The Experts below are selected from a list of 816 Experts worldwide ranked by ideXlab platform
Tiffany C Veinot - One of the best experts on this subject based on the ideXlab platform.
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technical infrastructure implications of the patient work framework
Journal of the American Medical Informatics Association, 2015Co-Authors: Rupa S Valdez, Laurie L Novak, Richard J. Holden, Tiffany C VeinotAbstract:In their response to our original paper, “Transforming Consumer Health Informatics through a Patient Work Framework: Connecting Patients to Context,” Marceglia and colleagues propose an architecture that integrates the patient work framework into a higher-order framework linking Consumer Health Informatics (CHI) applications and professional Health information systems (designated by the authors as the Health-Information Technology (IT) ecosystem).1 The purpose of our letter is threefold. First, we detail how an expanded understanding of the patient work framework already conceptually encompasses the larger contexts in which CHI use must occur. Second, we assert that meaningful application of the patient work perspective yields implications not only for integration with professional Health information systems but also with the larger information infrastructures within the community. Third, we propose modifications to Marceglia and colleagues’ architecture to explicitly represent a “shared space” between CHI applications and professional Health information systems; this space contains collaborative work and collaborative Informatics. Our original patient work framework was intended to serve as a foundation for CHI design by enabling the understanding of people, their daily contexts, and their daily activities. As such, we limited the scope of our discussion to the immediate home and community environments of the …
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transforming Consumer Health Informatics through a patient work framework connecting patients to context
Journal of the American Medical Informatics Association, 2015Co-Authors: Rupa S Valdez, Laurie L Novak, Richard J. Holden, Tiffany C VeinotAbstract:Designing patient-centered Consumer Health Informatics (CHI) applications requires understanding and creating alignment with patients’ and their family members’ Health-related activities, referred to here as ‘patient work’. A patient work approach to CHI draws on medical social science and human factors engineering models and simultaneously attends to patients, their family members, activities, and context. A patient work approach extends existing approaches to CHI design that are responsive to patients’ biomedical realities and personal skills and behaviors. It focuses on the embeddedness of patients’ Health management in larger processes and contexts and prioritizes patients’ perspectives on illness management. Future research is required to advance (1) theories of patient work, (2) methods for assessing patient work, and (3) techniques for translating knowledge of patient work into CHI application design. Advancing a patient work approach within CHI is integral to developing and deploying Consumer-facing technologies that are integrated with patients’ everyday lives.
Richard J. Holden - One of the best experts on this subject based on the ideXlab platform.
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Consumer Health Informatics empowering Healthy living seekers through mHealth
Progress in Cardiovascular Diseases, 2017Co-Authors: Anthony Faiola, Richard J. HoldenAbstract:People are at risk from noncommunicable diseases (NCD) and poor Health habits, with interventions like medications and surgery carrying further risk of adverse effects. This paper addresses ways people are increasingly moving to Healthy living medicine (HLM) to mitigate such Health threats. HLM-seekers increasingly leverage mobile technologies that enable control of personal Health information, collaboration with clinicians/other agents to establish Healthy living practices. For example, outcomes from Consumer Health Informatics research include empowering users to take charge of their Health through active participation in decision-making about Healthcare delivery. Because the success of Health technology depends on its alignment/integration with a person's sociotechnical system, we introduce SEIPS 2.0 as a useful conceptual model and analytic tool. SEIPS 2.0 approaches human work (i.e., life's effortful activities) within the complexity of the design and implementation of mHealth technologies and their potential to emerge as Consumer-facing NLM products that support NCDs like diabetes.
