scholarly journals Contraceptive counselling experiences in Spain in the process of creating a web-based contraceptive decision support tool: a qualitative study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Laura Reyes-Martí ◽  
Lourdes Rubio-Rico ◽  
Laura Ortega-Sanz ◽  
Laia Raigal-Aran ◽  
Miriam de la Flor-López ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support Tool ◽  
Group Discussions ◽  
Web Based ◽  
Support Tool ◽  
Contraceptive Counselling ◽  
Support Tools ◽  
Counselling Process ◽  
Complex Decision

Abstract Background The choice of contraceptive method is a complex decision, and professionals should offer counselling based on the preferences, values and personal situation of the user(s). Some users are unsatisfied with the counselling received, which may, among other consequences, adversely affect method use adherence. In view of this situation, we propose exploring the experiences and needs of users and professionals for contraceptive counselling, in the context of creating a web-based contraceptive decision support tool. Methods/design Qualitative research was conducted through focus group discussions (64 users split into eight groups, and 19 professionals in two groups, in Tarragona, Spain) to explore the subjects’ experiences and needs. The data were categorized and the categories were defined and classified based on the three-step protocol or framework for Quality on Contraceptive Counseling (QCC), created by experts, which reviews the quality of interactions between user and professional during the counselling process. Results In counselling, users demand more information about the different methods, in an environment of erroneous knowledge and misinformation, which lead to false beliefs and myths in the population that are not contrasted by the professional in counselling. They complain that the method is imposed on them and that their views regarding the decision are not considered. Professionals are concerned that their lack of training leads to counselling directed towards the methods they know best. They acknowledge that a paternalistic paradigm persists in the healthcare they provide, and decision support tools may help to improve the situation. Conclusions Users feel unsatisfied and/or demand more information and a warmer, more caring approach. Professionals are reluctant to assume a process of shared decision-making. The use of a contraception DST website may solve some shortcomings in counselling detected in our environment.

scholarly journals Integrating Sustainability Goals in Innovation Processes: Applying a Decision Support Tool in a Dual-Purpose Chicken Case Study

2019 ◽  
Vol 11 (14) ◽  
pp. 3761 ◽  
Author(s):  
Felix Zoll ◽  
Katharina Diehl ◽  
Rosemarie Siebert
Keyword(s):  
Decision Support ◽  
Value Chain ◽  
Decision Support Tool ◽  
Added Value ◽  
Poultry Production ◽  
Dual Purpose ◽  
Support Tool ◽  
Support Tools ◽  
Complex Decision ◽  
Chain Organization

The innovative dual-purpose chicken approach aims at contributing to the transition towards sustainable poultry production by avoiding the culling of male chickens. To successfully integrate sustainability aspects into innovation, goal congruency among actors and clearly communicating the added value within the actor network and to consumers is needed. The challenge of identifying common sustainability goals calls for decision support tools. The objectives of our research were to investigate whether the tool could assist in improving communication and marketing with respect to sustainability and optimizing the value chain organization. Three actor groups participated in the tool application, in which quantitative and qualitative data were collected. The results showed that there were manifold sustainability goals within the innovation network, but only some goals overlapped, and the perception of their implementation also diverged. While easily marketable goals such as ‘animal welfare’ were perceived as being largely implemented, economic goals were prioritized less often, and the implementation was perceived as being rather low. By visualizing congruencies and differences in the goals, the tool helped identify fields of action, such as improved information flows and prompted thinking processes. We conclude that the tool is useful for managing complex decision processes with several actors involved.

scholarly journals Challenges involved in establishing a web-based clinical decision support tool in community health centers

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 100488
Author(s):  
Rachel Gold ◽  
Mary Middendorf ◽  
John Heintzman ◽  
Joan Nelson ◽  
Patrick O'Connor ◽  
...  
Keyword(s):  
Decision Support ◽  
Community Health ◽  
Clinical Decision Support ◽  
Community Health Centers ◽  
Decision Support Tool ◽  
Clinical Decision ◽  
Health Centers ◽  
Web Based ◽  
Support Tool ◽  
Clinical Decision Support Tool

