scholarly journals A Clinical Journey Mobile Health App for Perioperative Patients: Cross-sectional Study (Preprint)

2020 ◽  
Author(s):  
Stijn J Willems ◽  
Michel W Coppieters ◽  
Yvette Pronk ◽  
Miranda J F Diks ◽  
Klaas W A P van der Heijden ◽  
...  
Keyword(s):  
Musculoskeletal Disorders ◽  
Perioperative Period ◽  
Cross Sectional Study ◽  
Multiple Choice Questions ◽  
User Friendliness ◽  
Cross Sectional ◽  
Patient Journey ◽  
User Experiences ◽  
System Usability Scale ◽  
System Usability

BACKGROUND Mobile eHealth apps are important tools in personal health care management. The Patient Journey app was developed to inform patients with musculoskeletal disorders during their perioperative period. The app contains timely information, video exercises, and functional tasks. Although the Patient Journey app and other health apps are widely used, little research is available on how patients appreciate these apps. OBJECTIVE The primary aim of this study was to evaluate the user-friendliness of the Patient Journey app in terms of its usability and the attitudes of users toward the app. The secondary aim was to evaluate positive and negative user experiences. METHODS A web-based questionnaire was sent to 2114 patients scheduled for surgery for a musculoskeletal disorder. Primary outcomes were usability (measured with the System Usability Scale) and user attitudes regarding the Patient Journey app (assessed with the second part of the eHealth Impact Questionnaire). The secondary outcomes were evaluated with multiple choice questions and open-ended questions, which were analyzed via inductive thematic content analyses. RESULTS Of the 940 patients who responded, 526 used the Patient Journey app. The usability of the app was high (System Usability Scale: median 85.0, IQR 72.5-92.5), and users had a positive attitude toward the Information and Presentation provided via the app (eHealth Impact Questionnaire: median 78.0, IQR 68.8-84.4). The app did not adequately improve the users’ confidence in discussing health with others (eHealth Impact Questionnaire: median 63.9, IQR 50.0-75.0) or motivation to manage health (eHealth Impact Questionnaire: median 61.1, IQR 55.6-72.2). Three core themes emerged regarding positive and negative user experiences: (1) content and information, (2) expectations and experiences, and (3) technical performance. Users experienced timely information and instructions positively and found that the app prepared and guided them optimally through the perioperative period. Negative user experiences were overly optimistic information, scarcely presented information about pain (medication), lack of reference data, insufficient information regarding clinical course deviations and complications, and lack of interaction with clinicians. CONCLUSIONS The Patient Journey app is a usable, informative, and presentable tool to inform patients with musculoskeletal disorders during their perioperative period. The qualitative analyses identified aspects that can further improve the user experiences of the app.

scholarly journals A Clinical Journey Mobile Health App for Perioperative Patients: Cross-sectional Study

10.2196/20694 ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e20694
Author(s):  
Stijn J Willems ◽  
Michel W Coppieters ◽  
Yvette Pronk ◽  
Miranda J F Diks ◽  
Klaas W A P van der Heijden ◽  
...  
Keyword(s):  
Musculoskeletal Disorders ◽  
Perioperative Period ◽  
Cross Sectional Study ◽  
Multiple Choice Questions ◽  
User Friendliness ◽  
Cross Sectional ◽  
Patient Journey ◽  
User Experiences ◽  
System Usability Scale ◽  
System Usability