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technical infrastructure implications of the patient work framework
Journal of the American Medical Informatics Association, 2015Co-Authors: Rupa S Valdez, Laurie L Novak, Richard J. Holden, Tiffany C VeinotAbstract:In their response to our original paper, “Transforming Consumer Health Informatics through a Patient Work Framework: Connecting Patients to Context,” Marceglia and colleagues propose an architecture that integrates the patient work framework into a higher-order framework linking Consumer Health Informatics (CHI) applications and professional Health information systems (designated by the authors as the Health-Information Technology (IT) ecosystem).1 The purpose of our letter is threefold. First, we detail how an expanded understanding of the patient work framework already conceptually encompasses the larger contexts in which CHI use must occur. Second, we assert that meaningful application of the patient work perspective yields implications not only for integration with professional Health information systems but also with the larger information infrastructures within the community. Third, we propose modifications to Marceglia and colleagues’ architecture to explicitly represent a “shared space” between CHI applications and professional Health information systems; this space contains collaborative work and collaborative Informatics. Our original patient work framework was intended to serve as a foundation for CHI design by enabling the understanding of people, their daily contexts, and their daily activities. As such, we limited the scope of our discussion to the immediate home and community environments of the …
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transforming Consumer Health Informatics through a patient work framework connecting patients to context
Journal of the American Medical Informatics Association, 2015Co-Authors: Rupa S Valdez, Laurie L Novak, Richard J. Holden, Tiffany C VeinotAbstract:Designing patient-centered Consumer Health Informatics (CHI) applications requires understanding and creating alignment with patients’ and their family members’ Health-related activities, referred to here as ‘patient work’. A patient work approach to CHI draws on medical social science and human factors engineering models and simultaneously attends to patients, their family members, activities, and context. A patient work approach extends existing approaches to CHI design that are responsive to patients’ biomedical realities and personal skills and behaviors. It focuses on the embeddedness of patients’ Health management in larger processes and contexts and prioritizes patients’ perspectives on illness management. Future research is required to advance (1) theories of patient work, (2) methods for assessing patient work, and (3) techniques for translating knowledge of patient work into CHI application design. Advancing a patient work approach within CHI is integral to developing and deploying Consumer-facing technologies that are integrated with patients’ everyday lives.
Rupa S Valdez - One of the best experts on this subject based on the ideXlab platform.
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embracing complexity rethinking culturally informed design in human factors ergonomics and Consumer Health Informatics
International Journal of Human-computer Interaction, 2017Co-Authors: Rupa S Valdez, Patricia Flatley BrennanAbstract:ABSTRACTA basic premise of macroergonomic theory is that better physical and psychological outcomes and reduced unintended consequences are achieved when there is alignment between a technology and the user’s work system. The user’s work system is defined as the social subsystem, technical subsystem, and the external environment within which work is performed. Cultural context has been conceptualized as part of the external environment. Thus, from a theoretical viewpoint, creating technology that is aligned with users’ cultural contexts will result in better performance outcomes. The need to align with cultural context is particularly important for technologies such as Consumer Health information technology, which are intended for use within the naturalistic spaces of patients’ homes and communities. Traditional means of accounting for cultural context in the human factors and Consumer Health Informatics literatures are narrow and unlikely to capture the potential richness and complexity of patients’ cult...
