Revisiting Provider Role in Patient Use of Online Medical Records

Abstract Objectives Provider encouragement for patient use of online medical record (OMR) systems is poorly understood. The study examines temporal trends and predictors of provider encouragement and the effects of encouragement on OMR use. Methods Health Information National Trends Survey administered in 2017 and 2020 were used. Subjects were 18 to 75 years old with access to the Internet or smart devices. From 2017 and 2020, 2,558 and 3,058 subjects were included, respectively. Results In 2020, 52.8% reported receiving provider encouragement within the last year for OMR use compared with 41.3% in 2017 (p < 0.001). For respondents with chronic diseases (such as diabetes, hypertension, heart, or lung diseases [CVMD]), encouragement increased from 45.5 to 57.2% (p < 0.001). Sociodemographic determinants and clinical attributes (e.g., provider office visits, cancer history, or CVMDs) significantly (p < 0.05) predicted encouragement. Among CVMD subjects, gender and visit frequency were significant predictors. OMR use within a year grew recently (73.3% in 2020 vs. 60.6% in 2017, p = 0.002) among CVMD subjects reporting encouragement. Provider encouragement was associated (p < 0.05) with secure communication and viewing results using OMRs controlling for other predictors in the overall cohort and among CVMD subjects. Conclusion Many respondents reported not receiving provider encouragement for OMR use. These subjects represent millions of U.S. adults, including those participating during the pandemic, with CVMDs or cancer history. Encouragement rates grew over time and was associated with demographic or disease attributes and with OMR use. Future research should assess the optimality of encouragement. Resources enabling provider encouragement should continue and help prevent disparity in health technology use.

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Technology in the Classroom: Teachers’ Technology Choices in Relation to Content Creation and Distribution

10.28945/4201 ◽

2019 ◽

Keyword(s):

Mobile Technology ◽

Private School ◽

Technology Use ◽

Case Study Research ◽

Educational Experience ◽

Mobile Technologies ◽

Future Research ◽

Content Creation ◽

Use Of Technology ◽

Prime Concern

[This Proceedings paper was revised and published in the 2019 issue of the journal Issues in Informing Science and Information Technology, Volume 16] Aim/Purpose: Teachers are being asked to integrate mobile technologies into their content creation and distribution tasks. This research aims to provide an understanding of teachers taking on this process and whether the use of technology has influenced their content creation and distribution in the classroom. Background: Many claim that the use of technology for content creation and distribution can only enhance and improve the educational experience. However, for teachers it is not simply the integration of technology that is of prime concern. As teachers are ultimately responsible for the success of technology integration, it is essential to understand teachers’ viewpoints and lived technology experiences. Methodology: The Task-Technology Fit (TTF) model was used to guide interpretive case study research. Six teachers were purposively sampled and interviewed from a private school where a digital strategy is already in place. Data was then analysed using directed content analysis in relation to TTF. Contribution: This paper provides an understanding of teachers’ mobile technology choices in relation to content creation and distribution tasks. Findings: Findings indicate that teachers fit technology into their tasks if they perceive the technology has a high level of benefit to the teaching task. In addition, the age of learners and the subject being taught are major influencers. Recommendations for Practitioners: Provides a more nuanced and in-depth understanding of teachers’ technology choices, which is necessary for the technology augmented educational experience of the future. Recommendations for Researchers: Provides an unbiased and theoretically guided view of mobile technology use with content creation and distribution tasks. Impact on Society: Teachers do not appear to use technology as a de facto standard, but specifically select technology which will save them time, reduce costs, and improve the educational experiences of their learners. Future Research: A mixed-method approach, including several diverse schools as well as learners would enrich the findings. Furthermore, consideration of hardware limitations and lack of software features are needed.

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The Association of School Nurse Workload With Student Health and Academic Outcomes: A Cross-Sectional Study

The Journal of School Nursing ◽

10.1177/10598405211012957 ◽

2021 ◽

pp. 105984052110129

Author(s):

Krista Schroeder ◽

Ally Young ◽

Gail Adman ◽

Ann Marie Ashmeade ◽

Estherlyn Bonas ◽

...

