| 1. |
- Grünloh, Christiane, 1980-, et al.
(författare)
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"why do they need to check me?" patient participation through ehealth and the doctor-patient relationship : Qualitative study
- 2018
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Ingår i: Journal of Medical Internet Research. - : J M I R Publications, Inc.. - 1438-8871. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Roles in the doctor-patient relationship are changing and patient participation in health care is increasingly emphasized. Electronic health (eHealth) services such as patient accessible electronic health records (PAEHRs) have been implemented to support patient participation. Little is known about practical use of PAEHR and its effect on roles of doctors and patients. Objective: This qualitative study aimed to investigate how physicians view the idea of patient participation, in particular in relation to the PAEHR system. Hereby, the paper aims to contribute to a deeper understanding of physicians' constructions of PAEHR, roles in the doctor-patient relationship, and levels and limits of involvement. Methods: A total of 12 semistructured interviews were conducted with physicians in different fields. Interviews were transcribed, translated, and a theoretically informed thematic analysis was performed. Results: Two important aspects were identified that are related to the doctor-patient relationship: roles and involvement. The physicians viewed their role as being the ones to take on the responsibility, determining treatment options, and to be someone who should be trusted. In relation to the patient's role, lack of skills (technical or regarding medical jargon), motives to read, and patients' characteristics were aspects identified in the interviews. Patients were often referred to as static entities disregarding their potential to develop skills and knowledge over time. Involvement captures aspects that support or hinder patients to take an active role in their care. Conclusions: Literature of at least two decades suggests an overall agreement that the paternalistic approach in health care is inappropriate, and a collaborative process with patients should be adopted. Although the physicians in this study stated that they, in principle, were in favor of patient participation, the analysis found little support in their descriptions of their daily practice that participation is actualized. As seen from the results, paternalistic practices are still present, even if professionals might not be aware of this. This can create a conflict between patients who strive to become more informed and their questions being interpreted as signs of critique and mistrust toward the physician. We thus believe that the full potential of PAEHRs is not reached yet and argue that the concept of patient empowerment is problematic as it triggers an interpretation of "power" in health care as a zero-sum, which is not helpful for the maintenance of the relationship between the actors. Patient involvement is often discussed merely in relation to decision making; however, this study emphasizes the need to include also sensemaking and learning activities. This would provide an alternative understanding of patients asking questions, not in terms of "monitoring the doctor" but to make sense of the situation.
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| 2. |
- Gustavsson, Per M., 1965-, et al.
(författare)
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Machine Interpretable Representation of Commander's Intent
- 2008
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Ingår i: Proceedings of the 13th International Command and Control Research and Technology Symposium (13th ICCRTS).
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Konferensbidrag (refereegranskat)abstract
- The Network-Centric approach envisioned in the Global Information Grid enables the interconnection of systems in a dynamic and flexible architecture to support multi-lateral, civilian and military missions. Constantly changing environments require commanders to plan for missions that allow organizations from various nations and agencies to join or separate from the teams performing the missions, depending on the situation, as missions unfold. The uncertainty within an actual mission, and the variety of potential organizations that support the mission after it is underway, makes Command Intent (CI) a critical concept for the mission team. With new and innovative information technologies, CI can now be made available to the team of organizations in a coalition environment. Using a flexible and linguistically based approach for representing CI allows Intent to be interpreted and processed by all participants – both humans and machines. CI representations need to be able to express mission team’s purpose, the anticipated End-State of the mission and desired key tasks. In this work, the expression of CI is developed to enable the structure and dynamics of collaboration support.
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| 3. |
- Grünloh, Christiane, et al.
