‘Let’s Talk About Technology!’: Qualitative Study of Stakeholders’ Perspectives on eHealth Support in Colorectal Cancer Survivorship. (Preprint)

2021 ◽  
Author(s):  
Anne Marie Lunde Huseboe
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Information Technology ◽  
Health Information ◽  
Health Care Professionals ◽  
End Users ◽  
Self Management ◽  
Technology Competence ◽  
Ehealth Services ◽  
Informal Carers

BACKGROUND Background: eHealth interventions may represent a way forward in following up colorectal cancer (CRC) patients’ post-hospital discharge, to support the patients in coping with the illness, and to strengthen their self-management and increase their quality of life. By involving the end users of eHealth in co-creation processes when designing eHealth solutions, an acceptable and relevant product can be secured. Stakeholders’ perspectives could aid the closing of the gap between research-developed products and the implementation of eHealth services in real-life scenarios. OBJECTIVE The objective of this study was to explore the views of CRC patients, their informal carers and health care professionals on information technology and the design of eHealth support in CRC care. METHODS A qualitative, explorative design was applied to perform 30 semi-structured individual interviews with thirteen CRC patients, nine informal carers and nine health care professionals recruited via a gastro-surgical ward at a university hospital in south-western Norway. A semi-structured interview guide was used for data collection, and data was analyzed by systematic text condensation. RESULTS Participants described the diverse experiences of CRC patients seeking information online. Age and technology competence were highlighted as influencers of the use of information technology. Patients rarely received advice from health care professionals about relevant and secure websites containing information on CRC diagnosis and treatments. Features of desired eHealth interventions in following up CRC patients were patient education, monitoring of health, and communication with health care professionals. CONCLUSIONS Several elements affect the activities of CRC patients seeking health information. Age, inexperience of computer technology, and lack of facility in accessing online resources of health information may reduce the CRC patient’s ability to engage in decision-making processes regarding illness and treatment. An eHealth service for CRC patients should may comprise features for information, education and support for self-management, and should aim to be individually adapted to the patient’s age and technology competence. Involving the end users of eHealth services is necessary to ensure tailored services of high quality that are perceived as user-friendly and relevant to the end-users. CLINICALTRIAL Not applicable

scholarly journals Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018)

JMIR Diabetes ◽  
10.2196/27220 ◽  
2022 ◽  
Vol 7 (1) ◽  
pp. e27220
Author(s):  
Seamus Y Wang ◽  
Hsin-Chieh Yeh ◽  
Arielle Apfel Stein ◽  
Edgar R Miller
Keyword(s):  
United States ◽  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
National Health Interview Survey ◽  
The United States ◽  
Interview Survey ◽  
Ehealth Services ◽  
The Web

Background The use of health information technology (HIT) has been proposed to improve disease management in patients with type 2 diabetes mellitus. Objective This study aims to report the prevalence of HIT use in adults with diabetes in the United States and examine the factors associated with HIT use. Methods We analyzed data from 7999 adults who self-reported a diabetes diagnosis as collected by the National Health Interview Survey (2016-2018). All analyses were weighted to account for the complex survey design. Results Overall, 41.2% of adults with diabetes reported looking up health information on the web, and 22.8% used eHealth services (defined as filled a prescription on the web, scheduled an appointment with a health care provider on the web, or communicated with a health care provider via email). In multivariable models, patients who were female (vs male: prevalence ratio [PR] 1.16, 95% CI 1.10-1.24), had higher education (above college vs less than high school: PR 3.61, 95% CI 3.01-4.33), had higher income (high income vs poor: PR 1.40, 95% CI 1.23-1.59), or had obesity (vs normal weight: PR 1.11, 95% CI 1.01-1.22) were more likely to search for health information on the web. Similar associations were observed among age, race and ethnicity, education, income, and the use of eHealth services. Patients on insulin were more likely to use eHealth services (on insulin vs no medication: PR 1.21, 95% CI 1.04-1.41). Conclusions Among adults with diabetes, HIT use was lower in those who were older, were members of racial minority groups, had less formal education, or had lower household income. Health education interventions promoted through HIT should account for sociodemographic factors.

scholarly journals Use of Health Information Technology by Adults With Diabetes in the United States: Cross-sectional Analysis of National Health Interview Survey Data (2016-2018) (Preprint)

