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10.2196/33873 ◽  
2022 ◽  
Vol 24 (1) ◽  
pp. e33873
Author(s):  
Andre Q Andrade ◽  
Jean-Pierre Calabretto ◽  
Nicole L Pratt ◽  
Lisa M Kalisch-Ellett ◽  
Gizat M Kassie ◽  
...  

Background Digital technologies can enable rapid targeted delivery of audit and feedback interventions at scale. Few studies have evaluated how mode of delivery affects clinical professional behavior change and none have assessed the feasibility of such an initiative at a national scale. Objective The aim of this study was to develop and evaluate the effect of audit and feedback by digital versus postal (letter) mode of delivery on primary care physician behavior. Methods This study was developed as part of the Veterans’ Medicines Advice and Therapeutics Education Services (MATES) program, an intervention funded by the Australian Government Department of Veterans’ Affairs that provides targeted education and patient-specific audit with feedback to Australian general practitioners, as well as educational material to veterans and other health professionals. We performed a cluster randomized controlled trial of a multifaceted intervention to reduce inappropriate gabapentinoid prescription, comparing digital and postal mode of delivery. All veteran patients targeted also received an educational intervention (postal delivery). Efficacy was measured using a linear mixed-effects model as the average number of gabapentinoid prescriptions standardized by defined daily dose (individual level), and number of veterans visiting a psychologist in the 6 and 12 months following the intervention. Results The trial involved 2552 general practitioners in Australia and took place in March 2020. Both intervention groups had a significant reduction in total gabapentinoid prescription by the end of the study period (digital: mean reduction of 11.2%, P=.004; postal: mean reduction of 11.2%, P=.001). We found no difference between digital and postal mode of delivery in reduction of gabapentinoid prescriptions at 12 months (digital: –0.058, postal: –0.058, P=.98). Digital delivery increased initiations to psychologists at 12 months (digital: 3.8%, postal: 2.0%, P=.02). Conclusions Our digitally delivered professional behavior change intervention was feasible, had comparable effectiveness to the postal intervention with regard to changes in medicine use, and had increased effectiveness with regard to referrals to a psychologist. Given the logistical benefits of digital delivery in nationwide programs, the results encourage exploration of this mode in future interventions.


2022 ◽  
pp. 252-271
Author(s):  
Deanna Valente

In March of 2020, the world came to a screeching halt due to the COVID-19 pandemic. Without any warning, businesses big and small were closed, elementary schools and high schools ordered to shut down, and colleges and universities urged to move all in-person classes to online. This chapter explores the curriculum design for digital delivery and readiness for an emergency pivot.


DigItalia ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. 25-52
Author(s):  
Susan Hazan

L’arte può contribuire al benessere personale, anche attraverso esperienze digitali? Questo articolo esplora l’argomento esaminando iniziative culturali e prodotti commerciali basati sulle tecnologie digitali, progettati per trasmettere emozioni positive. Dopo aver esaminato l’impatto di queste esperienze sugli utenti durante il recente lockdown, il contributo pone alcuni interessanti quesiti sul futuro di queste iniziative, che offrono spunti per ulteriori indagini scientifiche.


2021 ◽  
Vol 2021 ◽  
pp. 1-20
Author(s):  
Sara Emmanouilidis ◽  
Madeleine E. Hackney ◽  
Susan C Slade ◽  
Hazel Heng ◽  
Dana Jazayeri ◽  
...  

Objective. To evaluate the outcomes of face-to-face, digital, and virtual modes of dancing for people living with Parkinson’s disease (PD). Design. Systematic review informed by Cochrane and PRIMSA guidelines. Data Sources. Seven electronic databases were searched: AMED, Cochrane, PEDro, CINHAL, PsycINFO, EMBASE, and MEDLINE. Methods. Eligible studies were randomised controlled trials (RCT) and other trials with quantitative data. The PEDro scale evaluated risk of bias for RCTs. Joanna Briggs Institute instruments were used to critically appraise non-RCTs. The primary outcome was the feasibility of dance interventions, and the secondary outcomes included gait, balance, quality of life, and disability. Results. The search yielded 8,327 articles after duplicates were removed and 38 met the inclusion criteria. Seven were at high risk of bias, 20 had moderate risk of bias, and 11 had low risk of bias. There was moderately strong evidence that dance therapy was beneficial for balance, gait, quality of life, and disability. There was good adherence to digital delivery of dance interventions and, for people with PD, online dance was easy to access. Conclusion. Dancing is an accessible form of exercise that can benefit mobility and quality of life in people with PD. The COVID-19 pandemic and this review have drawn attention to the benefits of access to digital modes of physical activity for people living with chronic neurological conditions.


Author(s):  
Jonathan B. Bricker

This article summarizes the theory, clinical methods, evidence, and mechanisms of action for the application of acceptance and commitment therapy (ACT) to tobacco smoking cessation. Following an overview of the relational frame theory underlying the ACT cessation interventions and contrasts between ACT and standard behavioral clinical practice guideline cessation interventions, a session-by-session clinical summary is presented for the delivery of an ACT cessation intervention. The evidence reviewed from the 15 randomized clinical trials published to date (total n = 6991) shows that ACT is a strong alternative to standard behavioral therapies when delivered in traditional modalities (e.g., group) and is particularly efficacious as a smartphone-delivered cessation intervention (e.g., iCanQuit smartphone app). Acceptance of cravings is an important mechanism of action. Future directions include next generations of digital delivery, such as conversational agents (i.e., “chatbots”).


