scholarly journals Adherence to Established Treatment Guidelines Among Unguided Digital Interventions for Depression: Quality Evaluation of 28 Web-Based Programs and Mobile Apps (Preprint)

2019 ◽  
Author(s):  
Stefan Bubolz ◽  
Gwendolyn Mayer ◽  
Nadine Gronewold ◽  
Thomas Hilbel ◽  
Jobst-Hendrik Schultz
Keyword(s):  
Relaxation Training ◽  
Treatment Guidelines ◽  
Mobile Apps ◽  
Intraclass Correlation ◽  
Individual Treatment ◽  
Smartphone Apps ◽  
Quality Factors ◽  
Web Based ◽  
Extensive Evaluation

BACKGROUND Web-based interventions for depression have been widely tested for usability and functioning. However, the few studies that have addressed the therapeutic quality of these interventions have mainly focused on general aspects without consideration of specific quality factors related to particular treatment components. Clinicians and scientists are calling for standardized assessment criteria for web-based interventions to enable effective and trustworthy patient care. Therefore, an extensive evaluation of web-based interventions at the level of individual treatment components based on therapeutic guidelines and manuals is needed. OBJECTIVE The objective of this study was to evaluate the quality of unguided web-based interventions for depression at the level of individual treatment components based on their adherence to current gold-standard treatment guidelines and manuals. METHODS A comprehensive online search of popular app stores and search engines in January 2018 revealed 11 desktop programs and 17 smartphone apps that met the inclusion criteria. Programs and apps were included if they were available for German users, interactive, unguided, and targeted toward depression. All programs and apps were tested by three independent researchers following a standardized procedure with a predefined symptom trajectory. During the testing, all web-based interventions were rated with a standardized list of criteria based on treatment guidelines and manuals for depression. RESULTS Overall interrater reliability for all raters was substantial with an intraclass correlation coefficient of 0.73 and Gwet AC1 value of 0.80. The main features of web-based interventions included mood tracking (24/28, 86%), psychoeducation (21/28, 75%), cognitive restructuring (21/28, 75%), crisis management (20/28, 71%), behavioral activation (19/29, 68%), and relaxation training (18/28, 64%). Overall, therapeutic meaningfulness was rated higher for desktop programs (mean 4.13, SD 1.17) than for smartphone apps (mean 2.92, SD 1.46). CONCLUSIONS Although many exercises from manuals are included in web-based interventions, the necessary therapeutic depth of the interventions is often not reached, and risk management is frequently lacking. There is a need for further research targeting general principles for the development and evaluation of therapeutically sound web-based interventions for depression.

scholarly journals Adherence to Established Treatment Guidelines Among Unguided Digital Interventions for Depression: Quality Evaluation of 28 Web-Based Programs and Mobile Apps

10.2196/16136 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e16136
Author(s):  
Stefan Bubolz ◽  
Gwendolyn Mayer ◽  
Nadine Gronewold ◽  
Thomas Hilbel ◽  
Jobst-Hendrik Schultz
Keyword(s):  
Relaxation Training ◽  
Treatment Guidelines ◽  
Mobile Apps ◽  
Intraclass Correlation ◽  
Individual Treatment ◽  
Smartphone Apps ◽  
Quality Factors ◽  
Web Based ◽  
Extensive Evaluation

Background Web-based interventions for depression have been widely tested for usability and functioning. However, the few studies that have addressed the therapeutic quality of these interventions have mainly focused on general aspects without consideration of specific quality factors related to particular treatment components. Clinicians and scientists are calling for standardized assessment criteria for web-based interventions to enable effective and trustworthy patient care. Therefore, an extensive evaluation of web-based interventions at the level of individual treatment components based on therapeutic guidelines and manuals is needed. Objective The objective of this study was to evaluate the quality of unguided web-based interventions for depression at the level of individual treatment components based on their adherence to current gold-standard treatment guidelines and manuals. Methods A comprehensive online search of popular app stores and search engines in January 2018 revealed 11 desktop programs and 17 smartphone apps that met the inclusion criteria. Programs and apps were included if they were available for German users, interactive, unguided, and targeted toward depression. All programs and apps were tested by three independent researchers following a standardized procedure with a predefined symptom trajectory. During the testing, all web-based interventions were rated with a standardized list of criteria based on treatment guidelines and manuals for depression. Results Overall interrater reliability for all raters was substantial with an intraclass correlation coefficient of 0.73 and Gwet AC1 value of 0.80. The main features of web-based interventions included mood tracking (24/28, 86%), psychoeducation (21/28, 75%), cognitive restructuring (21/28, 75%), crisis management (20/28, 71%), behavioral activation (19/29, 68%), and relaxation training (18/28, 64%). Overall, therapeutic meaningfulness was rated higher for desktop programs (mean 4.13, SD 1.17) than for smartphone apps (mean 2.92, SD 1.46). Conclusions Although many exercises from manuals are included in web-based interventions, the necessary therapeutic depth of the interventions is often not reached, and risk management is frequently lacking. There is a need for further research targeting general principles for the development and evaluation of therapeutically sound web-based interventions for depression.

