Building communities for the exchange of learning objects: theoretical foundations and requirements

In order to reduce overall costs of developing high-quality digital courses (including both the content, and the learning and teaching activities), the exchange of learning objects has been recognized as a promising solution. This article makes an inventory of the issues involved in the exchange of learning objects within a community. It explores some basic theories, models and specifications and provides a theoretical framework containing the functional and non-functional requirements to establish an exchange system in the educational field. Three levels of requirements are discussed. First, the non-functional requirements that deal with the technical conditions to make learning objects interoperable. Second, some basic use cases (activities) are identified that must be facilitated to enable the technical exchange of learning objects, e.g. searching and adapting the objects. Third, some basic use cases are identified that are required to establish the exchange of learning objects in a community, e.g. policy management, information and training. The implications of this framework are then discussed, including recommendations concerning the identification of reward systems, role changes and evaluation instruments

Innovation by demand: An interdisciplinary approach to the study of demand and its role in innovation

The structure and regulation of consumption and demand has recently become of great interest to sociologists and economists alike, and at the same time there is growing interest in trying to understand the patterns and drivers of technological innovation. This book brings together a range of sociologists and economists to study the role of demand and consumption in the innovative process. The book starts with a broad conceptual overview of ways that the sociological and economics literatures address issues of innovation, demand and consumption. It goes on to offer different approaches to the economics of demand and innovation through an evolutionary framework, before reviewing how consumption fits into evolutionary models of economic development. Food consumption is then looked at as an example of innovation by demand, including an examination of the dynamic nature of socially-constituted consumption routines. The book includes a number of illuminating case studies, including an analysis of how black Americans use consumption to express collective identity, and a number of demand-innovation relationships within matrices or chains of producers and users or other actors, including service industries such as security, and the environmental performance of companies. The involvement of consumers in innovation is looked at, including an analysis of how consumer needs may be incorporated in the design of high-tech products. The final chapter argues for the need to build an economic sociology of demand that goes from micro-individual through to macro-structural features

Direct exterior orientation determination in close-range photogrammetry for cultural heritage recording

In this thesis a low-cost approach for cultural heritage recording is developed. The necessity for comprehensive and accurate heritage recording derives from the constant threat of heritage being damaged or destroyed. Close-range photogrammetry utilising consumer-grade digital cameras has proven efficient in this area. Recognising the desirability to record data in a three-dimensional national coordinate system conventionally requires establishing coordinated target points for exterior orientation determination. This is time consuming, costly and can be objectionable on sensitive sites. In this study this problem was overcome by developing an image-based recording system that is capable of direct exterior orientation determination. The system comprises a consumer-grade digital camera, a small-size and low-cost orientation sensor, and a differential Global Positioning System (DGPS) receiver. The focus on low-cost and easy-to-use components enables utilisation by non-specialists for heritage recording. In this research project methods for rotational and positional offset calibration between system components were devised and the practicability of the recording system was tested at Loughborough University and in case studies at two real heritage sites. Testing involved assessing offset calibration precision and stability as well as achievable absolute and relative accuracy. The results of these tests demonstrated that with sufficiently consistent calibration values, data for medium accuracy measurements (40 mm absolute and 12 mm relative accuracy) can be recorded without using any control. This thesis also explores methods for enhancing usage and accessibility of data representing cultural heritage. It was demonstrated that storing image and corresponding exterior orientation information in a single file and visualising heritage data in Google Earth can provide several benefits for cultural heritage recording and conservation projects

Usability evaluation of an eHealth intervention for family carers of individuals affected by psychosis: A mixed-method study

