Health Information Technology Commons^™

Multifaceted Contents And Techniques For Designing Health Communication Courses, Maria Brann, Laura Russell

Journal of Communication Pedagogy

Health communication courses explore health phenomena from various angles. Whether focusing on interpersonal and organizational relationships or addressing community and national campaigns, instructors may choose from various contents to design these courses. This essay highlights critical questions, contents, and activities useful for instructors seeking information for designing health communication courses. Moreover, the authors reflect on sensitive issues unique to these courses that instructors should take into consideration when teaching.

Improving The Patient Experience Through Patient Portals: Insights From Experienced Portal Users, Cynthia J. Sieck, Jennifer L. Hefner, Ann Scheck Mcalearney

Patient Experience Journal

Background: Patient portals have become part of the ecosystem of care as both patients and providers use them for a range of activities both individually and collaboratively. As patients and providers gain greater experience using portals, their use and needs related to portals may evolve. Objective: This study aimed to learn from experienced patient portal users to improve our understanding of their perspectives on portal use for collaboration and engagement as well as explore how using a portal influenced their experiences with primary care providers. Methods: Qualitative study involving 29 semi-structured interviews with family medicine patients from a large Academic …

Spatio-Temporal Distribution Of Negative Emotions In New York City After A Natural Disaster As Seen In Social Media, Oliver Gruebner, Sarah R. Lowe, Martin Sykora, Ketan Shankardass, Sv Subramanian, Sandro Galea

Department of Psychology Faculty Scholarship and Creative Works

Disasters have substantial consequences for population mental health. We used Twitter to (1) extract negative emotions indicating discomfort in New York City (NYC) before, during, and after Superstorm Sandy in 2012. We further aimed to (2) identify whether pre- or peri-disaster discomfort were associated with peri- or post-disaster discomfort, respectively, and to (3) assess geographic variation in discomfort across NYC census tracts over time. Our sample consisted of 1,018,140 geo-located tweets that were analyzed with an advanced sentiment analysis called ”Extracting the Meaning Of Terse Information in a Visualization of Emotion” (EMOTIVE). We calculated discomfort rates for 2137 NYC census …

A Multi-Level Assessment Of Healthcare Facilities Readiness, Willingness, And Ability To Adopt And Sustain Telehealth Services, Jamie Larson

Theses & Dissertations

Telehealth technologies are becoming more pervasive throughout the healthcare system as a way to provide services to patients that would otherwise have difficulty with access. Currently, little is known about the current state of telehealth use within clinics and hospital in the US. Most studies evaluating telehealth programs are feasibility or small patient outcome studies from one location. Utilizing a hybrid framework combining the levels of complex socio-technical systems with the theory of ready, willing and able. The theory of ready, willing, and able is founded on the basis that these three preconditions need to be met for a change …

Mobile Health Technology Knowledge And Practices Among Patients Of Safety-Net Health Systems In Washington State And Washington, Dc, Sharon S. Laing, Muhammad Alsayid, Carlota Ocampo, Stacey Baugh

Journal of Patient-Centered Research and Reviews

Purpose: Mobile health technology (mHealth) can reduce health disparities, but research on the health behaviors of low-income patients is needed. This study evaluates mHealth knowledge and practices of low-resource safety-net patients.

Methods: We administered a 47-item questionnaire to 164 low-income patients accessing services at community health centers in the state of Washington and Washington, DC. Predictor variables included demographic factors: age, race, ethnicity, income. Outcome variables were smartphone knowledge (smartphones as a wellness tool), medical app knowledge (availability of medical-based apps), smartphone practices (ever used smartphones for wellness), health apps practices (ever used health-based apps), and medical apps practices (ever …

Predictors And Outcomes Of Nurses’ Use Of Smartphones For Work Purposes, John Robert Bautista, Sonny Rosenthal, Trisha T.C. Lin, Yin Leng Theng

Research Collection College of Integrative Studies

Recent studies have indicated that nurses use their smartphones for work purposes to enhance productivity. However, few theory-driven quantitative studies have examined factors associated with such use. This study aims to address this research gap by developing and testing a model based on the theory of planned behavior, organizational support theory, and IT consumerization theory. Hypothesis testing used structural equation modeling of survey data from 517 staff nurses employed in 19 tertiary-level general hospitals in the Philippines. Results showed that injunctive norm, descriptive norm, and perceived behavioral control were positively associated with intention to use smartphones for work purposes. Moreover, …

