| 1. |
- Aryana, Bijan, 1980, et al.
(författare)
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Design for mobile mental health: an exploratory review
- 2019
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Ingår i: Health and Technology. - : Springer Science and Business Media LLC. - 2190-7188 .- 2190-7196. ; 9:4, s. 401-424
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Tidskriftsartikel (refereegranskat)abstract
- A large number of mobile mental health apps are available to the public but current knowledge about requirements of designing such solutions is scarce, especially from sociotechnical and user centred points of view. Due to the significant role of mobile apps in the mental health service models, identifying the design requirements of mobile mental health solutions is crucial. Some of those requirements have been addressed individually in the literature, but there are few research studies that show a comprehensive picture of this domain. This exploratory review aims to facilitate such holistic understanding. The main search keywords of the review were identified in a cross-disciplinary requirements workshop. The search was started by finding some core references in the healthcare databases. A wider range of references then has been explored using a snowball method. Findings showed that there is a good understanding of individual design requirements in current literature but there are few examples of implementing a combination of different design requirements in real world products. The design processes specifically developed for mobile mental health apps are also rare. Most studies on operational mobile mental health apps address major mental health issues while prevention and wellbeing areas are underdeveloped. In conclusion, the main recommendations for designing future mobile mental health solutions include: moving towards sociotechnical and open design strategies, understanding and creating shared value, recognizing all dimensions of efficacy, bridging design and medical research and development, and considering an ecosystem perspective.
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| 2. |
- Belli, Luca, et al.
(författare)
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Selling your soul while negotiating the conditions : from notice and consent to data control by design
- 2017
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Ingår i: Health and Technology. - : Springer. - 2190-7188 .- 2190-7196. ; 7:4, s. 453-467
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Tidskriftsartikel (refereegranskat)abstract
- This article claims that the Notice and Consent (N&C) approach is not efficient to protect the privacy of personal data. On the contrary, N&C could be seen as a license to freely exploit the individual's personal data. For this reason, legislators and regulators around the world have been advocating for different and more efficient safeguards, notably through the implementation of the Privacy by Design (PbD) concept, which is predicated on the assumption that privacy cannot be assured solely by compliance with regulatory frameworks. In this sense, PbD affirms that privacy should become a key concern for developers and organisations alike, thus permeating new products and services as well as the organisational modi operandi. Through this paper, we aim at uncovering evidences of the inefficiency of the N&C approach, as well as the possibility to further enhance PbD, in order to provide the individual with increased control on her personal data. The paper aims at shifting the focus of the discussion from "take it or leave it" contracts to concrete solutions aimed at empowering individuals. As such, we are putting forth the Data Control by Design (DCD) concept, which we see as an essential complement to N&C and PbD approaches advocated by data-protection regulators. The technical mechanisms that would enable DCD are currently available (for example, User Managed Access (UMA) v1.0.1 Core Protocol). We, therefore, argue that data protection frameworks should foster the adoption of DCD mechanisms in conjunction with PbD approaches, and privacy protections should be designed in a way that allows every individual to utilise interoperable DCD tools to efficiently manage the privacy of her personal data. After having scrutinised the N&C, PbD and DCD approaches we discuss the specificities of health and genetic data, and the role of DCD in this context, stressing that the sensitivity of genetic and health data requires special scrutiny from regulators and developers alike. In conclusion, we argue that concrete solutions allowing for DCD already exist and that policy makers should join efforts together with other stakeholders to foster the concrete adoption of the DCD approach.
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| 3. |
- Folke, Mia, 1967-, et al.
(författare)
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Evaluation of the content of a web tool aimed to identify early markers related to fall risk among middle-aged people
- 2020
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Ingår i: Health and Technology. - : Springer Science and Business Media Deutschland. - 2190-7188 .- 2190-7196. ; 10:6, s. 1571-1578
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Tidskriftsartikel (refereegranskat)abstract
- Today, the health care sector has no test for early age-related deterioration in physical ability. The aim of this study was to evaluate questionnaires, videos and physical tests whose task will be to identify early markers related to an increased fall risk in middle-aged people. If the person is aware of deficits in physical ability related to fall risk, the person can then use that knowledge to perform relevant training that can strengthen the physical ability related to fall risk. Self-efficacy for balance and strength, physical ability related to fall risk and body composition were measured for 36 middle-aged test participants. This study shows that the tested physical exercises were useful for self-assessment of physical ability. Impairment in physical ability could not be identified solely with measurement of body composition, walking speed, questions, videos that show adjustments that are common in people with impaired balance, or an extended version of the Short version of Activities-specific Balance Confidence scale. This study indicates that a combination of questionnaires, videos and physical exercises can evaluate physical ability and act as a method to identify early markers related to increased fall risk. The questionnaire, videos and physical exercises can be implemented in a web tool that could make persons aware that they have decreased physical ability regarding fall risk or that they needlessly make physical compensations when performing daily activities and thus are missing opportunities to strengthen their physical ability every day.