Background Existing research suggests that eHealth interventions targeting family carers of individuals with long-term illness offer a promising approach to care delivery. In particular, digital psychoeducational interventions with interactive psychosocial support are well-received with high rates of satisfaction and acceptability. However, development of such interventions for psychosis carers is lacking. We developed a multi-component eHealth intervention specifically for carers of individuals affected by psychosis, called COPe-support (Carers fOr People with Psychosis e-support). Objective Using mixed methods to evaluate usability, system heuristics and perceived acceptability, we conducted a usability study to establish the suitability of the intervention prototype for the target user group. Methods Twenty-three carers were recruited to the study and participated in a think-aloud test or a remote online trial of the intervention. Qualitative feedback, post-use System Usability Scale (SUS) scores, and real-world usage data collected from the tests were analysed. These were also supplemented with heuristic evaluation data provided by an independent eLearning technology expert. Results Participants evaluated the intervention content as useful and helpful, and indicated that the system had satisfactory usability with a mean SUS score of 73%, above the usability quality benchmark threshold. Study results identified some minor usability issues, which were corroborated with the eLearning expert’s heuristic evaluation findings. We used these results to refine the COPe-support intervention. Conclusions The usability study with end-users and service providers identified real-life usage and usability issues. The study results helped us refine COPe-support and its delivery strategy before its launch as part of a large-scale clinical trial

Development and evaluation of hand-held robotic technology for safe and successful peripheral intravenous catheterization on pediatric patients

Peripheral IntraVenous Catheterization (PIVC) is often required in hospitals to fulfil urgent needs of blood sampling or fluid/medication administration. Despite of the importance of a high success rate, the conventional PIVC operation suffers from low insertion accuracy especially on young pediatric patients. On average, each pediatric patient is submitted to 2.1 attempts before venous access is obtained, with around 50% failure for the first attempt. The risks of such multiple attempts can be severe and life-threatening as they can cause serious extravasation injuries. Given the levels of precision and controllability needed for PIVC, robotic systems show a good potential to effectively assist the operation and improve its success rate. Therefore, this study aims to provide such robotic assistance by focusing on the most challenging and error-prone parts of the operation. In order to understand the difficulties of a pediatric PIVC, a survey investigation is conducted with specialists at the beginning of this research. The feedbacks from this survey indicates an urgent need of a hand-held robot to assist in the catheter insertion control to precisely access the target vein. To achieve the above goal, a novel venipuncture detection system based on sensing the electrical impedance of the contacting tissue at the needle tip has been proposed and developed. Then several ex-vivo and in-vivo experiments were conducted to assess this detection system. Experimental results show that this system can be highly effective to detect venipuncture. Subsequently, based on this venipuncture detection system, four different handheld robots have been developed to provide different levels of autonomy and assistance while executing a PIVC insertion: 1. SVEI, short for \u2018Smart Venous Enter Indicator\u2019, is the simplest device without actuation. The user needs to do the whole PIVC operation, and this device only provides an indication of venipuncture by lighting up an LED. 5 2. SAID, short for \u2018Semi-Autonomous Intravenous access Device\u2019, integrates a motor to control the catheter insertion. The user is required to hold the device still and target it to a vein site. He/She then activates the device. The device inserts the catheter automatically and stops it when venipuncture is detected. 3. SDOP, short for \u2018Smart hand-held Device for Over-puncture Prevention\u2019, integrates a latch-based disengage mechanism to prevent over-puncture during PIVC. The user can keep the conventional way of operation and do the insertion manually. At the moment of venipuncture, the device automatically activates the disengage mechanism to stop further advancement of the catheter. 4. CathBot represents \u2018hand-held roBot for peripheral intravenous Catheterization\u2019. The device uses a crank-slider mechanism and a solenoid actuator to convert the complicated intravenous catheterization motion to a simple linear forward motion. The user just needs to push the device\u2019s handle forwards and the device completes the whole PIVC insertion procedure automatically. All the devices were characterized to ensure they can satisfy the design specifications. Then a series of comparative experiments were conducted to assess each of them. In the first experiment, 25 na\uefve subjects were invited to perform 10 trials of PIVC on a realistic baby arm phantom. The subjects were divided into 5 groups, and each group was asked to do the PIVC with one device only (SVEI, SAID, SDOP, CathBot and regular iv catheter). The experimental results show that all devices can provide the needed assistance to significantly facilitate and improve the success rates compared to the conventional method. People who have no experience of PIVC operation before can achieve considerably high success rates in robot-assisted PIVC (86% with SVEI, 80% with SAID, 78% with SDOP and 84% with CathBot) compared to the control group (12%) who used a regular iv catheter. Also, all 5 subjects using SVEI, 3 out of 5 subjects using SAID, 2 out of 5 subjects using SDOP and 4 out of 5 subjects using CathBot were able to successfully catheterize the baby arm phantom on their first attempt, while no subjects in the control group succeeded in their first attempts. Since SVEI showed the best results, it was selected for the second round of evaluation. In the second experiment, clinicians including both PIVC experts and general clinicians were invited to perform PIVC on a realistic baby arm phantom with 3 trials using SVEI and 3 trials in the conventional way. The results demonstrate that SVEI can bring great benefits to both specialists and general clinicians. The average success rates were found to be significantly improved from 48.3% to 71.7% when SVEI was used. The experimental results reveal that all experts achieved better or equal results with SVEI compared to the conventional method, and 9 out of 12 non-experts also had better or equal performance when SVEI was used. Finally, subjective feedback acquired through post-trial questionnaires showed that all devices were highly rated in terms of usability. Overall, the results of this doctoral research support continued investment in the technology to bring the handheld robotic devices closer to clinical us

