Reality Versus Grant Application Research “Plans”

This article describes the implementation of the American Indian mHealth Smoking Dependence Study focusing on the differences between what was written in the grant application compared to what happened in reality. The study was designed to evaluate a multicomponent intervention involving 256 participants randomly assigned to one of 15 groups. Participants received either a minimal or an intense level of four intervention components: (1) nicotine replacement therapy, (2) precessation counseling, (3) cessation counseling, and (4) mHealth text messaging. The project team met via biweekly webinars as well as one to two in-person meetings per year throughout the study. The project team openly shared progress and challenges and collaborated to find proactive solutions to address challenges as compared to what was planned in the original grant application. The project team used multiple strategies to overcome unanticipated intervention issues: (1) cell phone challenges, (2) making difficult staffing decisions, (3) survey lessons, (4) nicotine replacement therapy, (5) mHealth text messages, (6) motivational interviewing counseling sessions, and (7) use of e-cigarettes. Smoking cessation studies should be designed based on the grant plans. However, on the ground reality issues needed to be addressed to assure the scientific rigor and innovativeness of this study

Toward a document evaluation methodology: What does research tell us about the validity and reliability of evaluation methods?

Although the usefulness of evaluating documents has become generally accepted among communication professionals, the supporting research that puts evaluation practices empirically to the test is only beginning to emerge. This article presents an overview of the available research on troubleshooting evaluation methods. Four lines of research are distinguished concerning the validity of evaluation methods, sample composition, sample size, and the implementation of evaluation results during revisio

Design Gateway: Pedagogical Discussion of a Second-Year Industrial Design Studio

This presentation was part of the session : Pedagogy: Procedures, Scaffolds, Strategies, Tactics24th National Conference on the Beginning Design StudentMost industrial design programs focus the beginning design curriculum on the learning of core design principles. These core principles are seen as not specific to any one discipline (architecture, industrial design, interior design, etc.), but rather as fundamentals germane to all design fields. These core principles focus on the analysis of built artifact (structures, products, systems) to develop an understanding of geometry, structure and composition through looking and exploring. Students develop skills in representing, communicating and analyzing what they see and experience. These skills are nurtured in early studios. As students move into later studios, more discipline-specific knowledge and skills are integrated into their educational pedagogy. In the beginning years of design education, there is a transition from the learning of general 'core' design fundamentals to specialized principles that is inherent to their specific disciplines. As students move from abstract ideas to 'real-world' projects, they seem to have difficulty transitioning between the abstract concepts they previously learned and reality that requires application to new settings [1]. Students perceive learned concepts as specific to a particular studio project, rather than realize that design education is a continuum of practiced principles [1]. This presents a disconnect between knowledge transfer from one studio project to the next. The curriculum of the second-year industrial design studio at the Georgia Institute of Technology is designed to address this disconnect and help students successfully transition from the core design fundamentals to industrial design knowledge. Throughout the second year education, students engage in the making and communication of form and they do it through design exercises dealing with the fundamentals as well as knowledge base, both simultaneously and repeatedly, According to ----, a design education that offers a component of repetitive experience encourages students to be cognizant of the iterative nature of both the design process as well as design education [2]. This paper discusses the approach, designed by the authors, evident in the sophomore-year industrial design curriculum at Georgia Tech. While emphasis is placed on rigor, exploration and articulation of concepts throughout the studio period, this approach adopts a pedagogy based on a series of modules that scaffold the introduction of new concepts with the reinforcement of previously learned ones. Individual modules follow a path of concept introduction (lecture), analysis, practice, and finally refinement. Upon completion of several modules, students engage in a 'module project' which demonstrates synthesis and realization of the learned concepts. A final semester-end design project provides for aggregation and demonstration of all subject matter learned throughout the semester. This pedagogical approach bridges the gap of disconnect between previous studios and promotes a continuous layering and practice of beginning design fundamentals

Role of Computerized Physician Order Entry Usability in the Reduction of Prescribing Errors

Some hospitals have implemented computerized physician order entry (CPOE) systems to reduce the medical error rates. However, research in this area has been very limited, especially regarding the impact of CPOE use on the reduction of prescribing errors. Moreover, the past studies have dealt with the overall impact of CPOE on the reduction of broadly termed "medical errors", and they have not specified which medical errors have been reduced by CPOE. Furthermore, the majority of the past research in this field has been either qualitative or has not used robust empirical techniques. This research examined the impacts of usability of CPOE systems on the reduction of doctors' prescribing errors. Methods: One hundred and sixty-six questionnaires were used for quantitative data analyses. Since the data was not normally distributed, partial least square path modelling-as the second generation of multivariate data analyses-was applied to analyze data. Results: It was found that the ease of use of the system and information quality can significantly reduce prescribing errors. Moreover, the user interface consistency and system error prevention have a significant positive impact on the perceived ease of use. More than 50% of the respondents believed that CPOE reduces the likelihood of drug allergy, drug interaction, and drug dosing errors thus improving patient safety. Conclusions: Prescribing errors in terms of drug allergy, drug interaction, and drug dosing errors are reduced if the CPOE is not error-prone and easy to use, if the user interface is consistent, and if it provides quality information to doctors

