In this article,we discuss evidence supporting the effective implementation of e Health,telehealth,and telemedicine during the coronavirus disease 2019 pandemic,with a view towards its permanent future integration in ...In this article,we discuss evidence supporting the effective implementation of e Health,telehealth,and telemedicine during the coronavirus disease 2019 pandemic,with a view towards its permanent future integration in healthcare.We performed a literature search for articles describing the use of telehealth/telemedicine in the pandemic context using five databases.The articles selected describe the use of telemedicine as its advantages in terms of practicality and costeffectiveness.This synthesis of articles is applicable to high-,middle-and lowincome countries.Some of the notable benefits include breaking down geographical and time barriers,reducing waiting lists and crowding in healthcare facilities,and saving on national healthcare expenditure.However,there are a number of difficulties with the widespread implementation of telemedicine services that mainly relate to bureaucratic and regulatory concerns.Moreover,it is also important to make healthcare professionals and providers aware of the limits of this tool to avoid potential cases of negligence.Patients in turn will have to be made aware of and be educated on the use of this new healthcare modality before it is accepted by them.In the current socio-economic climate,it is therefore essential to implement a telehealth model aimed at efficiency and continuity of healthcare,as well as leading to an improvement in the quality of life of patients,whilst optimising existing resources and reducing costs.In that regard,the adoption of e Health,telehealth,and telemedicine services should be considered highly timely,despite current existing limitations.展开更多
Models of services, processes and technology are useful tools for conceptualizing complex systems such as healthcare. The application of a component architecture helps illustrate the processes and technologies that ar...Models of services, processes and technology are useful tools for conceptualizing complex systems such as healthcare. The application of a component architecture helps illustrate the processes and technologies that are important to the operation of a health service and conceptualize the relationships between each component. Telehealth services are relatively recent and have characteristics that do not fit neatly into established models of health services. This paper analyzes the components used to build a telehealth in the home service in South Australia and the design choices that were taken. The service used commodity-based devices and systems to deliver simple to use, low-cost in the home care. Building on this analysis, the components required in an architectural component model of a telehealth service are identified enabling a provisional architecture for telehealth services to be derived from an existing internationally recognized architectural model for eHealth systems. Situated within the broad family of eHealth architectures, a Telehealth Architectural Model of telehealth processes, software, devices, common systems and ICT infrastructure is proposed that represents the components required to support telehealth and allows for customization of services according to clinical models of care.展开更多
Purpose:This study attempts to disclose the characteristics of knowledge integration in an interdisciplinary field by looking into the content aspect of knowledge.Design/methodology/approach:The eHealth field was chos...Purpose:This study attempts to disclose the characteristics of knowledge integration in an interdisciplinary field by looking into the content aspect of knowledge.Design/methodology/approach:The eHealth field was chosen in the case study.Associated knowledge phrases(AKPs)that are shared between citing papers and their references were extracted from the citation contexts of the eHealth papers by applying a stem-matching method.A classification schema that considers the functions of knowledge in the domain was proposed to categorize the identified AKPs.The source disciplines of each knowledge type were analyzed.Quantitative indicators and a co-occurrence analysis were applied to disclose the integration patterns of different knowledge types.Findings:The annotated AKPs evidence the major disciplines supplying each type of knowledge.Different knowledge types have remarkably different integration patterns in terms of knowledge amount,the breadth of source disciplines,and the integration time lag.We also find several frequent co-occurrence patterns of different knowledge types.Research limitations:The collected articles of the field are limited to the two leading open access journals.The stem-matching method to extract AKPs could not identify those phrases with the same meaning but expressed in words with different stems.The type of Research Subject dominates the recognized AKPs,which calls on an improvement of the classification schema for better knowledge integration analysis on knowledge units.Practical implications:The methodology proposed in this paper sheds new light on knowledge integration characteristics of an interdisciplinary field from the content perspective.The findings have practical implications on the future development of research strategies in eHealth and the policies about interdisciplinary research.Originality/value:This study proposed a new methodology to explore the content characteristics of knowledge integration in an interdisciplinary field.展开更多
Community of Practice (CoP) has been proved as an effective means for co-creation of knowledge. It is not yet widely used in health promotion, not to mention to utilize technological environment such as Web 2.0 to add...Community of Practice (CoP) has been proved as an effective means for co-creation of knowledge. It is not yet widely used in health promotion, not to mention to utilize technological environment such as Web 2.0 to add value to the CoP. Under this study, an eHealth promotion @HKIEd, a CoP platform to promote healthy lifestyles was designed and constructed. It helped facilitate the CoP to share useful health information, locate expertise, promote health related events, communicate health updates effectively, co-construct shared repertoire of knowledge and build shared best practice on effective health promotion which was not limited to time, space and distance. Usability test was conducted to evaluate user acceptance of the eHealth promotion CoP platform using the Computer System Usability Questionnaire. A random sample of eighty-three active participants was recruited. Fifty females and thirty-three males with mean (S.D.) aged 21.1 were asked to evaluate the e-platform. The average scores of each domain were calculated with the corresponding means of the average scores of System Use, Information Quality and Interface Quality being 2.69, 2.83 and 2.74 respectively. The overall usability was 2.48 and the eHealth promotion @HKIEd demonstrated a high usability. It will provide a promising way to disseminate information for the public in health awareness promotion.展开更多