Background Mobile eHealth apps are important tools in personal health care management. The Patient Journey app was developed to inform patients with musculoskeletal disorders during their perioperative period. The app contains timely information, video exercises, and functional tasks. Although the Patient Journey app and other health apps are widely used, little research is available on how patients appreciate these apps. Objective The primary aim of this study was to evaluate the user-friendliness of the Patient Journey app in terms of its usability and the attitudes of users toward the app. The secondary aim was to evaluate positive and negative user experiences. Methods A web-based questionnaire was sent to 2114 patients scheduled for surgery for a musculoskeletal disorder. Primary outcomes were usability (measured with the System Usability Scale) and user attitudes regarding the Patient Journey app (assessed with the second part of the eHealth Impact Questionnaire). The secondary outcomes were evaluated with multiple choice questions and open-ended questions, which were analyzed via inductive thematic content analyses. Results Of the 940 patients who responded, 526 used the Patient Journey app. The usability of the app was high (System Usability Scale: median 85.0, IQR 72.5-92.5), and users had a positive attitude toward the Information and Presentation provided via the app (eHealth Impact Questionnaire: median 78.0, IQR 68.8-84.4). The app did not adequately improve the users’ confidence in discussing health with others (eHealth Impact Questionnaire: median 63.9, IQR 50.0-75.0) or motivation to manage health (eHealth Impact Questionnaire: median 61.1, IQR 55.6-72.2). Three core themes emerged regarding positive and negative user experiences: (1) content and information, (2) expectations and experiences, and (3) technical performance. Users experienced timely information and instructions positively and found that the app prepared and guided them optimally through the perioperative period. Negative user experiences were overly optimistic information, scarcely presented information about pain (medication), lack of reference data, insufficient information regarding clinical course deviations and complications, and lack of interaction with clinicians. Conclusions The Patient Journey app is a usable, informative, and presentable tool to inform patients with musculoskeletal disorders during their perioperative period. The qualitative analyses identified aspects that can further improve the user experiences of the app.

Frequency of Neck and Upper Extremity Musculoskeletal Disorders in Dentists

2020 ◽  
Vol 9 (3) ◽  
pp. 207-211
Author(s):  
Sidra Sarwar ◽  
Sara Khalid ◽  
Tahir Mahmood ◽  
Hadeeqa Jabeen ◽  
Shahid Imran
Keyword(s):  
Upper Extremity ◽  
Musculoskeletal Disorders ◽  
Health Care Professionals ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Dental Hospital ◽  
Upper Extremity Musculoskeletal Disorders ◽  
And Performance

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity

Usability of a tablet computer designed for older adults: a qualitative approach based on an intra-hospital living-lab for healthcare (Preprint)

2020 ◽  
Author(s):  
Guillaume Sacco ◽  
Pauline Carliez ◽  
Frédéric Noublanche ◽  
Romain Simon ◽  
Anne Renaudin ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Patients ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Satisfaction Score ◽  
Tablet Computer ◽  
Sectional Study ◽  
Cross Sectional ◽  
System Usability Scale ◽  
Perceived Usability

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152

scholarly journals Prevalence of Low Back Pain and Dorsalgia and Associated Factors among Casual Dockworkers

2018 ◽  
Vol 15 (10) ◽  
pp. 2310
Author(s):  
Marta Cezar-Vaz ◽  
Clarice Bonow ◽  
Daiani Xavier ◽  
Joana Vaz ◽  
Letícia Cardoso ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Musculoskeletal Disorders ◽  
Illicit Drugs ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Occupational Risk ◽  
Low Back ◽  
Cross Sectional ◽  
Convenience Sample

This study’s aim was to analyse the relationship between musculoskeletal disorders (low back pain and dorsalgia) and sociodemographic characteristics, workload and occupational hazards among casual dockworkers. This cross-sectional study addressed casual dockworkers from the state of Rio Grande do Sul, Brazil. The convenience sample was composed of 232 casual dockworkers. Data were collected using a structured interview and observation. Poisson regression analysis was used. Association between low back pain and physiological occupational risk (p = 0.006), total exertion levels (p = 0.014) and frustration (p = 0.020) remained statistically significant, while the use of illicit drugs (p = 0.023), being a quayside worker (p = 0.021) and physiological occupational risk (p = 0.040) remained associated with dorsalgia. Decreasing these variables in the workplace may also reduce the prevalence of musculoskeletal disorders such as low back pain and dorsalgia.

scholarly journals The prevalence and risk factors of musculoskeletal disorders among subcontracted hospital cleaners in Thailand

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thanaphum Laithaisong ◽  
Wichai Aekplakorn ◽  
Paibul Suriyawongpaisal ◽  
Chanunporn Tupthai ◽  
Chathaya Wongrathanandha
Keyword(s):  
Risk Factors ◽  
Musculoskeletal Disorders ◽  
Teaching Hospital ◽  
Stress Test ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Middle Income ◽  
Content Type ◽  
History Of