Keyword(s):

Academic Outcomes ◽

Student Outcomes ◽

School Nurse ◽

School Nurses ◽

Future Research ◽

Student Health ◽

Office Visits ◽

School Students ◽

Cross Sectional ◽

Nurse Workload

This study assessed associations between school nurse workload and student health and academic outcomes. We hypothesized that lower school nurse workload would be associated with better student outcomes, with associations being greater for members of groups who experience health disparities. Our methods entailed secondary analysis of data for New York City school students in kindergarten through 12th grade during 2015–2016 ( N = 1,080,923), using multilevel multivariate regression as the analytic approach. Results demonstrated lower school nurse workload was associated with better outcomes for student participation in asthma education but not chronic absenteeism, early dismissals, health office visits, immunization compliance, academic achievement, or overweight/obesity. Our findings suggest school nurses may influence proximal outcomes, such as participation in disease-related education, more easily than downstream outcomes, such as absenteeism or obesity. While contrary to our hypotheses, results align with the fact that school nurses deliver community-based, population health–focused care that is inherently complex, multilevel, and directly impacted by social determinants of health. Future research should explore school nurses’ perspectives on what factors influence their workload and how they can best impact student outcomes.

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Mesophotic.org: a repository for scientific information on mesophotic ecosystems

Database ◽

10.1093/database/baz140 ◽

2019 ◽

Vol 2019 ◽

Cited By ~ 2

Author(s):

Pim Bongaerts ◽

Gonzalo Perez-Rosales ◽

Veronica Z Radice ◽

Gal Eyal ◽

Andrea Gori ◽

...

Keyword(s):

Large Scale ◽

Scientific Information ◽

Temporal Trends ◽

Light Availability ◽

Research Community ◽

Future Research ◽

Photosynthetic Organisms ◽

Future Research Directions ◽

Available Information ◽

Reduced Light

Abstract Mesophotic coral ecosystems (MCEs) and temperate mesophotic ecosystems (TMEs) occur at depths of roughly 30–150 m depth and are characterized by the presence of photosynthetic organisms despite reduced light availability. Exploration of these ecosystems dates back several decades, but our knowledge remained extremely limited until about a decade ago, when a renewed interest resulted in the establishment of a rapidly growing research community. Here, we present the ‘mesophotic.org’ database, a comprehensive and curated repository of scientific literature on mesophotic ecosystems. Through both manually curated and automatically extracted metadata, the repository facilitates rapid retrieval of available information about particular topics (e.g. taxa or geographic regions), exploration of spatial/temporal trends in research and identification of knowledge gaps. The repository can be queried to comprehensively obtain available data to address large-scale questions and guide future research directions. Overall, the ‘mesophotic.org’ repository provides an independent and open-source platform for the ever-growing research community working on MCEs and TMEs to collate and expedite our understanding of the occurrence, composition and functioning of these ecosystems. Database URL: http://mesophotic.org/

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Coprescribing of Benzodiazepines and Opioids in Older Adults: Rates, Correlates, and National Trends

The Journals of Gerontology Series A ◽

10.1093/gerona/gly283 ◽

2018 ◽

Vol 74 (12) ◽

pp. 1910-1915 ◽

Cited By ~ 8

Author(s):

Taeho Greg Rhee

Keyword(s):

