User needs elicitation via analytic hierarchy process (AHP). A case study on a Computed Tomography (CT) scanner

Background: The rigorous elicitation of user needs is a crucial step for both medical device design and purchasing. However, user needs elicitation is often based on qualitative methods whose findings can be difficult to integrate into medical decision-making. This paper describes the application of AHP to elicit user needs for a new CT scanner for use in a public hospital. Methods: AHP was used to design a hierarchy of 12 needs for a new CT scanner, grouped into 4 homogenous categories, and to prepare a paper questionnaire to investigate the relative priorities of these. The questionnaire was completed by 5 senior clinicians working in a variety of clinical specialisations and departments in the same Italian public hospital. Results: Although safety and performance were considered the most important issues, user needs changed according to clinical scenario. For elective surgery, the five most important needs were: spatial resolution, processing software, radiation dose, patient monitoring, and contrast medium. For emergency, the top five most important needs were: patient monitoring, radiation dose, contrast medium control, speed run, spatial resolution. Conclusions: AHP effectively supported user need elicitation, helping to develop an analytic and intelligible framework of decision-making. User needs varied according to working scenario (elective versus emergency medicine) more than clinical specialization. This method should be considered by practitioners involved in decisions about new medical technology, whether that be during device design or before deciding whether to allocate budgets for new medical devices according to clinical functions or according to hospital department

Human responses to disasters: a pilot study on peritraumatic emotional and cognitive processing

This research article presents the qualitative development and cross-cultural pilot testing of a new instrument measuring emotional and cognitive processing during disasters. The instrument was developed according to a theoretical framework based on narratives from survivors of different types of disaster across Europe. Peritraumatic emotions and cognitions were assessed at three different stages of a disaster. The pilot study consisted of 311 participants responding to the questionnaire using scenario versions of disasters as well as 25 survivors working through the questionnaire using their experiences of real disasters. Both types of analysis were performed across seven countries. Differences in emotions and cognitions during the course of a disaster were displayed. Also, gender, the type of scenario participants were allocated to, and professional experience of emergencies led to differences in item response. As there was little difference between survivors’ and scenario participants’ responses, the use of a scenario in order to test pilot forms of questionnaires for purposive samples with certain characteristics such as limited sizes or access can be supported. For future research, the instrument should be field tested. It is envisaged it will be beneficial for a cross-cultural understanding of the influence of peritraumatic emotions and cognitions not only on posttraumatic psychological outcomes but also on related behavioural responses displayed during disasters

Investigation of Attitudes Towards Security Behaviors

Cybersecurity attacks have increased as Internet technology has proliferated. Symantec’s 2013 Internet Security Report stated that two out of the top three causes of data breaches in 2012 were attributable to human error (Pelgrin, 2014). This suggests a need to educate end users so that they engage in behaviors that increase their cybersecurity. This study researched how a user’s knowledge affects their engagement in security behaviors. Security behaviors were operationalized into two categories: cyber hygiene and threat response behaviors. A sample of 194 San José State University students were recruited to participate in an observational study. Students completed a card sort, a semantic knowledge quiz, and a survey of their intention to perform security behaviors. A personality inventory was included to see if there would be any effects of personality on security behaviors. Multiple regression was used to see how card sorting and semantic knowledge quiz scores predicted security behaviors, but the results were not significant. Despite this, there was a correlation between cyber hygiene behaviors and threat response behaviors, as well as the Big Five personality traits. The results showed that many of the Big Five personality traits correlated with each other, which is consistent with other studies’ findings. The only personality trait that had a correlation with one of the knowledge measures was neuroticism, in which neuroticism had a negative correlation with the semantic knowledge quiz. Implications for future research are discussed to understand how knowledge, cyber hygiene behaviors, and threat response behaviors relate

Watch out for the preview: The effects of a preview on the usability of a Content Management System and on the user's confidence level

As time moves on, a trend crystallizes that sets new requirements on content management systems. The circle of users shifts from a small technically experienced group to a large network of inexperienced editors. Literature stresses that a higher need for usability is present if personnel with a low grade of human computer interaction expertise is using a system. But how can system designers accomplish a high level of usability? This study suggests a preview as an important factor for strengthening the usability (effectiveness, efficiency and satisfaction) of a content management system. The findings of this study support the hypothesis: the results showed that a preview enhances the userspsila satisfaction with the system. Moreover, the study shows that the userspsila confidence to be able to work with the system is an important factor; the results showed positive correlations between confidence and satisfaction and between confidence and effectiveness

Dimensions of web site credibility and their relation to active trust and behavioural impact

