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Health Informatics Journal

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https://www.readbyqxmd.com/read/29172951/usability-testing-of-an-electronic-pain-monitoring-system-for-palliative-cancer-patients-a-think-aloud-study
#1
Sally Taylor, Matthew J Allsop, Michael I Bennett, Bridgette M Bewick
Pain experienced by advanced cancer patients is often poorly controlled due to inadequate assessment. We aimed to test an electronic pain monitoring system (PainCheck) with advanced cancer patients and health professionals. In all, 29 participants (13 patients and 16 health professionals (n = 16)) used PainCheck while thinking their thoughts aloud. After the think aloud, both groups were asked about their experiences. Think-aloud and semi-structured interview data were analysed using framework analysis...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29148314/clinical-decision-support-systems-in-hospital-care-using-ubiquitous-devices-current-issues-and-challenges
#2
Mirza Mansoor Baig, Hamid GholamHosseini, Aasia A Moqeem, Farhaan Mirza, Maria Lindén
Supporting clinicians in decision making using advanced technologies has been an active research area in biomedical engineering during the past years. Among a wide range of ubiquitous systems, smartphone applications have been increasingly developed in healthcare settings to help clinicians as well as patients. Today, many smartphone applications, from basic data analysis to advanced patient monitoring, are available to clinicians and patients. Such applications are now increasingly integrating into healthcare for clinical decision support, and therefore, concerns around accuracy, stability, and dependency of these applications are rising...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29148313/facebook-and-twitter-vaccine-sentiment-in-response-to-measles-outbreaks
#3
Michael S Deiner, Cherie Fathy, Jessica Kim, Katherine Niemeyer, David Ramirez, Sarah F Ackley, Fengchen Liu, Thomas M Lietman, Travis C Porco
Social media posts regarding measles vaccination were classified as pro-vaccination, expressing vaccine hesitancy, uncertain, or irrelevant. Spearman correlations with Centers for Disease Control and Prevention-reported measles cases and differenced smoothed cumulative case counts over this period were reported (using time series bootstrap confidence intervals). A total of 58,078 Facebook posts and 82,993 tweets were identified from 4 January 2009 to 27 August 2016. Pro-vaccination posts were correlated with the US weekly reported cases (Facebook: Spearman correlation 0...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29148311/for-which-clinical-rules-do-doctors-want-decision-support-and-why-a-survey-of-dutch-general-practitioners
#4
Stephanie Medlock, Saeid Eslami, Marjan Askari, Derk L Arts, Esther M van de Glind, Henk J Brouwer, Henk C van Weert, Sophia E de Rooij, Ameen Abu-Hanna
Despite the promise of decision support for improving care, alerts are often overridden or ignored. We evaluated Dutch general practitioners' intention to accept decision support in a proposed implementation based on clinical rules regarding care for elderly patients, and their reasons for wanting or not wanting support. We developed a survey based on literature and structured interviews and distributed it to all doctors who would receive support in the proposed implementation (n = 43), of which 65 percent responded...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29148298/understanding-patient-requirements-for-technology-systems-that-support-pain-management-in-palliative-care-services-a-qualitative-study
#5
Matthew J Allsop, Sally Taylor, Michael I Bennett, Bridgette M Bewick
Approaches to pain management using electronic systems are being developed for use in palliative care. This article explores palliative care patients' perspectives on managing and talking about pain, the role of technology in their lives and how technology could support pain management. Face-to-face interviews were used to understand patient needs and concerns to inform how electronic systems are developed. A total of 13 interviews took place with a convenience sample of community-based patients with advanced cancer receiving palliative care through a hospice...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29121831/functions-of-mhealth-applications-a-user-s-perspective
#6
David Smahel, Steriani Elavsky, Hana Machackova
The usage of mobile health (mHealth) applications is rapidly increasing. This research has been aimed mostly at reviewing existing mHealth apps and their functionality. However, studies from users' perspectives are rather scarce. This exploratory study addresses that gap and, using cross-sectional survey data, seeks to reveal the socio-demographic and individual characteristics of users who utilize specific functions of mHealth apps. The data were collected via an online survey through websites oriented toward eating habits, exercising, dieting, and weight loss...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29121820/which-computer-use-behaviours-are-most-indicative-of-cognitive-decline-insights-from-an-expert-reference-group
#7
Samuel Couth, Gemma Stringer, Iracema Leroi, Alistair G Sutcliffe, Ann Gledson, Davide Bruno, Kathryn R McDonald, Daniela Montaldi, Ellen Poliakoff, Jonathan Rust, Jennifer C Thompson, Laura Je Brown
