scholarly journals Trends in Telemedicine Use for Addiction Treatment

2018 ◽  
Vol 2 (4) ◽  
Author(s):  
Todd Molfenter ◽  
Mike Boyle ◽  
Don Holloway ◽  
Janet Zwick
Keyword(s):  
Virtual Worlds ◽  
Mobile Applications ◽  
Technology Implementation ◽  
Addiction Treatment ◽  
Telemedicine Service ◽  
Web Based ◽  
Future Studies ◽  
Implementation Challenges ◽  
Facilitators And Barriers ◽  
Implementation Models

Methods: A project conducted from February 2013 to June 2014 investigated the adoption of telemedicine services among purchasers of addiction treatment in five states and one county. The project assessed purchasers’ interest in and perceived facilitators and barriers to implementing one or more of the following telemedicine modalities: telephone-based care, web-based screening, web-based treatment, videoconferencing, smartphone mobile applications (apps), and virtual worlds. Results: Purchasers expressed the most interest in implementing videoconferencing and smartphone mobile devices. Anticipated facilitators for implementing a telemedicine app included funding available to pay for the telemedicine service, local examples of success, influential champions at the payer and treatment agencies, and meeting a pressing need. Greatest barriers identified were costs associated with implementation, lack of reimbursement for telemedicine services, providers’ unfamiliarity with technology, lack of implementation models, and confidentiality regulations. Conclusions: Despite the considerable interest in telemedicine, implementation challenges exist. Future studies should broaden the sample analyzed and track technology implementation longitudinally to help the research and practitioner communities develop a greater understanding of technology implementation trends and practices.

scholarly journals Facilitators and barriers to the utilization of the ACT SMART Implementation Toolkit in community-based organizations: a qualitative study

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Aksheya Sridhar ◽  
Amy Drahota ◽  
Kiersten Walsworth
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Autism Spectrum ◽  
Ease Of Use ◽  
Science Literature ◽  
Community Based ◽  
Web Based ◽  
Community Based Organizations ◽  
Facilitators And Barriers ◽  
Acceptance Model

Abstract Background Evidence-based practices (EBPs) have been shown to improve behavioral and mental health outcomes for children diagnosed with autism spectrum disorder (ASD). Research suggests that the use of these practices in community-based organizations is varied; however, the utilization of implementation guides may bridge the gap between research and practice. The Autism Community Toolkit: Systems to Measure and Adopt Research-Based Treatments (ACT SMART) Implementation Toolkit is a web-based implementation toolkit developed to guide organization-based implementation teams through EBP identification, adoption, implementation, and sustainment in ASD community-based organizations. Methods This study examined the facilitators and barriers (collectively termed “determinants”) to the utilization of this toolkit, based on the perspectives of implementation teams at six ASD community-based organizations. Two independent coders utilized the adapted EPIS framework and the Technology Acceptance Model 3 to guide qualitative thematic analyses of semi-structured interviews with implementation teams. Results Salient facilitators (e.g., facilitation teams, facilitation meetings, phase-specific activities) and barriers (e.g., website issues, perceived lack of ease of use of the website, perceived lack of resources, inner context factors) were identified, highlighting key determinants to the utilization of this toolkit. Additionally, frequent determinants and determinants that differed across adapted EPIS phases of the toolkit were noted. Finally, analyses highlighted two themes: (a) Inner Context Determinants to use of the toolkit (e.g., funding) and (b) Innovation Determinants (e.g., all website-related factors), indicating an interaction between the two models utilized to guide study analyses. Conclusions Findings highlighted several factors that facilitated the utilization of this implementation guide. Additionally, findings identified key areas for improvement for future iterations of the ACT SMART Implementation Toolkit. Importantly, these results may inform the development, refinement, and utilization of implementation guides with the aim of increasing the uptake of EBPs in community-based organizations providing services to children with ASD and their families. Finally, these findings contribute to the implementation science literature by illustrating the joint use of the EPIS framework and Technology Acceptance Model 3 to evaluate the implementation of a web-based toolkit within community-based organizations.