Spreadsheets as Knowledge Documents

2011 ◽  
pp. 521-537 ◽  
Author(s):  
Stephen Burgess ◽  
Don Schauder
Keyword(s):  
Knowledge Management ◽  
Decision Support ◽  
Small Business ◽  
Information Management ◽  
Explicit Knowledge ◽  
Decision Support Tool ◽  
Decision Support Tools ◽  
Support Tool ◽  
Applied Model ◽  
Support Tools

How should a small business decide whether and in what ways to use Web technology for interactions with customers? This case describes the creation of a practical decision support tool (using a spreadsheet) for the initiation and development of small business Web sites. Decisions arise from both explicit and tacit knowledge. Using selected literature from a structuration theory, information management and knowledge management, decision support tools are characterized as knowledge documents (communication agents for explicit knowledge). Understanding decision support tools as knowledge documents sheds light on their potentialities and limitations for knowledge transfer, and assists in maximizing their potentialities. The case study deploys three levels of modeling: a high-level structuration model of the interplay between information management and knowledge management, a conceptual model of small-business decision-making, and an applied model the practical decision support tool, itself. An action-research methodology involving experts and stakeholders validated the development of conceptual categories and their instantiation in the practical tool.

scholarly journals A web-based decision support tool for groundwater remediation technologies selection

2006 ◽  
Vol 8 (2) ◽  
pp. 91-100 ◽  
Author(s):  
Olfa Khelifi ◽  
Andrea Lodolo ◽  
Sanja Vranes ◽  
Gabriele Centi ◽  
Stanislav Miertus
Keyword(s):  
Decision Support ◽  
Groundwater Remediation ◽  
Local Community ◽  
Decision Support Tool ◽  
Decision Makers ◽  
Relative Importance ◽  
Problem Complexity ◽  
Web Based ◽  
Support Tool ◽  
Promethee Ii

Groundwater remediation operation involves several considerations in terms of environmental, technological and socio-economic aspects. A decision support tool (DST) becomes therefore necessary in order to manage problem complexity and to define effective groundwater remediation interventions. CCR (Credence Clearwater Revival), a decision support tool for groundwater remediation technologies assessment and selection, has been developed to help decision-makers (site owners, investors, local community representatives, environmentalists, regulators, etc.) to assess the available technologies and select the preferred remedial options. The analysis is based on technical, economical, environmental and social criteria. These criteria are ranked by all involved parties to determine their relative importance for a particular groundwater remediation project. The Multi-Criteria Decision Making (MCDM) is the core of the CCR using the PROMETHEE II algorithm.

scholarly journals Model-Based Decision Support Tools at Jugos S.A. Concentrated Fruit Juice Plant

2020 ◽  
Vol 50 (4) ◽  
pp. 255-268
Author(s):  
Aníbal M. Blanco ◽  
M. Susana Moreno ◽  
Carolina Taraborelli ◽  
Flavio D’Angelo ◽  
Facundo Iturmendi ◽  
...  
Keyword(s):  
Decision Support ◽  
User Interfaces ◽  
Decision Support Tool ◽  
Raw Material ◽  
Mixed Integer ◽  
Support Tool ◽  
Support Tools ◽  
Optimal Target ◽  
And Storage

We describe the development of a decision-support tool to assist in the operations of a large concentrated apple and pear juice plant. The tool’s objective is to generate detailed schedules of clarified juice batches to be produced in the following weeks considering incoming fruit forecasts, commercial commitments, and infrastructural constraints. The tool is based on two interactive modules, PLANNER and SIMOPT, with different and complementary purposes. Each module is based on mixed-integer models with specific inputs, outputs, and user interfaces. PLANNER consists of three submodules: (i) planning assigns a batch of concentrated juice to be produced on a specific day, taking into account cleaning activities, rest days, raw material availability, and production and storage constraints; (ii) preprocessing organizes juice orders in batches; and (iii) pooling provides a detailed monitoring of semielaborated juice in storage pools in terms of inventories and sugar and acid content. Finally, SIMOPT provides a detailed optimal operative condition of the plant together with a thorough calculation of specific costs. This information is used by PLANNER to evaluate the corresponding economic objective functions. Besides providing optimal target conditions to the plant and feasible production schedules, the developed tools generate production guidelines in the long term and allow performing scenario studies.

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