| 1. |
- Premanandan, Shweta, et al.
(författare)
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Design Suggestions for a Persuasive E-coaching Application : A Study on Informal Caregivers' Needs
- 2023
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Ingår i: Digital Health. - : Sage Publications. - 2055-2076. ; 9, s. 1-12
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Informal caregivers such as relatives or close friends of patients are essential for caregiving at home. However, caregiving is a complex experience that may affect the caregivers’ well-being. Therefore, there is a need to provide support for caregivers, which we address in this article by proposing design suggestions for an e-coaching application. This study identifies the unmet needs of caregivers in Sweden and provides design suggestions for an e-coaching application using the persuasive system design (PSD) model. The PSD model offers a systematic approach to designing IT interventions.Methods: A qualitative research design was used, and semi-structured interviews were conducted with 13 informal caregivers from different municipalities in Sweden. A thematic analysis was performed to analyze the data. The PSD model was used to map the needs emerging from this analysis to propose design suggestions for an e-coaching application for caregivers.Results: Six needs were identified, and based on them, we proposed design suggestions for an e-coaching application using the PSD model. These unmet needs are monitoring and guidance, assistance to avail formal care services, access to practical information without being overwhelmed, feeling of community, access to informal support, and grief acceptance. The last two needs could not be mapped using the existing PSD model, resulting in an extended PSD model.Conclusion: This study revealed the important needs of informal caregivers based on which design suggestions for an e-coaching application were presented. We also proposed an adapted PSD model. This adapted PSD model can be further used for designing digital interventions in caregiving.
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| 2. |
- Premanandan, Shweta, et al.
(författare)
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Designing a Mobile e-Coaching App for Immigrant Informal Caregivers : Qualitative Study Using the Persuasive System Design Model
- 2023
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Ingår i: JMIR mhealth and uhealth. - : JMIR Publications. - 2291-5222. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Background: Informal caregivers are vital in caring for their family and friends at home who may have illnesses or disabilities. In particular, the demands for caregiving can be even more challenging for those with limited resources, support systems, and language barriers, such as immigrant informal caregivers. They face complex challenges in providing care for their relatives. These challenges can be related to sociocultural diversity, language barriers, and health care system navigation. Acknowledging the global context of the increasing number of immigrants is essential in designing inclusive mobile health apps.Objective: This study aims to investigate the needs of immigrant informal caregivers in Sweden and discuss the application of the Persuasive System Design Model (PSDM) to develop an e-coaching prototype. By addressing the unique challenges faced by immigrant informal caregivers, this study will contribute to the development of more effective and inclusive mobile health apps.Methods: The participants were considered immigrants and included in the study if they and their parents were born outside of Sweden. Through various channels, such as the National Association of Relatives, rehabilitation departments at municipalities, and immigrant groups, we recruited 13 immigrant informal caregivers. These immigrant informal caregivers were primarily women aged 18 to 40 years. Most participants belonged to the Middle Eastern region whereas some were from North Africa. However, all of them spoke Arabic. We used semistructured interviews to gather data from the participants in Arabic, which were translated into English. Data were analyzed using thematic analysis and discussed in relation to the extended PSDM. The needs of the caregivers were compared with the description of persuasive design principles, and a design principle was chosen based on the match. The PSDM was extended if the need description did not match any principles. Several brainstorming and prototyping sessions were conducted to design the mobile e-coaching app.Results: Immigrant informal caregivers have various needs in their caregiving role. They reported a need for training on the illness and future caregiving needs, assistance with understanding the Swedish language and culture, and help with accessing internet-based information and services. They also required recognition and appreciation for their efforts, additional informal support, and easy access to health care services, which can be important for their mental health. The PSDM was adapted to the informal caregiving context by adding “facilitating conditions” and “verbal encouragement” as additional persuasive design principles. This study also presents the subsequent mobile e-coaching app for immigrant informal caregivers in Sweden.Conclusions: This study revealed important immigrant informal caregivers’ needs based on which design suggestions for a mobile e-coaching app were presented. We also proposed an adapted PSDM, for the informal caregiving context. The adapted PSDM can be further used to design digital interventions for caregiving.
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| 3. |
- Premanandan, Shweta, et al.
(författare)
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Designing a Persuasive E-Coaching Application for Informal Caregivers
- 2023
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Ingår i: Caring is Sharing. - : IOS Press. - 9781643683898 - 9781643683881 ; , s. 922-926
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Konferensbidrag (refereegranskat)abstract
- Being an informal caregiver is not easy, and might cause physical and psychosocial burden, especially in the long run. However, the formal health care system has little support for informal caregivers who experience abandonment and lack information. Mobile health can potentially be an efficient and cost-effective way of supporting informal caregivers. However, research has shown that mHealth systems often have problems with usability, and people do not use the systems for more than a short period. Therefore, this paper explores the design of an mHealth app using Persuasive Design, an established design framework. This paper presents the design of the first version of the e-coaching application using the persuasive design framework and unmet needs of informal caregivers from the literature. This prototype version will be updated based on interview data from informal caregivers in Sweden.