Computer use is becoming ubiquitous among older adults. As computer use depends on complex cognitive functions, measuring individuals' computer-use behaviours over time may provide a way to detect changes in their cognitive functioning. However, it is uncertain which computer-use behaviour changes are most likely to be associated with declines of particular cognitive functions. To address this, we convened six experts from clinical and cognitive neurosciences to take part in two workshops and a follow-up survey to gain consensus on which computer-use behaviours would likely be the strongest indicators of cognitive decline...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29113528/capturing-health-literacy-assessment-in-the-electronic-health-record-through-evidence-based-concept-creation-a-review-of-the-literature-and-recommendations-for-action
#8
Ruth E Wetta, Roberta D Severin, Heidi Gruhler, Nate Lewis
Health literacy is the capacity to understand and act upon health-related information and navigate the healthcare system. Published evidence demonstrates a relationship between health literacy and health status. Because of this, there are increasingly calls for a health literacy assessment to be collected and stored in the electronic health record for use by the healthcare team. This article describes the results of a literature review of health literacy assessment instruments with the goal of formulating semantically interoperable concepts that may be used to store the interpretation of the health literacy assessment in the electronic health record...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29113522/who-uses-apps-in-health-promotion-a-target-group-analysis-of-leaders
#9
Anita Bregenzer, Verena Wagner-Hartl, Paul Jiménez
User characteristics should be considered when designing features for e-health or m-health applications, as the developed solution should aim to support this specific target group. This study explores the effect of user characteristics (personality, health state, stress/recovery state, leadership behavior) on the interest and likelihood of using an app for health promotion activities at the workplace. Leaders are a key factor for the success of workplace health promotion; therefore, the target group of this study are leaders...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29108458/a-fuzzy-logic-based-warning-system-for-patients-classification
#10
Jumanah A Al-Dmour, Assim Sagahyroon, A R Al-Ali, Salah Abusnana
Typically acute deterioration in sick people is preceded by subtle changes in the physiological parameters such as pulse and blood pressure. The Modified Early Warning Score is a scoring system developed to assist hospital staff in gauging these physiological changes and identifying patients in need of urgent medical care to avoid catastrophic deterioration. This work discusses the design and implementation of an equivalent warning system that utilizes fuzzy logic techniques to categorize patients' status. The system is implemented and tested in Rashid Centre for Diabetes and Research in UAE...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29090628/mhealth-technologies-for-osteoarthritis-self-management-and-treatment-a-systematic-review
#11
Wonchan Choi, Hua Zheng, Patricia Franklin, Bengisu Tulu
Osteoarthritis is a common chronic disease that can be better treated with the help of self-management interventions. Mobile health (mHealth) technologies are becoming a popular means to deliver such interventions. We reviewed the current state of research and development of mHealth technologies for osteoarthritis self-management to determine gaps future research could address. We conducted a systematic review of English articles and a survey of apps available in the marketplace as of 2016. Among 117 unique articles identified, 25 articles that met our inclusion criteria were reviewed in-depth...
October 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29047292/how-we-use-the-internet-matters-for-health-the-relationship-between-various-online-health-related-activities-and-preventive-dietary-behaviors
#12
Jiyoung Chae
This study identified specific types of online health-related activities that may promote preventive dietary behaviors. Two cycles (Cycles 1 and 3) of the Health Information National Trends Survey 4 were analyzed ( N = 2606 and 2284, respectively; Internet users only). Similar types of activities were grouped to create three types of online activities: information seeking, engagement in health information technology, and social media use. In both cycles, online health information seeking and the engagement in health information technology were positively associated with two dietary behaviors (fruit/vegetable consumption and using menu information on calories) but not with soda consumption...
October 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29027512/challenges-associated-with-missing-data-in-electronic-health-records-a-case-study-of-a-risk-prediction-model-for-diabetes-using-data-from-slovenian-primary-care
#13
Gregor Stiglic, Primoz Kocbek, Nino Fijacko, Aziz Sheikh, Majda Pajnkihar
The increasing availability of data stored in electronic health records brings substantial opportunities for advancing patient care and population health. This is, however, fundamentally dependant on the completeness and quality of data in these electronic health records. We sought to use electronic health record data to populate a risk prediction model for identifying patients with undiagnosed type 2 diabetes mellitus. We, however, found substantial (up to 90%) amounts of missing data in some healthcare centres...
