度(如人员和组织维度)比技术维度对HIS用户接受度的影响更大。应开展更多的工作,以更好地了解用户接受因素之间的关系,以便提高卫生信息系统实施的成功率。
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引用次数: 20
Usability and utility evaluation of the web-based “Should I Start Insulin?” patient decision aid for patients with type 2 diabetes among older people 基于网络的“我应该开始注射胰岛素吗?”为老年2型糖尿病患者提供患者决策辅助
Pub Date : 2018-01-02 DOI: 10.1080/17538157.2016.1269108
Y. Lee, P. Lee, C. Ng, C. H. Teo, A. I. Abu Bakar, Khatijah Lim Abdullah, E. Khoo, N. Hanafi, W. Low, T. Chiew
ABSTRACT This study aimed to evaluate the usability (ease of use) and utility (impact on user’s decision-making process) of a web-based patient decision aid (PDA) among older-age users. A pragmatic, qualitative research design was used. We recruited patients with type 2 diabetes who were at the point of making a decision about starting insulin from a tertiary teaching hospital in Malaysia in 2014. Computer screen recording software was used to record the website browsing session and in-depth interviews were conducted while playing back the website recording. The interviews were analyzed using the framework approach to identify usability and utility issues. Three cycles of iteration were conducted until no more major issues emerged. Thirteen patients participated: median age 65 years old, 10 men, and nine had secondary education/diploma, four were graduates/had postgraduate degree. Four usability issues were identified (navigation between pages and sections, a layout with open display, simple language, and equipment preferences). For utility, participants commented that the website influenced their decision about insulin in three ways: it had provided information about insulin, it helped them deliberate choices using the option-attribute matrix, and it allowed them to involve others in their decision making by sharing the PDA summary printout.
本研究旨在评估基于网络的患者决策辅助(PDA)在老年用户中的可用性(易用性)和效用(对用户决策过程的影响)。采用了实用的定性研究设计。我们于2014年在马来西亚的一家三级教学医院招募了2型糖尿病患者,这些患者正在决定是否开始使用胰岛素。使用电脑屏幕记录软件对网站浏览过程进行记录,并在回放网站记录的同时进行深度访谈。使用框架方法对访谈进行分析,以确定可用性和实用性问题。进行了三个迭代周期,直到没有出现更多的主要问题。13例患者参与:中位年龄65岁,10例男性,9例具有中等教育/文凭,4例为大学毕业生/研究生学位。确定了四个可用性问题(页面和部分之间的导航,开放显示的布局,简单的语言和设备偏好)。在效用方面,参与者评论说,该网站在三个方面影响了他们对胰岛素的决定:它提供了有关胰岛素的信息,它帮助他们使用选项属性矩阵进行慎重选择,它允许他们通过共享PDA摘要打印输出让其他人参与决策。
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引用次数: 6
Moderating factors influencing adoption of a mobile chronic disease management system in China 影响中国采用流动慢性病管理系统的调节因素
Pub Date : 2018-01-02 DOI: 10.1080/17538157.2016.1255631
Zhangxiang Zhu, Yongmei Liu, Xiaoling Che, Xiao-hong Chen
ABSTRACT Mobile chronic disease management systems (MCDMS) have become increasingly important in recent years, but in China, challenges remain for their adoption. Existing empirical studies have not completely explored the adoption behavior of potential MCDMS users. This article presents a study in which we investigated factors that influence chronically ill patients in China and their families to adopt or decline to use MCDMS. We applied a research model based on the technology acceptance model (TAM) as well as four contextual constructs (perceived disease threat, perceived risk, initial trust, and technology anxiety) to a survey of 279 potential MCDMS service participants in China. Our key findings include: (1) as consistent with current research, both perceived usefulness and perceived ease of use have positive impact on potential users’ MCDMS adoption intention; (2) both perceived disease threat and initial trust have positive impact on MCDMS adoption intention; (3) the impact of perceived risk is negative, and technology anxiety has negative impact on perceived ease of use of MCDMS; (4) young people place more importance on their perceptions of usefulness, ease of operation, and disease threat than middle-aged and older users; (5) family members are more influenced by their perception of ease of use and disease threat than chronically ill patients, while chronically ill patients place more importance on perceived usefulness than family members. This article concludes by discussing the implications of our study for research and practice, as well as limitations and future research directions.