Improving Accessibility in Online Education: Comparative Analysis of Attitudes of Blind and Deaf Students Toward an Adapted Learning Platform

15 p.People with different capacities, such as the deaf and blind, have problems accessing educational content due to lack of accessible technology. Accessibility and usability are closely related concepts that share the goals for a satisfactory user experience. Existing literature establishes a direct relation between accessibility and usability, and reports that there are problems with both in learning platforms, and more generally with most websites. The objective of this paper is to evaluate the accessibility and usability of a learning platform by interrogating its participants. Three groups of students with different capacities (blind, deaf and deaf-blind) used an accessible learning platform prototype to assess the accessibility and usability of the platform and its contents. This article presents a comparative study of the perception and attitude of blind and deaf students towards the use of a learning platform adapted to their personal needs. Results showed that their attitude to the adaptation was very positive but there were differences in the perception of the ease of use of the application and with the level of difficulty to access the learning content. This work contributes to the body of knowledge by showing the effects that adaptations have on learning contents for blind and deaf students in terms of accessibility and ease of use through the analysis of the perceptions of participants. Future work may consider increasing the sample of students, as well as developing and testing new technologies and approaches that address other forms of functional diversit

Genome visualisation and user studies in biologist-computer interaction

We surveyed a number of genome visualisation tools used in biomedical research. We recognised that none of the tools shows all the relevant data geneticists who look for candidate disease genes would like to see. The biological researchers we collaborate with would like to view integrated data from a variety of sources and be able to see both data overviews and details. In response to this need, we developed a new visualisation tool, VisGenome, which allows the users to add their own data or data downloaded from other sources, such as Ensembl. VisGenome visualises single and comparative representations of the rat, the mouse, and the human chromosomes, and can easily be used for other genomes. In the context of VisGenome development we made the following research contributions. We developed a new algorithm (CartoonPlus) which allows the users to see different kinds of data in cartoon scaling depending on a selected basis. Also, two user studies were conducted: an initial quantitative user study and a mixed paradigm user study. The first study showed that neither Ensembl nor VisGenome fulfil all user requirements and can be regarded as user-friendly, as the users make a significant number of mistakes during data navigation. To help users navigate their data easily, we improved existing visualisation techniques in VisGenome and added a new technique CartoonPlus. To verify if this solution was useful, we conducted a second user study. We saw that the users became more familiar with the tool, and found new ways to use the application on its own and in connection with other tools. They frequently used CartoonPlus, which allowed them to see small regions of their data in a way that was not possible before

Usability problems do not heal by themselves : National survey on physicians' experiences with EHRs in Finland