Older Adults ◽

Future Research ◽

Physician Visits ◽

Prescribing Trends ◽

Clinical Diagnoses ◽

Nationally Representative ◽

Using Data ◽

National Trends ◽

Ambulatory Medical Care ◽

Over Time

Abstract Background To estimate prescribing trends of and correlates independently associated with coprescribing of benzodiazepines and opioids among adults aged 65 years or older in office-based outpatient visits. Methods I examined a nationally representative sample of office-based physician visits by older adults between 2006 and 2015 (n = 109,149 unweighted) using data from the National Ambulatory Medical Care Surveys (NAMCS). National rates and prescribing trends were estimated. Then, I used multivariable logistic regression analyses to identify demographic and clinical factors associated with coprescriptions of benzodiazepines and opioids. Results From 2006 to 2015, 15,954 (14.6%) out of 109,149 visits, representative of 39.3 million visits nationally, listed benzodiazepine, opioid, or both medications prescribed. The rate of prescription benzodiazepines only increased monotonically from 4.8% in 2006–2007 to 6.2% in 2014–2015 (p < .001), and the rate of prescription opioids only increased monotonically from 5.9% in 2006–2007 to 10.0% in 2014–2015 (p < .001). The coprescribing rate of benzodiazepines and opioids increased over time from 1.1% in 2006–2007 to 2.7% in 2014–2015 (p < .001). Correlates independently associated with a higher likelihood of both benzodiazepine and opioid prescriptions included: female sex, a visit for chronic care, receipt of six or more concomitantly prescribed medications, and clinical diagnoses of anxiety and pain (p < .01 for all). Conclusion The coprescribing rate of benzodiazepines and opioids increased monotonically over time in outpatient care settings. Because couse of benzodiazepines and opioids is associated with medication burdens and potential harms, future research is needed to address medication safety in these vulnerable populations.

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Does Sophistication Affect Electoral Outcomes?

Government and Opposition ◽

10.1017/gov.2016.23 ◽

2016 ◽

Vol 53 (2) ◽

pp. 181-204 ◽

Cited By ~ 5

Author(s):

Lauri Rapeli

Keyword(s):

Future Research ◽

Citizen Competence ◽

Individual Level ◽

Electoral Outcomes ◽

Sociodemographic Determinants ◽

Political Left ◽

Electoral Behaviour ◽

Research Questions ◽

The Individual ◽

The Right

It is widely assumed that a representative democracy requires an enlightened citizenry in order to function properly. The competence of citizens has been studied extensively and the sociodemographic determinants of political sophistication are particularly well known. Much less is known about whether and how citizen competence affects electoral behaviour and outcomes. This article reviews the existing literature on these topics. Despite the widespread consensus that, generally speaking, citizen competence matters for electoral outcomes, the review produced a mixed result: some studies suggest that the political left would benefit from a better-informed electorate, while other studies suggest the opposite. Although the majoritarian electoral context is overrepresented in the evidence, the review shows that at the individual level, political knowledge greatly increases a person’s ability to match personal preferences with the right candidate or party in an election. The article also identifies several gaps in existing knowledge, thereby suggesting future research questions.

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U.S. adolescents’ mental health and COVID-19-related changes in technology use, Fall 2020

10.1101/2021.03.15.21253598 ◽

2021 ◽

Author(s):

Taylor A. Burke ◽

Emily R. Kutok ◽

Shira Dunsiger ◽

Nicole R. Nugent ◽

John V. Patena ◽

...

Keyword(s):

Mental Health ◽

Social Media ◽

Technology Use ◽

Media Use ◽

Mental Wellbeing ◽

Future Research ◽

Social Media Use ◽

Positive Effects ◽

Media And Technology ◽

School Status

Preliminary reports suggest that during COVID-19, adolescents’ mental health has worsened while technology and social media use has increased. Much data derives from early in the pandemic, when schools were uniformly remote and personal/family stressors related to the pandemic were limited. This cross-sectional study, conducted during Fall 2020, examines the correlation between mental wellbeing and COVID-19-related changes in technology use, along with influence of COVID-19-related stressors, school status (in-person versus remote), and social media use for coping purposes, among 978 U.S. adolescents. Results suggest self-reported daily social media and technology use increased significantly from prior to COVID-19 through Fall 2020. Increased social media use was significantly associated with higher levels of anxiety and depressive symptoms regardless of other theoretical moderators or confounders of mental health (e.g., demographics, school status, importance of technology, COVID-19-related stress). Despite literature suggesting that remote learning may result in adverse mental health outcomes, we did not find local school reopening to be associated with current depressive/anxiety symptoms, nor with COVID-19-related increases in technology use. Self-reported use of social media for coping purposes moderated the association between increased social media use and mental health symptoms; in other words, some social media use may have positive effects. Although much prior research has focused on social media use as a marker of stress, we also found that increased video gaming and TV/movie watching were also associated with internalizing symptoms, in accordance with others' work. Future research should explore in more granular detail what, if any, social media and technology use is protective during a pandemic, and for whom, to help tailor prevention efforts.