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| 4. |
- Gardsten, Cecilia, et al.
(författare)
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Designing an ICT self-management service : suggestions from persons with type 2 diabetes
- 2017
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Ingår i: Health and Technology. - : Springer. - 2190-7188 .- 2190-7196. ; 7:2-3, s. 197-206
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Tidskriftsartikel (refereegranskat)abstract
- This paper reports the wishes and needs of people with type 2 diabetes (T2DM) for a future information and communication technology (ICT) self-management service to help manage their condition and their everyday life. Diabetes is a chronic disease affecting more and more people and placing increasing demands on health care. The self-management of diabetes includes instrumental and, decision-making skills and skills in managing daily activities, which may be supported by an ICT service. In this study we used a participatory design including two sessions of Future Workshop (FW) as part of a larger research project on the self-management of diabetes. Adults with type 2 diabetes participated in two FW sessions in which their expressed wishes and needs for an ICT service all fell under the broad category of Acceptance of the diagnosis, with three other suggestions; Trust in partnerships, Communication, and Individualized information. The participants’ experience of the FW as a democratic process and their appreciation of mutual learning contributed to these results, which are consistent with the aims of person-centred care.
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| 5. |
- Georgoulas, Georgios, et al.
(författare)
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Investigating pH based evaluation of fetal heart rate (FHR) recordings
- 2017
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Ingår i: Health and Technology. - : Springer. - 2190-7188 .- 2190-7196. ; 7:2/3, s. 241-254
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Tidskriftsartikel (refereegranskat)abstract
- Cardiotocography (CTG) is a standard tool for the assessment of fetal well-being during pregnancy and delivery. However, its interpretation is associated with high inter- and intra-observer variability. Since its introduction there have been numerous attempts to develop computerized systems assisting the evaluation of the CTG recording. Nevertheless these systems are still hardly used in a delivery ward. Two main approaches to computerized evaluation are encountered in the literature; the first one emulates existing guidelines, while the second one is more of a data-driven approach using signal processing and computational methods. The latter employs preprocessing, feature extraction/selection and a classifier that discriminates between two or more classes/conditions. These classes are often formed using the umbilical cord artery pH value measured after delivery. In this work an approach to Fetal Heart Rate (FHR) classification using pH is presented that could serve as a benchmark for reporting results on the unique open-access CTU-UHB CTG database, the largest and the only freely available database of this kind. The overall results using a very small number of features and a Least Squares Support Vector Machine (LS-SVM) classifier, are in accordance to the ones encountered in the literature and outperform the results of a baseline classification scheme proving the utility of using advanced data processing methods. Therefore the achieved results can be used as a benchmark for future research involving more informative features and/or better classification algorithms.
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| 6. |
- Gustavsson, Erik, 1982-, et al.
(författare)
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Needs and cost-effectiveness in health care priority setting
- 2020
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Ingår i: Health and Technology. - : Springer. - 2190-7188 .- 2190-7196. ; 10:3, s. 611-619
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Tidskriftsartikel (refereegranskat)abstract
- How to balance the maximization of health and concerns for the worse off remains a challenge for health care decision makers when setting priorities. In regulatory guidelines these concerns are typically specified in terms of priority setting according to needs and priority setting according to cost-effectiveness. Still, it is often unclear when and why needs and cost-effectiveness diverge or overlap as guiding priority setting principles in practice. We conduct a comparative analysis of need and cost-effectiveness in the context of health care priority setting. Based on theories of distributive justice we specify three normative interpretations of need and explicate how these relate to the normative basis for cost-effectiveness analysis. Using priority-setting dilemmas we then move on to explicate when and why need and cost-effectiveness diverge as priority-setting principles. We find that: (i) although principles of need and cost-effectiveness may recommend the same allocation of resources the underlying reason for an allocation is different; (ii) while they both may give weight to patients who are worse off they do so in different ways and to different degree; and (iii) whereas cost-effectiveness clearly implies the aggregation of benefits across individuals principles of needs give no guidance with regard to if, and if so, how needs should be aggregated. Priority setting according to needs or cost-effectiveness does not necessarily recommend different allocations of resources. Thus, the normative conflict between them, often highlighted in practice, seems exaggerated. For health policy this is important knowledge because unclear conceptions may obstruct an informed public discussion. Moreover, if decision-makers are to properly account for both principles they need to recognize the inconsistencies as well as similarities between the two.