(författare)
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Using Critical Incidents in Workshops to Inform eHealth Design
- 2017
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Ingår i: Human-Computer Interaction - INTERACT 2017. - Cham : Springer. - 9783319677439 - 9783319677446 ; , s. 364-373
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Konferensbidrag (refereegranskat)abstract
- Demands for technological solutions to address the variety of problems in healthcare have increased. The design of eHealth is challenging due to e.g. the complexity of the domain and the multitude of stakeholders involved. We describe a workshop method based on Critical Incidents that can be used to reflect on, and critically analyze, different experiences and practices in healthcare. We propose the workshop format, which was used during a conference and found very helpful by the participants to identify possible implications for eHealth design, that can be applied in future projects. This new format shows promise to evaluate eHealth designs, to learn from patients’ real stories and case studies through retrospective meta-analyses, and to inform design through joint reflection of understandings about users’ needs and issues for designers.
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| 4. |
- Roos, John Magnus
(författare)
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The winner takes IT all : Swedish digital divides in global internet usage
- 2018. - 1
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Ingår i: Digital Transformation and Global Society. - Cham : Springer Nature Switzerland AG. - 9783030028459 - 9783030028466 ; , s. 3-18
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Bokkapitel (refereegranskat)abstract
- In the present study, we examined the influence of personality factors and demographic factors on Internet usage. Personality was defined from the Five Factor Model of personality in terms of Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism, while demographic factors were defined as gender, age and socioeconomic status (e.g. income and educational attainment). The results from a large, representative Swedish sample (N = 1,694) show that global Internet usage can be explained by a high degree of Extraversion, young age and high socioeconomic status. Our findings are consistent with some previous studies, but in contrast with others. We discuss contrasting results in terms of different study designs, cultures and time periods of Internet development. The results are discussed in terms of the “rich get richer model” and digital divides, and what broader implication our findings might have for society. The study may help facilitate our understanding regarding future challenges in the Internet design.
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| 5. |
- Deraz, Hossam, 1971-, et al.
(författare)
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Factors Predicting Consumers' Assessment of Advertisments on Social Networking Sites
- 2015
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Ingår i: International Journal of Digital Information and Wireless Communications (IJDIWC). - Hong Kong : The Society of Digital Information and Wireless Communications. - 2225-658X. ; 5:2, s. 111-123
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Tidskriftsartikel (refereegranskat)abstract
- Marketers act on social networking sites (SNSs) in order to be more efficient in merchandising their products and/or services. Even so, the scope of the published studies regarding the assessment of advertisements on social networking sites (SNAs) is limited. Consequently, the present study aimed to consider credibility and interactivity, in addition to information, entertainment and irritation values, as main factors for consumers’ assessment of SNAs, as perceived by SNSs’ users.An analysis of empirical data helped to identify four main factors for assessing SNAs. These were: information value, entertainment value, credibility value and interactivity value. Irritation value was the only factor that had no significant effect on the assessment of SNAs. Furthermore, based on the beta coefficients, the information and entertainment values of SNAs, in conjunction with credibility and interactivity values, had different outcomes from previous studies. Consequently, the interactivity value was the strongest among the four predictors for assessing SNAs.
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| 6. |
- Holgersson, Jesper, PhD, 1974-, et al.
(författare)
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Reducing digital exclusion of seniors - Exploring the lasting effects of collaborative training sessions
- 2020
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Ingår i: Proceedings of Ongoing Research, Practitioners, Posters, Workshops, and Projects at EGOV-CeDEM-ePart 2020 co-located with the IFIP WG 8.5 International Conference EGOV-CeDEM-ePart 2020. - : CEUR-WS.org. ; , s. 117-125
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Konferensbidrag (refereegranskat)abstract
- Today's digital society is developing rapidly and the number of smart and innovative digital services is increasing every day. However, the rapid digitalization may also lead to the exclusion of some groups. Senior citizens are one of these groups at risk. The most common way of combating digital exclusion among seniors is to offer education and hands-on training. The short term effects of such education initiatives have shown positive results but the long term lasting effects of digital training have not been explored to any greater extent. Data was collected via semi structured interviews with seniors who had previously participated in training sessions targeting Swedish seniors with a desire to become more digital. The results show that although the immediate effect of participating in training is positive, more individualized training is needed to achieve a lasting effect.