PurposeThis research aimed to explore the prevalence of musculoskeletal disorders (MSDs) and related factors among subcontracted cleaners in a teaching hospital in Thailand.Design/methodology/approachA cross-sectional study was conducted of 393 subcontracted cleaners in a teaching hospital, from May to June 2020. Face-to-face interviews were carried out using a standard questionnaire, consisting of four parts: (1) participant characteristics, (2) stress test, (3) work characteristics and (4) standardized Nordic questionnaire, Thai version, for MSDs outcome. Multiple logistic regression analyses were performed to determine the association between MSDs and related factors.FindingsThe prevalence of MSDs was 81.9%, involving mostly the lower back (57.7%), followed by the shoulder (52.6%). Factors significantly associated with MSDs were as follows: male gender (OR = 3.06, 95% CI [1.19, 7.87]), severe stress (OR = 2.72, 95% CI [1.13, 6.54]), history of injuries (OR = 4.37, 95% CI [1.27, 15.11]), mopping posture (OR = 2.81, 95% CI [1.43, 5.50]) and task duration (OR = 1.90, 95% CI [1.01, 3.57] for 2–4 h and OR = 3.39, 95% CI [1.17, 9.86] for more than 4 h). Sick leave due to MSDs was associated with history of injuries, Thai nationality and having another part-time job.Originality/valueThe study findings about MSDs in terms of prevalence and related factors contributed to limited pool of the knowledge among subcontracted hospital cleaners in Thailand and middle-income country settings. With growing popularity in outsourcing cleaning services among hospitals in these countries, the study findings could raise a concern and inform policymakers and hospital administrators the importance of the magnitude and risk factors for MSDs necessitating design of preventive strategies.

scholarly journals Multiple children in the context of an analysis of the quality of life, satisfaction and further procreative plans of women - cross-sectional study

2021 ◽  
Vol 47 (3) ◽  
pp. 60-71
Author(s):  
Grażyna Bączek ◽  
Monika Szyszka ◽  
Sylwia Rychlewicz
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Religious Beliefs ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Multiple Choice Questions ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Huge Impact

Introduction: The definition of motherhood is manifold. The responsibilities of motherhood should be considered biologically, psychologically and socially. Conscious motherhood is characterized amongst others by the responsibility of parents for procreative decisions, care for the health, development and safety of the child. In Poland, the model of a woman as mother, who dedicates her life to birthing and raising her offspring, dominates. This has a huge impact on the future functioning of the offspring as citizens of Poland. Materials and method: Study was conducted through a diagnostic survey in a group of 365 women (284 of which are mothers of three or more children, the remaining 81 being mothers of one child). A self-developed survey containing 29 multiple choice questions with a single correct response as well as a standardized assessment tool SWLS- Life Satisfaction Scale E. Diener, R.A. Emmons, R.J. Larson, S. Griffin (adaptation: Z. Juczyński) were used as a research tool. Results: The vast majority of respondents are satisfied with their role as mother (97.1%). Many of the women do not plan to have more children (44.1%). In the respondents' opinion, childbirth is a social privilege of a woman (p<0.05). Mothers of more than one child have definitively declared that having multiple children does not decrease the quality of life of women, is a source of life satisfaction, aids in the fulfillment of societal roles and does not impede professional development (p<0.05). A constant partner, religious beliefs and relations with other women having more than two children are important factors for respondents when deciding to expand their family (p<0.05). Women who have given birth to three or more children have greater life satisfaction as compared to mothers of a single child (p<0.05). Conclusion: Women are happy to be mothers. Motherhood is not a factor hindering their social and private functioning. Women's procreative decisions are influenced by fixed income, formal relationships and religious beliefs. Mothers of large families have greater life satisfaction in comparison to mothers of one child who do not desire more children.

scholarly journals Work-Related Musculoskeletal Disorders and Their Associated Factors in Nurses: A Cross-Sectional Study in Iran