2021 ◽  
Author(s):  
Seamus Y Wang ◽  
Hsin-Chieh Yeh ◽  
Arielle Apfel Stein ◽  
Edgar R Miller
Keyword(s):  
United States ◽  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
National Health Interview Survey ◽  
The United States ◽  
Interview Survey ◽  
Ehealth Services ◽  
The Web

BACKGROUND The use of health information technology (HIT) has been proposed to improve disease management in patients with type 2 diabetes mellitus. OBJECTIVE This study aims to report the prevalence of HIT use in adults with diabetes in the United States and examine the factors associated with HIT use. METHODS We analyzed data from 7999 adults who self-reported a diabetes diagnosis as collected by the National Health Interview Survey (2016-2018). All analyses were weighted to account for the complex survey design. RESULTS Overall, 41.2% of adults with diabetes reported looking up health information on the web, and 22.8% used eHealth services (defined as filled a prescription on the web, scheduled an appointment with a health care provider on the web, or communicated with a health care provider via email). In multivariable models, patients who were female (vs male: prevalence ratio [PR] 1.16, 95% CI 1.10-1.24), had higher education (above college vs less than high school: PR 3.61, 95% CI 3.01-4.33), had higher income (high income vs poor: PR 1.40, 95% CI 1.23-1.59), or had obesity (vs normal weight: PR 1.11, 95% CI 1.01-1.22) were more likely to search for health information on the web. Similar associations were observed among age, race and ethnicity, education, income, and the use of eHealth services. Patients on insulin were more likely to use eHealth services (on insulin vs no medication: PR 1.21, 95% CI 1.04-1.41). CONCLUSIONS Among adults with diabetes, HIT use was lower in those who were older, were members of racial minority groups, had less formal education, or had lower household income. Health education interventions promoted through HIT should account for sociodemographic factors.

scholarly journals Survey of health informatics education in Finland in 2017

2017 ◽  
Vol 9 (2-3) ◽  
pp. 217 ◽  
Author(s):  
Johanna Tolonen ◽  
Alpo Värri
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Information Systems ◽  
Technology Education ◽  
Health Information ◽  
Health Care Professionals ◽  
Health It ◽  
Health Care Workforce ◽  
Information Technology Education ◽  
It Education

The European Union and the USA collaborate in developing the skills of the application of information technology in the health care workforce. A part of this activity is a project which studies the gaps in the present education and proposes methods of filling these gaps. The objective of this paper is to identify the existing IT related education to the health care work force in Finland. A secondary objective was to get an impression of the experience and attitudes of the members of this workforce about health IT education. This paper presents the results of the survey of how information technology is educated to the students of the health care professions in Finland in the year 2017. In addition to literature search including also the study guides of many major health care professional education organizations, 24 telephone interviews of health care professionals in different fields in Finland were made. The results show that although basic information technology education is often available at every level of education, it is expected that the health care professionals learn to use the health information systems during their training periods or later in working life. The interviews showed that the given education varied considerably and some of the personnel had received no or only a little education on IT during studies. As the amount and quality of on-the-job information technology education varies, many health care professionals are not able to fully benefit from the information systems if their general feeling is that they just “survive” from daily activities with them. The results lead to suggest that the health professional degrees should contain at least a minimal amount of relevant health IT education which is tested with an exam and that the present health care workforce should receive ear-marked in-service training in the use of health information technology based on the needs of the individual.

Hispanic Dementia Family Caregiver’s Knowledge, Experience, and Awareness of Self-Management: Foundations for Health Information Technology Interventions

2018 ◽  
Vol 17 (2) ◽  
pp. 49-58 ◽  
Author(s):  
Robert J. Lucero ◽  
Rosario Jaime-Lara ◽  
Yamnia I. Cortes ◽  
Joan Kearney ◽  
Maribel Granja ◽  
...  
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Family Health ◽  
Action Planning ◽  
Information Management System ◽  
Self Management ◽  
Health Care Needs ◽  
Care Needs

