| 1. |
- Dalipi, Fisnik, Senior lecturer, et al.
(författare)
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Going digital as a result of COVID-19 : Insights from students’ and teachers’ impressions in a Swedish university
- 2022
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Ingår i: International Journal of Educational Research Open. - : Elsevier. - 2666-3740. ; 3
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Tidskriftsartikel (refereegranskat)abstract
- During the past two years, the entire world has been coping with the consequences of the COVID-19 pandemics. The need for physical distancing, forced an accelerated digital transformation of the education sector. The emergency remote education (ERE) has been manifested differently across diverse countries in the world. In this paper, we bring a case study about students’ and teachers’ impressions and experiences regarding the changes that have happened due to pandemic conditions in university courses in informatics at a Swedish university. This research is conducted through a mix of quantitative and qualitative empirical data. These data have been collected through the students surveys, course logs, as well as teachers and ICT pedagogue interviews. The collected data have been analyzed through the technology-mediated learning (TML) theoretical framework. Based on the thematic analysis on the collected data, we have identified three main themes: a) Preparedness, b) Challenges with ERE and c) Opportunities with ERE. As a result, through analyzing data in the light of the ERE experiences that encompasses the educational process, affordance, and beliefs, knowledge, and practices, we provide a set of lessons-learned experiences and indicate the possible lines of actions when it comes to the learning design in the constrained pandemic situations.
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| 2. |
- Ferati, Mexhid, et al.
(författare)
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Tackling the Sustainability of Digital Aging Innovations Through Design Thinking and Systems Thinking Perspectives
- 2021
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Ingår i: ICT for Health, Accessibility and Wellbeing. - Cham : Springer. - 9783030942083 - 9783030942090 ; , s. 179-184
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Bokkapitel (refereegranskat)abstract
- The digitalization of society brings many opportunities and challenges, especially on how we organize the welfare society in the future. This becomes especially pertinent as we are heading toward a global increase of older people, which will strain healthcare and bring the challenge of building sustainable solutions. In this paper, we argue that the unsustainable solutions within healthcare are due to them being defined and ‘solved’ with a single approach or approaches used in silos. We advocate that a more sustainable solution could be achieved by combining systems thinking and design thinking perspectives throughout the entire process—from problem definition to solution offering. A benefit of such combined perspectives is the ability to develop a shared context among all stakeholders, which helps uncover unique tacit knowledge from their experience. This will serve as a solid foundation to generate unconventional ideas that will lead to sustainable and satisfactory solutions.
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| 3. |
- Hammar, Tora, 1984-, et al.
(författare)
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Current Knowledge about Providing Drug–Drug Interaction Services for Patients : A Scoping Review
- 2021
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Ingår i: Pharmacy. - : MDPI. - 2226-4787. ; 9:2
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Forskningsöversikt (refereegranskat)abstract
- Drug–drug interactions (DDIs) pose a major problem to patient safety. eHealth solutions have the potential to address this problem and generally improve medication management by providing digital services for health care professionals and patients. Clinical decision support systems (CDSS) to alert physicians or pharmacists about DDIs are common, and there is an extensive body of research about CDSS for professionals. Information about DDIs is commonly requested by patients, but little is known about providing similar support to patients. The aim of this scoping review was to explore and describe current knowledge about providing digital DDI services for patients. Using a broad search strategy and an established framework for scoping reviews, 19 papers were included. The results show that although some patients want to check for DDIs themselves, there are differences between patients, in terms of demands and ability. There are numerous DDI services available, but the existence of large variations regarding service quality implies potential safety issues. The review includes suggestions about design features but also indicates a substantial knowledge gap highlighting the need for further research about how to best design and provide digital DDI to patients without risking patient safety or having other unintended consequences.
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| 4. |
- Iqbal, Sarfraz, 1979-, et al.
(författare)
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Exploring Smart Watch Ecosystem Value Co-creation Experience : A Qualitative Case Study
- 2022
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Ingår i: The Eighth International Conference on Smart Portable, Wearable, Implantableand Disability-oriented Devices and Systems. - : International Academy, Research and Industry Association (IARIA). - 9781612089638 ; , s. 1-7
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Konferensbidrag (refereegranskat)abstract
- Internet of Things (IoT) is a technology paradigm comprising physical objects such as smart watches embedded with sensors, software, and networking technologies that are used to connect and exchange data with other devices such as smart phones and systems over the Internet. Smart watches and other wearables are emerging at a rapid speed, and they have engaged the users in redefining their interaction with mobile and pervasive technologies by creating an ecosystem of relevant devices. This research work focused on the issue of value co-creation and better understanding of smart watch consumer’s adoption and appropriation process which can highlight the factors motivating or demotivating the consumers to use the smart watches to achieve different objectives. Through a qualitative research method, empirical data was collected by observation, written questionnaire, and interviews. Using a thematic analysis scheme, the following four themes were generated from the collected data: (1) Getting motivated and maintaining motivation, (2) Usefulness – value-in-use and value-in context, (3) Technical issues with smart watch resources, and (4) Information security and privacy concerns about smart technologies.
