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1.
  • Sallnäs Pysander, Eva-Lotta, et al. (författare)
  • Pointing in Multi-Disciplinary Medical Meetings
  • 2011
  • Ingår i: 2011 24TH INTERNATIONAL SYMPOSIUM ON COMPUTER-BASED MEDICAL SYSTEMS (CBMS). - NEW YORK, NY : IEEE. - 9781457711909
  • Konferensbidrag (refereegranskat)abstract
    • In this paper a field study of using laser-pointing during multi-disciplinary medical meetings is presented. The pointing behaviour adopted by radiologists and surgeons to communicate about and collaboratively analyse patient data such as CT images today is illustrated based on field observations of pre-operative meetings. In a field test, laser-pointers were introduced in pre-operative meetings. How the dialogue and gesturing changed compared to meetings where laser-pointers were not present were investigated. Results from our study show that the multi-disciplinary medical meetings are clearly affected by the introduction of laser-pointer devices and we believe that the participants would benefit from a future gesturing tool if it was carefully designed. The implementation of an application that provides touch feedback in three dimensions of the anatomical structure of blood vessels as well as tumours is described and related to our results.
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2.
  • Andersson, Annika, et al. (författare)
  • Ledarskap för ett hållbart arbetsliv : Teknikstrategier och arbetslivets gränser
  • 2023
  • Rapport (övrigt vetenskapligt/konstnärligt)abstract
    • Användning av allt mindre mobiler och mer lättflyttade datorer gör att gränsen mellan vårt hem och vårt arbete gradvis suddas ut. Användandet av digital teknik möjliggör för skolor att finnas på flera platser, en utveckling som tydliggjorts under pandemin. Sociala medier har för många skolanställda blivit en naturlig del både i det pedagogiska arbetet och i den dagliga kontakten med varandra, elever och vårdnadshavare. Hur skolan formeras i en digital verklighet är därför en nyckelfråga för framtiden.För att bidra till en bättre förståelse för digitaliseringens påverkan på arbetslivet och arbetsmiljön har vi genomfört ett forskningsprojekt med titel ”Ledarskap för ett hållbart digitalt arbetsliv: Teknikstrategier och arbetslivets gränser”. Projektet har finansierats av AFA Försäkring inom deras FoU-program “Digitaliseringens effekter på arbetsmiljön”.Projektets syfte har varit att analysera hur styrning och ledarskap kan utformas i skolan för att tillvarata nyttan hos sociala medier och samtidigt skapa en hållbar digital arbetsmiljö för medarbetare och chefer.Våra resultat bygger på ett omfattande empiriskt intervjumaterial, och ett mindre antal enkäter. Vi kan i våra resultat se att samtliga aktörer som är engagerade i skolan behöver diskutera hur man vill och bör använda sociala medier. I vissa fall kan det behövas en tydligare styrning, i andra fall kan det vara tillräckligt med en mjukare styrning med tydligt uttryckta förväntningar och levande diskussioner om hur man som lärare och skolledare ska förhålla sig till sociala medier. Sammantaget tecknas en bild där användandet av sociala medier inte bara suddar ut gränslinjerna mellan det privata och det offentliga, utan också utvidgar gränserna för den egna yrkesrollen. Berättelserna vi har fångat från olika aktörer visar på komplexiteten och svårigheten att styra sociala medier som befinner sig mellan privatlivet och arbetslivet. Vi måste därför förändra hur vi förstår skolan och skolans roll i en digital verklighet. Resultaten har spridits genom vetenskapliga artiklar, populärvetenskapliga artiklar i media och tidskrifter, samt genom möten med intressenter.
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3.
  • Bustamante, Mariona, et al. (författare)
  • A genome-wide association meta-analysis of diarrhoeal disease in young children identifies FUT2 locus and provides plausible biological pathways.
  • 2016
  • Ingår i: Human molecular genetics. - : Oxford University Press (OUP). - 1460-2083 .- 0964-6906. ; 25:18, s. 4127-4142
  • Tidskriftsartikel (refereegranskat)abstract
    • More than a million childhood diarrhoeal episodes occur worldwide each year, and in developed countries a considerable part of them are caused by viral infections. In this study, we aimed to search for genetic variants associated with diarrhoeal disease in young children by meta-analyzing genome-wide association studies, and to elucidate plausible biological mechanisms. The study was conducted in the context of the Early Genetics and Lifecourse Epidemiology (EAGLE) consortium. Data about diarrhoeal disease in two time windows (around 1 year of age and around 2 years of age) was obtained via parental questionnaires, doctor interviews or medical records. Standard quality control and statistical tests were applied to the 1000 Genomes imputed genotypic data. The meta-analysis (N=5758) followed by replication (N=3784) identified a genome-wide significant association between rs8111874 and diarrhoea at age 1 year. Conditional analysis suggested that the causal variant could be rs601338 (W154X) in the FUT2 gene. Children with the A allele, which results in a truncated FUT2 protein, had lower risk of diarrhoea. FUT2 participates in the production of histo-blood group antigens and has previously been implicated in the susceptibility to infections, including Rotavirus and Norovirus Gene-set enrichment analysis suggested pathways related to the histo-blood group antigen production, and the regulation of ion transport and blood pressure. Among others, the gastrointestinal tract, and the immune and neuro-secretory systems were detected as relevant organs. In summary, this genome-wide association meta-analysis suggests the implication of the FUT2 gene in diarrhoeal disease in young children from the general population.
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4.