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technical infrastructure implications of the patient work framework
Journal of the American Medical Informatics Association, 2015Co-Authors: Rupa S Valdez, Laurie L Novak, Richard J. Holden, Tiffany C VeinotAbstract:In their response to our original paper, “Transforming Consumer Health Informatics through a Patient Work Framework: Connecting Patients to Context,” Marceglia and colleagues propose an architecture that integrates the patient work framework into a higher-order framework linking Consumer Health Informatics (CHI) applications and professional Health information systems (designated by the authors as the Health-Information Technology (IT) ecosystem).1 The purpose of our letter is threefold. First, we detail how an expanded understanding of the patient work framework already conceptually encompasses the larger contexts in which CHI use must occur. Second, we assert that meaningful application of the patient work perspective yields implications not only for integration with professional Health information systems but also with the larger information infrastructures within the community. Third, we propose modifications to Marceglia and colleagues’ architecture to explicitly represent a “shared space” between CHI applications and professional Health information systems; this space contains collaborative work and collaborative Informatics. Our original patient work framework was intended to serve as a foundation for CHI design by enabling the understanding of people, their daily contexts, and their daily activities. As such, we limited the scope of our discussion to the immediate home and community environments of the …
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transforming Consumer Health Informatics through a patient work framework connecting patients to context
Journal of the American Medical Informatics Association, 2015Co-Authors: Rupa S Valdez, Laurie L Novak, Richard J. Holden, Tiffany C VeinotAbstract:Designing patient-centered Consumer Health Informatics (CHI) applications requires understanding and creating alignment with patients’ and their family members’ Health-related activities, referred to here as ‘patient work’. A patient work approach to CHI draws on medical social science and human factors engineering models and simultaneously attends to patients, their family members, activities, and context. A patient work approach extends existing approaches to CHI design that are responsive to patients’ biomedical realities and personal skills and behaviors. It focuses on the embeddedness of patients’ Health management in larger processes and contexts and prioritizes patients’ perspectives on illness management. Future research is required to advance (1) theories of patient work, (2) methods for assessing patient work, and (3) techniques for translating knowledge of patient work into CHI application design. Advancing a patient work approach within CHI is integral to developing and deploying Consumer-facing technologies that are integrated with patients’ everyday lives.
Cynthia Lerouge - One of the best experts on this subject based on the ideXlab platform.
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Wickramasinghe N. A review of user-centered design for diabetes-related Consumer Health Informatics technologies
2016Co-Authors: Cynthia Lerouge, Nilmini Wickramasinghe, Ph. DAbstract:Abbreviations: (CADA) Chinese Aged Diabetic Assistant, (CHI) Consumer Health Informatics, (CHIT) Consumer Health Informatics technology, (HCI) human–computer interaction, (UCD) user-centered desig
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a review of user centered design for diabetes related Consumer Health Informatics technologies
Journal of diabetes science and technology, 2013Co-Authors: Cynthia Lerouge, Nilmini WickramasingheAbstract:User-centered design (UCD) is well recognized as an effective human factor engineering strategy for designing ease of use in the total customer experience with products and information technology that has been applied specifically to Health care information technology systems. We conducted a literature review to analyze the current research regarding the use of UCD methods and principles to support the development or evaluation of diabetes-related Consumer Health Informatics technology (CHIT) initiatives. Findings indicate that (1) UCD activities have been applied across the technology development life cycle stages, (2) there are benefits to incorporating UCD to better inform CHIT development in this area, and (3) the degree of adoption of the UCD process is quite uneven across diabetes CHIT studies. In addition, few to no studies report on methods used across all phases of the life cycle with process detail. To address that void, the Appendix provides an illustrative case study example of UCD techniques across development stages.
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minitrack Consumer Health Informatics patient safety and quality of practice
Hawaii International Conference on System Sciences, 2007Co-Authors: Cynthia Lerouge, Gordana Culjak, Thomas A HoranAbstract:Health Information Consumers are increasingly seeking access to timely, accurate and accessible information, as made possible through Information Technology (IT). These technological developments have direct implications for access, awareness and use of Health information by Consumers, as well as patient decision making, safety, and quality of Health care provision. Healthcare information systems are expected to reduce medical errors, improve quality of patient care and safety. These systems are increasingly supporting evidence-based medicine and patientcentric technologies, including monitoring of patient outcomes and adverse events, as well as better informing and empowering Consumers themselves to work for better outcomes. This mini-track embraces all aspects of Consumer Health Informatics and Consumer-centric technologies or studies aimed at improving patient safety and quality of care, including: supporting Consumers taking an active role in understanding, deciding about and/or managing their Health; doctor-patient communication; clinical guideline and protocol support; monitoring and prevention of adverse events; and electronic Health records (especially, security and privacy, access control rights, and Consumer ability to make entries into the Health record, including home monitoring). The Consumer Health Informatics, Patient Safety and Quality of Practice Minitrack uses the international and interdisciplinary forum provided by HICSS for the expression of practical, theoretical, academic and industrial insight in this area.