2019 ◽  
Vol 26 (2) ◽  
pp. 122-130 ◽  
Author(s):  
Mohammad Heidari ◽  
◽  
Mansureh Ghodusi Borujeni ◽  
Parvin Rezaei ◽  
Shokouh Kabirian Abyaneh ◽  
...  
Keyword(s):  
Musculoskeletal Disorders ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders

scholarly journals Following the Principles of Ergonomics and Musculoskeletal Disorders in Ultrasonographers

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Vanja Jovanovic ◽  
Jelena Maric ◽  
Dejan Jovanovic
Keyword(s):  
Musculoskeletal Disorders ◽  
Age Groups ◽  
Clinical Manifestations ◽  
Spinal Column ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Preventative Measures ◽  
Ultrasound Diagnostics ◽  
Experience Pain

AbstractBackground/Aim. It has been noticed that doctors who regularly perform ultrasound examinations have different clinical manifestations of musculoskeletal disorders. The aim of this research is to examine the level of knowledge of ultrasonographers regarding preventative measures and health consequences of the forced body positions during work.Subjects and methods. The total of 75 doctors of both genders, aged 31-50 years, who use ultrasound diagnostics participated in the research. The research was conducted throughout 2016, as a cross-sectional study, with the aid of a structured questionaire.Results. The total of 60% subjects either rarely use the break during working hours or do not have a break at all. The participants most commonly use the movable monitor and the ability to wrap the cable around their arm (73,3%). This percentage is similar in all age groups. The respondents most often stated that they walk daily (41,3%), with no differences among age groups. 25% of the respondents negate any spine related pains, while over a half said that they experience pain in one segment of the spinal column (cervical, thoracic or lumbar), regardless of the age group. 52% said that they serch for information on their own accord, while 36% stated that they are not at all informed. Only in less than 10% of cases is information provided by the authorities in the institution where the participants are employed, and during regular health examinations, information is given by the designated doctor in 2,7% of cases.Conclusion. The respondents implement the recommendations regarding safe work and other preventative measures to a very small extent, regardless of gender and age. Most of the respondents experience pain in the spine and joints, which can be related to the work in ultrasound diagnostics. Additionally, doctors are not well-informed regarding the preventative measures.

Musculoskeletal Disorders and Asymmetric Playing Postures of the Upper Extremity and Back in Music Teachers: A Pilot Study

2009 ◽  
Vol 24 (3) ◽  
pp. 113-118
Author(s):  
Cecilia Wahlström Edling ◽  
Anncristine Fjellman-Wiklund
Keyword(s):  
Upper Extremity ◽  
Musculoskeletal Disorders ◽  
Music Teachers ◽  
Musical Instrument ◽  
Cross Sectional Study ◽  
Physical Workload ◽  
Cross Sectional ◽  
Work Related ◽  
Increased Risk ◽  
Playing Time

To play a musical instrument, such as the violin or flute, requires controlled, adequate movements performed by the arm, hand, and fingers in an asymmetric playing posture. The movements are monotonous and often of long duration, involving static and repetitive muscle work of the upper extremity and neck-shoulder muscles. This situation may lead to an increased risk of contracting musculoskeletal problems. The aim of this cross-sectional study was to investigate the relationship between physical workload, defined as playing posture and playing time per week, and musculoskeletal disorders in music teachers. A questionnaire was distributed, with items based on work-related musculoskeletal disorders and physical working conditions. The study population consisted of music teachers employed at a Swedish municipal music school. Out of 61 music teachers, 47 (77%) agreed to participate, including 28 women and 19 men. The study group was divided into two groups depending on if they had an asymmetric or symmetric upper extremity/back playing position. Of the total participants, 77% reported musculoskeletal disorders during the preceding 12 months. Female teachers reported significantly more symptoms in the neck, shoulders, and upper back than male teachers. Music teachers with an asymmetric playing posture had significantly more musculoskeletal disorders than music teachers with a symmetric playing posture. This study demonstrates that an asymmetric playing position may affect the amount of musculoskeletal disorders in the upper extremity and back.

Sign in / Sign up

Export Citation Format

Share Document