近年来,移动慢性病管理系统(MCDMS)变得越来越重要,但在中国,采用MCDMS仍面临挑战。现有的实证研究并没有完全探索潜在MCDMS用户的采用行为。本文介绍了一项研究,我们调查了影响中国慢性病患者及其家庭采用或拒绝使用MCDMS的因素。我们应用基于技术接受模型(TAM)的研究模型以及四个情境结构(感知疾病威胁、感知风险、初始信任和技术焦虑)对279名中国MCDMS潜在服务参与者进行了调查。我们的主要发现包括:(1)感知有用性和感知易用性对潜在用户的MCDMS采用意愿都有正向影响;(2)疾病威胁感知和初始信任对MCDMS采用意愿均有正向影响;(3)感知风险对MCDMS易用性的影响为负向,技术焦虑对MCDMS易用性的影响为负向;(4)青年用户比中老年用户更重视对有用性、易操作性和疾病威胁的感知;(5)家庭成员比慢性病患者更重视易用性感知和疾病威胁感知,而慢性病患者比家庭成员更重视感知有用性。本文最后讨论了本研究对研究和实践的启示,以及局限性和未来的研究方向。
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引用次数: 41
Physicians’ perceptions of physician-nurse interactions and information needs in China 中国医师对医护互动和信息需求的看法
Pub Date : 2018-01-02 DOI: 10.1080/17538157.2016.1255630
Dong Wen, Pengcheng Guan, Xingting Zhang, Jianbo Lei
ABSTRACT Background: Good communication between physicians and nurses is important for the understanding of disease status and treatment feedback; however, certain issues in Chinese hospitals could lead to suboptimal physician-nurse communication in clinical work. Methods: Convenience sampling was used to recruit participants. Questionnaires were sent to clinical physicians in three top tertiary Grade-A teaching hospitals in China and six hundred and seventeen physicians participated in the survey. Results: (1) Common physician-nurse interactions were shift-change reports and provisional reports when needed, and interactions expected by physicians included face-to-face reports and communication via a phone or mobile device. (2) Most respondents believed that the need for information in physician-nurse interactions was high, information was moderately accurate and timely, and feedback regarding interaction time and satisfaction indicated that they were only average and required improvement. (3) Information needs in physician-nurse interactions differed significantly according to hospital category, role, workplace, and educational background (p < .05). Conclusions: There was a considerable need for information within physician-nurse interactions, and the level of satisfaction with the information obtained was average; requirements for the improvement of communication differed between physicians and nurses because of differences in their characteristics. Currently, the use of information technology in physician-nurse communication was less common but was highly expected by physicians.
摘要背景:良好的医护沟通对了解病情和反馈治疗非常重要;然而,中国医院的某些问题可能导致临床工作中医患沟通不佳。方法:采用方便抽样法进行调查。对全国三所三级甲等教学医院的临床医师进行问卷调查,共617名医师参与调查。结果:(1)常见的医护互动为换班报告和需要时的临时报告,医生期望的互动包括面对面报告和通过电话或移动设备进行沟通。(2)大多数被调查者认为医护互动对信息的需求较高,信息的准确性和及时性中等,而在互动时间和满意度方面的反馈显示,它们仅为一般水平,需要改进。(3)不同医院类别、不同角色、不同工作场所、不同学历的医护互动信息需求差异显著(p < 0.05)。结论:在医护互动中存在相当大的信息需求,并且对所获得的信息的满意度为平均水平;由于医生和护士的特点不同,对改善沟通的要求也不同。目前,信息技术在医护沟通中的应用并不普遍,但却受到医生的高度期望。
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引用次数: 3
ICT and the future of healthcare: Aspects of pervasive health monitoring 信息和通信技术与医疗保健的未来:普及健康监测的各个方面
Pub Date : 2018-01-02 DOI: 10.1080/17538157.2016.1255215
D. Haluza, David Jungwirth
ABSTRACT Along with the digital revolution, information and communication technology applications are currently transforming the delivery of health and social care services. This paper investigates prevailing opinions toward future technology-based healthcare solutions among Austrian healthcare professionals. During a biphasic online Delphi survey, panelists rated expected outcomes of two future scenarios describing pervasive health monitoring applications. Experts perceived that the scenarios were highly innovative, but only moderately desirable, and that their implementation could especially improve patients’ knowledge, quality of healthcare, and living standard. Contrarily, monetary aspects, technical prerequisites, and data security were identified as key obstacles. We further compared the impact of professional affiliation. Clearly, opinions toward pervasive healthcare differed between the interest groups, medical professionals, patient advocates, and administrative personnel. These data suggest closer collaborations between stakeholder groups to harmonize differences in expectations regarding pervasive health monitoring.