Detecting Personal Intake Of Medicine From Twitter, Debanjan Mahata, Jasper Friedrichs, Rajiv Ratn Shah, Jing Jiang

Research Collection School Of Computing and Information Systems

Mining social media messages such as tweets, blogs, and Facebook posts for health and drug related information has received significant interest in pharmacovigilance research. Social media sites (e.g., Twitter), have been used for monitoring drug abuse, adverse reactions to drug usage, and analyzing expression of sentiments related to drugs. Most of these studies are based on aggregated results from a large population rather than specific sets of individuals. In order to conduct studies at an individual level or specific groups of people, identifying posts mentioning intake of medicine by the user is necessary. Toward this objective we develop a classifier …

An Adaptation Of Grounded Theory Using A Modified Convergent Interviewing Technique, Elica Safari Mehr, Peter Carswell, Karen Day

The Qualitative Report

Grounded Theory (GT) researchers have been using adaptations of this methodology to serve theory building purposes, following different theoretical frameworks. However, there is a lack of enough information on the variation of GT used, or their epistemological assumptions in some studies. The purpose of this paper is to provide our experience in a GT study using a modified convergent interviewing technique to help guide other researchers on using this method and build their own research design. We have combined a decision-making technique, called Delphi, with convergent interviewing and provided a clear explanation of the steps required to apply this method …

Exploring Direct And Indirect Effects Of English Proficiency On Access, Utilization, And Health Status Among Californian Adults With Limited English Proficiency (Lep), Renee E. Pierre-Louis

Seton Hall University Dissertations and Theses (ETDs)

Background and Study Purpose: Findings from previous studies suggest that, in a health care delivery context, individuals with limited English proficiency (LEP) are adversely impacted by lack of patient-provider language concordance. Yet, the concept of LEP has been mostly studied in the context of cultural competence and language has been generally considered a demographic or cultural characteristic. There is a growing body of research concerning LEP and health status; however, it is limited. This study sought to evaluate the effects of LEP on access, utilization, and self-rated health status (SRHS) among LEP respondents to a large health interview survey …

Utilization Of Telehealth Technology In Addiction Treatment In Colorado, J. Michael Faragher, Ying Shan Doris Zhang, Virginia Low, Demi Folds, Mita Johnson

Counseling Psychology: Faculty Scholarship

The growing presence of electronic technology in the health service professions is redefining the boundaries of counseling services. Commonly referred to as telehealth, utilization of electronic communication strategies to expand connectedness has opened new frontiers in behavioral health through applications ranging from digital phones, interactive video sessions, to virtual supervision. Substantial research suggests that telehealth is generally equal in effectiveness to traditional forms of treatment, especially for those individuals struggling with substance abuse problems. Unfortunately, research also suggests that telehealth is often underutilized when it comes to providing addiction treatment services. Telehealth trends in Colorado were examined using a Telehealth …

Analysis Of College Students’ Personal Health Information Activities: Online Survey, Sujin Kim, Donghee Sinn, Sue Yeon Syn

Internal Medicine Faculty Publications

Background: With abundant personal health information at hand, individuals are faced with a critical challenge in evaluating the informational value of health care records to keep useful information and discard that which is determined useless. Young, healthy college students who were previously dependents of adult parents or caregivers are less likely to be concerned with disease management. Personal health information management (PHIM) is a special case of personal information management (PIM) that is associated with multiple interactions among varying stakeholders and systems. However, there has been limited evidence to understand informational or behavioral underpinning of the college students’ PHIM activities, …

Reliability Testing Of The Star Rating For Schools (Sr4s) Mobile Application: Results From A Pilot Study, Ashley Hunt, Morag Mackay, Amira Roess

GW Research Days 2016 - 2020

Globally, approximately 3500 individuals are killed due to a road traffic injury each day, equating to nearly 1.3 million deaths each year and more than a million children are either killed by, or sustain serious injury, from road traffic incidents. School zones are locations where there may be high concentrations of children at certain hours of the day, thereby increasing their exposure to road and pedestrian injuries. The International Road Assessment Programme (iRAP), an NGO established in 2006, developed the Star Ratings measurement system, which is used globally to provide simple, comparable and objective measurements of the built-in safety of …

Assessing Psychophysiological Effects Of Malodorous Pollutants In Residents Of Leandrinho, Bahia, Brazil: A Pilot Study Using A Whatsapp-Based Questionnaire, Shanell Folger, Courtney Woods, Rita Franco Rego, Carlos Henrique Amaral, Washington Ramos, Amanda Northcross

GW Research Days 2016 - 2020

Background: Leandrinho is located in the region that is home to the largest industrial chemical complex in the southern hemisphere that covers approximately 49 km². Leandrinho residents have reported experiencing adverse health effects that co-occur during periods of malodor emitted by the petrochemical industry. However, there is currently no tool for the residents to systematically record incidents of malodor. This pilot study assessed the feasibility of using a questionnaire designed through Whatsapp, a text-messaging application commonly used among residents.