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| 4. |
- Premanandan, Shweta, et al.
(författare)
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Designing and Evaluating IT Applications for Informal Caregivers : Protocol for a Scoping Review
- 2023
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Ingår i: JMIR Research Protocols. - : JMIR Publications. - 1929-0748. ; 12
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Forskningsöversikt (refereegranskat)abstract
- Background: A growing number of informal caregivers in many countries are important for effective functioning of health care in our society. Hence, they must receive the required support and services to continue providing care. IT applications can be used to support informal caregivers in their caregiving activities. However, evidence-informed guidelines for developing such IT applications and their evaluation are scarce. Hence, this scoping review can aid researchers and designers by providing design recommendations for IT apps for caregivers and potentially improve the design of IT applications for caregivers to meet their needs better.Objective: This study aims to describe the proposal for a scoping review of current practices and recommendations in designing and evaluating IT applications for informal caregivers. The scoping review will also discuss the opportunities and challenges in designing these IT applications.Methods: We will use a 5-step scoping review methodology to map relevant literature published as follows: (1) identify the research question, (2) identify relevant studies, (3) select relevant studies for review, (4) chart the data from selected literature, and (5) summarize and report results. A structured search will be conducted in PubMed, Scopus, IEEE digital library, Web of Science, and ACM Digital Library databases. In addition, hand searches of reference lists and keyword searches in Google Scholar will also be conducted. Inclusion criteria will be researched (journal and conference) articles focused on IT applications designed for use by informal caregivers and study type to be qualitative studies. Two reviewers will independently identify articles for review and extract data. Conflicts will be discussed, and a third reviewer will be consulted if a consensus cannot be reached. These data will be analyzed using thematic analysis.Results: The results from this scoping review will be presented in a narrative form, and additional data on study characteristics will be presented in diagrams or tabular format. Uppsala University first initiated this scoping review protocol in December 2021 as part of the European Union–funded project ENTWINE. This work was also supported by the Swedish Research Council and the Swedish Cancer Society. The results will be presented in August 2023 and will be disseminated through a report to the European Union and a peer-reviewed journal publication. In addition, the team plans to share its findings on various public platforms, including social media, blog posts, and relevant conferences and workshops.Conclusions: This is, to our knowledge, the first study to map the literature on the design and evaluation of IT applications for informal caregivers. The scoping review’s results will detail the requirements, design suggestions, and user preferences, as well as the usability criteria and features of IT applications for informal caregivers. A mapping of studies could inform the design and implementation of future IT applications for informal caregivers.
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| 5. |
- Ejnefjäll, Thomas, 1974-
(författare)
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Routinizing Workarounds : The Case of a Mandated PDMS in Critical Care
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Workarounds are an emerging area within information systems (IS) research where contributions are increasing but there seem to be different views on what constitutes a workaround. While some aspects of workarounds have attracted considerable research attention and show a high degree of consensus, other aspects contain scarce or conflicting findings. This thesis aims to investigate what constitutes a workaround and how routine dynamics can contribute to our understanding of workarounds in mandatory contexts.I first performed a concept-centric literature review based on literature that has influenced or been published in the former Association for Information Systems (AIS) Senior Scholars’ basket of eight journals and official AIS conferences. I also developed a conceptualization of workarounds from described workaround behaviour in the previous research.With that backdrop, I studied workarounds during the implementation of a Patient Data Management System (PDMS) in two critical care units at a Swedish hospital. A PDMS is a health information system designed to automatically retrieve data from bedside equipment at critical care units and present these in a structured format to improve documentation, manipulation, and interpretation. Usage of the PDMS was truly mandatory where the staff were required to use the system to keep and perform their jobs. Using observations and interviews, I collected data which were analysed using reflexive thematic coding.My research contributes to IS literature in several ways. I develop a conceptualization and definition for workarounds inductively derived from empirical accounts of workaround behaviour that make it possible to distinguish workarounds from other similar phenomena. Then I show how routine dynamics helps us to better understand the internal dynamics of workarounds and the role of artefacts, power, and resistance, and provides us with tools to, for instance, remove redundant workarounds. I also provide thick empirical descriptions that make it possible for researchers to engage with, and question, my assumptions and the applied theoretical framework.
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| 6. |
- Ejnefjäll, Thomas, et al.
