A Web-based, Provider-driven Mobile App to Enhance Patient Care Coordination between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study (Preprint)

2021 ◽  
Author(s):  
Laura C Plantinga ◽  
Courtney Hoge ◽  
Ann E Vandenberg ◽  
Kyle James ◽  
Tahsin Masud ◽  
...  
Keyword(s):  
Care Coordination ◽  
Nurse Managers ◽  
Clinical Information ◽  
Mobile App ◽  
Care Coordinator ◽  
Web Based ◽  
Usage Patterns ◽  
Pilot Implementation ◽  
Dialysis Facilities ◽  
Enhance Patient Care

BACKGROUND To fill the communication and care coordination gap between hospitals and dialysis facilities, we piloted a web-based, provider-driven mobile app (“DialysisConnect”). Here, we describe its development and pilot implementation. OBJECTIVE . METHODS DialysisConnect was developed iteratively, with focus group and user testing feedback, and made available to 106 potential users at one hospital [hospitalists, advanced practice providers (APPs), care coordinator] and four affiliated dialysis facilities (nephrologists, APPs, nurses/nurse managers) prior to the start of the pilot (11/1/20-5/31/21). Mid- and end-of-pilot online surveys of potential users were performed. Descriptive statistics were used to describe system usage patterns, ratings on multiple satisfaction items (1=not at all; 3=to a great extent), and provider-selected motivators and barriers to using DialysisConnect. RESULTS The pilot version of DialysisConnect included automatically uploaded clinical information from dialysis facilities, forms for entering critical admission and discharge information, and a direct communications channel. While physicians comprised most of the potential users of DialysisConnect, APPs and dialysis nurses were the most active users. Activity was unevenly distributed: e.g., one hospital-based APP recorded most of the admissions (n=225, 89%) and discharges (n=226, 93%) among patients treated at the pilot dialysis facilities. End-of-pilot ratings of DialysisConnect were generally higher for users vs. non-users: e.g., “I can see the potential value of DialysisConnect for my work with dialysis patients” [mean (SD): 2.8 (0.4) vs 2.3 (0.6), P=0.02]. Providers most commonly selected reduced time and energy spent gathering information as a motivator (42.3%) and lack of time to use the system as a barrier (30.8%). CONCLUSIONS In this pilot, we found that APPs and nurses were most likely to engage with the system. Survey participants generally viewed the system favorably, while identifying substantial barriers to its use. These results inform how best to motivate providers to use this and similar systems and inform future pragmatic research in care coordination in this and other populations.

scholarly journals Locate your soundscape: interacting with the acoustic environment

2021 ◽  
Author(s):  
Nicola Orio ◽  
Berardina De Carolis ◽  
Francesco Liotard
Keyword(s):  
Undergraduate Students ◽  
Visual Information ◽  
Mobile App ◽  
Initial Experiment ◽  
Web Based ◽  
Acoustic Environment ◽  
Entire Country ◽  
Interactive Map ◽  
Main Components ◽  
The City

AbstractAlthough overshadowed by visual information, sound plays a central role in how people perceive an environment. The effect of a landscape is enriched by its soundscape, that is, the stratification of all the acoustic sources that, often unconsciously, are heard. This paper presents a framework for archiving, browsing, and accessing soundscapes, either remotely or on-site. The framework is based on two main components: a web-based interface to upload and search the recordings of an acoustic environment, enriched by in- formation about geolocation, timing, and context of the recording; and a mobile app to browse and listen to the recordings, using an interactive map or GPS information. To populate the archive, we launched two crowdsourcing initiatives. An initial experiment examined the city of Padua’s soundscape through the participation of a group of undergraduate students. A broader experiment, which was proposed to all people in Italy, aimed at tracking how the nationwide COVID-19 lockdown was dramatically changing the soundscape of the entire country.

scholarly journals A Heuristic Evaluation to Assess Use of After Visit Summaries for Supporting Continuity of Care

2018 ◽  
Vol 09 (03) ◽  
pp. 714-724 ◽  
Author(s):  
Patrice Tremoulet ◽  
Ramya Krishnan ◽  
Dean Karavite ◽  
Naveen Muthu ◽  
Susan Regli ◽  
...  
Keyword(s):  
Care Coordination ◽  
Clinical Information ◽  
Heuristic Evaluation ◽  
Care Providers ◽  
Evaluation Instrument ◽  
Structural Problems ◽  
Usability Problems ◽  
New Instrument ◽  
Medical Documents