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| 5. |
- Iqbal, Sarfraz, 1979-, et al.
(författare)
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Sustainable Healthcare Systems : A holistic perspective on the use and impact of medication management robots in home healthcare
- 2021
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Ingår i: Scandinavian Journal of Information Systems. - : Association for Information Systems. - 0905-0167 .- 1901-0990. ; 33:2, s. 181-214
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Tidskriftsartikel (refereegranskat)abstract
- This study focuses on medication management robotic system (MMR) in home health care, which is part of a complex medication management system that in addition to patients, their families, care personnel, municipal health and social care managers, and technology also includes prescribers and dispensing pharmacies. Successful medication management requires communication, coordination and effective information sharing among the network actors and across different settings. Information ecology perspective is used to describe and understand the whole system, the network of people, technology, and information systems, as well as the impact of MMR system on patients and caregivers’ relationships, roles, and responsibilities. This qualitative case study aimed to explore the impact of implementation and deployment of MMR system, as part of a pilot project in municipal eldercare in the south of Sweden. This research work elucidates the holistic perspective of medication management system for home care services, and highlights the processes and situational complexities, as well as the role of the personnel and key stakeholders involved in these processes. This research work is in line with UN’s sustainable development goals to develop a reliable, sustainable and resilient regional infrastructure, to support human well-being, with a focus on affordable and equitable access for all.
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| 6. |
- Jokela, Päivi, 1958-, et al.
(författare)
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Testbäddar inom hälso och sjukvård
- 2022
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Rapporten sammanställer resultatet från två delstudier om digitala testbäddar inom hälso- och sjukvården i Sverige. Den första var en explorativ studie som omfattade 15 digitala testbäddar inom hälso- och sjukvården i Sverige. Den andra var en studie som fokuserade på företag som utvecklar produkter och tjänster inom hälsa, vård och omsorg, för att erhålla företagens perspektiv på testbäddar.
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| 7. |
- Kadhim, Duaa Abdulrazak, et al.
(författare)
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Electronic Health Records : Non-Swedish Speaking Refugee’s Perspective
- 2022
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Ingår i: Proceedings of the 18th International Symposium on Health Information Management Research. - : Linnaeus University Press. - 9789189081093
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Konferensbidrag (refereegranskat)abstract
- Electronic health record (EHR) is a ubiquitous e-health tool that includes both Electronic Medical Record (EMR) and personal health record (PHR). EHR is aimed to be a versatile digital tool that can benefit both caregivers and patients through Quick and easy access to medical information at any time from hospitals or primary care units. However, the fact that the bulk of core records, including self- service data for patients, is only available in Swedish may limit the scope, availability and feasibility of self service through EHRs access for refugee patients who are non-Swedish speakers. Research results suggest that the EHRs should be meaningful, modified, and improved based on patient’s needs, by actively involving patients in their healthcare. The issues diagnosed in this research work such as EHR an information sharing communication System, lack of Information about using EHR, language barrier a hinderance in using EHRs, EHRs as medical recommendation system, better instructions about EHRs, presenting medical information in diagnosis part in EHRs in other languages and presenting medical information in diagnosis part in EHRs by sound are very important to address non-Swedish speaking refugee patients’ needs to use and benefit from EHRs.
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| 8. |
- Nilsson, Anna-Lena, 1962-, et al.
(författare)
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Intervjuer med patienter och anhörigainom habilitering och rehabilitering i Kalmar län hösten 2021
- 2021
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Inom Kalmar läns habilitering och rehabilitering pågår sedan våren 2021 ett gemensamt förbättringsarbete, Framtidens habilitering och rehabilitering är Nära, mellan länets kommuner och regionen, med stöttning av eHealth Arena och dess aktörer. Det första steget har varit att lyssna på patienters och anhörigas upplevelser och uttryckta behov i deras resa genom habiliterings- och rehabiliteringsprocessen. Detta har gjorts genom djupintervju och resultatet är sammanställt i en rapport.
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| 9. |
- Rahman Jabin, MD Shafiqur, et al.