随着数字革命的到来,信息和通信技术的应用正在改变着卫生和社会保健服务的提供方式。本文调查了奥地利医疗保健专业人员对未来基于技术的医疗保健解决方案的普遍意见。在两阶段的在线德尔福调查中,小组成员对描述普遍健康监测应用的两种未来情景的预期结果进行了评级。专家们认为,这些方案是高度创新的,但只是适度理想的,它们的实施尤其可以提高患者的知识、医疗保健质量和生活水平。相反,资金方面、技术先决条件和数据安全被认为是主要障碍。我们进一步比较了职业归属的影响。显然,利益集团、医疗专业人员、患者倡导者和管理人员对普及医疗保健的看法存在分歧。这些数据表明,利益攸关方群体之间应加强合作,以协调各方对普遍健康监测的不同期望。
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引用次数: 54
Sharing health data in Belgium: A home care case study using the Vitalink platform 在比利时共享健康数据:使用Vitalink平台的家庭护理案例研究
Pub Date : 2018-01-02 DOI: 10.1080/17538157.2016.1269107
Femke De Backere, P. Bonte, S. Verstichel, F. Ongenae, F. de Turck
ABSTRACT In 2013, the Flemish Government launched the Vitalink platform. This initiative focuses on the sharing of health and welfare data to support primary healthcare. In this paper, the objectives and mission of the Vitalink initiative are discussed. Security and privacy measures are reviewed, and the technical implementation of the Vitalink platform is presented. Through a case study, the possibility of interaction with cloud solutions for healthcare is also investigated upon; this was initially not the focus of Vitalink. The Vitalink initiative provides support for secure data sharing in primary healthcare, which in the long term will improve the efficiency of care and will decrease costs. Based on the results of the case study, Vitalink allowed cloud solutions or applications not providing end-to-end security to use their system. The most important lesson learned during this research was the need for firm regulations and stipulations for cloud solutions to interact with the Vitalink platform. However, these are currently still vague.
2013年,佛兰德政府启动了Vitalink平台。这一举措的重点是共享保健和福利数据,以支持初级保健。本文讨论了Vitalink计划的目标和使命。回顾了安全和隐私措施,并介绍了Vitalink平台的技术实现。通过案例研究,还调查了与医疗保健云解决方案交互的可能性;这并不是Vitalink最初关注的重点。Vitalink倡议为初级保健中的安全数据共享提供支持,从长远来看,这将提高护理效率并降低成本。根据案例研究的结果,Vitalink允许不提供端到端安全性的云解决方案或应用程序使用他们的系统。在这项研究中得到的最重要的教训是,需要对云解决方案与Vitalink平台进行交互制定严格的法规和规定。然而,这些目前还很模糊。
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引用次数: 4
Personalized risk communication for personalized risk assessment: Real world assessment of knowledge and motivation for six mortality risk measures from an online life expectancy calculator 个性化风险评估的个性化风险沟通:从在线预期寿命计算器对六种死亡风险措施的知识和动机进行现实世界评估
Pub Date : 2018-01-02 DOI: 10.1080/17538157.2016.1255632
D. Manuel, K. Abdulaziz, R. Perez, S. Beach, C. Bennett
ABSTRACT In the clinical setting, previous studies have shown personalized risk assessment and communication improves risk perception and motivation. We evaluated an online health calculator that estimated and presented six different measures of life expectancy/mortality based on a person’s sociodemographic and health behavior profile. Immediately after receiving calculator results, participants were invited to complete an online survey that asked how informative and motivating they found each risk measure, whether they would share their results and whether the calculator provided information they need to make lifestyle changes. Over 80% of the 317 survey respondents found at least one of six healthy living measures highly informative and motivating, but there was moderate heterogeneity regarding which measures respondents found most informative and motivating. Overall, health age was most informative and life expectancy most motivating. Approximately 40% of respondents would share the results with their clinician (44%) or social networks (38%), although the information they would share was often different from what they found informative or motivational. Online personalized risk assessment allows for a more personalized communication compared to historic paper-based risk assessment to maximize knowledge and motivation, and people should be provided a range of risk communication measures that reflect different risk perspectives.