Purpose: As a first step toward developing a web-based Family-Health Information Management System intervention, we explored Hispanic dementia family caregiver’s knowledge, use, and awareness of self-management principles and skills to address health and health care needs for themselves and the person with dementia (PWD). Method: Twenty caregivers and 11 caregiver counselors attended an English or Spanish language focus group ranging from 4 to 6 participants. We conducted a directed content analysis informed by Lorig and Holman’s conceptualization of self-management. Results: A complement of six skills (i.e., problem solving, decision making, resource utilization, patient–provider partnership, action planning, and self-tailoring) to achieve one of three tasks (i.e., emotional, medical, and role management) can fully represent Hispanic dementia family caregivers’ ability to self-manage health and health care needs. While not prominent in our study, caregivers and caregiver counselors pointed out existing and potential uses of personal consumer technology to schedule reminders and search for resources. Discussion: A broad conceptualization of self-management may be necessary to understand Hispanic dementia family caregiver’s ability and needs to address emotional, medical, and role challenges of caregiving. Conclusions: These findings and advances in the use of consumer health information technology support the development of self-management caregiver interventions.

scholarly journals Identification of Factors Influencing the Adoption of Health Information Technology by Nurses Who Are Digitally Lagging: In-Depth Interview Study (Preprint)

2019 ◽  
Author(s):  
Jacqueline A De Leeuw ◽  
Hetty Woltjer ◽  
Rudolf B Kool
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Care Professionals ◽  
Learning Needs ◽  
Digital Skills ◽  
Digital Knowledge ◽  
The Individual ◽  
Digital Training

BACKGROUND The introduction of health information technology (HIT) has drastically changed health care organizations and the way health care professionals work. Some health care professionals have trouble coping efficiently with the demands of HIT and the personal and professional changes it requires. Lagging in digital knowledge and skills hampers health care professionals from adhering to professional standards regarding the use of HIT and may cause professional performance problems, especially in the older professional population. It is important to gain more insight into the reasons and motivations behind the technology issues experienced by these professionals, as well as to explore what could be done to solve them. OBJECTIVE Our primary research objective was to identify factors that influence the adoption of HIT in a sample of nurses who describe themselves as digitally lagging behind the majority of their colleagues in their workplaces. Furthermore, we aimed to formulate recommendations for practice and leadership on how to help and guide these nurses through ongoing digital transformations in their health care work settings. METHODS In a Dutch university medical center, 10 face-to-face semi-structured interviews were performed with registered nurses (RN). Ammenwerth’s FITT-framework (fit between the Individual, Task, and Technology) was used to guide the interview topic list and to formulate themes to explore. Thematic analysis was used to analyze the interview data. The FITT-framework was also used to further interpret and clarify the interview findings. RESULTS Analyses of the interview data uncovered 5 main categories and 12 subthemes. The main categories were: (1) experience with digital working, (2) perception and meaning, (3) barriers, (4) facilitators, and (5) future perspectives. All participants used electronic devices and digital systems, including the electronic health record. The latter was experienced by some as user-unfriendly, time-consuming, and not supportive in daily professional practice. Most of the interviewees described digital working as “no fun at all,” “working in a fake world,” “stressful,” and “annoying.” There was a lack of general digital knowledge and little or no formal basic digital training or education. A negative attitude toward computer use and a lack of digital skills contributed to feelings of increased incompetency and postponement or avoidance of the use of HIT, both privately and professionally. Learning conditions of digital training and education did not meet personal learning needs and learning styles. A positive impact was seen in the work environment when colleagues and nurse managers were aware and sensitive to the difficulties participants experienced in developing digital skills, and when there was continuous training on the job and peer support from digitally savvy colleagues. The availability of a digital play environment combined with learning on the job and support of knowledgeable peers was experienced as helpful and motivating by participants. CONCLUSIONS Nurses who are digitally lagging often have had insufficient and ineffective digital education. This leads to stress, frustration, feelings of incompetency, and postponement or avoidance of HIT use. A digital training approach tailored to the learning needs and styles of these nurses is needed, as well as an on-the-job training structure and adequate peer support. Hospital management and nurse leadership should be informed about the importance of the fit between technology, task, and the individual for adequate adoption of HIT.

scholarly journals Human Factors and Usability for Health Information Technology: Old and New Challenges

2019 ◽  
Vol 28 (01) ◽  
pp. 071-077 ◽  
Author(s):  
Pascale Carayon ◽  
Peter Hoonakker
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Human Factors ◽  
Health Information Technology ◽  
Health Information ◽  
Health Care Professionals ◽  
Recent Literature ◽  
Health It ◽  
Human Centered Design ◽  
Usability Problems