(författare)
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Workarounds in information systems research : A five-year update
- 2023
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Ingår i: ECIS 2023 Proceedings. - : ECIS. - 9781958200087
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Konferensbidrag (refereegranskat)abstract
- This paper complements an earlier (2019) literature review on workarounds in information systems research by including research that has influenced or been published in core IS outlets during the last five years (2018–2022). Our study captures research that strengthened, widened, and challenged theoretical insights from the previous review. It also provides additional insights and develops seven themes of theoretical insight. The 31 new papers and our updated analysis are most evident in the three themes: Workarounds and power, Temporality of workarounds, and Managing workarounds. We also found additional studies using the term ‘workaround’ differently to the extent that they have not applied the term to the same empirical phenomena, which questions the validity of some theoretical claims. We also found significantly more studies that used quantitative data-collection methods than the previous review.
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| 7. |
- Eriksson, Owen, 1957-, et al.
(författare)
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Speaking things into existence : Ontological foundations of identity representation and management
- 2022
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Ingår i: Information Systems Journal. - : John Wiley & Sons. - 1350-1917 .- 1365-2575. ; 32:1, s. 33-60
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Tidskriftsartikel (refereegranskat)abstract
- Conceptual models capture knowledge about domains of reality. Therefore, conceptual models and their modelling constructs should be based on theories about the world—that is, they should be grounded in ontology. Identity is fundamental to ontology and conceptual modelling because it addresses the very existence of objects and conceptual systems in general. Classification involves grouping objects that share similarities and delineating them from objects that fall under other concepts (qualitative identity). However, among objects that fall under the same concept, we must also distinguish between individual objects (individual identity). In this paper, we analyze the ontological question of identity, focusing specifically on institutional identity, which is the identity of socially constructed institutional objects. An institutional entity is a language construct that is ‘spoken into existence’. We elaborate on how institutional identity changes how we understand conceptual modelling and the models produced. We show that different models result if we base modelling on a property-based conception of identity compared to an institutional one. We use the Bunge-Wand-Weber principles, which embrace a property-based view of identity, as an anchor to the existing literature to point out how this type of ontology sidesteps identity in general and institutional identity in particular. We contribute theoretically by providing the first in-depth ontological analysis of what the notion of institutional identity can bring to conceptual modelling. We also contribute a solid ontological grounding of identity management and the identity of things in digital infrastructures.
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| 8. |
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| 9. |
- Premanandan, Shweta, et al.
(författare)
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The Role of national culture in the adoption of public e-health systems in Sweden
- 2021
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Ingår i: Abstract book. - : University of Twente.
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Konferensbidrag (refereegranskat)abstract
- Background: Studies show that digital systems like ehealth fail due to underutilization by citizens, in spite of heavy investment, good design, usability and support. Investigating this underutilization from the perspective of national culture is essential. Hence, the aim of this study is to explore the effect of Swedish culture on the way ehealth systems are perceived and used by individuals. Methods: Eight semi-structured interviews were conducted with users of ehealth systems among Swedes. Snowball sampling was used to identify the participants. The study protocol was developed using the extended Unified Theory of Acceptance and Use of Technology (UTAUT) and GLOBE’s cultural dimensions. Data was analyzed by thematic analysis using NVivo 12.Findings: The themes that were analyzed were perceived risk, performance expectancy, effort expectancy, social influence, facilitating conditions, performance orientation, power distance, collectivism, uncertainty avoidance and assertiveness. Most of the respondents found the interface inconsistent but still used it as it was easy.Discussion: The study shows that culture is an important determinant of use behavior. The Swedish society can be characterized as being high on uncertainty avoidance and low on power distance, collectivism, performance orientation. The perception of risk associated with use was low as they displayed an inherent trust in their government and the systems provided by them like the ehealth. They also expected an unambiguous system along with help files to navigate without seeking external help. Word of mouth was not a determinant to adoption unlike other cultures. The extended UTAUT seemed to not be an appropriate theoretical framework for this context and further work would use Social Cognitive Theory.
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| 10. |
- Sjöström, Jonas, 1974-, et al.
(författare)
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An Educational Interaction Model for Curriculum Design and Evolution
- 2021
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Ingår i: International Conference on Information Systems (ICIS) 2021. - Austin : Association for Information Systems. - 9781733632591
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Konferensbidrag (refereegranskat)abstract
- In this short paper, we report from a case study addressing complexities of IS curriculum design. In a design science research process, we build on literature as well as workshops with IS practitioners in the design of two IS bachelor programs. Drawing from experiences from the process, we abstract the educational interaction model (EIM). Based on the identified types of stakeholder interaction, we articulate five considerations for IS curriculum design and evolution. Future work will focus on testing and further developing the EIM model in evaluation and design of IS curricula.
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