Purpose: Survey studies of health information systems use tend to focus on availability of functionalities, adoption and intensity of use. Usability surveys have not been systematically conducted by any healthcare professional groups on a national scale on a repeated basis. This paper presents results from two cross-sectional surveys of physicians' experiences with the usability of currently used EHR systems in Finland. The research questions were: To what extent has the overall situation improved between 2010 and 2014? What differences are there between healthcare sectors? Methods: In the spring of 2014, a survey was conducted in Finland using a questionnaire that measures usability and respondents' user experiences with electronic health record (EHR) systems. The survey was targeted to physicians who were actively doing clinical work. Twenty-four usability-related statements, that were identical in 2010 and 2014, were analysed from the survey. The respondents were also asked to give an overall rating of the EHR system they used. The study data comprised responses from 3081 physicians from the year 2014 and from 3223 physicians in the year 2010, who were using the nine most commonly used EHR system brands in Finland. Results: Physicians' assessments of the usability of their EHR system remain as critical as they were in 2010. On a scale from 1 ('fail') to 7 ('excellent') the average of overall ratings of their principally used EHR systems varied from 3.2 to 4.4 in 2014 (and in 2010 from 2.5 to 4.3). The results show some improvements in the following EHR functionalities and characteristics: summary view of patient's health status, prevention of errors associated with medication ordering, patient's medication list as well as support for collaboration and information exchange between the physician and the nurses. Even so, support for cross-organizational collaboration between physicians and for physician-patient collaboration were still considered inadequate. Satisfaction with technical features had not improved in four years. The results show marked differences between the EHR system brands as well as between healthcare sectors (private sector, public hospitals, primary healthcare). Compared to responses from the public sector, physicians working in the private sector were more satisfied with their EHR systems with regards to statements about user interface characteristics and support for routine tasks. Overall, the study findings are similar to our previous study conducted in 2010. Conclusions: Surveys about the usability of EHR systems are needed to monitor their development at regional and national levels. To our knowledge, this study is the first national eHealth observatory questionnaire that focuses on usability and is used to monitor the long-term development of EHRs. The results do not show notable improvements in physician's ratings for their EHRs between the years 2010 and 2014 in Finland. Instead, the results indicate the existence of serious problems and deficiencies which considerably hinder the efficiency of EHR use and physician's routine work. The survey results call for considerable amount of development work in order to achieve the expected benefits of EHR systems and to avoid technology-induced errors which may endanger patient safety. The findings of repeated surveys can be used to inform healthcare providers, decision makers and politicians about the current state of EHR usability and differences between brands as well as for improvements of EHR usability. This survey will be repeated in 2017 and there is a plan to include other healthcare professional groups in future surveys. (C) 2016 The Authors. Published by Elsevier Ireland Ltd.Peer reviewe

Painting the black box white: experimental findings from applying XAI to an ECG reading setting

The shift from symbolic AI systems to black-box, sub-symbolic, and statistical ones has motivated a rapid increase in the interest toward explainable AI (XAI), i.e. approaches to make black-box AI systems explainable to human decision makers with the aim of making these systems more acceptable and more usable tools and supports. However, we make the point that, rather than always making black boxes transparent, these approaches are at risk of \emph{painting the black boxes white}, thus failing to provide a level of transparency that would increase the system's usability and comprehensibility; or, even, at risk of generating new errors, in what we termed the \emph{white-box paradox}. To address these usability-related issues, in this work we focus on the cognitive dimension of users' perception of explanations and XAI systems. To this aim, we designed and conducted a questionnaire-based experiment by which we involved 44 cardiology residents and specialists in an AI-supported ECG reading task. In doing so, we investigated different research questions concerning the relationship between users' characteristics (e.g. expertise) and their perception of AI and XAI systems, including their trust, the perceived explanations' quality and their tendency to defer the decision process to automation (i.e. technology dominance), as well as the mutual relationships among these different dimensions. Our findings provide a contribution to the evaluation of AI-based support systems from a Human-AI interaction-oriented perspective and lay the ground for further investigation of XAI and its effects on decision making and user experience.Comment: 15 pages, 7 figure