Background Outpatient providers often do not receive discharge summaries from acute care providers prior to follow-up visits. These outpatient providers may use the after-visit summaries (AVS) that are given to patients to obtain clinical information. It is unclear how effectively AVS support care coordination between clinicians. Objectives Goals for this effort include: (1) developing usability heuristics that may be applied both for assessment and to guide generation of medical documents in general, (2) conducting a heuristic evaluation to assess the use of AVS for communication between clinicians, and (3) providing recommendations for generating AVS that effectively support both patient/caregiver use and care coordination. Methods We created a 17-item heuristic evaluation instrument for assessing usability of medical documents. Eight experts used the instrument to assess each of four simulated AVS. The simulations were created using examples from two hospitals and two pediatric patient cases developed by the National Institute of Standards and Technology. Results Experts identified 224 unique usability problems ranging in severity from mild to catastrophic. Content issues (e.g., missing medical history, marital status of a 2-year-old) were rated as most severe, but widespread formatting and structural problems (e.g., inconsistent indentation, fonts, and headings; confusing ordering of information) were so distracting that they significantly reduced readers' ability to efficiently use the documents. Overall, issues in the AVS from Hospital 2 were more severe than those in the AVS from Hospital 1. Conclusion The new instrument allowed for quick, inexpensive evaluations of AVS. Usability issues such as unnecessary information, poor organization, missing information, and inconsistent formatting make it hard for patients, caregivers, and clinicians to use the AVS. The heuristics in the new instrument may be used as guidance to adapt electronic health record systems so that they generate more useful and usable medical documents.

Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors

2019 ◽  
Vol 22 (3-4) ◽  
pp. 127-139 ◽  
Author(s):  
Andrés Daniel Gallego-Ardila ◽  
Ángela María Pinzón-Rondón ◽  
Amparo Susana Mogollón-Pérez ◽  
Carol Ximena Cardozo ◽  
Ingrid Vargas ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Care Coordination ◽  
Clinical Management ◽  
Waiting Times ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Public Healthcare ◽  
Sectional Study ◽  
Cross Sectional ◽  
High Level

Introduction Care coordination is a priority concern for healthcare systems. In Colombia, there is a lack of information on the topic. This study analysed how doctors of two Bogotá’s public healthcare networks perceived coordination between healthcare levels and what factors are associated with their perception. Methods A cross-sectional study using the COORDENA-CO questionnaire to a sample of 363 doctors (network-1 = 181; network-2 = 182) in 2015. The questionnaire asks about types and dimensions of care coordination: information and clinical management, with items in a Likert scale, as well as conditions regarding health system, organisational and doctors’ conditions. Descriptive statistics and logistic regression analysis were performed. Results The doctors’ perception of a high level of coordination did not exceed 25.4%. On coordination of information, limited transfer of clinical information was found. Concerning clinical management, there were limited care coherence, deficits in patient follow-up and lengthy waiting times for specialised care. A high perception of coordination were associated with being female, being over 50 years old, being a specialist, having less than one year’s working experience, working less than 20 h per week at the centre, forming part of network-1, having time available for performing coordination tasks, having job satisfaction and not identifying limitations imposed by healthcare insurers. Discussion There was limited perception of coordination, in its different dimensions and types with some differences between networks. The results support the importance of guaranteeing job satisfaction, ensuring sufficient time to coordination-related activities and intervening in the restrictions imposed by healthcare insurers to improve care coordination.

scholarly journals Development of a web-based toolkit to support improvement of care coordination in primary care

2018 ◽  
Vol 8 (3) ◽  
pp. 492-502 ◽  
Author(s):  
David A Ganz ◽  
Jenny M Barnard ◽  
Nina Z Y Smith ◽  
Isomi M Miake-Lye ◽  
Deborah M Delevan ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Coordination ◽  
Web Based

scholarly journals A Novel Narrative E-Writing Intervention for Parents of Children With Chronic Life-Threatening Illnesses: Protocol for a Pilot, Open-Label Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Andy Hau Yan Ho ◽  
Oindrila Dutta ◽  
Geraldine Tan-Ho ◽  
Toh Hsiang Benny Tan ◽  
Casuarine Xinyi Low ◽  
...  
Keyword(s):  
Palliative Care ◽  
Controlled Trial ◽  
Well Being ◽  
Mobile App ◽  
Pediatric Palliative Care ◽  
Writing Intervention ◽  
Open Label ◽  
Web Based ◽  
Randomized Controlled ◽  
Life Threatening

