Public Use of an Online Advanced Traveler Guidance Information System: Trust in the e-Service and the Agency

Public transit system web sites have become a tool of choice for many citizens to obtain transit route information and to assist with trip planning. For many of these citizens, the web interface has become the only method of communication with the public service agency and the primary method of obtaining information about transit services. This model-based, multi-method study analyzes of data from more than 450 survey respondents and 155 focus group participants, seeks to understand the end user citizen trust experience in their interaction with e-government transit web sites. Results of this e-service study provide useful insights into how citizen perceptions of the transit service and transit agencies are affected through web site e-service use

Design of a Simulation Tool for Audiology Education to provide Hearing Screening Training

Early identification of hearing impairment and ear disorders is important, which is why hearing screening is routinely done on newborns, with regular screening recommended on children through the age of 18. Screening is also completed with adults to assess and treat hearing problems. Procedural training is needed for new Speech-Language Pathologists and nursing students as well as continuing education for those trained to perform this procedure. An audiology simulator was developed to provide an alternative to traditional face-to-face lab instruction. Using a design science approach, the development of the simulation prototype is discussed. Contributions include a useful framework for developing such a simulation of an existing process, a description of a unique artifact that supports an individualized, self-paced learning environment using context-sensitive feedback and performance assessment, and an extensible approach to supporting virtual subjects in audiological training

A Framework for Developing a Substance Use, Abuse, and Recovery Web-Based Application

Many community programs are launched with all of the hope and promise of success. Such programs seem to have ample human and fiscal resources. Oftentimes, however, it is not until reporting is required or the community program is no longer scalable that organizers realize that methods of data collection, often paper or spreadsheet, are not sustainable. As part of a larger accountable care communities initiative, Jefferson County, Alabama, has launched a recovery resource center for substance users, abusers, those in recovery, and their families. We combined a design science approach with a community based participatory research approach resulting in a framework that guided the design, development, and evaluation of a prototype of a substance use, abuse, and recovery web-based application. Findings suggest that using this framework creates a sustained alignment between requirements and development at every phase and saves time in the overall development cycle

Research, Design, and Validation of a Normative Enterprise Architecture for Guiding End-to-End, Emergency Response Services

The purpose of this paper is to provide a synthesis and overview of a multipart research study involving the design, exploration, and validation of an enterprise architecture and framework. The methodology includes the use of two case studies and validation through a national conference. While the authors have reported on the elements of this research, only recently has its completion allowed for this synthesis and overview of the process and outcomes. A normative architecture, developed from comparative cases involving San Mateo County and Mayo Clinic Emergency Medical Services systems, provides a collection of characteristics that guides an emergency response system to operate as a high performance system. At a national symposium, academics and practitioners involved in promoting effective emergency response information systems provided validation for the architecture and next steps for enhancing emergency response information systems. Normative architecture characteristics and symposium findings are integrated into a framework that offers an enterprise approach for delivering time-critical emergency response services

Public Use of an Online Advanced Traveler Guidance Information System: Trust in the e-Service and the Agency

Public transit system web sites have become a tool of choice for many citizens to obtain transit route information and to assist with trip planning. For many of these citizens, the web interface has become the only method of communication with the public service agency and the primary method of obtaining information about transit services. This model-based, multi-method study analyzes data from more than 450 survey respondents and twenty-four focus group participants, seeks to understand the end user citizen trust experience in their interaction with e-government transit web sites. Results of this e-service study provide useful insights into how citizen perceptions of the transit service and transit agencies are affected through web site e-service use

Design of the STORY+ App: Including Cultural Sensitivity for Patient Engagement and Adherence

Medication adherence is a major problem in oncology, specifically regarding hormonal therapies for breast cancer (BrCa) in African American (AA) women. Design considerations for specific cultural and clinical mobile health (mHealth) features may enhance efficacy of these applications for medication adherence. We used an iterative action-design methodology to develop a mHealth application prototype with 20 AA BrCA survivors and 10 healthcare providers. This paper presents principles of cultural sensitivity we found useful in the design and evaluation of a medication adherence and intervention application for this context that may have an important impact on acceptance and use and lead to positive clinical outcomes. We found culturability, usability, engagement, and personalization to be key guiding concepts. Culturally sensitive design of mHealth apps may enhance estrogen positive hormonal therapy intervention outcomes by increasing technology mediated patient engagement and patient motivation for hormonal therapy adherence

Using a Mobile Multimedia System to Improve Information Exchange in EMS.

This research uses multiple research methodologies guided by Information Systems Design Theory (ISDT) to design and evaluate a mobile multimedia information system for Emergency Medical Services (EMS). We examined the impact of multimedia information for EMS information exchange and decision-making. A field study was designed and conducted in the Boise, Idaho region for three months to evaluate the system and validate ISDT design propositions. Findings from qualitative analysis illustrated the value of digital images and audio recordings for improving information exchange and augmenting medical decision-making. This paper describes the problem and justification, presents the system design, the pilot test methodology and findings and overall implications and future research directions

Design and Development of a Patient-Centered E-Health System to Improve Patient Understanding at Discharge

E-health systems are often designed without considering user-centered design principles. Past research on the topic of patient-centered e-health (PCEH) has lacked focus on the design and development of a PCEH artifact and the process for its development. In this study, information systems design theory (ISDT) is applied to design, develop, and evaluate an e-health system based on PCEH principles. The goal of the artifact in this study is to improve patient understanding of diagnoses, procedures, medications, and post-discharge instructions and empower patients with the information needed pre- and post-discharge to make informed healthcare decisions. The artifact justification, meta-requirements, meta-design, development, and evaluation are presented in multiple iterations—beginning with a simple picture book, and ending with a Web-based, mobile, multimedia system. Findings indicate that a PCEH approach can be useful for achieving multiple design goals. The artifact illustrates achievement of an important organizational quality improvement goal for the case study organization involved, a key physician goal to improve patient-physician engagement, and an important patient goal—to improve understanding about patient-specific diagnoses and health conditions prior to discharge from a hospital visit and initiation of home health care