  • Bärkås, Annika, et al. (författare)
  • Errors, Omissions, and Offenses in the Health Record of Mental Health Care Patients : Results from a Nationwide Survey in Sweden
  • 2023
  • Ingår i: Journal of Medical Internet Research. - : JMIR Publications. - 1438-8871. ; 25
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Previous research reports that patients with mental health conditions experience benefits, for example, increased empowerment and validation, from reading their patient-accessible electronic health records (PAEHRs). In mental health care (MHC), PAEHRs remain controversial, as health care professionals are concerned that patients may feel worried or offended by the content of the notes. Moreover, existing research has focused on specific mental health diagnoses, excluding the larger PAEHR userbase with experience in MHC. OBJECTIVE: The objective of this study is to establish if and how the experiences of patients with and those without MHC differ in using their PAEHRs by (1) comparing patient characteristics and differences in using the national patient portal between the 2 groups and (2) establishing group differences in the prevalence of negative experiences, for example, rates of errors, omissions, and offenses between the 2 groups. METHODS: Our analysis was performed on data from an online patient survey distributed through the Swedish national patient portal as part of our international research project, NORDeHEALTH. The respondents were patient users of the national patient portal 1177, aged 15 years or older, and categorized either as those with MHC experience or with any other health care experience (nonmental health care [non-MHC]). Patient characteristics such as gender, age, education, employment, and health status were gathered. Portal use characteristics included frequency of access, encouragement to read the record, and instances of positive and negative experiences. Negative experiences were further explored through rates of error, omission, and offense. The data were summarized through descriptive statistics. Group differences were analyzed through Pearson chi-square. RESULTS: Of the total sample (N=12,334), MHC respondents (n=3131) experienced errors (1586/3131, 50.65%, and non-MHC 3311/9203, 35.98%), omissions (1089/3131, 34.78%, and non-MHC 2427/9203, 26.37%) and offenses (1183/3131, 37.78%, and non-MHC 1616/9203, 17.56%) in the electronic health record at a higher rate than non-MHC respondents (n=9203). Respondents reported that the identified error (MHC 795/3131, 50.13%, and non-MHC 1366/9203, 41.26%) and omission (MHC 622/3131, 57.12%, and non-MHC 1329/9203, 54.76%) were "very important," but most did nothing to correct them (MHC 792/3131, 41.29%, and non-MHC 1838/9203, 42.17%). Most of the respondents identified as women in both groups. CONCLUSIONS: About 1 in 2 MHC patients identified an error in the record, and about 1 in 3 identified an omission, both at a much higher rate than in the non-MHC group. Patients with MHC also felt offended by the content of the notes more commonly (1 in 3 vs 1 in 6). These findings validate some of the worries expressed by health care professionals about providing patients with MHC with PAEHRs and highlight challenges with the documentation quality in the records. 
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5.
  • Bärkås, Annika, et al. (författare)
  • Patients' Access to Their Psychiatric Records : A Comparison of Four Countries
  • 2022
  • Ingår i: Challenges of Trustable AI and Added-Value on Health. - Amsterdam; Berlin; Washington, DC : IOS Press. - 9781643682846 - 9781643682853 ; 294, s. 510-514
  • Konferensbidrag (refereegranskat)abstract
    • Several Nordic and Baltic countries are forerunners in the digitalization of patient ehealth services and have since long implemented psychiatric records as parts of the ehealth services. There are country-specific differences in what clinical information is offered to patients concerning their online patient accessible psychiatric records. This study explores national differences in Sweden, Norway, Finland, and Estonia in patient access to their psychiatric records. Data was collected through a socio-technical data collection template developed during a workshop series and then analyzed in a cross-country comparison focusing on items related to psychiatry records online. The results show that psychiatric records online are offered to patients in all four countries, and provide the same functionality and similar psychiatry information. Overall, the conclusion is that experiences of various functionalities should be scrutinized to promote transparency of psychiatric records as part of the national eHealth services to increase equality of care and patient empowerment.
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6.
  • Cajander, Åsa, et al. (författare)
  • Medical records online for patients and effects on the work environment of nurses
  • 2018
  • Ingår i: Building Continents of Knowledge in Oceans of Data. - Amsterdam, The Netherlands : IOS Press. - 9781614998518 ; , s. 271-275
  • Konferensbidrag (refereegranskat)abstract
    • In 2012 Patients Accessible Electronic Health Records (PAEHR) was introduced in Region Uppsala, Sweden. When PAEHR was introduced heath care professionals were very concerned especially in relation to potential negative effects on their work environment. However, few studies exist that investigate in what way work environments have been affected, and no studies have focused on the nurses' working in primary care. Hence, the purpose of this study was to fill this gap through seven interviews with primary care nurses that were transcribed and thematically analysed. The study shows that the nurses' experiences an altered contact as patients accessing PAEHR came prepared to meetings with more informed questions. They also experienced that the service had increased their work load and that it creates uncertainty for nurses who do not know when to inform the patient about test results etc. Finally, some implications are discussed in relation to the patients' role in shared decision making.
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8.
  • Cajander, Åsa, et al. (författare)
  • Using data for better cancer treatments
  • 2018
  • Ingår i: Care for Cancer. - : Uppsala University. ; , s. 34-37
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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10.
  • Fagerlund, A. J., et al. (författare)
  • Experiences from patients in mental healthcare accessing their electronic health records : results from a cross-national survey in Estonia, Finland, Norway, and Sweden
  • 2024
  • Ingår i: BMC Psychiatry. - : BioMed Central (BMC). - 1471-244X. ; 24:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Patients' online record access (ORA) enables patients to read and use their health data through online digital solutions. One such solution, patient-accessible electronic health records (PAEHRs) have been implemented in Estonia, Finland, Norway, and Sweden. While accumulated research has pointed to many potential benefits of ORA, its application in mental healthcare (MHC) continues to be contested. The present study aimed to describe MHC users' overall experiences with national PAEHR services.METHODS: The study analysed the MHC-part of the NORDeHEALTH 2022 Patient Survey, a large-scale multi-country survey. The survey consisted of 45 questions, including demographic variables and questions related to users' experiences with ORA. We focused on the questions concerning positive experiences (benefits), negative experiences (errors, omissions, offence), and breaches of security and privacy. Participants were included in this analysis if they reported receiving mental healthcare within the past two years. Descriptive statistics were used to summarise data, and percentages were calculated on available data.RESULTS: 6,157 respondents were included. In line with previous research, almost half (45%) reported very positive experiences with ORA. A majority in each country also reported improved trust (at least 69%) and communication (at least 71%) with healthcare providers. One-third (29.5%) reported very negative experiences with ORA. In total, half of the respondents (47.9%) found errors and a third (35.5%) found omissions in their medical documentation. One-third (34.8%) of all respondents also reported being offended by the content. When errors or omissions were identified, about half (46.5%) reported that they took no action. There seems to be differences in how patients experience errors, omissions, and missing information between the countries. A small proportion reported instances where family or others demanded access to their records (3.1%), and about one in ten (10.7%) noted that unauthorised individuals had seen their health information.CONCLUSIONS: Overall, MHC patients reported more positive experiences than negative, but a large portion of respondents reported problems with the content of the PAEHR. Further research on best practice in implementation of ORA in MHC is therefore needed, to ensure that all patients may reap the benefits while limiting potential negative consequences.
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11.