Method: Leandrinho residents were randomly recruited to complete a daily questionnaire using either paper (n=24) or Whatsapp (n=24) over …

Evaluating The Trustworthiness Of Consumer-Oriented Health Websites On Diabetes, Shahabedin Rahmatizadeh, Saeideh Valizadeh-Haghi

Library Philosophy and Practice (e-journal)

Objective: The patients involvement in disease management can decrease economic burden on diabetic patients and society. Quality health information may help patients to involve in their health management. Thus, individuals need to find the additional information from other information resources such as health websites. Nevertheless, health websites vary in quality and reliability. Therefore, it is of great importance to identify trustable health websites on diabetes. Thus, the aim of the present study was to evaluate the reliability of health websites concerning diabetes.

Materials and methods: The keyword ‘’diabetes mellitus ‘’ was entered as a search term into the three …

The Role Of Ehealth In Disasters: A Strategy For Education, Training And Integration In Disaster Medicine, Anthony C. Norris, Jose J. Gonzalez, David T. Parry, Richard E. Scott, Julie Dugdale, Deepak Khazanchi

Information Systems and Quantitative Analysis Faculty Publications

This paper describes the origins and progress of an international project to advance disaster eHealth (DEH) – the application of eHealth technologies to enhance the delivery of healthcare in disasters. The study to date has focused on two major themes; the role of DEH in facilitating inter-agency communication in disaster situations, and the fundamental need to promote awareness of DEH in the education of disaster managers and health professionals. The paper deals mainly with on-going research on the second of these themes, surveying the current provision of disaster medicine education, the design considerations for a DEH programme for health professionals, …

Follow My Voice: The Future Of Phr Authentication, Jeanette M. Rose, Ryan Schuetzler, John R. Windle, Ann L. Fruhling

UNO Student Research and Creative Activity Fair

The current electronic personal health record (PHR) has low patient adoption [1]. Increasing use and adoption of the PHR will improve patient-centered care. Users often have difficulty remembering passwords or share them, giving multiple people access to one account.

Utilizing biometrics for authentication is becoming more common in our daily lives – think of the fingerprint sensor on a smartphone or retina scanners at high security corporations. The quickly evolving technology that runs our lives calls for incorporating biometric authentication into more systems. Using biometric authentication can ensure that passwords would not need to be remembered and that only the …

Social Marketing For Health Promotion Hlt 410, Joanna Burkhardt

Library Impact Statements

No abstract provided.

Credibility Strategies Of Popular Health Websites: A Rhetorical Analysis Of Parkinson's Information Pages, Abigail Bakke

English Department Publications

Though using e-health is a common patient practice, unregulated and inaccurate online medical content can pose real dangers. To effectively convey important and accurate health messages, online health organizations must make their information stand out as trustworthy. To identify credibility strategies, I conducted a rhetorical analysis of Parkinson’s disease content from the two most popular U.S. health websites: NIH.gov and WebMD. Based on the range of credibility strategies identified in these webpages, I recommend that medical writers and e-health designers convey both expertise and trustworthiness to build credibility in their content.

Book Review: Surrogacy: A Human Rights Violation By Renate Klein, Kate Rose

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Community Health Worker Employer Survey: Perspectives On Chw Workforce Development In The Midwest, Virginia Chaidez, Angela L. Palmer-Wackerly, Kate Trout

Department of Communication Studies: Faculty Publications

A statewide Community Health Worker Employer Survey was administered to various clinical, community, and faith-based organizations (n = 240) across a range of rural and urban settings in the Midwest. At least 80% of participants agreed or strongly agreed that items characterized as supervisory support were present in their work environment. Thirty-six percent of respondents currently employed CHWs, over half (51%) of survey respondents reported seeing the need to hire/work with more CHWs, and 44% saw the need for CHWs increasing in the future. Regarding CHW support, a majority of respondents indicated networking opportunities (63%), paid time for networking (80%), …

Does Insulin Therapy Matter? Determinants Of Diabetes Care Outcomes, Jennifer A. Andersen, Larry Gibbs

Department of Sociology: Faculty Publications

Objective: To evaluate adherence to care standards for people with diabetes (PWDs) on insulin therapy versus PWDs who are not on insulin therapy, controlling for social determinants.