Implementation Factors Related to Improving the Food Environment Within Health Care Institutions: A Multiple Case Study

2021 ◽  
Author(s):  
Elizaveta Walker ◽  
Robin L Baker ◽  
Kerth O'Brien ◽  
Lynne C Messer ◽  
Cara L Eckhardt ◽  
...  
Keyword(s):  
Health Care ◽  
Food Environment ◽  
Implementation Process ◽  
System Level ◽  
Implementation Barriers ◽  
Executive Leaders ◽  
Sugar Sweetened Beverage ◽  
Implementation Challenges ◽  
Health Care Institutions ◽  
Facilitators And Barriers

Abstract Background Healthy food environment policies (HFEPs), such as sugar-sweetened beverage bans or nutritional standards for vending machines, can improve the healthfulness of retail food venues, particularly within health care institutions that have a health-focused mission. The degree to which operational managers’ and executive leaders’ perceptions of implementation challenges align or diverge, and the extent to which these perceptions affect HFEP implementation, is unknown.Methods We conducted ten semi-structured key informant interviews with managers and executive leaders who participated in HFEP development within five health care organizations. Interviews explored facilitators and barriers for HFEP adoption and maintenance. We transcribed, coded, and analyzed interviews and derived contextual facilitators and barriers.Results We identified 27 facilitators and 30 barriers, which were refined into six and five categories, respectively, and ultimately paired to create three overarching recommendations. Operational managers’ and executive leaders’ perceptions overlapped 44-75% when identifying facilitators but only 33-58% when identifying implementation barriers. Interpersonal issues such as over-delegation and mistrust were prominent among those organizations whose respondents’ perceptions diverged substantially.Conclusion As the obesity epidemic continues to increase, understanding key facilitators and barriers to HFEPs, as well as the influence on leaderships’ perceptions on the implementation process, will be key to addressing obesogenic food environments. Though leaders were generally aligned in perspectives regarding facilitators, there was greater divergence when barriers were discussed. Executive leaders are encouraged to familiarize themselves with operational barriers and refrain from over-delegating these challenges to their operational counterparts, who lack the institutional authority to override organizational or system-level decisions.

The Complexities in Risk Communication for Flood Early Warning System in Nepal and India.

2021 ◽  
Author(s):  
Gaurab Sagar Dawadi
Keyword(s):  
Risk Communication ◽  
Early Warning ◽  
Mobile Applications ◽  
Early Warning System ◽  
Warning System ◽  
Text Messages ◽  
Web Based ◽  
The People ◽  
Vulnerable People ◽  
Awareness Raising

<p>The Early Warning System (EWS)  is recognized as a crucial mechanism for disaster risk reduction. Despite advances in technologies, the biggest shortcoming of EWS is that risk information is still failing to reach the people at risk in developing countries like Nepal and India. This presentation is based on the qualitative analysis of 90 interviews conducted for my Ph.D. thesis, in the Kosi River basin, across the Nepal-India border. Annually the Kosi River and its tributaries cause widespread flooding and inundation in Nepal and India. Recently, significant advancements have occurred in the sector of risk communication for Flood-EWS in Nepal and India. Government institutions use mobile text messages, web-based Apps, flood bulletins, and other measures to inform people about the flood. Despite the efforts, significant challenges were observed in the information outreach, especially to the women and vulnerable people living in the study area. Challenges were also identified in understanding the received text messages by flood vulnerable people, and spatially relating the information about river depth for their evacuation decision.  Recommendations were made for inclusive and people-centered EWS based on Impact based forecasting as well as on awareness-raising activities through mobile applications.</p>