  • Fagerlund, Asbjørn Johansen, et al. (författare)
  • Experiences from patients in mental healthcare accessing their electronic health records : results from a cross-national survey in Estonia, Finland, Norway, and Sweden
  • 2024
  • Ingår i: BMC Psychiatry. - : BioMed Central Ltd. - 1471-244X. ; 24:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Patients’ online record access (ORA) enables patients to read and use their health data through online digital solutions. One such solution, patient-accessible electronic health records (PAEHRs) have been implemented in Estonia, Finland, Norway, and Sweden. While accumulated research has pointed to many potential benefits of ORA, its application in mental healthcare (MHC) continues to be contested. The present study aimed to describe MHC users’ overall experiences with national PAEHR services. Methods: The study analysed the MHC-part of the NORDeHEALTH 2022 Patient Survey, a large-scale multi-country survey. The survey consisted of 45 questions, including demographic variables and questions related to users’ experiences with ORA. We focused on the questions concerning positive experiences (benefits), negative experiences (errors, omissions, offence), and breaches of security and privacy. Participants were included in this analysis if they reported receiving mental healthcare within the past two years. Descriptive statistics were used to summarise data, and percentages were calculated on available data. Results: 6,157 respondents were included. In line with previous research, almost half (45%) reported very positive experiences with ORA. A majority in each country also reported improved trust (at least 69%) and communication (at least 71%) with healthcare providers. One-third (29.5%) reported very negative experiences with ORA. In total, half of the respondents (47.9%) found errors and a third (35.5%) found omissions in their medical documentation. One-third (34.8%) of all respondents also reported being offended by the content. When errors or omissions were identified, about half (46.5%) reported that they took no action. There seems to be differences in how patients experience errors, omissions, and missing information between the countries. A small proportion reported instances where family or others demanded access to their records (3.1%), and about one in ten (10.7%) noted that unauthorised individuals had seen their health information. Conclusions: Overall, MHC patients reported more positive experiences than negative, but a large portion of respondents reported problems with the content of the PAEHR. Further research on best practice in implementation of ORA in MHC is therefore needed, to ensure that all patients may reap the benefits while limiting potential negative consequences. 
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12.
  • Forsman, Jonas, et al. (författare)
  • A new approach to modelling student retention through an application of complexity thinking
  • 2014
  • Ingår i: Studies in Higher Education. - : Routledge. - 0307-5079 .- 1470-174X. ; 39:1, s. 68-86
  • Tidskriftsartikel (refereegranskat)abstract
    • Complexity thinking is relatively new to education research and has rarely been used to examine complex issues in physics and engineering education. Issues in higher education such as student retention have been approached from a multiplicity of perspectives and are recognized as complex. The complex system of student retention modelling in higher education was examined to provide an illustrative account of the application of complexity thinking in educational research. Exemplar data was collected from undergraduate physics and related engineering students studying at a Swedish university. The analysis shows how complexity thinking may open up new ways of viewing and analysing complex educational issues in higher education in terms of nested, interdependent and interconnected systems. Whilst not intended to present new findings, the article does illustrate a possible representation of the system of items related to student retention and how to identify such influential items.
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13.
  • Forsman, Jonas, et al. (författare)
  • Extending the theoretical framing for physics education research: An illustrative application of complexity science
  • 2014
  • Ingår i: Physical Review Special Topics. - 1554-9178. ; 10, s. 020122-
  • Tidskriftsartikel (refereegranskat)abstract
    • The viability of using complexity science in physics education research (PER) is exemplified by(1) situating central tenets of student persistence research in complexity science and (2) drawing on themethods that become available from this to illustrate analyzing the structural aspects of students’ networkedinteractions as an important dynamic in student persistence. By drawing on the most cited characterizationsof student persistence, we theorize that university environments are made up of social and academicsystems, which PER work on student persistence has largely ignored. These systems are interpreted asbeing constituted from rules of interaction that affect the structural aspects of students’ social and academicnetwork interactions from a complexity science perspective. To illustrate this empirically, an exploration ofthe nature of the social and academic networks of university-level physics students is undertaken. This isdone by combining complexity science with social network analysis to characterize structural similaritiesand differences of the social and academic networks of students in two courses. It is posited that framing asocial network analysis within a complexity science perspective offers a new and powerful applicabilityacross a broad range of PER topics.
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14.
  • Forsman, Jonas, 1984-, et al. (författare)
  • Grade achievement as a function of social and academic relations in the University Physics Context
  • Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
    • A complexity perspective is used to differentiate between the social network that student develop, which is made up of the social ties constituted between students within a given course, and the academic network, which in turn is made up of academic ties constituted between students within a given course. This differentiation is introduced because, up until now, research in the field has only investigated connections between undifferentiated network ties and students’ academic success. As a start to dealing with this issue, the study explores what network structures emerge from students' interactions with each other within their courses, in particular the social and academic networks that they create.  Network analysis is used to examine students’ structural position in these networks in relation to student’s grade achievement on two courses in physics and related engineering degree programmes in Sweden.  The remaining data consists of a network survey conducted at a highly regarded traditional Swedish university.  The analysis indicates that while the participating physics and engineering student (n1= 64, n2= 68) socialized and studied together to a large degree, their positions in their social and academic networks were related to grade achievement in different ways.
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18.
  • Frid, Emma, et al. (författare)
  • An Exploratory Study On The Effect Of Auditory Feedback On Gaze Behavior In a Virtual Throwing Task With and Without Haptic Feedback
  • 2017
  • Ingår i: Proceedings of the 14th Sound and Music Computing Conference. - Espoo, Finland : Aalto University. - 9789526037295 ; , s. 242-249
  • Konferensbidrag (refereegranskat)abstract
    • This paper presents findings from an exploratory study on the effect of auditory feedback on gaze behavior. A total of 20 participants took part in an experiment where the task was to throw a virtual ball into a goal in different conditions: visual only, audiovisual, visuohaptic and audio- visuohaptic. Two different sound models were compared in the audio conditions. Analysis of eye tracking metrics indicated large inter-subject variability; difference between subjects was greater than difference between feedback conditions. No significant effect of condition could be observed, but clusters of similar behaviors were identified. Some of the participants’ gaze behaviors appeared to have been affected by the presence of auditory feedback, but the effect of sound model was not consistent across subjects. We discuss individual behaviors and illustrate gaze behavior through sonification of gaze trajectories. Findings from this study raise intriguing questions that motivate future large-scale studies on the effect of auditory feedback on gaze behavior. 
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21.
