Mummy, why do I have diabetes? A tangible interface for educating children with type-1 diabetes

This paper presents the stakeholder centred design of an educational game for children, aged 3 to 8 years old, with type-1 diabetes. The novelty of the approach is the multi-stakeholder approach to design and evaluation (diabetes consultants, nurses, parents and children) and the creation of a tangible interface game for interactive learning of diabetes concepts for children aged 3-8

Tangible educational toys for children with type-1 diabetes

This paper presents the stakeholder centred design of an educational game for children, aged 3 to 8 years old, with type-1 diabetes. The novelty of the approach is the multi-stakeholder approach to design and evaluation (diabetes consultants, nurses, parents and children) and the creation of a tangible interface game for interactive learning of diabetes concepts for children aged 3-8

The future of digitally enabled health coaching : a proposed model

The epidemic of chronic diseases has started worrying health bodies. The costs of dealing with such a problem (time, money and personnel) are continuously increasing especially with an ageing population. This paper proposes a conceptual large scale digital health coaching intervention model that could be applied by any public health body to design, implement or rationalise digital health coaching solutions. The model aims to support the increase of patient empowerment and the decrease of costs by redistributing the available resources more efficiently across the whole eco-system with the use of Artificial Intelligence coaches. The model is not targeting the replacement of human presence by computers, but a coaching strategy that will enable, assist, promote interaction and help automate (where needed and possible) resource consuming processes

Charting Complex Changes: Application of the eHealth Implementation Toolkit (e-HIT) in the Delivering Assisted Living Lifestyles at Scale (dallas) Programme

The 'dallas' (Delivering Assisted Living Lifestyles at Scale) programme is a UK-wide digital healthcare initiative that has been designed to support independent living, enhance preventative care, and improve lifestyles by harnessing the potential of e-health technologies and digital services. This short paper presents a brief update on one strand of the University of Glasgow evaluation of the dallas programme. We have used the e-Health Implementation Toolkit (e-HIT) to investigate processes involved in the implementation of e-health tools and digital services being developed and deployed across the dallas communities and to assess 'distance travelled' by communities from baseline to midpoint of a three year programme. Qualitative data analysis was guided by the Normalisation Process Theory (NPT) and Framework Analysis. The e-HIT scores indicated that the dallas communities had underestimated the amount of work involved in implementing at scale. Qualitative data analysis showed that communities have successfully navigated barriers in order to make significant progress in strategic areas, including the development of new models of partnership working resulting in brand recognition and agile service design. The dallas communities are now sharing lessons learned and generating new professional knowledge, skills and understanding across several key strategic areas required for operationalising the implementation of e-health technologies and digital services at scale. The new knowledge being generated through the dallas programme will contribute to the ongoing transformation of digitally enabled healthcare based on more personalised flexible models of provision which resonates with the current e-health policy environment

Designing Usable and Acceptable Reminders for the Home

Electronic reminders can play a key role in enabling people to manage their care and remain independent in their own homes for longer. The MultiMemoHome project aims to develop reminder designs that are accessible and usable for users with a range of abilities and preferences. In an initial exploration of key design parameters, we surveyed 378 adults from all age groups online (N=206) and by post (N= 172). The wide spread of preferences that we found illustrates the importance of adapting reminder solutions to individuals. We present two reusable personas that emerged from the research and discuss how questionnaires can be used for technology transfer

ForgetMeNot: Active Reminder Entry Support for Adults with Acquired Brain Injury

Smartphone reminding apps can compensate for memory impairment after acquired brain injury (ABI). In the absence of a caregiver, users must enter reminders themselves if the apps are going to help them. Poor memory and apathy associated with ABI can result in failure to initiate such configuration behaviour and the benefits of reminder apps are lost. ForgetMeNot takes a novel approach to address this problem by periodically encouraging the user to enter reminders with unsolicited prompts (UPs). An in situ case study investigated the experience of using a reminding app for people with ABI and tested UPs as a potential solution to initiating reminder entry. Three people with severe ABI living in a post-acute rehabilitation hospital used the app in their everyday lives for four weeks to collect real usage data. Field observations illustrated how difficulties with motivation, insight into memory difficulties and anxiety impact reminder app use in a rehabilitation setting. Results showed that when 6 UPs were presented throughout the day, reminder-setting increased, showing UPs are an important addition to reminder applications for people with ABI. This study demonstrates that barriers to technology use can be resolved in practice when software is developed with an understanding of the issues experienced by the user group