Ritu Sharma - One of the best experts on this subject based on the ideXlab platform.
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Consumer Health Informatics: results of a systematic evidence review and evidence based recommendations
Translational Behavioral Medicine, 2011Co-Authors: Michael C Gibbons, Renee F Wilson, Lipika Samal, Christoph U Lehmann, Kay Dickersin, Harold P Lehmann, Hannan Aboumatar, Joseph Finkelstein, Erica Shelton, Ritu SharmaAbstract:An increasing array of technology based tools are available for patient and Consumer utilization which claim to facilitate Health improvement. The efficacy of these Consumer Health Informatics tools has not previously been systematically reviewed. As such a systematic evidence review of the efficacy of Consumer Health Informatics tools was conducted. This review also sought evidence of any barriers to future widespread utilization of these tools and evidence of economic impact of these tools on Health care costs. The findings of this review indicate that while more work needs to be done, the available literature does suggest a positive impact of Consumer Health Informatics tools on select Health conditions and outcomes. Many barriers remain that must be overcome prior to widespread utilization of these tools. There was insufficient data regarding economic impact of Consumer Health Informatics tools on Healthcare costs.
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impact of Consumer Health Informatics applications
Evidence Report Technology Assessment, 2009Co-Authors: Christopher M Gibbons, Renee F Wilson, Lipika Samal, Kay Dickersin, Harold P Lehmann, Joseph Finkelstein, Erica Shelton, Christoph U Lehman, Hanan Aboumatar, Ritu SharmaAbstract:OBJECTIVE The objective of the report is to review the evidence on the impact of Consumer Health Informatics (CHI) applications on Health outcomes, to identify the knowledge gaps and to make recommendations for future research. DATA SOURCES We searched MEDLINE, EMBASE, The Cochrane Library, Scopus, and CINAHL databases, references in eligible articles and the table of contents of selected journals; and query of experts. METHODS Paired reviewers reviewed citations to identify randomized controlled trials (RCTs) of the impact of CHI applications, and all studies that addressed barriers to use of CHI applications. All studies were independently assessed for quality. All data was abstracted, graded, and reviewed by 2 different reviewers. RESULTS One hundred forty-six eligible articles were identified including 121 RCTs. Studies were very heterogeous and of variable quality. Four of five asthma care studies found significant positive impact of a CHI application on at least one Healthcare process measure. In terms of the impact of CHI on intermediate Health outcomes, significant positive impact was demonstrated in at least one intermediate Health outcome of; all three identified breast cancer studies, 89 percent of 32 diet, exercise, physical activity, not obesity studies, all 7 alcohol abuse studies, 58 percent of 19 smoking cessation studies, 40 percent of 12 obesity studies, all 7 diabetes studies, 88 percent of 8 mental Health studies, 25 percent of 4 asthma/COPD studies, and one of two menopause/HRT utilization studies. Thirteen additional single studies were identified and each found evidence of significant impact of a CHI application on one or more intermediate outcomes. Eight studies evaluated the effect of CHI on the doctor patient relationship. Five of these studies demonstrated significant positive impact of CHI on at least one aspect of the doctor patient relationship. In terms of the impact of CHI on clinical outcomes, significant positive impact was demonstrated in at least one clinical outcome of; one of three breast cancer studies, four of five diet, exercise, or physical activity studies, all seven mental Health studies, all three identified diabetes studies. No studies included in this review found any evidence of Consumer harm attributable to a CHI application. Evidence was insufficient to determine the economic impact of CHI applications. CONCLUSIONS Despite study heterogeneity, quality variability, and some data paucity, available literature suggests that select CHI applications may effectively engage Consumers, enhance traditional clinical interventions, and improve both intermediate and clinical Health outcomes.