Pub Date : 2016-10-01DOI: 10.3109/17538157.2015.1033527
D. Iannuzzi, A. Grant, H. Corriveau, P. Boissy, F. Michaud
ABSTRACT Objective: The objective of this study was to design effectively integrated information architecture for a mobile teleoperated robot in remote assistance to the delivery of home health care. Methods: Three role classes were identified related to the deployment of a telerobot, namely, engineer, technology integrator, and health professional. Patients and natural caregivers were indirectly considered, this being a component of future field studies. Interviewing representatives of each class provided the functions, and information content and flows for each function. Interview transcripts enabled the formulation of UML (Universal Modeling Language) diagrams for feedback from participants. The proposed information architecture was validated with a use-case scenario. Results: The integrated information architecture incorporates progressive design, ergonomic integration, and the home care needs from medical specialist, nursing, physiotherapy, occupational therapy, and social worker care perspectives. The integrated architecture iterative process promoted insight among participants. The use-case scenario evaluation showed the design’s robustness. Conclusions: Complex innovation such as a telerobot must coherently mesh with health-care service delivery needs. The deployment of integrated information architecture bridging development, with specialist and home care applications, is necessary for home care technology innovation. It enables continuing evolution of robot and novel health information design in the same integrated architecture, while accounting for patient ecological need.
{"title":"Specification of an integrated information architecture for a mobile teleoperated robot for home telecare","authors":"D. Iannuzzi, A. Grant, H. Corriveau, P. Boissy, F. Michaud","doi":"10.3109/17538157.2015.1033527","DOIUrl":"https://doi.org/10.3109/17538157.2015.1033527","url":null,"abstract":"ABSTRACT Objective: The objective of this study was to design effectively integrated information architecture for a mobile teleoperated robot in remote assistance to the delivery of home health care. Methods: Three role classes were identified related to the deployment of a telerobot, namely, engineer, technology integrator, and health professional. Patients and natural caregivers were indirectly considered, this being a component of future field studies. Interviewing representatives of each class provided the functions, and information content and flows for each function. Interview transcripts enabled the formulation of UML (Universal Modeling Language) diagrams for feedback from participants. The proposed information architecture was validated with a use-case scenario. Results: The integrated information architecture incorporates progressive design, ergonomic integration, and the home care needs from medical specialist, nursing, physiotherapy, occupational therapy, and social worker care perspectives. The integrated architecture iterative process promoted insight among participants. The use-case scenario evaluation showed the design’s robustness. Conclusions: Complex innovation such as a telerobot must coherently mesh with health-care service delivery needs. The deployment of integrated information architecture bridging development, with specialist and home care applications, is necessary for home care technology innovation. It enables continuing evolution of robot and novel health information design in the same integrated architecture, while accounting for patient ecological need.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115527393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-02-02DOI: 10.3109/17538157.2015.1064429
Ragnhildur I. Bjarnadottir, M. Millery, E. Fleck, Suzanne Bakken
ABSTRACT Objective: The purpose of this study was to explore the correlates of online health information-seeking behaviors among Hispanic residents of a low-income urban neighborhood. Methods: Data were collected with a community survey from 1045 unique participants at ambulatory care clinics in a largely Hispanic immigrant community in northern Manhattan, New York. A descriptive correlational analysis was conducted using logistic regression. Results: A majority of the participants were born outside the United States (85.7%), and half (50.3%) had completed high school. A logistic regression revealed that five independent variables were significantly correlated with online health information-seeking behaviors: age, education, marital status, primary language, and health literacy. Age and Spanish as preferred language were negatively associated with online health information-seeking (OR = 0.93 and 0.50), whereas education and health literacy were positively associated with online health information-seeking (OR = 4.28 and 1.28). Conclusions: The findings have implications for designing online health information resources and interventions appropriate for the populations they are likely to reach. Furthermore, the findings highlight the need for special efforts to ensure access to reliable health information for immigrant populations and those with low health literacy.
