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PMID:28325751
Autor:Nguyen KT; Olgin JE; Pletcher MJ; Ng M; Kaye L; Moturu S; Gladstone RA; Malladi C; Fann AH; Maguire C; Bettencourt L; Christensen MA; Marcus GM
Dirección:From the Division of Cardiology (K.T.N., J.E.O., M.N., R.A.G., C.M., A.H.F., C.M., L.B., M.A.C., G.M.M) and Department of Epidemiology and Biostatistics (M.J.P.), University of California, San Francisco; Ginger.io, San Francisco, CA (L.K., S.M.).
Título:Smartphone-Based Geofencing to Ascertain Hospitalizations.
Fuente:Circ Cardiovasc Qual Outcomes; 10(3), 2017 Mar.
ISSN:1941-7705
País de publicación:United States
Idioma:eng
Resumen:BACKGROUND: Ascertainment of hospitalizations is critical to assess quality of care and the effectiveness and adverse effects of various therapies. Smartphones, mobile geolocators that are ubiquitous, have not been leveraged to ascertain hospitalizations. Therefore, we evaluated the use of smartphone-based geofencing to track hospitalizations. METHODS AND RESULTS: Participants aged ≥18 years installed a mobile application programmed to geofence all hospitals using global positioning systems and cell phone tower triangulation and to trigger a smartphone-based questionnaire when located in a hospital for ≥4 hours. An in-person study included consecutive consenting patients scheduled for electrophysiology and cardiac catheterization procedures. A remote arm invited Health eHeart Study participants who consented and engaged with the study via the internet only. The accuracy of application-detected hospitalizations was confirmed by medical record review as the reference standard. Of 22 eligible in-person patients, 17 hospitalizations were detected (sensitivity 77%; 95% confidence interval, 55%-92%). The length of stay according to the application was positively correlated with the length of stay ascertained via the electronic medical record ( =0.53; =0.03). In the remote arm, the application was downloaded by 3443 participants residing in all 50 US states; 243 hospital visits at 119 different hospitals were detected through the application. The positive predictive value for an application-reported hospitalization was 65% (95% confidence interval, 57%-72%). CONCLUSIONS: Mobile application-based ascertainment of hospitalizations can be achieved with modest accuracy. This first proof of concept may ultimately be applicable to geofencing other types of prespecified locations to facilitate healthcare research and patient care.
Tipo de publicación:JOURNAL ARTICLE


  2 / 4294 MEDLINE  
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PMID:28306576
Autor:Stergiannis P; Intas G; Toulia G; Tsolakoglou I; Kostagiolas P; Christodoulou E; Chalari E; Kiriakopoulos V; Filntisis G
Dirección:Author Affiliations: Gonk "Oi Agioi Anargyroi" (Dr Stergiannis); General Hospital of Nikaia Agios Panteleimon (Dr Intas and Ms Chalari); Technological Educational Institute of Athens (Dr Toulia); General Hospital of Thessaloniki Agios Pavlos (Dr Tsolakoglou); Department of Archive and Library Science, Ionian University (Dr Kostagiolas); Vocational Training Institute Educator (Dr Christodoulou); General Hospital of Nea Ionia (Mr Kiriakopoulos); and Critical Care and Hyperbaric Medicine, Faculty of Nursing, University of Athens (Dr Filntisis), Greece.
Título:Clinical Use of Smartphones Among Medical and Nursing Staff in Greece: A Survey.
Fuente:Comput Inform Nurs; 35(9):483-488, 2017 Sep.
ISSN:1538-9774
País de publicación:United States
Idioma:eng
Resumen:The aim of this study was to investigate the clinical use of smartphones among medical and nursing staff in Greece. This study used a 17-item questionnaire that was administered to the participants by the authors. The sample consists of 974 participants of 1200 who were asked to participate (ie, a response rate of 81.3%). The survey was open to all categories of medical and nursing staff (junior doctors, specialized doctors, assistant nurses, and RNs). In total, 167 participants (18.5%) were nurse assistants; 385 participants (42.6%), nurses; 154 participants (17%), specialized doctors; and 198 participants (21.9%), junior doctors. The data analysis was performed using SPSS Statistics (version 21), and the significance level was set to .05. Medical doctors own smartphones on a higher percentage in comparison with nurses. Among smartphone owners, medical doctors use their devices for clinical issues more frequently compared with nurses. Although medical doctors believe that smartphones can be a great tool for their work, they state that they do not use it for clinical reasons. Nurses state that they do not use their smartphones for clinical reasons because they are not aware of the existence of applications that can be used to assist them in their daily clinical tasks.
Tipo de publicación:JOURNAL ARTICLE