This paper discusses two trends that threaten to undermine the effectiveness of online social marketing interventions: growing mistrust and competition. As a solution, this paper examines the relationships between Web site credibility, target audiences’ active trust and behaviour. Using structural equation modelling to evaluate two credibility models, this study concludes that Web site credibility is best considered a three-dimensional construct composed of expertise, trustworthiness and visual appeal, and that trust plays a partial mediating role between Web site credibility and behavioural impacts. The paper examines theoretical implications of conceptualizing Web sites according to a human credibility model, and factoring trust into Internet-based behavioural change interventions. Practical guidelines suggest ways to address these findings when planning online social marketing interventions

Smartphone-based safety planning and self-monitoring for suicidal patients: Rationale and study protocol of the CASPAR (Continuous Assessment for Suicide Prevention And Research) study

Background: It remains difficult to predict and prevent suicidal behaviour, despite growing understanding of the aetiology of suicidality. Clinical guidelines recommend that health care professionals develop a safety plan in collaboration with their high-risk patients, to lower the imminent risk of suicidal behaviour. Mobile health applications provide new opportunities for safety planning, and enable daily self-monitoring of suicide-related symptoms that may enhance safety planning. This paper presents the rationale and protocol of the Continuous Assessment for Suicide Prevention And Research (CASPAR) study. The aim of the study is two-fold: to evaluate the feasibility of mobile safety planning and daily mobile self-monitoring in routine care treatment for suicidal patients, and to conduct fundamental research on suicidal processes. Methods: The study is an adaptive single cohort design among 80 adult outpatients or day-care patients, with the main diagnosis of major depressive disorder or dysthymia, who have an increased risk for suicidal behaviours. There are three measurement points, at baseline, at 1 and 3 months after baseline. Patients are instructed to use their mobile safety plan when necessary and monitor their suicidal symptoms daily. Both these apps will be used in treatment with their clinician. Conclusion: The results from this study will provide insight into the feasibility of mobile safety planning and self-monitoring in treatment of suicidal patients. Furthermore, knowledge of the suicidal process will be enhanced, especially regarding the transition from suicidal ideation to behaviour

Study protocol for the Anesthesiology Control Tower—Feedback Alerts to Supplement Treatments (ACTFAST-3) trial: A pilot randomized controlled trial in intraoperative telemedicine [version 1; referees: 2 approved]

Background: Each year, over 300 million people undergo surgical procedures worldwide. Despite efforts to improve outcomes, postoperative morbidity and mortality are common. Many patients experience complications as a result of either medical error or failure to adhere to established clinical practice guidelines. This protocol describes a clinical trial comparing a telemedicine-based decision support system, the Anesthesiology Control Tower (ACT), with enhanced standard intraoperative care. Methods: This study is a pragmatic, comparative effectiveness trial that will randomize approximately 12,000 adult surgical patients on an operating room (OR) level to a control or to an intervention group. All OR clinicians will have access to decision support software within the OR as a part of enhanced standard intraoperative care. The ACT will monitor patients in both groups and will provide additional support to the clinicians assigned to intervention ORs. Primary outcomes include blood glucose management and temperature management. Secondary outcomes will include surrogate, clinical, and economic outcomes, such as incidence of intraoperative hypotension, postoperative respiratory compromise, acute kidney injury, delirium, and volatile anesthetic utilization. Ethics and dissemination: The ACTFAST-3 study has been approved by the Human Resource Protection Office (HRPO) at Washington University in St. Louis and is registered at clinicaltrials.gov (NCT02830126). Recruitment for this protocol began in April 2017 and will end in December 2018. Dissemination of the findings of this study will occur via presentations at academic conferences, journal publications, and educational materials

Users' spatial abilities affect interface usability outcomes

The usability of a system depends both on inherent characteristics of the system and on its users. This paper argues that a major source of differences among users is variations in spatial ability, but that variations in different types of spatial ability affect components of usability differently. In two experiments, I investigated a simple model of the relationships of spatial visualization ability, spatial orientation ability, and spatial working memory with the usability constructs of efficiency and effectiveness. Both experiments used Wikipedia search as a representative information search task. The first experiment used a desktop computer interface, and the second experiment used a pair of mobile devices with widely different screen sizes. Better spatial orientation ability corresponded to faster performance on efficiency across devices. Better spatial visualization ability corresponded to slower performance on larger screens, but faster performance on smaller screens. Better spatial visualization ability also predicted better effectiveness in both experiments. These results suggest that spatial ability is a useful way to characterize users and to improve usability testing, and that its effects vary in systematic ways depending on characteristics of the tested interface and on which metrics are chosen

Ambulatory assessment in neuropsychology : applications in multiple sclerosis research

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