Perceptions on connecting respite care volunteers and caregivers

The most common requirement for informal caregivers is to experience a respite or temporary break from their caregiving routine. Some initiatives have been undertaken to provide respite care through volunteer providers. We report on a qualitative study carried out in Santiago, Chile, to learn about the willingness of potential volunteers to provide respite care for bedridden older persons, as well as their willingness to use information and communication technologies (ICT) to connect to caregivers in a low-income neighbourhood within their own geographic district. A trustworthy institution that mediates the volunteer–caregiver relationship is considered to be important by potential volunteers. Potential volunteers were found to be willing to use ICT to provide respite care, sharing basic information about themselves. However, they were also aware of the digital skill gap that may exist between them and the caregivers and were distrustful of unknown websites that could connect them to care recipients

Are Notifications a Challenge for Older People?: A Study Comparing Two Types of Notifications

Elderly users are usually not the target of design of mobile applications, and they may have cognitive and physical difficulties. Mobile notifications may help them remember to use an application, promoting adoption and allowing them to become content providers. We developed a mobile application, QuestionReport, that asks users one question per day, and implemented two types of notifications: one that is activated at the same time each day, and one that is activated while using the smartphone. We tested both notification types with 18 users over a period of 8 days, measuring the time it took to answer the question after receiving the notification and their perceptions about each notification style. We found that the ideal time for users to receive a notification depends on their employment status and that users with low digital skills have less confidence in their abilities to use a mobile application such as QuestionReport.

Understanding how to design health data visualizations for Chilean older adults on mobile devices

Mobile devices, including activity trackers and smartwatches, can help older adults monitor health parameters passively and unobtrusively. Most user interactions with small devices consist of brief glances at the time or notifications. Consuming information from small displays poses challenges, which have been seldom studied from the perspective of older users. In this paper, we worked with older adults towards creating health data visualizations for them for small devices. We conducted a mixed-methods study with 30 older adults, in which we (1) conducted group discussions to understand participants’ opinions, (2) measured times taken to interpret health data visualizations with and without progress information, (3) measured how much information they could manage to see during brief glances. When data was visualized without progress indicators, participants took less time to understand the data and made fewer errors. Participants preferred health data visualizations that featured peaceful, and positive pictorial representations. We present design opportunities for older adults’ data visualizations in small devices

Technologies for managing the health of older adults with multiple chronic conditions: A systematic literature review

Multimorbidity is defined as the presence of two or more chronic medical conditions in a person, whether physical, mental or long-term infectious diseases. This is especially common in older populations, affecting their quality of life and emotionally impacting their caregivers and family. Technology can allow for monitoring, managing, and motivating older adults in their self-care, as well as supporting their caregivers. However, when several conditions are present at once, it may be necessary to manage several types of technologies, or for technology to manage the interaction between conditions. This work aims to understand and describe the technologies that are used to support the management of multimorbidity for older adults. We conducted a systematic review of ten years of scientific literature from four online databases. We reviewed a corpus of 681 research papers, finally including 25 in our review. The technologies used most frequently by older adults with multimorbidity are mobile applications and websites, and they are mostly focused on communication and connectivity. We then propose opportunities for future research on addressing the challenges in the management of several simultaneous health conditions, potentially creating a better approach than managing each condition as if it were independent

Multidisciplinary Collaboration in the Treatment of Patients With Type 2 Diabetes in Primary Care: Analysis Using Process Mining