  • Frid, Emma, et al. (författare)
  • Haptic feedback combined with movement sonification using a friction sound improves task performance in a virtual throwing task
  • 2018
  • Ingår i: Journal on Multimodal User Interfaces. - : Springer. - 1783-7677 .- 1783-8738. ; 13:4, s. 279-290
  • Tidskriftsartikel (refereegranskat)abstract
    • In this paper we present a study on the effects of auditory- and haptic feedback in a virtual throwing task performed with a point-based haptic device. The main research objective was to investigate if and how task performance and perceived intuitiveness is affected when interactive sonification and/or haptic feedback is used to provide real-time feedback about a movement performed in a 3D virtual environment. Emphasis was put on task solving efficiency and subjective accounts of participants’ experiences of the multimodal interaction in different conditions. The experiment used a within-subjects design in which the participants solved the same task in different conditions: visual-only, visuohaptic, audiovisual and audiovisuohaptic. Two different sound models were implemented and compared. Significantly lower error rates were obtained in the audiovisuohaptic condition involving movement sonification based on a physical model of friction, compared to the visual-only condition. Moreover, a significant increase in perceived intuitiveness was observed for most conditions involving haptic and/or auditory feedback, compared to the visual-only condition. The main finding of this study is that multimodal feedback can not only improve perceived intuitiveness of an interface but that certain combinations of haptic feedback and movement sonification can also contribute with performance-enhancing properties. This highlights the importance of carefully designing feedback combinations for interactive applications.
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22.
  • Frid, Emma, et al. (författare)
  • Sonification of haptic interaction in a virtual scene
  • 2014
  • Ingår i: Sound and Music Computing Sweden 2014, Stockholm, December 4-5, 2014. - Stockholm : KTH Royal Institute of Technology. ; , s. 14-16, s. 14-16
  • Konferensbidrag (refereegranskat)abstract
    • This paper presents a brief overview of work-in-progress for a study on correlations between visual and haptic spatial attention in a multimodal single-user application comparing different modalities. The aim is to gain insight into how auditory and haptic versus visual representations of temporal events may affect task performance and spatial attention. For this purpose, a 3D application involving one haptic model and two different sound models for interactive sonification are developed.
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23.
  • Grünloh, Christiane, et al. (författare)
  • Using Critical Incidents in Workshops to Inform eHealth Design
  • 2017
  • Ingår i: Human-Computer Interaction - INTERACT 2017. - Cham : Springer. - 9783319677439 - 9783319677446 ; , s. 364-373
  • 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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24.
  • Hagström, Josefin, et al. (författare)
  • Adolescents' and Young Adults' Experiences of Offense from Reading Their Health Records Online
  • 2024
  • Ingår i: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 310, s. 1422-1423
  • Tidskriftsartikel (refereegranskat)abstract
    • Patients feeling offended by reading records online is a concern among healthcare professionals, however previously published work has focused on adult patients. Here, a survey was used to explore and compare experiences of offense among adolescents (15-19 years old) and young adults (20-24 years old). Findings indicated that while the ratio of those offended did not differ between adolescents and young adults, reasons for feeling offended did.
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25.
  • Hagström, Josefin, et al. (författare)
  • Adolescents' reasons for accessing their health records online, perceived usefulness and experienced provider encouragement : a national survey in Sweden
  • 2024
  • Ingår i: BMJ Paediatrics Open. - : BMJ Publishing Group Ltd. - 2399-9772. ; 8:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Having online access to electronic health records (EHRs) may help patients become engaged in their care at an early age. However, little is known about adolescents using patient portals. A national survey conducted within the Nordic eHealth project NORDeHEALTH provided an important opportunity to advance our understanding of adolescent users of patient portals. The present study explored reasons for reading the EHRs, the perceived usefulness of information and functions in a patient portal and the association between frequency of use and encouragement to read the EHR. Methods Data were collected in a survey using convenience sampling, available through the Swedish online health portal during 3 weeks in January and February 2022. This study included a subset of items and only respondents aged 15-19. Demographic factors and frequencies on Likert-style questions were reported with descriptive statistics, while Fisher's exact test was used to explore differences in use frequency based on having been encouraged to read by a healthcare professional (HCP). Results Of 13 008 users who completed the survey, 218 (1.7%) were unique users aged 15-19 (females: 77.1%). One-fifth (47/218, 21.6%) had been encouraged by HCPs to read their records, and having been encouraged by HCPs was related to higher use frequency (p=0.018). All types of information were rated high on usefulness, while some functions were rated low, such as blocking specific clinical notes from HCPs and managing services for family members. The main reason for reading their health records online was out of curiosity. Conclusions Adolescents who read their records online perceive it to be useful. Encouragement by HCPs can lead to increased use of patient portals among adolescents. Findings should be considered in the future design of patient portals for adolescents. 
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26.
  • Hagström, Josefin, et al. (författare)
  • Minor and Parental Access to Electronic Health Records : Differences Across Four Countries
  • 2022
  • Ingår i: Challenges of Trustable AI and Added-Value on Health. - : IOS Press. - 9781643682846 - 9781643682853 ; 294, s. 495-499
  • Konferensbidrag (refereegranskat)abstract
    • An increasing number of countries are implementing patient access to electronic health records (EHR). However, EHR access for parents, children and adolescents presents ethical challenges of data integrity, and regulations vary across providers, regions, and countries. In the present study, we compare EHR access policy for parents, children and adolescents in four countries. Documentation from three areas: upper age limit of minors for which parents have access; age at which minors obtain access; and possibilities of access restriction and extension was collected from Sweden, Norway, Finland, and Estonia. Results showed that while all systems provided parents with automatic proxy access, age limits for its expiry differed. Furthermore, a lower minimum age than 18 for adolescent access was present in two of four countries. Differences between countries and potential implications for adolescents are discussed. We conclude that experiences of various approaches should be explored to promote the development of EHR regulations for parents, children and adolescents that increases safety, quality, and equality of care.
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27.
  • Hagström, Josefin, et al. (författare)
  • Security and Privacy of Online Record Access : A Survey of Adolescents' Views and Experiences in Sweden
  • 2024
  • Ingår i: Journal of Adolescent Health. - : Elsevier. - 1054-139X .- 1879-1972.