  3 / 4294 MEDLINE  
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PMID:28720917
Autor:Al-Jumaili AA; Al-Rekabi MD; Alsawad OS; Allela OQB; Carnahan R; Saaed H; Naqishbandi A; Kadhim DJ; Sorofman B
Dirección:University of Iowa College of Pharmacy, Iowa City, Iowa.
Título:Exploring Electronic Communication Modes Between Iraqi Faculty and Students of Pharmacy Schools Using the Technology Acceptance Model.
Fuente:Am J Pharm Educ; 81(5):89, 2017 Jun.
ISSN:1553-6467
País de publicación:United States
Idioma:eng
Resumen:To explore for the first time the extent to which Iraqi pharmacy students and faculty use Facebook and university email for academic communications, and to examine factors influencing utilization within the framework of the Technology Acceptance Model (TAM). An electronic survey was administered to convenience samples of students and faculty of six Iraqi public schools and colleges of pharmacy in 2015. Responses included 489 student and 128 faculty usable surveys. Both students and faculty use Facebook more than university email for academic communications. Less than a third of the faculty used university email. Students used Facebook for academic purposes twice as much as faculty. Absence of university email in Iraqi schools and colleges of pharmacy makes Facebook essential for faculty-student communications. The majority (71.1% to 82%) of respondents perceived that Facebook was easy to use. Three TAM variables (intention to use, attitude toward use and perceived usefulness) had significant positive associations with actual use of both Facebook messaging and university email.
Tipo de publicación:JOURNAL ARTICLE


  4 / 4294 MEDLINE  
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PMID:28101781
Autor:Kim H; Paige Powell M; Bhuyan SS; Bhuyan SS
Dirección:Division of Health Systems Managment and Policy, The University of Memphis School of Public Health, Memphis, TN, USA.
Título:Seeking Medical Information Using Mobile Apps and the Internet: Are Family Caregivers Different from the General Public?
Fuente:J Med Syst; 41(3):38, 2017 Mar.
ISSN:1573-689X
País de publicación:United States
Idioma:eng
Resumen:Family caregivers play an important role to care cancer patients since they exchange medical information with health care providers. However, relatively little is known about how family caregivers seek medical information using mobile apps and the Internet. We examined factors associated with medical information seeking by using mobile apps and the Internet among family caregivers and the general public using data from the 2014 Health Information National Trends Survey 4 Cycle 1. The study sample consisted of 2425 family caregivers and 1252 non-family caregivers (the general public). Guided by Comprehensive Model of Information Seeking (CMIS), we examined related factors' impact on two outcome variables for medical information seeking: mobile apps use and Internet use with multivariate logistic regression analyses. We found that online medical information seeking is different between family caregivers and the general public. Overall, the use of the Internet for medical information seeking is more common among family caregivers, while the use of mobile apps is less common among family caregivers compared with the general public. Married family caregivers were less likely to use mobile apps, while family caregivers who would trust cancer information were more likely to use the Internet for medical information seeking as compared to the general public. Medical information seeking behavior among family caregivers can be an important predictor of both their health and the health of their cancer patients. Future research should explore the low usage of mobile health applications among family caregiver population.
Tipo de publicación:JOURNAL ARTICLE


  5 / 4294 MEDLINE  
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PMID:27822871
Autor:Nayar P; McFarland KK; Chandak A; Gupta N
Dirección:Department of Health Services Research & Administration, University of Nebraska Medical Center, 984350 Nebraska Medical Center, Omaha, NE, 68198-4350, USA. pnayar@unmc.edu.
Título:Readiness for Teledentistry: Validation of a Tool for Oral Health Professionals.
Fuente:J Med Syst; 41(1):4, 2017 Jan.
ISSN:1573-689X
País de publicación:United States
Idioma:eng
Resumen:We validated a survey tool to test the readiness of oral health professionals for teledentistry (TD). The survey tool, the University of Calgary Health Telematics Unit's Practitioner Readiness Assessment Tool (PRAT) gathered information about the participants' beliefs, attitudes and readiness for TD before and after a teledentistry training program developed for a rural state in the Mid-Western United States. Ninety-three dental students, oral health and other health professionals participated in the TD training program and responded to the survey. Wilcoxon signed rank test was used to assess statistical differences in the change in the readiness rating before and after the training. Principal Components Analysis identified a three factor structure for the PRAT tool: Attitudes/ Attributes of Personnel; Motivation to Change and Institutional Resources. Overall, the evaluation demonstrated a positive change in all trainees' attitudes following the training sessions, with the majority of trainees acknowledging a positive impact of the training on their readiness for teledentistry.
Tipo de publicación:JOURNAL ARTICLE


