A Patient-Centered Decision-Support Tool Informed by History of Interpersonal Violence

BACKGROUND Adolescents with type 1 diabetes differ from their parents and physicians about what they need from healthcare. Therefore, it is important to implement patient-centered diabetes care for adolescents. OBJECTIVE This study used human-centered design to reveal diabetes self-management challenges faced by youth with type 1 diabetes and their parents. This was a pre-study design phase of a larger study to develop a patient-centered automated decision support tool for diabetes clinic. METHODS Data were collected from youth and parents in two settings 1) a diabetes summer camp to capture challenges faced by youth and parents, 2) youth and parents participating in human-centered design sessions to further explore challenges. RESULTS Fifty-six people completed the camp worksheet, identifying 15 unique themes. The sessions further verified three problematic themes each for youth and parents. Youth generated 23 questions and parents identified 33 questions for potential use for the decision support tool development. CONCLUSIONS Including patient and parent self-management needs is vital. Providers should understand the psychosocial factors associated with barriers to self-management. The incorporation of patient and parent questions, ideas, and subsequent patient-provider communication in the support tool may improve trust in the provider and youth self-efficacy as they navigate the transition to independent adult care. CLINICALTRIAL Trial Registration: ClinicalTrials.gov NCT03084900

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The agent-based modelling as a decision support tool for brownfield redevelopment

Facta universitatis - series Architecture and Civil Engineering ◽

10.2298/fuace191031005m ◽

2020 ◽

Vol 18 (1) ◽

pp. 65-75

Author(s):

Tanja Mitrovic ◽

Milica Vracaric

Keyword(s):

Decision Support ◽

Decision Support Tool ◽

Sustainable Urban Development ◽

Brownfield Redevelopment ◽

Support Tool ◽

Agent Based ◽

Agent Based Modelling ◽

History Of ◽

Development Plans

In recent history of urban studies there is a focus on sustainable urban development and long-term strategies. Dealing with brownfield redevelopment is of vital importance for the prosperous practice of urban planning. The current decisionmaking methods for brownfield redevelopment are mainly used for evaluating on-site situation, but not for future development plans. The purpose of this paper is to consider potential uses of agent-based modelling (ABM) in brownfield redevelopment decision support practice. In these models, agents are assigned with certain rules of behaviour that define their mutual interactions and allow simulations in a previously defined spatial framework. These collective behaviours influence the spatial patterns through interactions of individuals, which is reflected in the fact that the actions of the agents do not simply sum to the activity of the whole. This tool provides us with opportunity of observing possible scenarios of future brownfield development and making adequate decisions and strategies accordingly.

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Effect of a Patient-Centered Decision Support Tool on Rates of Trial of Labor After Previous Cesarean Delivery: The PROCEED Randomized Clinical Trial

Obstetrical & Gynecological Survey ◽

10.1097/ogx.0000000000000865 ◽

2020 ◽

Vol 75 (11) ◽

pp. 651-653

Author(s):

Miriam Kuppermann ◽

Anjali J. Kaimal ◽

Cinthia Blat ◽

Juan Gonzalez ◽

Mari-Paule Thiet ◽

...

Keyword(s):

Clinical Trial ◽

Decision Support ◽

Randomized Clinical Trial ◽

Cesarean Delivery ◽

Decision Support Tool ◽

Patient Centered ◽

Support Tool ◽

Trial Of Labor ◽

Previous Cesarean

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Effect of a Patient-Centered Decision Support Tool on Rates of Trial of Labor After Previous Cesarean Delivery

JAMA ◽

10.1001/jama.2020.5952 ◽

2020 ◽

Vol 323 (21) ◽

pp. 2151

Author(s):

Miriam Kuppermann ◽

Anjali J. Kaimal ◽

Cinthia Blat ◽

Juan Gonzalez ◽

Mari-Paule Thiet ◽

...

Keyword(s):

Decision Support ◽

Cesarean Delivery ◽

Decision Support Tool ◽

Patient Centered ◽

Support Tool ◽

Trial Of Labor ◽

Previous Cesarean

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Role of Knowledge Networks and Boundary Organizations in Coproduction: A Short History of a Decision-Support Tool and Model for Adapting Multiuse Reservoir and Water-Energy Governance to Climate Change in California

Weather Climate and Society ◽

10.1175/wcas-d-19-0007.1 ◽

2019 ◽

Vol 11 (4) ◽

pp. 823-849

Author(s):

S. Ziaja

Keyword(s):

Decision Support ◽

Climate Adaptation ◽

Decision Support Tool ◽

Knowledge Networks ◽

Positive Case ◽

Theoretical Frameworks ◽

Support Tool ◽

Boundary Organizations ◽

History Of ◽

Collaborative Engagement

Abstract Climate adaptation relies on theoretical frameworks of coproduced science and knowledge networks to produce acceptable outcomes for politically contentious resources. As adaptation moves from theory to implementation, there is a need for positive case studies to use as benchmarks. Building from literature on actionable science this paper presents one such positive case—the development of a hydropower and reservoir decision-support tool. The focus of this history is on the multiple phases of interaction (and noninteraction) between researchers and a semidefined community of stakeholders. The lessons presented from the Integrated Forecast and Reservoir Management (INFORM) system project stress that collaborations between managers and researchers were crucial to the success of the project by building knowledge networks, which could outlast formal processes, and by incorporating policy preferences of end users into the model. The history also provides examples of how even successful collaborative projects do not always follow the usual expectations for coproduced science and shows that, even when those guidelines are followed, external circumstances can threaten the adoption of research products. Ultimately, this paper argues for the importance of building strong knowledge networks alongside more formal processes—like those in boundary organizations—for effective collaborative engagement.

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