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Ensuring security of online health records and patients' perceptions of security are concerns in adolescent healthcare. Little is known about adolescents' perceptions about healthcare's ability to protect online health records. This article explores adolescents' perspectives on security and privacy of their online health records, potential differences based on gender and health, attitudes to sharing information, and perceptions of what constitutes sensitive information. Methods: This study included a subset of items from a national online patient survey conducted in Sweden (January-February 2022), focusing on respondents aged 15–19 years. Gender and health status differences were calculated using the Kruskal-Wallis test. Results: Of 218 adolescent respondents (77.1% female), a minority had security and privacy concerns. A notable proportion (41.3%) wished to control who could see their records, and those who reported better perceived health were more likely to want to manage access to their electronic health record (H = 13.569, p = .009). Most had not experienced unauthorized access to their records (75.2%) and had never shared health information on other online applications (85.8%). More than half (56.0%) perceived some information as sensitive, where mental health was the most common (76.0%). Most felt that reading their notes improved their trust for their healthcare professional (65.6%) and supported better communication with healthcare professionals (66.5%). Discussion: In this national survey, adolescents generally reported few concerns about patient portals. Findings emphasize the need for security and privacy protection and to empower adolescents with greater control over access to their health information housed in electronic health record systems. 
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28.
  • Hellberg, Ann-Sofie, 1977-, et al. (författare)
  • A point with pointsification? Clarifying and separating pointsification from gamification in education
  • 2023
  • Ingår i: Frontiers in Education. - : Frontiers Media S.A.. - 2504-284X. ; 8
  • Tidskriftsartikel (refereegranskat)abstract
    • Gamification gained popularity in the 2010s, with educational professionals quickly adopting it as a way to transfer the motivational effects of games to a learning situation. However, the rapid implementation of gamification without proper planning led to a misunderstanding of the concept, namely that the use of points and rewards is enough. Proper gamification in education requires careful planning and a game-thinking approach to the design of the learning environment. The simple addition of points and badges is therefore a misuse of the gamification concept, which has been referred to as pointsification. This misuse leads to confusion and mixed results as studies using pointsification are often still labeled as gamification. This paper clarifies the differences and uses of gamification and pointsification by analyzing the effects of pointsification in a higher education course and discussing these effects in relation to gamification. The research employs a mixed-methods approach, examining project grades, individual grades, and students' opinions. The objective is to show how pointsification can be implemented in education to lead to better learning in a way that both prevents previously identified problems associated with pointsification and also addresses them effectively. Although the use of points and badges has received criticism, studies have also demonstrated that pointsification can improve student engagement and motivation. As such, pointsification should be considered a distinct concept that focuses solely on the use of points and rewards to motivate students, while gamification should encompass a broader game-thinking approach.
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29.
  • Hellberg, Ann-Sofie, 1977-, et al. (författare)
  • An effective online learning for complex theoretical content : experience of Community of Inquiry
  • 2022
  • Ingår i: 2022 IEEE Frontiers in Education Conference (FIE). - : IEEE. - 9781665462440 - 9781665462457
  • Konferensbidrag (refereegranskat)abstract
    • In this research to practice full paper we describe our implementation of CoI (Community of Inquiry). CoI is a framework for designing an effective online learning environment. It originates from Charles Sanders Pierce’s ideas that knowledge can only be created in a community through inquiry. We applied the framework in a highly interactive course that was forced to be held online because of the pandemic. The theoretical core of the course is cognitive psychology, a topic considered difficult to learn in a short time. Besides describing our implementation, we evaluate the results of the students’ inquiries and compare it with results from the previous year when we did not use CoI for this part of the course. Our findings show that the most important instructional strategy is to facilitate for students to work individually according to a scientific inquiry and then, in a community, use the knowledge gained in critical discourse to build an overall understanding. When the students worked according to this, the results exceeded our expectations, both regarding the depth of understanding and ability to apply the knowledge in ongoing course projects. Because more teaching will likely take place at a distance in the future, as a side effect of the pandemic, we believe that this could be a way to meet an increasing demand for online instruction, especially when designing educational settings for complex theoretical content.
  •  
30.
  • Hellberg, Ann-Sofie, 1977-, et al. (författare)
  • Virtual teams
  • 2022
  • Ingår i: Designing Courses with Digital Technologies. - : Routledge. - 9780367700003 - 9780367625535 - 9781003144175 ; , s. 81-86
  • Bokkapitel (populärvet., debatt m.m.)abstract
    • Designing Courses with Digital Technologies offers guidance for higher education instructors integrating digital technologies into their teaching, assessment and overall support of students. Written by and for instructors from a variety of disciplines, this book presents evaluations that the contributors have implemented in real-life courses, spanning blended and distance learning, flipped classrooms, collaborative technologies, video-supported learning and beyond. Chapter authors contextualize their approaches beyond simple how-tos, exploring both the research foundations and professional experiences that have informed their use of digital tools while reflecting on their successes, challenges and ideas for future development.
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31.
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32.
  • Huang, Ying Ying, et al. (författare)
  • Auditory Feedback in Haptic Collaborative Interfaces
  • 2012
  • Ingår i: International journal of human-computer studies. - : Elsevier BV. - 1071-5819 .- 1095-9300. ; 70:4, s. 257-270
  • Tidskriftsartikel (refereegranskat)abstract
    • The combined effect of haptic and auditory feedback in shared interfaces, on the cooperation between visually impaired and sighted persons is under-investigated. A central challenge for cooperating group members lies in obtaining a common understanding of the elements of the workspace and maintaining awareness of the other members’, as well as one’s own, actions during the work process. The aim of the experimental study presented here, was to investigate if adding audio cues in a haptic and visual interface makes collaboration between a sighted and a blindfolded person more efficient. Results showed that task performance was significantly faster in the audio, haptic and visual feedback condition compared to the haptic and visual feedback condition. One special focus was also to study how participants utilize the auditory and haptic force feedback in order to obtain a common understanding of the workspace and to maintain an awareness of the group members’ actions. Results from a qualitative analysis showed that the auditory and haptic feedback was used in a number of important ways for the group members’ action awareness and in the participants’ grounding process.
  •  
33.
  • Huang, Ying Ying, 1976-, et al. (författare)
  • Integrating Audio and Haptic Feedback in a Collaborative Virtual Environment
  • 2007
  • Ingår i: proceeding of HCI International Conference.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • An ongoing study is presented here. The purpose is to design and evaluate an experiment comparing an audio/haptic/visual and ahaptic/visual VR environment supporting collaborative work among sighted and blindfolded people. We want to investigate how hapticand audio functions could improve collaboration in a shared workspace. We used a 3D VR environment that supports learning of spatial geometry. The scene is a room containing objects which you can pick up and move around by means of a touch feedback pointing device called Phantom. An experiment was performed with group work in the VR environment comparing an audio/haptic/visual interface with a haptic/visual interface of the application in alaboratory. We investigate if adding audio cues improves awareness, common ground, social presence, perceivedperformance and work efficiency. The aim is also to conduct aquantitative and qualitative analysis of the video-recordedcollaboration in order to obtain information about whether and howthe added audio information changes the work process in the groups.