scholarly journals A Scale to Assess the Methodological Quality of Studies Assessing Usability of Electronic Health Products and Services: Delphi Study Followed by Validity and Reliability Testing (Preprint)

2019 ◽  
Author(s):  
Anabela G Silva ◽  
Patrícia Simões ◽  
Rita Santos ◽  
Alexandra Queirós ◽  
Nelson P Rocha ◽  
...  
Keyword(s):  
Physical Activity ◽  
Construct Validity ◽  
Delphi Study ◽  
Methodological Quality ◽  
Mobile Apps ◽  
Intraclass Correlation ◽  
Delphi Panel ◽  
High Quality ◽  
Electronic Health

BACKGROUND The usability of electronic health (eHealth) and mobile health apps is of paramount importance as it impacts the quality of care. Methodological quality assessment is a common practice in the field of health for different designs and types of studies. However, we were unable to find a scale to assess the methodological quality of studies on the usability of eHealth products or services. OBJECTIVE This study aimed to develop a scale to assess the methodological quality of studies assessing usability of mobile apps and to perform a preliminary analysis of of the scale’s feasibility, reliability, and construct validity on studies assessing usability of mobile apps, measuring aspects of physical activity. METHODS A 3-round Delphi panel was used to generate a pool of items considered important when assessing the quality of studies on the usability of mobile apps. These items were used to write the scale and the guide to assist its use. The scale was then used to assess the quality of studies on usability of mobile apps for physical activity, and it assessed in terms of feasibility, interrater reliability, and construct validity. RESULTS A total of 25 experts participated in the Delphi panel, and a 15-item scale was developed. This scale was shown to be feasible (time of application mean 13.10 [SD 2.59] min), reliable (intraclass correlation coefficient=0.81; 95% CI 0.55-0.93), and able to discriminate between low- and high-quality studies (high quality: mean 9.22 [SD 0.36]; low quality: mean 6.86 [SD 0.80]; <italic>P</italic>=.01). CONCLUSIONS The scale that was developed can be used both to assess the methodological quality of usability studies and to inform its planning.

The Appification of Literacy

2016 ◽  
pp. 417-436
Author(s):  
David Gerard O'Brien ◽  
Megan McDonald Van Deventer
Keyword(s):  
Quality Of Life ◽  
Educational Policy ◽  
New Technologies ◽  
Mobile Apps ◽  
Literacy Skills ◽  
Portable Devices ◽  
Web Based ◽  
The Us ◽  
Rapid Transition

Appification represents the rapid movement of digital tools and media from a Web-based platform to mobile apps. While appification makes the former Web-based tools and apps more accessible, and improves users' quality of life, it also undermines traditional literacy skills and practices associated with print literacies. After defining appification and presenting examples, the chapter explores how appification impacts literacy in the broader society and critiques how schools, via standards, are adapting to the broader appification. Apps and appification play a significant role in changing globally what is meant by literacy. Yet, in the US, schools and educational policy are not keeping up with the rapid transition. Although schools are increasingly embracing the idea of apps and portable devices like tablets, there is little systematic connection between using the new technologies in schools and improving literacy required to be proficient in the app-o-verse.