  6 / 4294 MEDLINE  
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PMID:28269845
Autor:Demiris G; Thompson HJ; Lazar A; Lin SY
Dirección:University of Washington, Seattle, WA, USA.
Título:Evaluation of a Digital Companion for Older Adults with Mild Cognitive Impairment.
Fuente:AMIA Annu Symp Proc; 2016:496-503, 2016.
ISSN:1942-597X
País de publicación:United States
Idioma:eng
Resumen:The purpose of this study was to examine the feasibility of a digital companion system used by older adults with mild cognitive impairment (MCI). We utilized a commercially available system that is comprehensive in its functionalities (including conversation ability, use of pictures and other media, and reminders) to explore the system's impact on older adults ' social interactions, anxiety, depressive symptoms, and acceptance of the system. We conducted a three-month mixed methods evaluation study of the digital companion. Ten female community-dwelling older adults (average age 78.3 years) participated in the study. Overall, participants utilized the tool regularly and appreciated its presence and their interactions. Participants scored higher at the end of the study in cognition and social support scales, and lower in presence of depressive symptoms. Findings indicate the feasibility of a digital companion for people with MCI and inform the need for additional research.
Tipo de publicación:JOURNAL ARTICLE


  7 / 4294 MEDLINE  
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PMID:28548983
Autor:Staggers N; Elias BL
Dirección:Nancy Staggers is the president of Summit Health Informatics and an adjunct professor, Biomedical Informatics and College of Nursing, at the University of Utah College in Salt Lake City, Utah. Beth L. Elias is a term associate professor, School of Nursing, at Virginia Commonwealth University in Richmond, Va.
Título:Cross the nursing and HIT divide.
Fuente:Nurs Manage; 48(6):21-23, 2017 06.
ISSN:1538-8670
País de publicación:United States
Idioma:eng
Tipo de publicación:JOURNAL ARTICLE


  8 / 4294 MEDLINE  
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PMID:28837566
Autor:Tsai TH; Chang HT; Chen YJ; Chang YS
Dirección:Department of Industrial Design, College of Management, Chang Gung University, Taoyuan, Taiwan.
Título:Determinants of user acceptance of a specific social platform for older adults: An empirical examination of user interface characteristics and behavioral intention.
Fuente:PLoS One; 12(8):e0180102, 2017.
ISSN:1932-6203
País de publicación:United States
Idioma:eng
Resumen:The use of the Internet and social applications has many benefits for the elderly, but numerous investigations have shown that the elderly do not perceive online social networks as a friendly social environment. Therefore, TreeIt, a social application specifically designed for the elderly, was developed for this study. In the TreeIt application, seven mechanisms promoting social interaction were designed to allow older adults to use social networking sites (SNSs) to increase social connection, maintain the intensity of social connections and strengthen social experience. This study's main objective was to investigate how user interface design affects older people's intention and attitude related to using SNSs. Fourteen user interface evaluation heuristics proposed by Zhang et al. were adopted as the criteria to assess user interface usability and further grouped into three categories: system support, user interface design and navigation. The technology acceptance model was adopted to assess older people's intention and attitude related to using SNSs. One hundred and one elderly persons were enrolled in this study as subjects, and the results showed that all of the hypotheses proposed in this study were valid: system support and perceived usefulness had a significant effect on behavioral intention; user interface design and perceived ease of use were positively correlated with perceived usefulness; and navigation exerted an influence on perceived ease of use. The results of this study are valuable for the future development of social applications for the elderly.
Tipo de publicación:JOURNAL ARTICLE