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| 7. |
- Huvila, Isto, Professor, 1976-, et al.
(författare)
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Differences in Health Information Literacy Competencies Among Older Adults, Elderly and Younger Citizens
- 2019
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Ingår i: Information Literacy in Everyday Life. - Cham : Springer. - 9783030134716 - 9783030134723 ; , s. 136-143
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Bokkapitel (refereegranskat)abstract
- To address the research gap on age-based differences in health information literacy (HIL), we investigated how younger (born 1960–) and older adults (1946–1960), and elderly citizens (–1945) differed from each other by their HIL competencies. Data were collected with an online survey of patients using the Swedish national electronic health record system. Altogether, 2,587 users responded. One-way ANOVA with post hoc tests revealed several differences between the groups: younger adults were less likely to value health information than older adults; older adults and elderly were least likely to compare information from multiple sources and had trouble in determining health information needs; older adults were most likely to have trouble understanding health terminology and the elderly to have difficulties in understanding medicinal package labels. The study shows that HIL is not necessarily improving or declining but adapting to challenges of advanced age. © 2019, Springer Nature Switzerland AG.
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| 8. |
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| 9. |
- Roos, John Magnus
(författare)
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Mapping the Relationship Between Hedonic Capacity and Online Shopping
- 2021
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Ingår i: Proceedings of Fifth International Congress on Information and Communication Technology. - Singapore : Springer Singapore. - 9789811558559 - 9789811558566 ; 1183, s. 604-611
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Konferensbidrag (refereegranskat)abstract
- In the present study, the relationship between hedonic capacity and online shopping is explored through a Swedish nationally representative sample. A survey was distributed to 3000 citizens. The number of respondents was 1591 (response rate: 53%). Ordinal regression analyses were conducted in order to test the association between hedonic capacity and online shopping. The dependent variable was online shopping frequencies. Gender, age, and individual income were control variables. Our findings indicated that hedonic capacity was positively associated with online shopping (p < 0.001). The findings propose that online shopping primarily is triggered by emotions and affect rather than reasoning and cognition. Such insights can be used in strategical marketing and technological decisions by academy and industry, as well as in Web site design and communication.
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| 10. |
- Roos, John Magnus
(författare)
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Personality and E-shopping : Insights from a Nationally Representative Study
- 2019
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Ingår i: Digital Transformation and Global Society. - Cham : Springer. - 9783030378578 - 9783030378585 ; 1038 CCIS, s. 257-267
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Bokkapitel (refereegranskat)abstract
- According to previous research, a high degree of Openness and Neuroticism, and a low degree of Agreeableness are personality determinants of e-shopping. This study aims to explore the relationship between the Five-factor model of personality (i.e. Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism) and e-shopping in a Swedish context. In a nationally representative sample, a questionnaire was distributed to 3400 citizens. The response rate was 53 percentage (N = 1812). The questionnaire included measures of the Five-factor model of personality (BFI-ten) and e-shopping. Multiple regression analyses were conducted to test if the Five-factor model of personality predicted e-shopping. The dependent variable was self-reported frequencies of e-shopping during the last 12 months. The first analysis showed that Openness is predicting e-shopping. However, this effect disappeared, when age, educational attainment and income were controlled for. Our conclusion is that the Five-factor model of personality is a poor predictor of e-shopping and that e-shopping frequencies are unrelated to the personality of internet users. Methodological limitations are discussed, for instance the use of a single-item for measuring e-shopping and a short-scale for measuring personality. There are difficulties comparing our findings with previous findings, since the concepts personality and e-shopping have not been defined uniformly. The analyses revealed significant variation in definitions, measurements and methodologies. Caution should also be taken in generalizing the present results to other countries and other time periods. © 2019, Springer Nature Switzerland AG.
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