  •  
34.
  • Huvila, Isto, et al. (författare)
  • Age-related differences in seeking clarification to understand medical record information
  • 2019
  • Ingår i: Information research. - : Högskolan i Borås. - 1368-1613. ; 24:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction Patient accessible electronic health records can be used to inform and empower patients. However, their use may require complementary information seeking since they can be difficult to interpret. So far, relatively little is known of the information seeking that takes place in connection to health record use, and especially the way it varies in different age groups. A better understanding of patients' preferences of where and how to find explanatory information provides valuable input for the development of health information provision and counselling services. Method. The analysis is based on the results of a national survey of Swedish individuals (N=1,411) who had used a national patient accessible electronic health record system (Journalen). Analysis. The data were analysed in SPSS 24.0 using Kruskal-Wallis tests for detecting groupwise differences and Jonckheere-Terpstra tests for discovering age-related trends in the data. Findings. Older patients were more likely to use a telephone and younger patients to use socia l contacts to ask for clarification. Generally, older adults born between 1946-1960 appear as passive information seekers. Conclusion. Age gro ups differ in their preferences on how to seek clarification, which underlines the importance of a better understanding of individual differences in delivering not only technically but also intellectually accessible health information. Calling by telephone could be a habit of present older generations whereas, to a degree, searching information online could be a comparable habit of current younger generations.
  •  
35.
  •  
36.
  •  
37.
  • Huvila, Isto, et al. (författare)
  • Technological and informational frames : explaining age-related variation in the use of patient accessible electronic health records as technology and information
  • 2022
  • Ingår i: Information Technology and People. - : Emerald Group Publishing Limited. - 0959-3845 .- 1758-5813. ; 35:8, s. 1-22
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – Data from a national patient survey (N51,155) of the Swedish PAEHR “Journalen” users were analysed, and an extended version of the theory of technological frames was developed to explain the variation in the technological and informational framing of information technologies found in the data. Design/methodology/approach – Patient Accessible Electronic Health Records (PAEHRs) are implemented globally to address challenges with an ageing population. However, firstly, little is known about age-related variation in PAEHR use, and secondly, user perceptions of the PAEHR technology and the health record information and how the technology and information–related perceptions are linked to each other. The purpose of this study is to investigate these two under-studied aspects of PAEHRs and propose a framework based on the theory of technological frames to support studying the second aspect, i.e. the interplay of information and technology–related perceptions. Findings – The results suggest that younger respondents were more likely to be interested in PAEHR contents for general interest. However, they did not value online access to the information as high as older ones. Older respondents were instead inclined to use medical records information to understand their health condition, prepare for visits, become involved in their own healthcare and think that technology has a much potential. Moreover, the oldest respondents were more likely to consider the information in PAEHRs useful and aimed for them but to experience the technology as inherently difficult to use. Research limitations/implications – The sample excludes non-users and is not a representative sample ofthe population of Sweden. However, although the data contain an unknown bias, there are no specific reasons tobelieve that it would differently affect the survey’s age groups. Practical implications – Age should be taken into account as a key factor that influences perceptions of the usefulness of PAEHRs. It is also crucial to consider separately patients’ views of PAEHRs as a technology and of the information contained in the EHR when developing and evaluating existing and future systems and information provision for patients. Social implications – This study contributes to bridging the gap between information behaviour and systems design research by showing how the theory of technological frames complemented with parallel informational frames to provide a potentially powerful framework for elucidating distinct conceptualisations of (information) technologies and the information they mediate. The empirical findings show how information and information technology needs relating to PAEHRs vary according to age. In contrast to the assumptions in much of the earlier work, they need to be addressed separately. Originality/value – Few earlier studies focus on (1) age-related variation in PAEHR use and (2) user perceptions of the PAEHR technology and the health record information and how the technology and information–related perceptions are linked to each other.
  •  
38.
  • Huvila, Isto, Professor, 1976-, et al. (författare)
  • Technological and informational frames : explaining age-related variation in the use of patient accessible electronic health records as technology and information
  • 2021
  • Ingår i: Information Technology and People. - : Emerald. - 0959-3845 .- 1758-5813.
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose Data from a national patient survey (N = 1,155) of the Swedish PAEHR "Journalen" users were analysed, and an extended version of the theory of technological frames was developed to explain the variation in the technological and informational framing of information technologies found in the data.Design/methodology/approach Patient Accessible Electronic Health Records (PAEHRs) are implemented globally to address challenges with an ageing population. However, firstly, little is known about age-related variation in PAEHR use, and secondly, user perceptions of the PAEHR technology and the health record information and how the technology and information-related perceptions are linked to each other. The purpose of this study is to investigate these two under-studied aspects of PAEHRs and propose a framework based on the theory of technological frames to support studying the second aspect, i.e. the interplay of information and technology-related perceptions.Findings The results suggest that younger respondents were more likely to be interested in PAEHR contents for general interest. However, they did not value online access to the information as high as older ones. Older respondents were instead inclined to use medical records information to understand their health condition, prepare for visits, become involved in their own healthcare and think that technology has a much potential. Moreover, the oldest respondents were more likely to consider the information in PAEHRs useful and aimed for them but to experience the technology as inherently difficult to use.Research limitations/implications The sample excludes non-users and is not a representative sample of the population of Sweden. However, although the data contain an unknown bias, there are no specific reasons to believe that it would differently affect the survey’s age groups.Practical implications Age should be taken into account as a key factor that influences perceptions of the usefulness of PAEHRs. It is also crucial to consider separately patients’ views of PAEHRs as a technology and of the information contained in the EHR when developing and evaluating existing and future systems and information provision for patients.Social implications This study contributes to bridging the gap between information behaviour and systems design research by showing how the theory of technological frames complemented with parallel informational frames to provide a potentially powerful framework for elucidating distinct conceptualisations of (information) technologies and the information they mediate. The empirical findings show how information and information technology needs relating to PAEHRs vary according to age. In contrast to the assumptions in much of the earlier work, they need to be addressed separately.Originality/value Few earlier studies focus on (1) age-related variation in PAEHR use and (2) user perceptions of the PAEHR technology and the health record information and how the technology and information-related perceptions are linked to each other.