{"title":"Correlates of online health information-seeking behaviors in a low-income Hispanic community","authors":"Ragnhildur I. Bjarnadottir, M. Millery, E. Fleck, Suzanne Bakken","doi":"10.3109/17538157.2015.1064429","DOIUrl":"https://doi.org/10.3109/17538157.2015.1064429","url":null,"abstract":"ABSTRACT Objective: The purpose of this study was to explore the correlates of online health information-seeking behaviors among Hispanic residents of a low-income urban neighborhood. Methods: Data were collected with a community survey from 1045 unique participants at ambulatory care clinics in a largely Hispanic immigrant community in northern Manhattan, New York. A descriptive correlational analysis was conducted using logistic regression. Results: A majority of the participants were born outside the United States (85.7%), and half (50.3%) had completed high school. A logistic regression revealed that five independent variables were significantly correlated with online health information-seeking behaviors: age, education, marital status, primary language, and health literacy. Age and Spanish as preferred language were negatively associated with online health information-seeking (OR = 0.93 and 0.50), whereas education and health literacy were positively associated with online health information-seeking (OR = 4.28 and 1.28). Conclusions: The findings have implications for designing online health information resources and interventions appropriate for the populations they are likely to reach. Furthermore, the findings highlight the need for special efforts to ensure access to reliable health information for immigrant populations and those with low health literacy.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117018554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-29DOI: 10.3109/17538157.2015.1064427
Yanqing Ji, H. Ying, John Tran, P. Dews, See-Yan Lau, Michael Massanari
ABSTRACT Aims: Drug–drug interactions (DDIs) can result in serious consequences, including death. Existing methods for identifying potential DDIs in post-marketing surveillance primarily rely on spontaneous reports. These methods suffer from severe underreporting, incompleteness, and various bias. The aim of this study was to more effectively screen potential DDIs using patient electronic data and temporal association mining techniques. Methods: We focus on discovery of potential DDIs by analyzing the temporal relationships between the concurrent use of two drugs of interest and the occurrences of various symptoms. We introduced innovative functional temporal association rules where the degree of temporal association between two events within a patient case was defined by a function. Results: Preliminary test results on two drug pairs (i.e., and ) were classified into 260 clinically meaningful categories. These categories were evaluated by physicians and the results exhibited that all the potential DDIs were confined to top 20 of the 260 outcomes. Conclusions: Our methodology can be used to dramatically reduce a long list of association rules to a manageable list for further analysis and investigation by drug safety professionals.
{"title":"A functional temporal association mining approach for screening potential drug–drug interactions from electronic patient databases","authors":"Yanqing Ji, H. Ying, John Tran, P. Dews, See-Yan Lau, Michael Massanari","doi":"10.3109/17538157.2015.1064427","DOIUrl":"https://doi.org/10.3109/17538157.2015.1064427","url":null,"abstract":"ABSTRACT Aims: Drug–drug interactions (DDIs) can result in serious consequences, including death. Existing methods for identifying potential DDIs in post-marketing surveillance primarily rely on spontaneous reports. These methods suffer from severe underreporting, incompleteness, and various bias. The aim of this study was to more effectively screen potential DDIs using patient electronic data and temporal association mining techniques. Methods: We focus on discovery of potential DDIs by analyzing the temporal relationships between the concurrent use of two drugs of interest and the occurrences of various symptoms. We introduced innovative functional temporal association rules where the degree of temporal association between two events within a patient case was defined by a function. Results: Preliminary test results on two drug pairs (i.e., and ) were classified into 260 clinically meaningful categories. These categories were evaluated by physicians and the results exhibited that all the potential DDIs were confined to top 20 of the 260 outcomes. Conclusions: Our methodology can be used to dramatically reduce a long list of association rules to a manageable list for further analysis and investigation by drug safety professionals.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116499554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-25DOI: 10.3109/17538157.2015.1064425
M. Gövercin, Sibylle Meyer, M. Schellenbach, E. Steinhagen-Thiessen, Benjamin Weiss, M. Haesner
ABSTRACT Aims: The primary objective of the SmartSenior@home study was to examine the acceptance of the SmartSenior system by older adults. Methods: Twenty-eight partners from industry and research, including the health care sector, worked collaboratively to implement services aiming to maximize independence in old age. The prospective cohort study was conducted in Potsdam, Germany, with n = 35 older adults between 55 and 88 years of age in their apartments. All participants underwent extensive pre- and post-study visits with in-home interviews, functional assessments for cognition, fine motor skills, and mobility as well as responding to questionnaires on user acceptance and quality of life. Results: The results indicate moderate-to-high user acceptance for the SmartSenior system. In particular, the services for general assistance and health, such as audio/video communication, blood pressure monitoring, and communication with a health professional, were rated as very attractive. Less used and less accepted services were those promoting social interaction and reminder services. Conclusion: Besides reliable functioning of the SmartSenior system, the availability of a confidant seems to be the most significant acceptance factor. As one conclusion of this trial, it is possible to develop, integrate, and test an infrastructure for ambient assisted living services in real life.