Establishing essential metrics for antifungal stewardship in hospitals: the results of an international Delphi survey

2020 ◽  
Vol 76 (1) ◽  
pp. 253-262 ◽  
Author(s):  
A Khanina ◽  
K F Urbancic ◽  
G M Haeusler ◽  
D C M Kong ◽  
A P Douglas ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Response Rate ◽  
Treatment Guidelines ◽  
Antifungal Stewardship ◽  
Web Based ◽  
Structure Quality ◽  
Core Set ◽  
Antifungal Consumption ◽  
International Experts

Abstract Background Guidance on assessment of the quantity and appropriateness of antifungal prescribing is required to assist hospitals to interpret data effectively and structure quality improvement programmes. Objectives To achieve expert consensus on a core set of antifungal stewardship (AFS) metrics and to determine their feasibility for implementation. Methods A literature review was undertaken to develop a list of candidate metrics. International experts were invited to participate in sequential web-based surveys to evaluate the importance and feasibility of metrics in the area of AFS using Delphi methodology. Three surveys were completed. Consensus was predefined as ≥80% agreement on the importance of each metric. Results Eighty-two experts consented to participate from 17 different countries. Response rate for each survey was &gt;80%. The panel included adult and paediatric physicians, microbiologists and pharmacists with diverse content expertise. Consensus was achieved for 38 metrics considered important to routinely include in AFS programmes, and related to antifungal consumption (n = 5), quality of antifungal prescribing and management of invasive fungal infection (IFI) (n = 24), and clinical outcomes (n = 9). Twenty-one consensus metrics were considered to have moderate to high feasibility for routine collection. Conclusions The identified core AFS metrics will provide a framework to comprehensively assess the quantity and quality of antifungal prescribing within hospitals to develop quality improvement programmes aimed at improving IFI prevention, management and patient-centred outcomes. A standardized approach will support collaboration and benchmarking to monitor the efficacy of current prophylaxis and treatment guidelines, and will provide important feedback to guideline developers.

scholarly journals A Scale to Assess the Methodological Quality of Studies Assessing Usability of Electronic Health Products and Services: Delphi Study Followed by Validity and Reliability Testing

10.2196/14829 ◽  
2019 ◽  
Vol 21 (11) ◽  
pp. e14829 ◽  
Author(s):  
Anabela G Silva ◽  
Patrícia Simões ◽  
Rita Santos ◽  
Alexandra Queirós ◽  
Nelson P Rocha ◽  
...  
Keyword(s):  
Physical Activity ◽  
Construct Validity ◽  
Delphi Study ◽  
Methodological Quality ◽  
Mobile Apps ◽  
Intraclass Correlation ◽  
Delphi Panel ◽  
High Quality ◽  
Electronic Health

Background The usability of electronic health (eHealth) and mobile health apps is of paramount importance as it impacts the quality of care. Methodological quality assessment is a common practice in the field of health for different designs and types of studies. However, we were unable to find a scale to assess the methodological quality of studies on the usability of eHealth products or services. Objective This study aimed to develop a scale to assess the methodological quality of studies assessing usability of mobile apps and to perform a preliminary analysis of of the scale’s feasibility, reliability, and construct validity on studies assessing usability of mobile apps, measuring aspects of physical activity. Methods A 3-round Delphi panel was used to generate a pool of items considered important when assessing the quality of studies on the usability of mobile apps. These items were used to write the scale and the guide to assist its use. The scale was then used to assess the quality of studies on usability of mobile apps for physical activity, and it assessed in terms of feasibility, interrater reliability, and construct validity. Results A total of 25 experts participated in the Delphi panel, and a 15-item scale was developed. This scale was shown to be feasible (time of application mean 13.10 [SD 2.59] min), reliable (intraclass correlation coefficient=0.81; 95% CI 0.55-0.93), and able to discriminate between low- and high-quality studies (high quality: mean 9.22 [SD 0.36]; low quality: mean 6.86 [SD 0.80]; P=.01). Conclusions The scale that was developed can be used both to assess the methodological quality of usability studies and to inform its planning.