BACKGROUND A novel evidence-based Narrative e-Writing Intervention (NeW-I) has been developed and tested in Singapore to advance psychosociospiritual support for parents of children with chronic life-threatening illnesses. NeW-I is informed by an international systematic review and a Singapore-based qualitative inquiry on the lived experience of parental bereavement and supported by literature on anticipatory grief interventions for improving the holistic well-being of parent caregivers of seriously ill children. OBJECTIVE This study's aim was to provide an accessible platform, NeW-I—which is a strengths- and meaning-focused and therapist-facilitated mobile app and web-based counseling platform—that aims to enhance quality of life, spiritual well-being, hope, and perceived social support and reduce depressive symptoms, caregiver burden, and risk of complicated grief among parents of children with chronic life-threatening illnesses. METHODS The NeW-I therapist-facilitated web-based platform comprises a mobile app and a website (both of which have the same content and functionality). NeW-I has been implemented in Singapore as a pilot open-label randomized controlled trial comprising intervention and control groups. Both primary and secondary outcomes will be self-reported by participants through questionnaires. In collaboration with leading pediatric palliative care providers in Singapore, the trial aims to enroll 36 participants in each group (N=72), so that when allowing for 30% attrition at follow-up, the sample size will be adequate to detect a small effect size of 0.2 in the primary outcome measure, with 90% power and two-sided significance level of at least .05. The potential effectiveness of NeW-I and the accessibility and feasibility of implementing and delivering the intervention will be assessed. RESULTS Funding support and institutional review board approval for this study have been secured. Data collection started in January 2019 and is ongoing. CONCLUSIONS NeW-I aspires to enhance holistic pediatric palliative care services through a structured web-based counseling platform that is sensitive to the unique cultural needs of Asian family caregivers who are uncomfortable with expressing emotion even during times of loss and separation. The findings of this pilot study will inform the development of a full-scale NeW-I protocol and further research to evaluate the efficacy of NeW-I in Singapore and in other Asian communities around the world. CLINICALTRIAL ClinicalTrials.gov NCT03684382; https://clinicaltrials.gov/ct2/show/NCT03684382 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/17561

scholarly journals Utilization of an educational web based mobile app for acquisition and transfer of critical anatomical knowledge, thereby increasing classroom and laboratory preparedness in veterinary students

2017 ◽  
Vol 21 (1) ◽  
Author(s):  
Kevin Hannon
Keyword(s):  
Traditional Method ◽  
Contact Time ◽  
Educational Experience ◽  
Subject Area ◽  
Mobile App ◽  
Veterinary Students ◽  
Web Based ◽  
Initial Learning ◽  
Anatomical Knowledge ◽  
Reading Assignment

Contact time with students is becoming more valuable and must be utilized efficiently. Unfortunately, many students attend anatomy lectures and labs ill-prepared, and this limits efficiency. To address this issue we have created an interactive mobile app designed to facilitate the acquisition and transfer of critical anatomical knowledge in veterinary students, thereby increasing classroom and laboratory preparedness. We have found that in contrast to a traditional reading assignment, utilization of such an app to introduce students to a subject area significantly enhanced the initial learning of anatomy and the transfer of that learned material to a related, but novel area. We propose that students using the apps were subsequently better prepared for lecture and lab, than students using the more traditional method of reading a textbook. Exposure of students to a topic prior to lecture and laboratory, using methods that students embrace, can only lead to a more efficient and better educational experience.

An automated mobile app labeling framework based on primary motivations for smartphone use

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anteneh Ayanso ◽  
Mingshan Han ◽  
Morteza Zihayat
Keyword(s):  
Classification Scheme ◽  
Mobile Apps ◽  
Mobile App ◽  
Machine Learning Algorithms ◽  
User Needs ◽  
Context Information ◽  
Web Based ◽  
Content Type ◽  
Classification Framework ◽  
Textual Data

Purpose This paper aims to propose an automated mobile app labeling framework based on a novel app classification scheme that is aligned with users’ primary motivations for using smartphones. The study addresses the gaps in incorporating the needs of users and other context information in app classification as well as recommendation systems. Design/methodology/approach Based on a corpus of mobile app descriptions collected from Google Play store, this study applies extensive text analytics and topic modeling procedures to profile mobile apps within the categories of the classification scheme. Sufficient number of representative and labeled app descriptions are then used to train a classifier using machine learning algorithms, such as rule-based, decision tree and artificial neural network. Findings Experimental results of the classifiers show high accuracy in automatically labeling new apps based on their descriptions. The accuracy of the classification results suggests a feasible direction in facilitating app searching and retrieval in different Web-based usage environments. Research limitations/implications As a common challenge in textual data projects, the problem of data size and data quality issues exists throughout the multiple phases of experiments. Future research will extend the data collection scope in many aspects to address the issues that constrained the current experiments. Practical implications These empirical experiments demonstrate the feasibility of textual data analysis in profiling apps and user context information. This study also benefits app developers by improving app descriptions through a better understanding of user needs and context information. Finally, the classification framework can also guide practitioners in customizing products and services beyond mobile apps where context information and user needs play an important role. Social implications Given the widespread usage and applications of smartphones today, the proposed app classification framework will have broader implications to different Web-based application environments. Originality/value While there have been other classification approaches in the literature, to the best of the authors’ knowledge, this framework is the first study on building an automated app labeling framework based on primary motivations of smartphone usage.

