445 research outputs found

    Active and assisted living ecosystem for the elderly

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    A novel ecosystem to promote the physical, emotional and psychic health and well-being of the elderly is presented. Our proposal was designed to add several services developed to meet the needs of the senior population, namely services to improve social inclusion and increase contribution to society. Moreover, the solution monitors the vital signs of elderly individuals, as well as environmental parameters and behavior patterns, in order to seek eminent danger situations and predict potential hazardous issues, acting in accordance with the various alert levels specified for each individual. The platform was tested by seniors in a real scenario. The experimental results demonstrated that the proposed ecosystem was well accepted and is easy to use by seniors

    An empirical evaluation of m-health service users’ behaviours: A case of Bangladesh

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    A thesis submitted in partial fulfilment of the requirements of the University of Wolverhampton for the degree of Doctor of Philosophy.Mobile health (m-health) services are revolutionising healthcare in the developing world by improving accessibility, affordability, and availability. Although these services are revolutionising healthcare in various ways, there are growing concerns regarding users' service quality perceptions and overall influence on satisfaction and usage behaviours. In developing countries, access to healthcare and low healthcare costs are insufficient if users lack confidence in healthcare service quality. Bangladesh's Directorate General of Health Services (DGHS) provides the only government-sponsored m-health service available to the entire population. DGHS's m-health service, available since 2009, is yet to be evaluated in terms of users' perceptions of the quality of service and its impact on satisfaction and usage. Hence, this study developed a conceptual model for evaluating the associations between overall DGHS m-health service quality, satisfaction, and usage behaviours. This study operationalised overall m-health service quality as a higher-order construct with three dimensions- platform quality, information quality, and outcome quality, and nine corresponding subdimensions-privacy, systems availability, systems reliability, systems efficiency, responsiveness, empathy, assurance, emotional benefit, and functional benefit. Moreover, researchers in various service domains, including- healthcare, marketing, environmental protection, and information systems, evaluated and confirmed the influence of social and personal norms on satisfaction and behavioural outcomes like- intention to use. Despite this, no research has been conducted to determine whether these normative components affect m-health users' service satisfaction and usage behaviours. As a result, this study included social and personal norms along with overall service quality into the conceptual model to assess the influence of these variables on users' satisfaction and m-health service usage behaviours. Data was collected from two districts in Bangladesh- Dhaka and Rajshahi, utilising the online survey approach. A total of 417 usable questionnaires were analysed using partial least squares structural equation modelling to investigate the relationships between the constructs in Warp PLS. The study confirms that all three dimensions of service quality and their corresponding subdimensions influence users' overall perceptions of DGHS m-health service quality. Moreover, overall DGHS m-health service quality has a significant direct association with satisfaction and an indirect association with usage behaviours through satisfaction. While social norms do not influence satisfaction and usage behaviours within the DGHS m-health context, personal norms directly influence users' satisfaction and indirectly influence usage behaviours through satisfaction. Theoretically, the study contributes by framing the influence of users' overall m-health service quality perceptions, social and personal norms on their actual usage behaviours rather than the intention to use. It also extends the existing knowledge by assessing and comparing m-health users' continuous and discontinuous behaviours. Methodologically this study confirms the usefulness of partial least squares structural equational modelling to analyse a complex model including a higher order construct (i.e., overall perceived service quality). Practically, the study demonstrates the importance of users' satisfaction in addition to service quality, as service quality only affects usage behaviours through satisfaction in the current study context. Additionally, knowing that personal norms significantly influence service satisfaction motivates providers of m-health services to strive to enhance users' personal norms toward m-health service to enhance service satisfaction and usage. Overall, the study will help enhance patient outcomes and m-health service usage

    Towards tailored medication self-management:needs of and support for patients with limited health literacy

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    This thesis aims to explore the needs of patients with a chronic disease and limited health literacy regarding medication, self-management and how support for self-management of medication can be tailored to those needs. This thesis demonstrates that patients with limited health literacy can be supported in their medication self-management through tailored health information that is more accessible, understandable, and easier to assess. In addition to providing health information and improving knowledge, medication self-management support should also focus on helping patients to acquire skills and self-confidence. This thesis provides recommendations for the design, content, and strategies of future self-management interventions for this group of patients. It also discusses strategies for reaching patients with limited health literacy and the importance of including them in the design of future interventions. Although healthcare professionals are willing to support medication self-management, a more active delivery approach and training are required to reach patients with limited health literacy