Pengaruh Kualitas Pelayanan Terhadap Kepuasan Pelanggan di Kantor Perusahaan Umum Badan Urusan Logistik Kota Sampit Kabupaten Kotawaringin Timur

2016 ◽  
Vol 2 (2) ◽  
pp. 1-5
Author(s):  
Masrukin Masrukin ◽  
Hermanto Hermanto
Keyword(s):  
Quality Of Service ◽  
Customer Satisfaction ◽  
Service Quality ◽  
Error Rate ◽  
Research Method ◽  
Statistical Test ◽  
Quality Factors ◽  
Public Companies ◽  
Public Company

Customer satisfaction is influenced by service quality factors, this study aims to find out and analyze how much influence the quality of service on customer satisfaction is felt by customers who use the service of Poor Rice (Raskin) at the Office of Public Companies Logistics Agency (Perum BULOG) in Sampit City Regency East Kotawaringin. The research method used in this study is the method of observation, questionnaire/questionnaire and documentation using a Likert scale and the method of determining the sample used is the error rate of 5% as many as 213 samples. Testing the hypothesis used is a statistical test with the formula "Product moment person". The results showed that there was a very strong correlation between Service Quality and Customer Satisfaction of the Office of Public Company of the Logistics Affairs Agency (Perum BULOG) in the District of East Kotawaringin. As much as 0.9968514278 based on the calculation of Pearson Product Moment value.

Telehealth During COVID-19 for Remote Vision Rehabilitation of a Patient with mTBI

2020 ◽  
pp. 191-198
Keyword(s):  
Veterans Health ◽  
Health Administration ◽  
Web Based ◽  
Home Setting ◽  
Therapeutic Goals ◽  
Vision Rehabilitation ◽  
Novel Coronavirus ◽  
Performance Challenges ◽  
Perception Of Performance

Background: Binocular and accommodative vision problems are common after mild traumatic brain injury (mTBI). Traditionally, the management of visual dysfunctions following mTBI included in-office vision rehabilitation with a trained eye care provider. The concept of providing telehealth for remote vision rehabilitation in mTBI patients is a relatively novel practice that has not been widely utilized until the recent outbreak of the 2019 novel coronavirus (COVID-19) pandemic. Case Report: We describe the implementation of telehealth for remote vision rehabilitation during COVID-19 within the Veterans’ Health Administration (VHA) system in an adult patient with multiple confirmed histories of mTBI. Conclusion: Our telehealth remote vision rehabilitation was successfully implemented utilizing established VHA’s web-based videoconferencing tools. Therapeutic goals identified prior to COVID 19 were addressed without any challenges. The delivery of vision rehabilitation intervention via telehealth allowed for the continuance of services within the home setting that led to improvements in functional vision, decreased perception of performance challenges, and improved quality of life.

Stuttering mHealth Applications: A Qualitative Rubric Assessment (Preprint)

2020 ◽  
Author(s):  
Fazwa M. Fadzilah ◽  
Noreen Izza Arshad ◽  
Izuddin Zainal-Abidin ◽  
Hui Min Low ◽  
Ahmad Kamil Mahmood ◽  
...  
Keyword(s):  
Research Evidence ◽  
Mobile Apps ◽  
Group Discussion ◽  
Standard Form ◽  
Mobile App ◽  
Evidence Based ◽  
Evaluation Instrument ◽  
Collective Effort ◽  
Speech Therapists

BACKGROUND Mobile applications (apps) that offer a variety of techniques to improve stuttering have been flourishing in the digital marketplace. In evidence-based clinical practice, speech therapists will recommend audio-enriched mobile apps to individuals with stuttering problems based on empirical research evidence. Unfortunately, many stuttering mobile apps available in the market are developed without a substantial research base. Hence, speech therapists necessitate a guideline which they could use to assess the quality of a stuttering mobile app before recommending the app to stutterers. OBJECTIVE The objective of this study is to develop a rubric for assessing the quality of the stuttering mobile app in assisting speech therapists to make informed recommendations METHODS The rubric was initially developed based on a set of criteria reviewed from the literature. Online surveys and focused group discussion were then conducted for results verification. RESULTS The outcome of this study is a rubric designed with four categories and 18-evaluative dimensions tailored to analyze the quality of stuttering mobile apps. The stuttering mobile app assessment rubric presented in the serve multiple purposes, including an evaluation instrument, providing guidelines for developing stuttering mobile apps and for creating a standard form that can be shared with professionals to facilitate a collective effort. CONCLUSIONS This rubric also offers a guidance to steer drive the future development of stuttering mobile apps that are evidence-based, and theoretically grounded

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