{"title":"SmartSenior@home: Acceptance of an integrated ambient assisted living system. Results of a clinical field trial in 35 households","authors":"M. Gövercin, Sibylle Meyer, M. Schellenbach, E. Steinhagen-Thiessen, Benjamin Weiss, M. Haesner","doi":"10.3109/17538157.2015.1064425","DOIUrl":"https://doi.org/10.3109/17538157.2015.1064425","url":null,"abstract":"ABSTRACT Aims: The primary objective of the SmartSenior@home study was to examine the acceptance of the SmartSenior system by older adults. Methods: Twenty-eight partners from industry and research, including the health care sector, worked collaboratively to implement services aiming to maximize independence in old age. The prospective cohort study was conducted in Potsdam, Germany, with n = 35 older adults between 55 and 88 years of age in their apartments. All participants underwent extensive pre- and post-study visits with in-home interviews, functional assessments for cognition, fine motor skills, and mobility as well as responding to questionnaires on user acceptance and quality of life. Results: The results indicate moderate-to-high user acceptance for the SmartSenior system. In particular, the services for general assistance and health, such as audio/video communication, blood pressure monitoring, and communication with a health professional, were rated as very attractive. Less used and less accepted services were those promoting social interaction and reminder services. Conclusion: Besides reliable functioning of the SmartSenior system, the availability of a confidant seems to be the most significant acceptance factor. As one conclusion of this trial, it is possible to develop, integrate, and test an infrastructure for ambient assisted living services in real life.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123341574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-25DOI: 10.3109/17538157.2015.1064426
Maria C Conesa-Fuentes, J. J. Hernández-Morante
ABSTRACT Objective: Although the Internet has become an essential source of health information, our study conducted 3 years ago provided evidence of the low quality of Spanish health web sites. The objective of the present study was to evaluate the quality of Spanish health information web sites now, and to compare these results with those obtained 3 years ago. Methods: For the original study, the most visited health information web sites were selected through the PageRank® (Google®) system. The present study evaluated the quality of the same web sites from February to May 2013, using the method developed by Bermúdez-Tamayo et al. and HONCode® criteria. Results: The mean quality of the selected web sites was low and has deteriorated since the previous evaluation, especially in regional health services and institutions’ web sites. The quality of private web sites remained broadly similar. Compliance with privacy and update criteria also improved in the intervening period. Conclusion: The results indicate that, even in the case of health web sites, design or appearance is more relevant to developers than quality of information. It is recommended that responsible institutions should increase their efforts to eliminate low-quality health information that may further contribute to health problems.
{"title":"Prospective analysis of the quality of Spanish health information web sites after 3 years","authors":"Maria C Conesa-Fuentes, J. J. Hernández-Morante","doi":"10.3109/17538157.2015.1064426","DOIUrl":"https://doi.org/10.3109/17538157.2015.1064426","url":null,"abstract":"ABSTRACT Objective: Although the Internet has become an essential source of health information, our study conducted 3 years ago provided evidence of the low quality of Spanish health web sites. The objective of the present study was to evaluate the quality of Spanish health information web sites now, and to compare these results with those obtained 3 years ago. Methods: For the original study, the most visited health information web sites were selected through the PageRank® (Google®) system. The present study evaluated the quality of the same web sites from February to May 2013, using the method developed by Bermúdez-Tamayo et al. and HONCode® criteria. Results: The mean quality of the selected web sites was low and has deteriorated since the previous evaluation, especially in regional health services and institutions’ web sites. The quality of private web sites remained broadly similar. Compliance with privacy and update criteria also improved in the intervening period. Conclusion: The results indicate that, even in the case of health web sites, design or appearance is more relevant to developers than quality of information. It is recommended that responsible institutions should increase their efforts to eliminate low-quality health information that may further contribute to health problems.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131164050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-01-01DOI: 10.1080/17538150802598878
HATZIGAIDAS, A. see PAPASTERGIOU, A. HÄTÖNEN, H. see VÄLIMÄKI, M. HAUX, R., HOWE, J., MARSCHOLLEK, M., PLISCHKE, M. & WOLF, K.-H. Health-enabling technologies for pervasive health care: on services and ICT architecture paradigms 77 HERCEG, M. E. see ROSENBAUM, B. P. HERRALA, J. see VÄLIMÄKI, M. HOUSTON, T. K. & FORD, D. E. A tailored Internetdelivered intervention for smoking cessation designed to encourage social support and treatment seeking: usability testing and user tracing 5 HOWE, J. see HANK, R.
HATZIGAIDAS, A.参见PAPASTERGIOU, A. HÄTÖNEN, H.参见VÄLIMÄKI, M. HAUX, R.， HOWE, J.， MARSCHOLLEK, M.， PLISCHKE, M. & WOLF, K.-H。面向全民医疗保健的健康促进技术:基于服务和信息通信技术架构范式[j] . E. see VÄLIMÄKI, M. HOUSTON, T. K. & FORD, D. E.基于互联网的戒烟干预:鼓励社会支持和治疗寻求:可用性测试和用户追踪[j] . see HANK, R。
{"title":"Informatics for Health Volume 33 Author Index","authors":"","doi":"10.1080/17538150802598878","DOIUrl":"https://doi.org/10.1080/17538150802598878","url":null,"abstract":"HATZIGAIDAS, A. see PAPASTERGIOU, A. HÄTÖNEN, H. see VÄLIMÄKI, M. HAUX, R., HOWE, J., MARSCHOLLEK, M., PLISCHKE, M. & WOLF, K.-H. Health-enabling technologies for pervasive health care: on services and ICT architecture paradigms 77 HERCEG, M. E. see ROSENBAUM, B. P. HERRALA, J. see VÄLIMÄKI, M. HOUSTON, T. K. & FORD, D. E. A tailored Internetdelivered intervention for smoking cessation designed to encourage social support and treatment seeking: usability testing and user tracing 5 HOWE, J. see HANK, R.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130692616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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