  •  
39.
  •  
40.
  • Hägglund, Maria, Lektor, 1975-, et al. (författare)
  • A Nordic Perspective on Patient Online Record Access and the European Health Data Space
  • 2024
  • Ingår i: Journal of Medical Internet Research. - : JMIR Publications Inc.. - 1438-8871. ; 26:1
  • Tidskriftsartikel (refereegranskat)abstract
    • The Nordic countries are, together with the United States, forerunners in online record access (ORA), which has now become widespread. The importance of accessible and structured health data has also been highlighted by policy makers internationally. To ensure the full realization of ORA’s potential in the short and long term, there is a pressing need to study ORA from a cross-disciplinary, clinical, humanistic, and social sciences perspective that looks beyond strictly technical aspects. In this viewpoint paper, we explore the policy changes in the European Health Data Space (EHDS) proposal to advance ORA across the European Union, informed by our research in a Nordic-led project that carries out the first of its kind, large-scale international investigation of patients’ ORA—NORDeHEALTH (Nordic eHealth for Patients: Benchmarking and Developing for the Future). We argue that the EHDS proposal will pave the way for patients to access and control third-party access to their electronic health records. In our analysis of the proposal, we have identified five key principles for ORA: (1) the right to access, (2) proxy access, (3) patient input of their own data, (4) error and omission rectification, and (5) access control. ORA implementation today is fragmented throughout Europe, and the EHDS proposal aims to ensure all European citizens have equal online access to their health data. However, we argue that in order to implement the EHDS, we need more research evidence on the key ORA principles we have identified in our analysis. Results from the NORDeHEALTH project provide some of that evidence, but we have also identified important knowledge gaps that still need further exploration.
  •  
41.
  • Hägglund, Maria, et al. (författare)
  • NORDeHEALTH – Learning from the Nordic Experiences of Patient Online Record Access
  • 2023
  • Ingår i: Journal of Medical Internet Research. - : JMIR Publications. - 1438-8871.
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
    • The Nordic countries are forerunners in online record access (ORA) which has now become widespread. The importance of accessible and structured health data has also been highlighted by policymakers internationally. To ensure the full realization of ORA’spotential in the short and long term, there is a pressing need to study ORA from a cross-disciplinary, technical, clinical, humanistic, and social sciences perspective that looks beyond strictly technical aspects. In this viewpoint paper, we explore the policy changes in the European Health Data Space (EHDS) proposal to advance ORA across the European Union, and introduce a Nordic-led research project that carries out the first of its kind, large-scale international investigation of patients’ ORA; NORDeHEALTH. We argue that the EHDS proposal will pave the way for patients to access and control third-party access to their electronic health records (EHRs). This will have implications within Europe and globally as it will further extend the boundaries for accessing and using EHRs for primary and secondary data use. Research such as that led by the NORDeHEALTH project is essential in guiding the design and implementation of solutions to meet the requirements of the EHDS proposal. Further international collaboration and research are needed to ensure that socio-technical and contextual factors are considered to ensure successful and secure implementation.
  •  
42.
  • Hägglund, Maria, Lektor, 1975-, et al. (författare)
  • The NORDeHEALTH 2022 Patient Survey : Cross-Sectional Study of National Patient Portal Users in Norway, Sweden, Finland, and Estonia
  • 2023
  • Ingår i: Journal of Medical Internet Research. - : JMIR Publications. - 1438-8871. ; 25
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Although many surveys have been conducted on patients accessing their own health records in recent years, there is a limited amount of nationwide cross-country data available on patients' views and preferences. To address this gap, an international survey of patient users was conducted in the Nordic eHealth project, NORDeHEALTH. OBJECTIVE: We aimed to investigate the sociodemographic characteristics and experiences of patients who accessed their electronic health records (EHRs) through national patient portals in Norway, Sweden, Finland, and Estonia. METHODS: A cross-sectional web-based survey was distributed using the national online health portals. The target participants were patients who accessed the national patient portals at the start of 2022 and who were aged ≥15 years. The survey included a mixture of close-ended and free-text questions about participant sociodemographics, usability experience, experiences with health care and the EHR, reasons for reading health records online, experience with errors, omissions and offense, opinions about security and privacy, and the usefulness of portal functions. In this paper, we summarized the data on participant demographics, past experience with health care, and the patient portal through descriptive statistics. RESULTS: In total, 29,334 users completed the survey, of which 9503 (32.40%) were from Norway, 13,008 (44.35%) from Sweden, 4713 (16.07%) from Finland, and 2104 (7.17%) from Estonia. National samples were comparable according to reported gender, with about two-thirds identifying as women (19,904/29,302, 67.93%). Age distributions were similar across the countries, but Finland had older users while Estonia had younger users. The highest attained education and presence of health care education varied among the national samples. In all 4 countries, patients most commonly rated their health as "fair" (11,279/29,302, 38.48%). In Estonia, participants were more often inclined to rate their health positively, whereas Norway and Sweden had the highest proportion of negative health ratings. Across the whole sample, most patients received some care in the last 2 years (25,318/29,254, 86.55%). Mental health care was more common (6214/29,254, 21.24%) than oncological care (3664/29,254, 12.52%). Overall, most patients had accessed their health record "2 to 9 times" (11,546/29,306, 39.4%), with the most frequent users residing in Sweden, where about one-third of patients accessed it "more than 20 times" (4571/13,008, 35.14%). CONCLUSIONS: This is the first large-scale international survey to compare patient users' sociodemographics and experiences with accessing their EHRs. Although the countries are in close geographic proximity and demonstrate similar advancements in giving their residents online records access, patient users in this survey differed. We will continue to investigate patients' experiences and opinions about national patient-accessible EHRs through focused analyses of the national and combined data sets from the NORDeHEALTH 2022 Patient Survey. 
  •  
43.
  • Hägglund, Maria, et al. (författare)
  • Timing It Right : Patients' Online Access to Their Record Notes in Sweden
  • 2018
  • Ingår i: Building Continents of Knowledge in Oceans of Data. - : IOS Press. - 9781614998518 - 9781614998525 ; 247, s. 336-340
  • Konferensbidrag (refereegranskat)abstract
    • In Sweden, and internationally, there is an ongoing debate about the effects of national implementations of Patient Accessible Electronic Health Records (PAEHRs). The purpose of this paper was to describe the current situation in Sweden and compare this with the expectations on reasonable waiting time for information access of users of the Swedish PAEHR. Data were collected from publicly available resources regarding current implementation in the 21 county councils, contrasted with patient experiences, gathered from a national online survey. The results indicate that patients have high expectations on immediate access to information, while this varies greatly in implementation across Sweden.