Advances in Telecare over The Past Ten Years

This article reviews advances during the past decade or so in telecare (ie, computer-supported social care at home). The need for telecare is discussed along with how it relates to social and health care. The expected benefits of telecare are also discussed. The evolution of telecare technology is reviewed, covering various system generations. The capabilities of present day telecare are covered, along with its advantages, limitations, and barriers to uptake. Recent evaluations and exemplars of telecare are discussed. The user requirements for telecare are presented, complemented by a discussion of the issues in user and professional acceptance. The article concludes with a summary of past developments in telecare and the prospects for the future

Impact of digital divide on students performance in computerised UTME in Nigeria

In Nigeria, the Unified Tertiary Matriculation Examination (UTME), a large-scale university admission examination, was fully computerised in 2015. However, knowledge gap and digital divide are prevalent in developing countries, which may impact students’ performance in computer-based tests (CBT). To this end, this study investigates ICT-related individual differences (computer familiarity/experience, CBT anxiety and CBT attitude) among secondary school students taking UTME and its effects on their performance on the test in Osun state, Nigeria, considering their locations (rural/urban) and school types (public/private). The study adopted a quantitative survey for data collection from final-year secondary school students who registered and took 2021 UTME. The study’s findings revealed significant variations in the access and use of computers among students taking UTME. It was found that all students from private schools had prior computer experience, whereas 11% of students from public schools had not used a computer before. Within the group of students without prior computer experience, 63% were from rural public schools. Furthermore, computer familiarity positively correlates with students’ performance in UTME. For instance, students who have taken CBT at least six times before UTME have significantly better performance than those who have not taken CBT at all. However, CBT attitude and anxiety before and after the examination were moderate and had no significant relationship with test performance. We conclude that affordable and easily accessible ICT facilities and CBT practice centres should be provided to students, especially those in disadvantaged areas, to ensure the fairness of UTME to all candidates

Technological memory aid use by people with acquired brain injury

Evans, Wilson, Needham, and Brentnall (2003) investigated memory aid use by people with acquired brain injury (ABI) and found little use of technological memory aids. The present study aims to investigate use of technological and other memory aids and strategies 10 years on, and investigate what predicts use. People with ABI and self-reported memory impairments (n = 81) completed a survey containing a memory aid checklist, demographic questions and memory questionnaires. Chi-square analysis showed that 10 of 18 memory aids and strategies were used by significantly more people in the current sample than in Evans et al. (2003). The most commonly used strategies were leaving things in noticeable places (86%) and mental retracing of steps (77%). The most commonly used memory aids were asking someone to remind you (78%), diaries (77%), lists (78%), and calendars (79%) and the most common technologies used were mobile phone reminders (38%) and alarms/timers (38%). Younger people who used more technology prior to their injury and who use more non-technological memory aids currently were more likely to use technology. Younger people who used more memory aids and strategies prior to their injury and who rated their memory as poorer were more likely to use all types of memory aids and strategies

Engaging in large-scale digital health technologies and services. What factors hinder recruitment?

Implementing consumer oriented digital health products and services at scale is challenging and a range of barriers to reaching and recruiting users to these types of solutions can be encountered. This paper describes the experience of implementers with the roll-out of the Delivering Assisted Living Lifestyles at Scale (dallas) programme. The findings are based on qualitative analysis of baseline and midpoint interviews and project documentation. Eight main themes emerged as key factors which hindered participation. These include how the ..