October 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28992749/a-review-of-privacy-and-usability-issues-in-mobile-health-systems-role-of-external-factors
#14
Jane Katusiime, Niels Pinkwart
The increased penetration of mobile devices has created opportunities in the health sector and led to emerging of mobile health systems. As much as the mobile health systems have registered tremendous progress, they have been faced with privacy and usability issues. Due to the sensitivity of health information, there is an ethical need to equip mobile health systems with adequate privacy measures. However, these systems should also be useable by the intended users. Even though many researchers are working on solutions, the issues still persist...
October 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28992744/physician-communication-via-internet-enabled-technology-a-systematic-review
#15
Neil G Barr, Glen E Randall, Norman P Archer, David M Musson
The use of Internet-enabled technology (information and communication technology such as smartphone applications) may enrich information exchange among providers and, consequently, improve health care delivery. The purpose of this systematic review was to gain a greater understanding of the role that Internet-enabled technology plays in enhancing communication among physicians. Studies were identified through a search in three electronic platforms: the Association for Computing Machinery Digital Library, ProQuest, and Web of Science...
October 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28927331/the-effectiveness-of-various-robotic-technologies-in-assisting-older-adults
#16
Majid Shishehgar, Donald Kerr, Jacqueline Blake
There is concern about the expanding size of the ageing population and burgeoning care costs for older adults. Robotic technology could assist older adults. In this study, the effectiveness of the robotic technologies is evaluated. A systematic literature review was undertaken of peer-reviewed literature. An initial set of 8533 studies was evaluated for relevance; these were reduced to a final subset of 58 studies finally subjected to analysis. This study categorised the problems encountered by older adults, identified robot types deployed to overcome them and derived a subjective effectiveness score...
September 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28927314/survivability-prediction-of-colon-cancer-patients-using-neural-networks
#17
Reda Al-Bahrani, Ankit Agrawal, Alok Choudhary
We utilize deep neural networks to develop prediction models for patient survival and conditional survival of colon cancer. Our models are trained and validated on data obtained from the Surveillance, Epidemiology, and End Results Program. We provide an online outcome calculator for 1, 2, and 5 years survival periods. We experimented with multiple neural network structures and found that a network with five hidden layers produces the best results for these data. Moreover, the online outcome calculator provides conditional survival of 1, 2, and 5 years after surviving the mentioned survival periods...
September 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/27271113/usability-evaluation-of-the-digital-anger-thermometer-app
#18
Donald C Mattson
The digital anger thermometer is a prototype for a mobile application (app) for use with adults in anger management treatment. The digital anger thermometer incorporates standards of software development in addition to anger management resources from the Substance Abuse and Mental Health Services Administration. The digital anger thermometer underwent a usability study conducted by five expert reviewers. The results indicate that it is easy to learn, efficient, and ergonomically sound. However, it does not offer support features or user-error tolerance...
September 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/27229730/ehealth-and-the-use-of-individually-tailored-information-a-systematic-review
#19
Nicholas Conway, Clare Webster, Blair Smith, Deborah Wake
Tailored messages are those that specifically target individuals following an assessment of their unique characteristics. This systematic review assesses the evidence regarding the effectiveness of tailoring within eHealth interventions aimed at chronic disease management. OVID Medline/Embase databases were searched for randomised control trials, controlled clinical, trials, before -after studies, and time series analyses from inception - May 2014. Objectively measured clinical processes/outcomes were considered...
September 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/27146841/through-the-eyes-of-the-informationist-identifying-information-needs-of-the-breast-imaging-service-at-a-tertiary-medical-center-specializing-in-cancer
#20
Antonio P DeRosa, Donna S Gibson, Elizabeth A Morris
The information services offered by Embedded Librarians over the years have led to the more modern-and domain knowledge-specific-role of the Informationist. A 10-point questionnaire was developed and used to interview 12 attending physicians and three fellows chosen at random. The participants are either on the research track (n = 3) or the clinical track (n = 9). A two-part schematic was also created to capture more detailed feedback about the information needs and information-seeking behavior of clinicians regarding patient care (clinical) and research activities...
September 2017: Health Informatics Journal
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