Attended Medicine 2.0'08 (Toronto, Canada)
Medicine 2.0'09 (Toronto, Canada)
From expert-driven to user-oriented communication of infection control guidelines
Background: Currently, infection control protocols are more expert-driven than user-centered. In order to become more usable, protocols should externalize healthcare workers’ (HCWs) tacit knowledge, which is context-dependent and made up of practical and experiential wisdom of individual HCWs. Objective:Based on a user-centered design process, we developed a web-based tool that facilitates HCWs with applicable infection control guidelines that enable them to deliver safe health care. ...
Ambient Assisted Living (AAL) For Dementia Patients And Their Caregivers: Effects On Care Coordination and Monitoring Sleep/Wake Rhythm
Background: The number of people with dementia in the Netherlands is quickly growing. More people with dementia come into the Dutch nursing homes, but less people start working in these nursing homes. The people with dementia in a nursing home have a disturbed sleep/wake rhythm. This can cause very sleepy patients or very nervous patients during day and night. Objectives: To identify the potential for ambient assisted living (AAL) technology for dementia patients and caregivers; in parti...
Medicine 2.0'10 (Maastricht, NL)
‘’The Chitchatters: a Leisure Activity for People with Dementia to Stimulate Social Interaction.’’
Background: Worldwide, there were 30 million people with dementia (PWD) in 2009 and will be 100 million in 2050, respectively. These numbers show the need for a change in care for PWD. The provision of leisure and pleasant activities to PWD in group living environments is a serious challenge for changing care for dementia. Leisure activities can support PWD in several ways: meeting in basic needs, providing comfort and social interaction, reducing boredom, agitation, and isolation. An exempla...
Panel Supporting Health Care by Persuasive Technology
Persuasive eHealth provides a renewed vision on supporting health care by technology. Persuasive Technology focuses on how motivational and affective technologies used to create, maintain, or change human thought and behaviour may be. Persuasive health care technology has its roots in a combination of well-established research in social psychology, communication, health care informatics and creative technologies. This multidisciplinary field of health care technology brings a special contribu...
Factors influencing the long-term use of a web-based disease management program for supporting self-care of patients with diabetes type II
Background: The take-up of eHealth applications in general is still rather low and only limited information is available on the level of technology usage among specific patient groups. Objective: The aim of this study was to explore the factors that influence the use -initial and long-term- of a web-based disease management program for supporting the self-care of patients with diabetes type II. Methods: Using a mixed-methods research design with log files, usability tests, interviews and...
Grounding EHealth - Development of a Web 2.0 Framework for Design, Implementation and Evaluation of EHealth Applications
Since the discussion about What is eHealth? and the introduction of the next generation of technology Web 2.0 more and more studies stress the importance of theoretical models or frameworks to provide evidence for bridging the gap between medicine and technology to make eHealth usable. However, most existing frameworks focus almost exclusively on one aspect of eHealth, such as technology acceptance or health information quality, rather than on the multi-determinants that influence the success...
A Web-based Diabetes Education Programme and The Challenges Regarding Its Evolution
Encouragement and support of selfmanagement with the use of web based technology is a promising area in diabetes care. The Diabetes Interactive Education Programme DIEP is an online application for persons with type 2 diabetes mellitus (DM2) and their health care providers in the Netherlands. The programme aims to increase understanding of DM2 and its sequelae; to stimulate active patient participation and patient-health care provider interaction; and to provide tools to support adequate self...
Designing a Telecare System for Caregivers: a User Centered Approach Using Scenarios.
Telecare systems show the potential for elderly to remain in-home for a longer period by increasing early detection of behavioural changes and adapt home care delivery. As 37% of the telecare initiatives fail due to a lacking user acceptance of the technology, involving users in the design process and taking their needs as onset for design is regarded as a prerequisite. However involving caregivers as contemplated users in the design process raises several barriers. Caregivers are overall tec...
Medicine 2.0'11 (Stanford University, USA)
Participatory Development of a 2.0 Platform to Implement an International Antibiotic Stewardship Program
Background To reduce the risks resistant bacteria pose to patient safety, more prudent use of antibiotics both in and outside care facilities is needed. Our literature review shows that there is a lack of available, usable, and tailored information on antibiotic use in public health and care facilities. Antibiotic Stewardship Programs (ASPs) have been proposed and implemented--mainly in hospitals--to facilitate physicians in prescribing the right antimicrobial drug for an appropriate amount ...
A Wiki for Collaborative Development in eHealth
eHealth technologies may contribute to solve some serious challenges to global health and health care. As of yet the impact of eHealth technologies on healthcare practice is rather small compared to investments and professional expectation. In our research we have identified five major clusters of causes: a) inadequate research methods, b) lack of knowledge about the process of technological innovation, c) a skewed medical expert-driven approach to eHealth technologies, and d) the use of inap...
Medicine 2.0'12 (Boston, USA)
Business Modeling in EHealth
Abstract - Implementation of eHealth technologies often go wrong as this part of the development of eHealth technology is either underestimated, addressed too late or not performed, while the success of the eHealth technology is not only dependent on its well-researched technical feats, but also on how well it fits in its intended care processes. Therefore, as part of the CeHRes Roadmap used in various eHealth projects by the Center of eHealth and Disease Management at the University of Twent...
Medicine 2.0'13 (London, UK)
Good, Bad and Ugly Tech, Why We Need Persuasive Technology to Make EHealth More Productive
Background This paper synthesizes empirical research aimed at behavior change via technology. The paper is based on systematic reviews, empirical research from my researchgroup (Center eHealth Research, 2005-2013). Objective: Technology is not productive due to Bad and Ugly tech (ill-driven, woman oriented, text based, preacher-technology and tech that harm frail people). In eHealth research, we observe a black box phenomenon, overlooking the capacities of technology to change behaviors. T...
Participatory Development of Medical Technology for Antimicrobial Stewardship Results in New Focus for ASP Mobile App
Background: Due to imprudent and uncontrolled antibiotic use in the past, microorganisms have become resistant or are on the verge to become so. If we continue to use antibiotics irresponsibly, soon we will not be able to treat a lot of diseases like Tuberculosis. Antimicrobial stewardship programs (ASPs) are proposed as a necessary means to stop antimicrobial resistance. In these programs, strategies such as prescribing restrictions, formularies, clinical decision support, pharmacy and clini...
EPortal for Self-Management; Critical Factors for Implementation
Background eHealth will play an important role in disease management, e.g. in providing online support for self-management, in improving information exchange among professionals and with patients, as well as in monitoring the performance of the disease management program. One of the largest challenges that researchers, policy-makers, and healthcare professionals face is identifying and measuring in precise terms the added-value of eHealth technologies to support healthcare provision and dise...
Full Paper Publications
JMIR Research Protocols
Business Modeling to Implement an eHealth Portal for Infection Control: A Reflection on Co-Creation With Stakeholders
Opening the Black Box of Electronic Health: Collecting, Analyzing, and Interpreting Log Data
Correction for: Opening the Black Box of Electronic Health: Collecting, Analyzing, and Interpreting Log Data
Journal of Medical Internet Research
The Contribution of Teleconsultation and Videoconferencing to Diabetes Care: A Systematic Literature Review
Factors Influencing the Use of a Web-Based Application for Supporting the Self-Care of Patients with Type 2 Diabetes: A Longitudinal Study
A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
Why Business Modeling is Crucial in the Development of eHealth Technologies
How to Increase Reach and Adherence of Web-Based Interventions: A Design Research Viewpoint
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