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Online Teaching With M-Learning Tools in the Midst of Covid-19: A Reflection Through Action Research

10.28945/4761 ◽

2021 ◽

Author(s):

Minh Q. Huynh ◽

Eraj Khatiwada

Keyword(s):

Action Research ◽

Technology Use ◽

Online Teaching ◽

Teaching And Learning ◽

Participant Observation ◽

Future Research ◽

Learning Tools ◽

Online Instructors ◽

Quantitative Studies ◽

Frame Work

Aim/Purpose: In the midst of COVID-19, classes are transitioned online. Instructors and students scramble for ways to adapt to this change. This paper shares an experience of one instructor in how he has gone through the adaptation. Background: This section provides a contextual background of online teaching. The instructor made use of M-learning to support his online teaching and adopted the UTAUT model to guide his interpretation of the phenomenon. Methodology: The methodology used in this study is action research through participant-observation. The instructor was able to look at his own practice in teaching and reflect on it through the lens of the UTAUT conceptual frame-work. Contribution: The results helped the instructor improve his practice and better under-stand his educational situations. From the narrative, others can adapt and use various apps and platforms as well as follow the processes to teach online. Findings: This study shares an experience of how one instructor had figured out ways to use M-learning tools to make the online teaching and learning more feasible and engaging. It points out ways that the instructor could connect meaningfully with his students through the various apps and plat-forms. Recommendations for Practitioners: The social aspects of learning are indispensable whether it takes place in person or online. Students need opportunities to connect socially; there-fore, instructors should try to optimize technology use to create such opportunities for conducive learning. Recommendations for Researchers: Quantitative studies using surveys or quasi-experiment methods should be the next step. Validated inventories with measures can be adopted and used in these studies. Statistical analysis can be applied to derive more objective findings. Impact on Society: Online teaching emerges as a solution for the delivery of education in the midst of COVID-19, but more studies are needed to overcome obstacles and barriers to both instructors and students. Future Research: Future studies should look at the obstacles that instructors encounter and the barriers with technology access and inequalities that students face in online classes. NOTE: This Proceedings paper was revised and published in the journal Issues in Informing Science and Information Technology, 18, 173-193. Click DOWNLOAD PDF to download the published paper.

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A bibliometric analysis of peer-reviewed literature on smartphone addiction and future research agenda

Asia-Pacific Journal of Business Administration ◽

10.1108/apjba-09-2021-0430 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Nazar Fatima Khan ◽

Mohammed Naved Khan

Keyword(s):