    International Academic Symposium of Social Science 2022

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    This conference proceedings gathers work and research presented at the International Academic Symposium of Social Science 2022 (IASSC2022) held on July 3, 2022, in Kota Bharu, Kelantan, Malaysia. The conference was jointly organized by the Faculty of Information Management of Universiti Teknologi MARA Kelantan Branch, Malaysia; University of Malaya, Malaysia; Universitas Pembangunan Nasional Veteran Jakarta, Indonesia; Universitas Ngudi Waluyo, Indonesia; Camarines Sur Polytechnic Colleges, Philippines; and UCSI University, Malaysia. Featuring experienced keynote speakers from Malaysia, Australia, and England, this proceeding provides an opportunity for researchers, postgraduate students, and industry practitioners to gain knowledge and understanding of advanced topics concerning digital transformations in the perspective of the social sciences and information systems, focusing on issues, challenges, impacts, and theoretical foundations. This conference proceedings will assist in shaping the future of the academy and industry by compiling state-of-the-art works and future trends in the digital transformation of the social sciences and the field of information systems. It is also considered an interactive platform that enables academicians, practitioners and students from various institutions and industries to collaborate

    The Role of Professional Identity into Explaining Saudi Arabian Healthcare Professional Resistance to Electronic Health Records’ Stratigic Change in Public Hospitals

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    Electronic Health Record (EHR) is an application that captures patients’ information and promises to improve healthcare services. Hence, many countries, including the developing country, such as Saudi Arabia, invested heavily to implement the system and improve healthcare service delivery. Yet, the system's adoption is slow, and failure is high, which could be related to healthcare professionals’ resistance to change to the EHR applications. Further, despite the importance of the topic of EHR resistance, little research has been conducted in Saudi Arabia regarding healthcare professionals’ resistance to change to EHR. Motivated thus, this research suggested that resistance to EHR in Saudi Arabia results from cultural and professional identity factors, which guide healthcare professionals’ behaviour. Therefore, this research investigated how the professional identity of Saudi healthcare professionals can explain their resistance tousing EHR applications. The study used identity theory as our main theoretical lens along with Hofstede cultural dimension theory and in-depth qualitative interviews to understand the EHR resistance to change phenomenon. Our study has revealed similarities between Saudi and Western healthcare professionals’ factors that could contribute to EHR resistance. However, interestingly, cultural, and religious norms were also found to be one of the leading causes of Saudi healthcare professionals’ resistance to the EHR change. Our theoretical contributions helped us understand the role of identity in EHR use in a place where professionals with a strong professional and cultural identity are the system's main users. In addition, our practical contributions aimed to help the Ministry of Health in Saudi Arabia to understand what healthcare professional needs before adapting an EHR system, or improve the current once. Further, it could help hospital managers address, understand, and solve the challenges facing healthcare professionals as they use the EHR system

    Accessibility of Health Data Representations for Older Adults: Challenges and Opportunities for Design

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    Health data of consumer off-the-shelf wearable devices is often conveyed to users through visual data representations and analyses. However, this is not always accessible to people with disabilities or older people due to low vision, cognitive impairments or literacy issues. Due to trade-offs between aesthetics predominance or information overload, real-time user feedback may not be conveyed easily from sensor devices through visual cues like graphs and texts. These difficulties may hinder critical data understanding. Additional auditory and tactile feedback can also provide immediate and accessible cues from these wearable devices, but it is necessary to understand existing data representation limitations initially. To avoid higher cognitive and visual overload, auditory and haptic cues can be designed to complement, replace or reinforce visual cues. In this paper, we outline the challenges in existing data representation and the necessary evidence to enhance the accessibility of health information from personal sensing devices used to monitor health parameters such as blood pressure, sleep, activity, heart rate and more. By creating innovative and inclusive user feedback, users will likely want to engage and interact with new devices and their own data

    Hidden Strains: Understanding Schizophrenia's Impact on Families and Communities

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    "Hidden Strains: Understanding Schizophrenia's Impact on Families and Communities" examines the challenges family caregivers of schizophrenia patients face in Romania. This study uncovers the socio-economic burdens and limited psychiatric support, particularly in rural areas, compounded by societal stigma. A significant finding is the caregivers' knowledge gap about schizophrenia, underscoring the need for mental health education for early detection and stigma reduction. The research stresses the vital roles of family and community in schizophrenia care, advocating for more community resources. It introduces innovative care models like the "Open Dialogue Approach" from Scandinavia, suggesting solutions for Romania's mental health challenges. Broadening its view, "Hidden Strains" contrasts Romanian mental health issues with global trends, emphasizing the urgency of mental health reforms. Concluding with recommendations for worldwide application, this work offers insights for professionals, caregivers, and policymakers, and resonates universally despite its Romanian foundation
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