在临床环境中,先前的研究表明,个性化的风险评估和沟通可以提高风险感知和动机。我们评估了一个在线健康计算器,该计算器根据一个人的社会人口统计和健康行为概况估计并呈现了六种不同的预期寿命/死亡率指标。在收到计算器的结果后,参与者立即被邀请完成一项在线调查,询问他们对每个风险测量的信息和激励程度,他们是否会分享他们的结果,以及计算器是否提供了他们改变生活方式所需的信息。在317名受访者中,超过80%的人认为六项健康生活措施中至少有一项具有高度的信息和激励作用,但在哪些措施被调查者认为最具信息和激励作用方面存在适度的异质性。总体而言,健康年龄最能提供信息,预期寿命最能激励人。大约40%的受访者会与他们的临床医生(44%)或社交网络(38%)分享结果,尽管他们分享的信息往往与他们认为有用或有动机的信息不同。与传统的纸质风险评估相比,在线个性化风险评估允许更个性化的沟通,以最大限度地提高知识和动机,并且应该向人们提供一系列反映不同风险观点的风险沟通措施。
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引用次数: 15
Integrated information visualization to support decision-making in order to strengthen communities: Design and usability evaluation 集成信息可视化,以支持决策,以加强社区:设计和可用性评估
Pub Date : 2017-10-02 DOI: 10.1080/17538157.2016.1255626
Puangrat Jinpon, M. Jaroensutasinee, K. Jaroensutasinee
ABSTRACT Community well-being refers to the qualities of an optimally healthy community life. This is the ultimate goal of all the various processes and strategies created to meet the needs of people living together in communities. We propose a holistic integrated visualization, in the form of a community well-being assessment system, as a web-based advanced tool to be used by the executive and health officers of the sub-district administration organization (SAO) network to improve decision-making in order to strengthen their communities. Data were obtained from the Family and Community Assessment Program (FAP) and the SAO in nine sub-districts, covering all of the four regions of Thailand. The system incorporates dashboard architecture and assists the executive and health officers in the SAO to achieve better decision-making for the deployment of proper measures in communities. The model was developed for the Pakpoon SAO and was applied to the other eight SAOs. In order to evaluate the model, 243 users, covering all user groups from three sites, were asked to answer 18 questions during a meeting. The overall average score for user satisfaction was 4.12. The results indicate that this model can be used for community well-being assessment, in order to improve decision-making to strengthen communities in Thailand.
社区福祉是指最佳健康的社区生活质量。这是为满足共同生活在社区中的人们的需要而制定的所有各种过程和战略的最终目标。我们建议以社区福祉评估系统的形式,将其作为基于网络的先进工具,供街道行政组织(SAO)网络的行政和卫生官员使用,以改进决策,从而加强其社区。数据来自家庭和社区评估计划(FAP)和SAO,涵盖泰国所有四个地区的九个分区。该系统结合了仪表板架构,并协助SAO的行政官员和卫生官员更好地做出决策,以便在社区部署适当的措施。该模型是为Pakpoon SAO开发的,并应用于其他八个SAO。为了评估该模型,243名用户,涵盖了三个网站的所有用户组,在一次会议上被要求回答18个问题。用户满意度的总体平均得分为4.12。结果表明,该模型可用于社区福祉评估,以改善决策,加强泰国的社区。
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引用次数: 6
期刊
Informatics for Health and Social Care
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