(författare)
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Digital Health Testbeds in Sweden : An exploratory study
- 2022
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Ingår i: Digital Health. - : Sage Publications. - 2055-2076. ; 8, s. 1-21
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Tidskriftsartikel (refereegranskat)abstract
- Objective: This study explored the Swedish digital health testbeds through the lens of complexity science.Methods: The purposive sampling was used to identify 38 digital health testbed organizations to conduct interviews in written or audio-conferencing. The interview responses were aggregated and analyzed using thematic analysis. The themes were mainly generated through complexity theory and the principles of complex adaptive systems.Results: Fifteen testbed organizations responded, comprising 13 written responses and two audio-conferencing. Five maintheoretical themes were generated: agents and diversity, connections and communication, adaptation and learning, perturbations,and path dependence. Agents and diversity depicted different types of testbeds, stakeholders and innovation, and the primary function and purpose of the testbeds. Various factors enhancing connections and communications among multiple stakeholders were identified, such as the quality of e-health solutions and the 2030 Agenda for Sustainable Development. Some adaptation and learning factors, such as internal reorganization, sharing and creating learning opportunities, and additional funding, guaranteed the sustainability of testbeds. Perturbations were characterized by two factors: non-linear interactions – lack of commitment and transparency in stakeholders’ engagement, and uncertainty about testbed definitions and concepts. Path dependence highlighted the importance of history, such as previous positive and negative experiences.Conclusion: This study provided insights into testbeds’ organization, their functions, how various aspects were challenged,and how they adapted to overcome and improve the system issues. Identifying the stakeholders and relevant factors, commissioning an evaluation, backing up with a contingency plan, securing adequate funding, and disseminating the findings can improve the testbeds’ design and implementation.
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| 10. |
- Villius Zetterholm, My, 1986-, et al.
(författare)
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Addressing Complexity in the Pandemic Context: How Systems Thinking Can Facilitate Understanding of Design Aspects for Preventive Technologies
- 2023
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Ingår i: Informatics. - : MDPI. - 2227-9709. ; 10:1
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Tidskriftsartikel (refereegranskat)abstract
- The COVID-19 pandemic constitutes a wicked problem that is defined by rapidly evolving and dynamic conditions, where the physical world changes (e.g., pathogens mutate) and, in parallel, our understanding and knowledge rapidly progress. Various preventive measures have been developed or proposed to manage the situation, including digital preventive technologies to support contact tracing or physical distancing. The complexity of the pandemic and the rapidly evolving nature of the situation pose challenges for the design of effective preventive technologies. The aim of this conceptual paper is to apply a systems thinking model, DSRP (distinctions, systems, relations, perspectives) to explain the underlying assumptions, patterns, and connections of the pandemic domain, as well as to identify potential leverage points for design of preventive technologies. Two different design approaches, contact tracing and nudging for distance, are compared, focusing on how their design and preventive logic are related to system complexity. The analysis explains why a contact tracing technology involves more complexity, which can challenge both implementation and user understanding. A system utilizing nudges can operate using a more distinct system boundary, which can benefit understanding and implementation. However, frequent nudges might pose challenges for user experience. This further implies that these technologies have different contextual requirements and are useful at different levels in society. The main contribution of this work is to show how systems thinking can organize our understanding and guide the design of preventive technologies in the context of epidemics and pandemics.
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| 11. |
- Villius Zetterholm, My, 1986-, et al.
(författare)
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Digital contact tracing applications during COVID-19 : A scoping review about public acceptance
- 2021
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Ingår i: Informatics. - Basel : MDPI. - 2227-9709 .- 2227-9709. ; 8:3
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Forskningsöversikt (refereegranskat)abstract
- Digital contact tracing applications (CTAs) have been one of the most widely discussed technical methods of controlling the COVID-19 outbreak. The effectiveness of this technology and its ethical justification depend highly on public acceptance and adoption. This study aims to describe the current knowledge about public acceptance of CTAs and identify individual perspectives, which are essential to consider concerning CTA acceptance and adoption. In this scoping review, 25 studies from four continents across the globe are compiled, and critical topics are identified and discussed. The results show that public acceptance varies across national cultures and sociodemographic strata. Lower acceptance among people who are mistrusting, socially disadvantaged, or those with low technical skills suggest a risk that CTAs may amplify existing inequities. Regarding determinants of acceptance, eight themes emerged, covering both attitudes and behavioral perspectives that can influence acceptance, including trust, privacy concerns, social responsibility, perceived health threat, experience of and access to technologies, performance expectancy and perceived benefits, and understanding. Furthermore, widespread misconceptions about the CTA function are a topic in need of immediate attention to ensure the safe use of CTAs. The intention-action gap is another topic in need of more research.