New Trends on RIAs Development

2014 ◽  
pp. 323-336
Keyword(s):  
Web 2.0 ◽  
User Interfaces ◽  
Mobile Applications ◽  
Web Technology ◽  
Context Aware ◽  
Internet Applications ◽  
Web Based ◽  
Web 3.0 ◽  
Rich Internet Applications ◽  
The Web

Rich Internet Applications (RIAs) are considered one kind of Web 2.0 application; however, they have demonstrated to have the potential to transcend throughout the steps in the Web evolution, from Web 2.0 to Web 4.0. In some cases, RIAs can be leveraged to overcome the challenges in developing other kinds of Web-based applications. In other cases, the challenges in the development of RIAs can be overcome by using additional technologies from the Web technology stack. From this perspective, the new trends in the development of RIAs can be identified by analyzing the steps in the Web evolution. This chapter presents these trends, including cloud-based RIAs development and mashups-rich User Interfaces (UIs) development as two easily visible trends related to Web 2.0. Similarly, semantic RIAs, RMAs (Rich Mobile Applications), and context-aware RIAs are some of the academic proposals related to Web 3.0 and Web 4.0 that are discussed in this chapter.

scholarly journals Evaluation of Free, Open-source, Web-based DICOM Viewers for the Indian National Telemedicine Service (eSanjeevani)

2020 ◽  
Vol 33 (6) ◽  
pp. 1499-1513
Author(s):  
Jagjot Singh Wadali ◽  
Sanjay P. Sood ◽  
Rajesh Kaushish ◽  
Shabbir Syed-Abdul ◽  
Praveen K. Khosla ◽  
...  
Keyword(s):  
Open Source ◽  
Telemedicine Service ◽  
Web Based ◽  
Free Open Source

Advancing Learning Through Virtual Worlds

2010 ◽  
pp. 556-572
Author(s):  
Steve Mahaley ◽  
Robin Teigland
Keyword(s):  
Higher Education ◽  
Learning Styles ◽  
Virtual Worlds ◽  
Second Life ◽  
Higher Education Institutions ◽  
Learning Activities ◽  
Learning Activity ◽  
Future Research ◽  
Implementation Challenges ◽  
Incoming Students

Higher education institutions and corporations are increasingly exploring new pedagogical methods to align with learning styles of incoming students and employees, who are amazingly adept at using Web 2.0 applications. This chapter explores the use of virtual worlds, in particular that of Second Life, in educational activities by organizations such as higher education institutions or corporations. We begin by introducing virtual worlds with a particular focus on Second Life. We then provide an overview of the benefits of this environment for learning activities before presenting a set of potential learning activities that can be conducted within Second Life. We then discuss an in-depth example of 3D teaming-one learning activity within Second Life conducted by the authors. After a discussion of implementation challenges, we then present areas for future research.

scholarly journals A personalized, web-based breast cancer decision making application: a pre-post survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kirk D. Wyatt ◽  
Sarah M. Jenkins ◽  
Matthew F. Plevak ◽  
Marcia R. Venegas Pont ◽  
Sandhya Pruthi
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Patient Education ◽  
Knowledge Transfer ◽  
Shared Decision Making ◽  
Mobile Applications ◽  
Shared Decision ◽  
Point Scale ◽  
Web Based ◽  
Amount Of Information

Abstract Background Every case of breast cancer is unique, and treatment must be personalized to incorporate a woman’s values and preferences. We developed an individually-tailored mobile patient education application for women with breast cancer. Methods Pre-post surveys were completed by 255 women who used the tool. Results Patients thought the application included helpful information (N = 184, 72%) and was easy to navigate (N = 156, 61%). Most patients thought the amount of information in the tool was “about right” (N = 193, 87%). Decision making confidence increased by an average of 0.8 points (10-point scale) following a consultation and use of the tool (p < 0.001). Conclusions Tailored mobile applications may optimize care by facilitating shared decision making and knowledge transfer, and they may also enhance the experience of patients as they navigate through their breast cancer journey.

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