Research design and methods: Utilizing the United States 2015 Behavioral Risk Factor Surveillance System Survey, this study used logistic regression analyses to estimate differences in self-care behaviors, healthcare provider quality of care, and diabetic complications for individuals on insulin therapy and individuals not on insulin therapy.

Results: PWDs on insulin therapy are more likely to adhere to self-care measures (self-glucose checks [OR: 7.57], self-foot checks [OR: 1.27], diabetes class participation [OR: 1.96]), adherence …

Evaluation Of Ehealth Literacy Among Non-Clinical Graduate Students; An Iranian Experience, Meisam Dastani, Masoumeh Ansari, Masoumeh Sattari

Library Philosophy and Practice (e-journal)

Background and Aim: e-health literacy is the ability to search, find, understand and evaluate health information from electronic information sources and use this information to diagnose or resolve health disorders.

Objective: The aim of this study was to investigate the e-health literacy of non-clinical graduate students of Tabriz University of Medical Sciences.

Materials and Methods: In this descriptive-survey research, 159 graduate students and 41 Ph.D. students were randomly selected and investigated. The data collection tool was a standard version of the e-Healths questionnaire. The collected data was analyzed by using the SPSS.22 software.

Results: The results showed that the …

Using Person-Centered Scheduling With Geriatric Patients To Reduce Anxiety With Telepsychiatry, Jody G. Long, Patricia A. Wilkerson, Evi Taylor, John H. Hall, Christopher Peters

Contemporary Rural Social Work Journal

ABSTRACT

Objective: This study explored using person-centered scheduling with telepsychiatry for rural community geriatric patients. Quantitative research approaches were used to determine the level of satisfaction participants experienced with person-centered scheduling and geriatric telepsychiatry. Method: Quantitative data were collected by using the Zung Self-Rating Anxiety Scale (SAS) before scheduling the first appointment and to assess the intervention’s effectiveness after the telepsychiatry session. Results: Person-centered telepsychiatry scheduling decreased geriatric patients’ anxiety as evidenced by Zung SAS scores. Conclusion: Older adult patients saw telepsychiatry as a viable means of treatment. Future research with geriatrics from different regions is needed.

Implications and future …

Privacy Risks And Security Threats In Mhealth Apps, Brinda Hansraj Sampat, Bala Prabhakar

Journal of International Technology and Information Management

mHealth (Mobile Health) applications (apps) have transformed the doctor-patient relationship. They help users with varied functionalities such as monitoring their health, understanding specific health conditions, consulting doctors online and achieving fitness goals. Whilst these apps provide an option of equitable and convenient access to healthcare, a lot of personal and sensitive data about users is collected, stored and shared to achieve these functionalities. Little is known about the privacy and security concerns these apps address. Based on literature review, this paper identifies the privacy risks and security features for evaluating thirty apps in the Medical category across two app distribution …

Determinants Of Behavioral Intent To Adopt The Closed-Loop Artificial Pancreas Among Diabetes Healthcare Providers, Carolyn M. Serrano

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: Diabetes mellitus for both children and adults are broadly defined as a group of complex diseases characterized by high blood glucose, resulting from a defect in either the production of or action of insulin, or both (National Institutes of Health, 2014). There are 29.1 million people in the US that are estimated to have diagnosed or undiagnosed diabetes (Centers for Disease Control and Prevention (CDC), 2014). Type 1 diabetes accounts for approximately 5-10% of all diabetes cases however, it has serious short term and long-term implications (Daneman, 2006).

Technology for diabetes management is rapidly …

Reducing Symptom Distress In Patients With Advanced Cancer Using An E-Alert System For Caregivers: Pooled Analysis Of Two Randomized Clinical Trials, David H. Gustafson, Lori L. Dubenske, Amy K. Atwood, Ming-Yuan Chih, Roberta A. Johnson, Fiona Mctavish, Andrew Quanbeck, Roger L. Brown, James F. Cleary, Dhavan Shah

Health and Clinical Sciences Faculty Publications

Background: Symptom distress in patients toward the end of life can change rapidly. Family caregivers have the potential to help patients manage those symptoms, as well as their own stress, if they are equipped with the proper resources. Electronic health (eHealth) systems may be able to provide those resources. Very sick patients may not be able to use such systems themselves to report their symptoms but family caregivers could.