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| 12. |
- Villius Zetterholm, My, 1986-
(författare)
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Re-defining the Problem in Technology Aided Epidemic Prevention : from contact tracing to behavioral design
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In this work, the Covid-19 pandemic provides the context for exploring the emerging field of mobile technologies for disease prevention and tracking during epidemics and pandemics. Knowledge on how to design and utilize these types of digital preventive technologies and how to gain public acceptance is still limited. This area presents novel opportunities for the informatics community to address the pressing need to enhance resilience to epidemic outbreaks. Much focus has been placed on proximity-based contact tracing applications during this pandemic, but their use has raised concerns about ethics and privacy. Scholars have also called for alternatives to this technology. In this regard, technologies based on behavioral design represent a promising yet under-explored opportunity. The aim of this thesis is to contribute to a better understanding of how mobile technologies can support preventive efforts during epidemic outbreaks. Additionally, it aims to inform ways of thinking and approaching the problem to guide design of digital preventive technologies. The research question guiding this work is: How can digital preventive technologies based on proximity tracking be designed and utilized to enhance mitigation strategies during epidemic outbreaks?This work comprises four studies that shed light on different levels of this complex problem through conceptual and empirical approaches. Two technologies—contact tracing and nudge technologies—are discussed, and various aspects related to their design and use are explored. It is proposed to reframe the problem in technological design, from a focus on tracking infectious individuals to a behavioral design perspective, promoting physical distancing through nudges. Moreover, it is emphasized that human aspects such as public acceptance are essential for utilizing the potential of digital preventive technologies. This thesis contributes to emerging theoretical understanding of how digital and preventive technologies can be utilized in epidemic outbreaks. It also expands the number of tangible alternatives available for a toolbox of digital preventive technologies, strengthening our preparedness for future outbreaks.
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| 13. |
- Villius Zetterholm, My, 1986-, et al.
(författare)
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Using a Proximity-Detection Technology to Nudge for Physical Distancing in a Swedish Workplace During the COVID-19 Pandemic : Retrospective Case Study
- 2022
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Ingår i: JMIR Formative Research. - : JMIR Publications. - 2561-326X. ; 6:12
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Tidskriftsartikel (refereegranskat)abstract
- Background: The recent COVID-19 pandemic has contributed to the emergence of several technologies for infectious disease management. Although much focus has been placed on contact-tracing apps, another promising new tactic is proximity tracing, which focuses on health-related behavior and can be used for primary prevention. Underpinned by theories on behavioral design, a proximity-detection system can be devised that provides a user with immediate nudges to maintain physical distance from others. However, the practical feasibility of proximity detection during an infectious disease outbreak has not been sufficiently investigated.Objective: We aimed to evaluate the feasibility of using a wearable device to nudge for distance and to gather important insights about how functionality and interaction are experienced by users. The results of this study can guide future research and design efforts in this emerging technology.Methods: In this retrospective case study, a wearable proximity-detection technology was used in a workplace for 6 weeks during the production of a music competition. The purpose of the technology was to nudge users to maintain their physical distance using auditory feedback. We used a mixed methods sequential approach, including interviews (n=8) and a survey (n=30), to compile the experiences of using wearable technology in a real-life setting.Results: We generated themes from qualitative analysis based on data from interviews and open-text survey responses. The quantitative data were subsequently integrated into these themes: feasibility (implementation and acceptance—establishing a shared problem; distance tags in context—strategy, environment, and activities; understanding and learning; and accomplishing the purpose) and design aspects (a purposefully annoying device; timing, tone, and proximity; and additional functions).Conclusions: This empirical study reports on the feasibility of using wearable technology based on proximity detection to nudge individuals to maintain physical distance in the workplace. The technology supports attention to distance, but the usability of this approach is dependent on the context and situation. In certain situations, the audio signal is frustrating, but most users agree that it needs to be annoying to ensure sufficient behavioral adaption. We proposed a dual nudge that involves vibration followed by sound. There are indications that the technology also facilitates learning how to maintain a greater distance from others, and that this behavior can persist beyond the context of technology use. This study demonstrates that the key value of this technology is that it places the user in control and enables immediate action when the distance to others is not maintained. This study provides insights into the emerging field of personal and wearable technologies used for primary prevention during infectious disease outbreaks. Future research is needed to evaluate the preventive effect on transmission and investigate behavioral changes in detail and in relation to different forms of feedback.
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