  9 / 4294 MEDLINE  
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PMID:28143388
Autor:Brouwers RW; Kraal JJ; Traa SC; Spee RF; Oostveen LM; Kemps HM
Dirección:Department of Cardiology, Máxima Medical Centre, Eindhoven/Veldhoven, The Netherlands. r.brouwers@mmc.nl.
Título:Effects of cardiac telerehabilitation in patients with coronary artery disease using a personalised patient-centred web application: protocol for the SmartCare-CAD randomised controlled trial.
Fuente:BMC Cardiovasc Disord; 17(1):46, 2017 Jan 31.
ISSN:1471-2261
País de publicación:England
Idioma:eng
Resumen:BACKGROUND: Cardiac rehabilitation has beneficial effects on morbidity and mortality in patients with coronary artery disease, but is vastly underutilised and short-term improvements are often not sustained. Telerehabilitation has the potential to overcome these barriers, but its superiority has not been convincingly demonstrated yet. This may be due to insufficient focus on behavioural change and development of patients' self-management skills. Moreover, potentially beneficial communication methods, such as internet and video consultation, are rarely used. We hypothesise that, when compared to centre-based cardiac rehabilitation, cardiac telerehabilitation using evidence-based behavioural change strategies, modern communication methods and on-demand coaching will result in improved self-management skills and sustainable behavioural change, which translates to higher physical activity levels in a cost-effective way. METHODS: This randomised controlled trial compares cardiac telerehabilitation with centre-based cardiac rehabilitation in patients with coronary artery disease. We randomise 300 patients entering cardiac rehabilitation to centre-based cardiac rehabilitation (control group) or cardiac telerehabilitation (intervention group). The core component of the intervention is a patient-centred web application, which enables patients to adjust rehabilitation goals, inspect training and physical activity data, share data with other caregivers and to use video consultation. After six supervised training sessions, the intervention group continues exercise training at home, wearing an accelerometer and heart rate monitor. In addition, physical activity levels are assessed by the accelerometer for four days per week. Patients upload training and physical activity data weekly and receive feedback through video consultation once a week. After completion of the rehabilitation programme, on-demand coaching is performed when training adherence or physical activity levels decline with 50% or more. The primary outcome measure is physical activity level, assessed at baseline, three months and twelve months, and is calculated from accelerometer and heart rate data. Secondary outcome measures include physical fitness, quality of life, anxiety and depression, patient empowerment, patient satisfaction and cost-effectiveness. DISCUSSION: This study is one of the first studies evaluating effects and costs of a cardiac telerehabilitation intervention comprising a combination of modern technology and evidence-based behavioural change strategies including relapse prevention. We hypothesise that this intervention has superior effects on exercise behaviour without exceeding the costs of a traditional centre-based intervention. TRIAL REGISTRATION: Netherlands Trial Register NTR5156 . Registered 22 April 2015.
Tipo de publicación:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL


  10 / 4294 MEDLINE  
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PMID:28834804
Autor:Berg GM; LoCurto J; Lippoldt D
Dirección:Author Affiliations: Director, Trauma Research and Leadership Development (Dr Berg), and Director, Trauma Services (Ms Lippoldt), Wesley Medical Center, Wichita, Kansas; and Research Associate (Dr LoCurto), University of Kansas School of Medicine-Wichita.
Título:Stages of Adoption Concern and Technology Acceptance in a Critical Care Nursing Unit.
Fuente:J Nurs Adm; 47(9):441-447, 2017 Sep.
ISSN:1539-0721
País de publicación:United States
Idioma:eng
Resumen:OBJECTIVE: The aim of this study is to examine the stages of concern (self, task, and impact) and usability (trust, perceived usefulness, and ease of use) shifts experienced by nurses adopting new technology. BACKGROUND: Patient care processes in critical care units can be disrupted with the incorporation of information technology. New users of technology typically transition through stages of concern and experience shifts in acceptance during assimilation. METHODS: Critical care nurses (N = 41) were surveyed twice: (1) pre, immediately after training, and (2) post, 3 months after implementation of technology. RESULTS: From presurvey to postsurvey, self-concerns decreased 14%, whereas impact concerns increased 22%. Furthermore, there was a 30% increase in trust and a 17% increase in perceived usefulness, even with a 27% decrease in ease of use. CONCLUSION: Adoption of new technology requires critical care nurses to adapt current practices, which may improve trust and perceived usefulness yet decrease perceptions of ease of use.
Tipo de publicación:JOURNAL ARTICLE



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