Bibliometric Analysis ◽

Technology Use ◽

Keyword Search ◽

Collaborative Work ◽

Current Status ◽

Future Research ◽

Smartphone Addiction ◽

Young Generation ◽

Content Type ◽

Future Research Agenda

PurposeWith the rise in adverse impact of excessive technology use, such as smartphone; the issue of smartphone addiction has gained the attention of researchers in recent years. Therefore, this study undertakes to review the literature on smartphone addiction research by identifying the current state of research in this domain and the future avenues that need to be addressed.Design/methodology/approachA comprehensive bibliometric analysis was conducted on 652 articles extracted from SCOPUS database. Publications were extracted from Scopus by performing a keyword search of “Smartphone Addiction” OR “Problematic smartphone use”. Bibliometric methods such as performance analysis and science mapping were used to perform the overview of smartphone addiction research. In addition, VOSviewer software was used to organise, analyse and present the data. This study identifies the most prolific authors, journals, documents, collaborative work, major research themes, potential research avenues in this field of research.FindingsThe result shows that the research on smartphone addiction has increased recently, the dominance of research is found in few countries only. There is preponderance of research in this domain in Asian countries, particularly South Korea and still there is a significant scope for future research in this area, which is presented in detail in this study. The research on smartphone addiction has been mainly conducted in the field of medicine and psychology; the other subjects lack behind by a significant margin in terms of research publications in this domain. The findings suggest Elhai (US) is the most influential researcher in this field, and US has shown high collaboration in smartphone addiction research with other countries as well as with authors within its domestic territory. Thematic map obtained from R software presents the evolution of themes. It shows that quality of life, social support, self-efficacy, anxiety and depression are major variables studied over the period. Respondents in most of the studies were university students, as the young generation is technology-savvy and is more attracted to gadgets such as smartphones.Research limitations/implicationsThis study provides an overview of research on smartphone addiction through an exhaustive bibliometric analysis to organise the fragmented literature on smartphone addiction and provide structure for future research in the domain. This is the first study of its kind on the subject. This study has found important future research avenues in the domain, which need to be addressed. Also, it will provide guidance to stakeholders from different backgrounds like, manufacturers, marketers, regulators, policymakers, consumers and academicians to contribute in controlling this problem as a part of their social responsibility.Originality/valueThis paper is unique in the sense that it, for the first time, attempts to provides valuable insights on the current status of research on smartphone addiction and also provides guidance for potential future agenda through bibliometric and content analysis techniques.

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An Exploration of Bank Confirmation Process Automation: A Longitudinal Study

Journal of Information Systems ◽

10.2308/isys-19-038 ◽

2020 ◽

Author(s):

Paul Caster ◽

Randal J. Elder ◽

Diane J. Janvrin

Keyword(s):

Technology Use ◽

Exploratory Study ◽

Error Rates ◽

Third Party ◽

Future Research ◽

Process Automation ◽

Data Set ◽

Big 4 ◽

Bank Employees ◽

The U.S

This exploratory study examines automation of the bank confirmation process using longitudinal data set from the largest third-party U.S. confirmation service provider supplemented with informal interviews with practitioners. We find a significant increase in electronic confirmation use in the U.S. and internationally. Errors requiring reconfirmation were less than two percent of all electronic confirmations. Errors made by auditors were almost five times more likely than errors by bank employees. Most auditor errors involved use of an invalid account number, although invalid client contact, invalid request, and invalid company name errors increased recently. Big 4 auditors made significantly more confirmation errors than did auditors at non-Big 4 national firms. Error rates and error types do not vary between confirmations initiated in the U.S. and those initiated internationally. Three themes emerged for future research: authentication of evidence, global differences in technology use, and technology adoption across firms of different sizes.

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Cyber Behavior and Social Capital

Encyclopedia of Cyber Behavior ◽

10.4018/978-1-4666-0315-8.ch087 ◽

2012 ◽

pp. 1063-1073

Author(s):

Tetsuro Kobayashi

Keyword(s):

Social Capital ◽

Social Networks ◽

Civic Engagement ◽

Intellectual History ◽

Technology Use ◽

Local Community ◽

Social Trust ◽

Future Research ◽

Mobile Phone Use ◽

The Relationship

This chapter reviews historical development of research on cyber behavior and social capital, based on the definition by Robert D. Putnam, by focusing on the relationship between Information Communication and Technology use with social networks, civic engagement, as well as social trust. Firstly, the intellectual history of studies on cyber behavior and social capital is reviewed. Secondly, important past studies on the relationship between ICT use and social capital are focused from four perspectives: social networks, civic engagement, local community, and mobile phone use. Finally, future research directions are discussed from the perspective of comparative culture and rapidly evolving high-functionality smart phones.

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