[EN] Background: Public health in several countries is characterized by a shortage of professionals and a lack of economic resources. Monitoring and redesigning processes can foster the success of health care institutions, enabling them to provide a quality service while simultaneously reducing costs. Process mining, a discipline that extracts knowledge from information system data to analyze operational processes, affords an opportunity to understand health care processes. Objective: Health care processes are highly flexible and multidisciplinary, and health care professionals are able to coordinate in a variety of different ways to treat a diagnosis. The aim of this work was to understand whether the ways in which professionals coordinate their work affect the clinical outcome of patients. Methods: This paper proposes a method based on the use of process mining to identify patterns of collaboration between physician, nurse, and dietitian in the treatment of patients with type 2 diabetes mellitus and to compare these patterns with the clinical evolution of the patients within the context of primary care. Clustering is used as part of the preprocessing of data to manage the variability, and then process mining is used to identify patterns that may arise. Results: The method is applied in three primary health care centers in Santiago, Chile. A total of seven collaboration patterns were identified, which differed primarily in terms of the number of disciplines present, the participation intensity of each discipline, and the referrals between disciplines. The pattern in which the three disciplines participated in the most equitable and comprehensive manner had a lower proportion of highly decompensated patients compared with those patterns in which the three disciplines participated in an unbalanced manner. Conclusions: By discovering which collaboration patterns lead to improved outcomes, health care centers can promote the most successful patterns among their professionals so as to improve the treatment of patients. Process mining techniques are useful for discovering those collaborations patterns in flexible and unstructured health care processes.This paper was partially funded by the National Commission for Scientific and Technological Research, the Formation of Advanced Human Capital Program and the National Fund for Scientific and Technological Development (CONICYT-PCHA/Doctorado Nacional/2016-21161705 and CONICYT-FONDECYT/1150365; Chile). The authors would like to thank Ancora UC primary health care centers for their help with this research. The founding sponsors had no role in the design of the study in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.Conca, T.; Saint Pierre, C.; Herskovic, V.; Sepulveda, M.; Capurro, D.; Prieto, F.; Fernández Llatas, C. (2018). Multidisciplinary Collaboration in the Treatment of Patients With Type 2 Diabetes in Primary Care: Analysis Using Process Mining. JOURNAL OF MEDICAL INTERNET RESEARCH. 20(4). https://doi.org/10.2196/jmir.8884S204Chen, C.-C., Tseng, C.-H., & Cheng, S.-H. (2013). Continuity of Care, Medication Adherence, and Health Care Outcomes Among Patients With Newly Diagnosed Type 2 Diabetes. 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Transitioning from Multichannel to Omnichannel Customer Experience in Service-Based Companies: Challenges and Coping Strategies

Omnichannel as a strategy has long been associated with retailing, but service-based organizations have been increasingly embracing it with the help of digital technologies. Moving from a multichannel to an omnichannel service-based organization is a challenge per se; we aim to add to the discussion an understanding from a customer experience (CX) management point of view. Our goals are to (1) understand the key factors to unlock omnichannel capabilities, (2) identify the challenges of becoming an omnichannel service-based organization, and (3) propose a set of strategies to overcome them. We interviewed practitioners in key roles in traditional industries such as banking, insurance, and telecommunications. Based on the findings, we introduce and validate a conceptual framework, which includes enablers, challenges, drivers, and contextual factors, for the transition process from a multichannel to an omnichannel customer-experience-oriented organization

Identifying Groupware Requirements in People-Driven Mobile Collaborative Processes

People-driven mobile collaborative processes are increasingly mediated by technology due to the ubiquity, efficiency and flexibility that modern groupware systems provide their users. However, identifying groupware requirements to be considered in their development is a challenging task, since the processes being supported by them do not have a clear workflow coordinating the activities performed by the participants. Thus, software developers must usually guess these requirements based on their own experience, and so the elicitation process becomes a creative activity instead of an engineering process. Trying to reduce this uncertainty about groupware requirements identification, and thus helping developers improve their capability to predict the suitability of a collaborative system, this paper presents a visual notation to represent user interaction scenarios through models. These models are processed to automatically determine a set of potentially required groupware services. Thus, this proposal reduces the uncertainty about the groupware requirements to be considered in the development of a system supporting a particular people-driven mobile collaborative process. The United States of Americability and usefulness of the visual notation and the method to derive the groupware requirements are illustrated with a running example, and also through its application to a case study. The results are encouraging and consistent, allowing us to augur potential adoption in research and industrial settings

Enabling Older Adults’ Health Self-Management through Self-Report and Visualization—A Systematic Literature Review

Aging is associated with a progressive decline in health, resulting in increased medical care and costs. Mobile technology may facilitate health self-management, thus increasing the quality of care and reducing costs. Although the development of technology offers opportunities in monitoring the health of older adults, it is not clear whether these technologies allow older adults to manage their health data themselves. This paper presents a review of the literature on mobile health technologies for older adults, focusing on whether these technologies enable the visualization of monitored data and the self-reporting of additional information by the older adults. The systematic search considered studies published between 2009 and 2019 in five online databases. We screened 609 articles and identified 95 that met our inclusion and exclusion criteria. Smartphones and tablets are the most frequently reported technology for older adults to enter additional data to the one that is monitored automatically. The recorded information is displayed on the monitoring device and screens of external devices such as computers. Future designs of mobile health technology should allow older users to enter additional information and visualize data; this could enable them to understand their own data as well as improve their experience with technology