Objective: The aim of this paper was to assess the effects on cancer patient symptom distress of an eHealth system that alerts clinicians to significant changes in the patient’s symptoms, as …

Overcoming Barriers To Implementing Electronic Health Records In Rural Primary Care Clinics, Patricia Mason, Roger Mayer, Wen-Wen Chien, Judith P. Monestime

The Qualitative Report

Medicare-eligible physicians at primary care practices (PCP) that did not implement an electronic health record (EHR) system by the end of 2015 face stiff penalties. One year prior to the 2015 deadline, approximately half of all primary clinics have not implemented a basic EHR system. The purpose of this phenomenology study was to explore rural primary care physicians and physician assistants’ experiences regarding overcoming barriers to implementing EHRs. Complex adaptive systems formed the conceptual framework for this study. Data were collected through face-to-face interviews with a purposeful sample of 21 physicians and physician assistants across 2 rural PCPs in the …

College Students, Experiences On Smart Phone Technology Usage: A Qualitative Content Analysis Study, Fatemeh Jafarzadeh-Kenarsari, Parand Pourghane

The Qualitative Report

Besides many benefits of the cell phone technology, numerous arguments are raised on the different and important negative effects of such a technology. This qualitative content analysis study explored the common usages of smart phone technology, its challenges, and benefits among Iranian college students. Participants were 32 bachelor degree students who were recruited using purposive sampling method with maximum variation. Data were collected through 11 individual semi-structured interviews and 3 focus group discussions (5-8 students in each group). Data analysis was done based on a conventional content analysis approach. Data analysis resulted in 3 main themes and 12 sub-themes. The …

Iranian Medical English Journals: Reference Analysis Based On Journal Selection Criteria In Wos, Pubmed And Scopus, Somayeh Ghaffari Heshajin, Shahram Sedghi, Leila Asghari Hineh Abad

Library Philosophy and Practice (e-journal)

Objective: The references are an important component of citation analysis. In this study, it is aimed to determine the reference analysis of Iranian Medical English Journals (IMEJ) based on WOS, Scopus and PubMed journal selection criteria.

Methods: This study is a descriptive quantitative analysis which deals with the last issues of 52 numbers of IMEJ which haven't been indexed in WOS, Scopus, and PubMed. The data were collected observing the journals data provider websites and then entered into a checklist tool. MS Excel software was used for data analysis.

Results: About 88.5% of journals had their own reference style. In …

Gender Differences In Virologic Response After Antiretroviral Therapy In Treatment-Naïve Hiv-Infected Individuals: Results From The 550 Clinic Hiv Cohort Study., Andrea Reyes-Vega, Alejandra Loban, Kavitha Srinivasan, Stephen P. Furmanek, Conner English, Mary Bishop, Cathy Spencer, Daniel Truelove, Julio A. Ramirez, Anupama Raghuram, Paula Peyrani

Faculty and Staff Scholarship

Background

Controversy still exists regarding gender differences in virologic response between treatment-na•ve HIV-infected individuals. The objective of this study was to evaluate gender difference in virologic and immunologic response to antiretroviral therapy in treatment-na•ve HIV-infected individuals. Methods

This was a retrospective, observational study of treatment-na•ve HIV-infected individuals managed at the 550 clinic who started antiretroviral therapy (ART) between January 1st, 2010 and December 31, 2015. Patients with available viral load and CD4 counts before and one year after initiating ART were included in this study. Virologic suppression was defined as < 48 HIV-1 RNA copies/mL, and mmunologic recovery was defined as a CD4 count increase of at least 150 cells/mm3. Dichotomous variables were reported in number and percentages and analyzed using Chi-squared tests and Fisher’s exact (whichever was appropriate). Continuous variables were reported as median and interquartile range (IQR) and analyzed using Wilcox rank-sum tests. Multivariate analyses performed were logistic regressions with adjustment for other covariates. P value <0.05 was considered statistically significant. R version 3.3.2 was used for the statistical analysis. Results

A total of 70 women and 90 men were included …