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| 7. |
- Islind, Anna Sigridur, 1985-, et al.
(författare)
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Co-Designing a Digital Platform with Boundary Objects : Bringing Together Heterogeneous Users in Healthcare
- 2019
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Ingår i: Health and Technology. - : Springer Science and Business Media LLC. - 2190-7188 .- 2190-7196. ; 9:4, s. 425-438
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Tidskriftsartikel (refereegranskat)abstract
- Healthcare is increasingly permeated with digital platforms supporting cooperative care involving different professional groups and also patients. New mobile technologies allow for patients to continuously monitor and document their symptoms to support better healthcare, as well as self-care. The successful design of such multi-user platforms calls for new design approaches involving heterogeneous conditions and goals. This paper analyzes theuse of boundary objects in design as a mediator for different users' needs and conditions. Our research is conducted at a clinic supporting cancer survivors in their struggles with treatment induced illnesses, a treatment heavily dependent on new medical research as well as on patient involvement. The data is collected ethnographically over two years following a design project that developed a digital platform to support the care provided by the clinic. We describe how useful boundary objects transform over time, from rich narratives, to conceptual formulations and finally into concrete prototypes of the platform. We argue that understanding such a transformation can inform the design of healthcare platforms and guide future design processes, where co-designing with boundary objects can be especially useful as a design approach when doing design complex settings, such as healthcare settings.
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| 8. |
- Manzoor, Mirfa, et al.
(författare)
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Digital technologies for social inclusion of individuals with disabilities
- 2018
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Ingår i: Health and Technology. - : Springer. - 2190-7188 .- 2190-7196. ; 8:5, s. 377-390
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Forskningsöversikt (refereegranskat)abstract
- Information technology can be an important facilitator of social inclusion for people with disabilities into society. However, the goals specified in this area by organizations such as the European Commission have not yet been achieved in their totality. The aim of this paper is to explore which types of information communication technology-based applications and/or digital services have been suggested to facilitate the social integration of people who suffer from different types of disabilities. We performed a literature review that included studies published during a period of 6 years (2010–2016). The results show that, in the data we have had access to, no concrete patterns can be identified regarding the type of technology or technological trends that can be used to support the social integration of individuals with disabilities. This literature review is of relevance to the identification of further research areas and to the identification of issues which have to be considered in the context of the development and implementation of technological innovations that are aimed at promoting or facilitating social inclusion of individuals with disabilities.
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| 9. |
- McDonald, Heather, et al.
(författare)
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The homeML suite : shareable datasets for smart home environments
- 2013
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Ingår i: Health and Technology. - : Springer Science and Business Media LLC. - 2190-7188 .- 2190-7196. ; 3:2, s. 177-193
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Tidskriftsartikel (refereegranskat)abstract
- The lack of a standard format for storing data generated within the smart environments research domain is limiting the opportunity for researchers to compare and share datasets. The opportunity to re-use and share datasets is also being limited due to lack of an online resource available to researchers. In our current work we attempt to resolve these issues through the creation of homeML, a proposed format for storing and sharing data and the development of the homeML Suite as a means of supporting the use of homeML. Within this article the latest version of homeML, version 2.2 is presented, where the 'annotationDetails' element is introduced. An extended evaluation of the homeML Suite is also discussed. A usability and functionality study was conducted by a number of experienced researchers working within the domain of smart environments. The methodology of both studies is discussed in detail. Each participant's interactions with homeML and the suite of tools is presented, the findings of which have been positive. All participants agreed that the homeML Suite would be a useful tool to be available within the research domain and they would recommend it to their fellow researchers.
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| 10. |
- Mejtoft, Thomas, Universitetslektor, 1976-, et al.
(författare)
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Medtech innovation guide : an empiric model to support medical technology innovation
- 2022
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Ingår i: Health and Technology. - : Springer. - 2190-7188 .- 2190-7196. ; 12:5, s. 911-922
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Tidskriftsartikel (refereegranskat)abstract
- Innovation has become increasingly important for most industries to cope with rapid technological changes as well as changing societal needs. Even though there are many sectors with specific needs when it comes to supporting innovation, the medical technology sector is facing several unique challenges that both increases the lead-time from idea to finished product and decreases the number of innovations that are developed. This paper presents a proposed innovation guide that has been developed and evaluated as a support for the innovation process within medical technology research. The guide takes the unique characteristics of the medical technology sector into account and serves as a usable guide for the innovator. The complete guide contains both a structure for the process and a usable web application to support the journey from idea to finished products and services. The paper also includes a new readiness level, Sect. 4.2 to provide support both when developing and determining the readiness for clinical implementation of a medical technology innovation.
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