2021 ◽  
Author(s):  
Andre Q Andrade ◽  
Jean-Pierre Calabretto ◽  
Nicole L Pratt ◽  
Lisa M Kalisch-Ellett ◽  
Gizat M Kassie ◽  
...  

BACKGROUND Digital technologies can enable rapid targeted delivery of audit and feedback interventions at scale. Few studies have evaluated how mode of delivery affects clinical professional behavior change and none have assessed the feasibility of such an initiative at a national scale. OBJECTIVE The aim of this study was to develop and evaluate the effect of audit and feedback by digital versus postal (letter) mode of delivery on primary care physician behavior. METHODS This study was developed as part of the Veterans’ Medicines Advice and Therapeutics Education Services (MATES) program, an intervention funded by the Australian Government Department of Veterans’ Affairs that provides targeted education and patient-specific audit with feedback to Australian general practitioners, as well as educational material to veterans and other health professionals. We performed a cluster randomized controlled trial of a multifaceted intervention to reduce inappropriate gabapentinoid prescription, comparing digital and postal mode of delivery. All veteran patients targeted also received an educational intervention (postal delivery). Efficacy was measured using a linear mixed-effects model as the average number of gabapentinoid prescriptions standardized by defined daily dose (individual level), and number of veterans visiting a psychologist in the 6 and 12 months following the intervention. RESULTS The trial involved 2552 general practitioners in Australia and took place in March 2020. Both intervention groups had a significant reduction in total gabapentinoid prescription by the end of the study period (digital: mean reduction of 11.2%, <i>P</i>=.004; postal: mean reduction of 11.2%, <i>P</i>=.001). We found no difference between digital and postal mode of delivery in reduction of gabapentinoid prescriptions at 12 months (digital: –0.058, postal: –0.058, <i>P</i>=.98). Digital delivery increased initiations to psychologists at 12 months (digital: 3.8%, postal: 2.0%, <i>P</i>=.02). CONCLUSIONS Our digitally delivered professional behavior change intervention was feasible, had comparable effectiveness to the postal intervention with regard to changes in medicine use, and had increased effectiveness with regard to referrals to a psychologist. Given the logistical benefits of digital delivery in nationwide programs, the results encourage exploration of this mode in future interventions.


2021 ◽  
pp. 20-46
Author(s):  
James E. Cutting

People’s aesthetic appreciation for any art is bound to the craft of its artists, and that craft is deeply affected by the technology available. Movies have evolved through a long series of venues and technological advances—theaters to shrinking personal devices; roll film with sprockets added; increased frame rates; the standardizations with added sound; experiments with color, aspect ratios, and contrast; and the move to a digital format. This chapter traces these and the consequent psychological improvements in viewer engagement that they fostered—for example, the creation of motion also created aversive flicker, but flicker was then diminished by increasing frame rates and was eliminated by digital delivery. Sound had profound effects, among other things creating a temporary deglobalization of cinema. Color increased discriminability and punctuated the change of scenes. And increased aspect ratios more firmly stimulated people’s systems of balance and the feeling of presence.


2021 ◽  
Vol 12 (3) ◽  
pp. 399-402
Author(s):  
Adrián Todolí-Signes

The Spanish Government has introduced a regulation which establishes: i) the presumption of employment in digital delivery platforms, and ii) the right of workers’ representatives to be informed about the parameters, rules and instructions on which the algorithms that may have an impact on working conditions are based. This article describes the new law and analyses the novelty of this regulation and its expected impact. The main conclusion is that with this law the Spanish legislator is seeking to clarify that the new technological options – digital algorithms and platforms – are simply the means of performing an economic activity and therefore people who render services within their scope should be considered as employees.


2021 ◽  
Author(s):  
Maryam Alarfaj ◽  
Steven O'Hagan ◽  
Chris Sangwin

In response to the COVID-19 pandemic, university mathematics departments in the UK adapted their teaching for 2020-21, with some courses being delivered digitally and others through a mixture of on-campus and digital delivery. A survey of linear algebra and calculus lecturers was carried out in the spring of 2021 to investigate what changes were made to courses, as well as lecturers’ perceptions of institutional decision making and support. This survey found that a majority of the 41 participants were satisfied that the choice of delivery mode was correct, although views about the importance of offering on-campus classes were mixed. There was a significant increase in the use of video clips made by the lecturer, video-conferencing software, discussion forums, electronic submission of written work and on-screen marking tools. Most lecturers reported a reduction in the amount of time that students were expected to be taking part in live teaching activities and an increase in the amount of time they were expected to be working on asynchronous activities. While some were keen to return to their previous practice, others were enthusiastic about retaining features introduced in response to the COVID-19 pandemic.


2021 ◽  
pp. 155982762110292
Author(s):  
Leanne Mauriello ◽  
Kristi Artz

Digital Lifestyle Medicine (DLM) is a consumer-centric model of care which elevates the importance of daily behaviors in preventing and reversing chronic disease using virtual and digital modalities to reach patients in the context where lifestyle behaviors occur and empower them to stay well. DLM is health care reimagined, designed to inspire patients to live their best life by enabling skill-building, self-efficacy, and sustainable behavior change supported by peers, scientific-evidence, and a multidisciplinary team of lifestyle medicine (LM) clinicians. Importantly, it requires insights and collaboration from healthcare experts and technology entrepreneurs to provide a profoundly different “user experience” layered with context, relevance, and scalability. Using examples from our DLM practice, we describe how key components of LM practice, including a multidisciplinary care team, behavior change support, health coaching, and peer support, are prime for digital delivery. We conclude by providing preliminary patient outcomes to date, key success factors, and opportunities for enhancement and expansion to inform the adoption and successful implementation of DLM across the collective of LM practice.


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