  •  
44.
  • Josefsson, Pernilla, et al. (författare)
  • A teacher-led Facebook group as a complementary communication channel
  • 2018
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • A Facebook group was used as a complementary communication channel during a course in human-computer interaction, autumn 2017. All 63 students and three involved teachers were invited to the group right before the course started. This was done within the scope of a pedagogical study aiming at investigating how a teacher administrated Facebook group affects student and teacher roles and communication between students as well as between students and teachers. The study included a pre-survey on social media literacy, collection of posts and user reactions, and a post-survey eliciting student attitudes towards Facebook as well as opinions about the use of Facebook during the course. Posts and comments were analyzed using a content analysis approach. 48/63 students chose to join the group and of these 40 were active participants. Most student posts and comments concerned the ongoing project work and logistics.
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45.
  •  
46.
  •  
47.
  • Kujala, Sari, et al. (författare)
  • Benchmarking usability of patient portals in Estonia, Finland, Norway, and Sweden
  • 2024
  • Ingår i: International Journal of Medical Informatics. - : Elsevier. - 1386-5056 .- 1872-8243. ; 181
  • Tidskriftsartikel (refereegranskat)abstract
    • INTRODUCTION: Poor usability is a barrier to widespread adoption of electronic health records (EHR). Providing good usability is especially challenging in the health care context, as there is a wide variety of patient users. Usability benchmarking is an approach for improving usability by evaluating and comparing the strength and weaknesses of systems. The main purpose of this study is to benchmark usability of patient portals across countries. METHODS: A mixed-methods survey approach was applied to benchmark the national patient portals offering patient access to EHR in Estonia, Finland, Norway, and Sweden. These Nordic countries have similar public healthcare systems, and they are pioneers in offering patients access to EHR for several years. In a survey of 29,334 patients, both patients' quantitative ratings of usability and their qualitative descriptions of very positive and very negative peak experiences of portal use were collected. RESULTS: The usability scores ranged from good to fair level of usability. The narratives of very positive and very negative experiences included the benefits of the patient portals and experienced usability issues. The regression analysis of results showed that very positive and negative experiences of patient portal use explain 19-35% of the variation of usability scores in the four countries. The percentage of patients who reported very positive or very negative experiences in each country was unrelated to the usability scores across countries. CONCLUSIONS: The survey approach could be used to evaluate usability with a wide variety of users and it supported learning from comparison across the countries. The combination of quantitative and qualitative data provided an approximation of the level of the perceived usability, and identified usability issues to be improved and useful features that patients appreciate. Further work is needed to improve the comparability of the varied samples across countries. 
  •  
48.
  • Moll, Jonas, et al. (författare)
  • A haptic tool for group work on geometrical concepts engaging blind and sighted pupils
  • 2013
  • Ingår i: ACM Transactions on Accessible Computing. - : Association for Computing Machinery (ACM). - 1936-7228 .- 1936-7236. ; 4:4
  • Tidskriftsartikel (refereegranskat)abstract
    • General Terms: Design, Experimentation, Human Factors In the study presented here, two haptic and visual applications for learning geometrical concepts in group work in primary school have been designed and evaluated. The aim was to support collaborative learning among sighted and visually impaired pupils. The first application is a static flattened 3D environment that supports learning to distinguish between angles by means of a 3D haptic device providing touch feedback. The second application is a dynamic 3D environment that supports learning of spatial geometry. The scene is a room with a box containing geometrical objects, which pupils can pick up and move around. The applications were evaluated in four schools with groups of two sighted and one visually impaired pupil. The results showed the support for the visually impaired pupil and for the collaboration to be satisfying. A shared understanding of the workspace could be achieved, as long as the virtual environment did not contain movable objects. Verbal communication was crucial for the work process but haptic guiding to some extent substituted communication about direction. When it comes to joint action between visually impaired and sighted pupils a number of interesting problems were identified when the dynamic and static virtual environments were compared. These problems require further investigation. The study extends prior work in the areas of assistive technology and multimodal communication by evaluating functions for joint haptic manipulation in the unique setting of group work in primary school.
  •  
49.
  • Moll, Jonas, et al. (författare)
  • Audio makes a difference in haptic collaborative virtual environments
  • 2010
  • Ingår i: Interacting with computers. - : Oxford University Press (OUP). - 0953-5438 .- 1873-7951. ; 22:6, s. 544-555
  • Tidskriftsartikel (refereegranskat)abstract
    • In this paper a study is presented which aimed at exploring the effects of audio feedback in a haptic and visual interface supporting collaboration among sighted and people who cannot see. A between group design was used and the participants worked in pairs with one sighted and one blindfolded in each. The application used was a haptic 3D environment in which participants could build composed objects out of building blocks. The building blocks could be picked up and moved around by means of a touch feedback pointing device. In one version of the application sound cues could be used to tell the other person whereyou were, and to get feedback on your own and the other person’s actions. Results showed that sound cues together with haptic feedback made a difference in the interaction between the collaborators regarding their shared understanding of the workspace and the work process. Especially, sound cues played an important role for maintaining awareness of ongoing work – you knew what was going on, and you got a response on your own actions.
  •  
50.
  • Moll, Jonas, 1982-, et al. (författare)
  • Awarding bonus points as a motivator for increased engagement in course activities in a theoretical system development course
  • 2022
  • Ingår i: 2022 IEEE Frontiers in Education Conference (FIE). - : IEEE. - 9781665462440 - 9781665462457
  • Konferensbidrag (refereegranskat)abstract
    • This research to practice full paper focuses on gamification in a theoretical university course. Gamification has been applied in many different educational contexts as a means to motivate students to engage with course material. One commonly used gamification element is bonus points. This study aimed to investigate the use of bonus points as a motivator for increased engagement in course activities in a theoretical system development course in higher education. A mixed method approach, based on statistical analysis of course achievement, survey data and student group interviews has been applied to address this aim. According to the results, we found that awarding bonus points in the course seminars had positive effects on students’ learning motivation and engagement, as well as students’ achievements on the final course examination. This study contributes to the current literature of gamification in education by studying the implementation of bonus points in a theoretical course in higher education – two areas where there is currently a lack of studies. Furthermore, practical insights in how to implement a bonus points system in higher education have been highlighted.
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