Adapting an evidence-based e-learning CBT program into a mobile app for people experiencing gambling-related problems: A Formative Study (Preprint)

2021 ◽  
Author(s):  
Gayl Humphrey ◽  
Joanna Chu ◽  
Rebecca Ruwhui-Collins ◽  
Stephanie Erick ◽  
Nicki Dowling ◽  
...  
Keyword(s):  
Young Adults ◽  
Focus Group ◽  
Focus Groups ◽  
End Users ◽  
Mobile App ◽  
End User ◽  
Web Based ◽  
Diverse Range ◽  
Mhealth Intervention ◽  
Gambling Harms

BACKGROUND Many people experiencing harms and problems from gambling do not seek treatment from gambling treatment services due to numerous personal and resource barriers. Mobile health (mHealth) interventions are widely used across a diverse range of health care areas and by various population groups, but there are few in the gambling harm field, despite their potential as an additional modality for the delivery of treatment. OBJECTIVE This study aims to understand the needs, preferences and priorities of people experiencing gambling harms or problems who are potential end-users of a cognitive behavioural therapy (CBT) mHealth intervention (based on the GAMBLINGLESS web-based intervention) to inform design features and functions. METHODS Drawing on a mixed-methods approach, we used the creators and domain experts to review the GAMBLINGLESS web-based online program and convert it into a prototype for a mobile phone-based intervention. Each module was reviewed against the original evidence-base to ensure that the changes maintained the fidelity and conceptual integrity intended and to ensure that there were no gaps. Early wireframes, design ideas (look, feel and function) and content examples were to be developed using multi-modalities, to help initiate discussions and ideas with end-users. Using an iterative co-creation process with a Young Adult, a Māori and a Pasifika Peoples group, all with experiences of problem or harmful gambling, we undertook six focus groups; two cycles per group. During each focus group, participants identified preferences, features, and functions for inclusion in a final design of the mHealth intervention and its content. RESULTS Over three months, the GAMBLINGLESS web-based intervention was reviewed and remapped from four modules to six. This revised program is based on the principles underpinning the Transtheoretical Model, in which it is recognised that some end-users will be more ready to change than others, change is a process than unfolds over time, a non-linear progression is common, and that different intervention options may be required by end-users across the stages of change. Two cycles of focus groups were then conducted, with a total of 30 unique participants (13 Māori, 9 Pasifika and 8 Young Adults) at the first sessions and 18 participants (7 Māori, 6 Pasifika and 5 Young Adults) at the second sessions. Using prototype examples that demonstrably reflected the focus group discussions and ideas, the features, functions and designs for the Manaaki app were finalised. Aspects such as personalisation, cultural relevance, and being positively framed were key attributes identified. Congruence of the final app attributes with the conceptual frameworks of the original program was also confirmed. CONCLUSIONS Those who experience gambling harms may not seek help from current treatment providers and as such, finding new modalities to provided treatment and support are needed. mHealth has the potential to deliver interventions direct to the end-user. Weaving underpinning theory and existing evidence of effective treatment with end-user input into the design and development of the mHealth intervention does not guarantee success. However, it does provide a foundation for framing the mechanism, context and content of the intervention and arguably provides a greater chance of demonstrating effectiveness.

Web-Based Collateral Support for Traditional Learning

2000 ◽  
pp. 282-292 ◽  
Author(s):  
Tim Hill ◽  
Laku Chidambaram
Keyword(s):  
Distance Learning ◽  
Traditional Classroom ◽  
Traditional Learning ◽  
Web Based ◽  
User Adoption ◽  
Usage Patterns ◽  
Traditional Classroom Instruction ◽  
Multimedia Technologies ◽  
Repeated Use ◽  
The Web

The emergence of the Web and the growth of multimedia technologies offer new mechanisms to support and enhance traditional classroom instruction. This chapter reports on a field study in the use of a Web-based distance learning tool. Students enrolled in traditional classroom courses were provided with asynchronous distance learning support consisting of anytime/anyplace access to classroom lectures via the World Wide Web. The traditional classroom lectures were audio-recorded and the audio transcripts digitized, compressed and stored, along with the synchronized lecture slides, for accessing and viewing via the Web. Usage patterns were unobtrusively monitored and correlated with performance. Additionally, participants’ perceptions were collected, compiled and analyzed. The results showed that repeated use of the Web-based supplement was correlated with better overall performance in the class. They also provided some clues to the motivations of users who seek out and explore collateral Web-based support for their own individual learning. This study provides a foundation for further research and application by: 1) helping to assess the utility of collateral support for traditional instruction using Web-based media, 2) shedding light on user adoption behaviors and attitudes, and 3) identifying practical considerations in the implementation of Web-based support for distance learning.

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