Objectives: Despite national mandates, incentives, and other programs, the design of health information technology (IT) remains problematic and usability problems continue to be reported. This paper reviews recent literature on human factors and usability of health IT, with a specific focus on research aimed at applying human factors methods and principles to improve the actual design of health IT, its use, and associated patient and clinician outcomes. Methods: We reviewed recent literature on human factors and usability problems of health IT and research on human-centered design of health IT for clinicians and patients. Results: Studies continue to show usability problems of health IT experienced by multiple groups of health care professionals (e.g., physicians and nurses) as well as patients. Recent research shows that usability is influenced by both designers (e.g., IT vendors) and implementers in health care organizations, and that the application of human-centered design practices needs to be further improved and extended. We welcome emerging research on the design of health IT for teams as team-based care is increasingly implemented throughout health care. Conclusions: Progress in the application of human factors methods and principles to the design of health IT is occurring, with important information provided on their actual impact on care processes and patient outcomes. Future research should examine the work of health IT designers and implementers, which would help to develop strategies for further embedding human factors engineering in IT design processes.

scholarly journals Identification of Factors Influencing the Adoption of Health Information Technology by Nurses Who Are Digitally Lagging: In-Depth Interview Study

10.2196/15630 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e15630 ◽  
Author(s):  
Jacqueline A De Leeuw ◽  
Hetty Woltjer ◽  
Rudolf B Kool
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Care Professionals ◽  
Learning Needs ◽  
Digital Skills ◽  
Digital Knowledge ◽  
The Individual ◽  
Digital Training

Background The introduction of health information technology (HIT) has drastically changed health care organizations and the way health care professionals work. Some health care professionals have trouble coping efficiently with the demands of HIT and the personal and professional changes it requires. Lagging in digital knowledge and skills hampers health care professionals from adhering to professional standards regarding the use of HIT and may cause professional performance problems, especially in the older professional population. It is important to gain more insight into the reasons and motivations behind the technology issues experienced by these professionals, as well as to explore what could be done to solve them. Objective Our primary research objective was to identify factors that influence the adoption of HIT in a sample of nurses who describe themselves as digitally lagging behind the majority of their colleagues in their workplaces. Furthermore, we aimed to formulate recommendations for practice and leadership on how to help and guide these nurses through ongoing digital transformations in their health care work settings. Methods In a Dutch university medical center, 10 face-to-face semi-structured interviews were performed with registered nurses (RN). Ammenwerth’s FITT-framework (fit between the Individual, Task, and Technology) was used to guide the interview topic list and to formulate themes to explore. Thematic analysis was used to analyze the interview data. The FITT-framework was also used to further interpret and clarify the interview findings. Results Analyses of the interview data uncovered 5 main categories and 12 subthemes. The main categories were: (1) experience with digital working, (2) perception and meaning, (3) barriers, (4) facilitators, and (5) future perspectives. All participants used electronic devices and digital systems, including the electronic health record. The latter was experienced by some as user-unfriendly, time-consuming, and not supportive in daily professional practice. Most of the interviewees described digital working as “no fun at all,” “working in a fake world,” “stressful,” and “annoying.” There was a lack of general digital knowledge and little or no formal basic digital training or education. A negative attitude toward computer use and a lack of digital skills contributed to feelings of increased incompetency and postponement or avoidance of the use of HIT, both privately and professionally. Learning conditions of digital training and education did not meet personal learning needs and learning styles. A positive impact was seen in the work environment when colleagues and nurse managers were aware and sensitive to the difficulties participants experienced in developing digital skills, and when there was continuous training on the job and peer support from digitally savvy colleagues. The availability of a digital play environment combined with learning on the job and support of knowledgeable peers was experienced as helpful and motivating by participants. Conclusions Nurses who are digitally lagging often have had insufficient and ineffective digital education. This leads to stress, frustration, feelings of incompetency, and postponement or avoidance of HIT use. A digital training approach tailored to the learning needs and styles of these nurses is needed, as well as an on-the-job training structure and adequate peer support. Hospital management and nurse leadership should be informed about the importance of the fit between technology, task, and the individual for adequate adoption of HIT.

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