A quantitative analysis of the impact of a computerised information system on nurses' clinical practice using a realistic evaluation framework

Objective: To explore nurses' perceptions of the impact on clinical practice of the use of a computerised hospital information system. Design: A realistic evaluation design based on Pawson and Tilley's work has been used across all the phases of the study. This is a theory-driven approach and focuses evaluation on the study of what works, for whom and in what circumstances. These relationships are constructed as context-mechanisms-outcomes (CMO) configurations. Measurements: A questionnaire was distributed to all nurses working in in-patient units of a university hospital in Spain (n = 227). Quantitative data were analysed using SPSS 13.0. Descriptive statistics were used for an overall overview of nurses' perception. Inferential analysis, including both bivariate and multivariate methods (path analysis), was used for cross-tabulation of variables searching for CMO relationships. Results: Nurses (n = 179) participated in the study (78.8% response rate). Overall satisfaction with the IT system was positive. Comparisons with context variables show how nursing units' context had greater influence on perceptions than users' characteristics. Path analysis illustrated that the influence of unit context variables are on outcomes and not on mechanisms. Conclusion: Results from the study looking at subtle variations in users and units provide insight into how important professional culture and working practices could be in IT (information technology) implementation. The socio-technical approach on IT systems evaluation suggested in the recent literature appears to be an adequate theoretical underpinning for IT evaluation research. Realistic evaluation has proven to be an adequate method for IT evaluation. (C) 2009 Elsevier Ireland Ltd. All rights reserved

From remembering to envisioning product use: an informal design technique

To be able to get insight in potential use experiences of design proposals, designers would ideally have continuous access to a diverse group of end-users who could give feedback. Since in practice this is not possible designers often have to rely on other sources to be able to reflect on the use issues of their design proposals. Previous research has shown that designers often apply informal techniques to reflect on use issues, in which personal knowledge and experience of previous projects serve as a frame of reference.. However, this knowledge often remains implicit. In this study we explore a technique in which members of a design team make all personal knowledge and assumptions about use in a certain product domain explicit. In this technique we distinguish remembering, imagining, experiencing and envisioning use. The information that is gathered in this way is captured in a matrix which structures use situation aspects and corresponding use issues. These issues concern user experience, usability as well as performance. In three workshops with different designers we explored the benefits and limitations of such a technique. Particularly iterating between remembering, imagining and experiencing worked very well to evoke experiences of the designer

A protocol paper on the preservation of identity: understanding the technology adoption patterns of older adults with age-related vision loss (ARVL)

There are a growing number of older adults with age-related vision loss (ARVL) for whom technology holds promise in supporting their engagement in daily activities. Despite the growing presence of technologies intended to support older adults with ARVL, there remains high rates of abandonment. This phenomenon of technology abandonment may be partly explained by the concept of self-image, meaning that older adults with ARVL avoid the use of particular technologies due to an underlying fear that use of such technologies may mark them as objects of pity, ridicule, and/or stigmatization. In response to this, the proposed study aims to understand how the decision-making processes of older adults with ARVL, as it relates to technology adoption, is influenced by the negotiation of identity. The study protocol will justify the need for this critical ethnographic study, unpack the theoretical underpinnings of this work, detail the sampling/recruitment strategy, describe the methods which included a home tour, go-along, and semi-structured in-depth interview, as well as the collective approach taken to analyze the data. The protocol concludes by examining the ethical tensions associated with this study, including a focus on the methods adopted as well as the ethical challenges inherent when working with an older adult population experiencing vision loss

Facilitating qualitative research in business studies - Using the business narrative to model value creation

This is a conceptual paper supported by empirical research giving details of a new Business Narrative Modelling Language (BNML). The need for BNML arose given a growing dissatisfaction with qualitative research approaches and also due to the need to bring entrepreneurs, especially those with little training in management theory, closer to the academic (as well as practitioner) discussion of innovation and strategy for value creation. We aim primarily for an improved communication process of events which can be described using the narrative, in the discussion of the value creation process. Our findings, illustrated through a case study, should be of interest to both researchers and practitioners alike