Knowledge sharing has become an important issue that challenges the efficient healthcare delivery in eHealth system. It also rises as one of the most demanding applications with reference to dynamic interactivities am...Knowledge sharing has become an important issue that challenges the efficient healthcare delivery in eHealth system. It also rises as one of the most demanding applications with reference to dynamic interactivities among various healthcare actors (e.g. doctors, nurses, patients, relatives of patients). In this paper, we suggest an activity theory based ontology model to represent various healthcare actors. The goal of the suggested model is to enhance interactivities among these healthcare actors for conducting more efficient knowledge sharing, which helps to design eHealth system. To validate the feasibility of suggested ontology model, three typical use cases are further studied. A questionnaire based survey is carried out and the corresponding survey results are reported, together with the detailed discussions.展开更多
Through engineering projects, we have integrated software engineering, geographical information systems and HL7 standard to propose a model of an eHealth management platform for Down’s syndrome screening, replicable ...Through engineering projects, we have integrated software engineering, geographical information systems and HL7 standard to propose a model of an eHealth management platform for Down’s syndrome screening, replicable in all the country. It will use real time sample information acquired from the local population and will geographically reference this information in the territory of Panama for future research.展开更多
目的汉化、修订数字健康素养量表(Digital Health Literacy Instrument,DHLI),并检验其信度和效度。方法根据Brislin翻译模型,将数字健康素养量表进行直译和回译,并对其进行文化调适;2022年7月—8月采用便利抽样法,借助在线问卷平台对45...目的汉化、修订数字健康素养量表(Digital Health Literacy Instrument,DHLI),并检验其信度和效度。方法根据Brislin翻译模型,将数字健康素养量表进行直译和回译,并对其进行文化调适;2022年7月—8月采用便利抽样法,借助在线问卷平台对458名调查对象进行调查,2周后从中随机抽取25名调查对象进行重测,检验中文版DHLI的信效度。结果中文版DHLI共28个条目(21个自我评估主观条目和7个客观条目),其中21个主观条目经探索性因子分析提取出4个公因子,累计方差贡献率为71.630%。验证性因子分析结果显示,中文版DHLI的结果模型拟合较好(χ2/df=2.850,CFI=0.924,IFI=0.924,TLI=0.904,RMSEA=0.088,RMR=0.046)。量表的条目内容效度指数为0.833~1.00,全体一致内容效度指数为0.964,平均内容效度指数为0.994;Cronbach’sα为0.929,重测信度系数为0.828。结论中文版DHLI量表具有良好的信效度,可作为实施数字健康服务的有效评估工具。展开更多
Background Physical activity(PA)can improve the physical and psychological health of prostate and colorectal cancer survivors,but PA behavior change maintenance is necessary for long-term health benefits.OncoActive is...Background Physical activity(PA)can improve the physical and psychological health of prostate and colorectal cancer survivors,but PA behavior change maintenance is necessary for long-term health benefits.OncoActive is a print-and web-based intervention in which prostate and colorectal cancer patients and survivors receive automatically generated,personalized feedback aimed at integrating PA into daily life to increase and maintain PA.We evaluated the long-term outcomes of OncoActive by examining the 12-month follow-up differences between OncoActive and a control group,and we explored whether PA was maintained during a 6-month non-intervention follow-up period.Methods Prostate or colorectal cancer patients were randomly assigned to an OncoActive(n=249)or a usual care waitlist control group(n=229).OncoActive participants received PA advice and a pedometer.PA outcomes(i.e.,ActiGraph and self-report moderate-to-vigorous intensity PA(MVPA)min/week and days with≥30 min PA)and health-related outcomes(i.e.,fatigue,depression,physical functioning)were assessed at baseline,6 months,and 12 months.Differences between groups and changes over time were assessed with multilevel linear regressions for the primary outcome(ActiGraph MVPA min/week)and all additional outcomes.Results At 12 months,OncoActive participants did not perform better than control group participants at ActiGraph MVPA min/week,self-report MVPA min/week,or ActiGraph days with PA.Only self-report days with PA were significantly higher in OncoActive compared to the control group.For health-related outcomes only long-term fatigue was significantly lower in OncoActive.When exploratively examining PA within OncoActive,the previously found PA effects at the end of the intervention(6 months follow-up)were maintained at 12 months.Furthermore,all PA outcomes improved significantly from baseline to 12 months.The control group showed small but non-significant improvements from 6 months to 12 months(and from baseline to 12 months),resulting in a decline of differences between groups.Conclusion The majority of previously reported significant between-group differences at 6 months follow-up were no longer present at long-term follow-up,possibly because of natural improvement in the control group.At long-term follow-up,fatigue was significantly lower in OncoActive compared to control group participants.Computer-tailored PA advice may give participants an early start toward recovery and potentially contributes to improving long-term health.展开更多
Introduction: The healthcare industry continues to adopt and integrate smart technology into its operations. However, the adoption of the eHealth solutions has not been smooth in the Kingdom of Saudi Arabia (KSA) due ...Introduction: The healthcare industry continues to adopt and integrate smart technology into its operations. However, the adoption of the eHealth solutions has not been smooth in the Kingdom of Saudi Arabia (KSA) due to negative beliefs about the technology, lack of awareness and motivation and resistance to change. Thus, this study was developed to investigate the knowledge and perceptions of hospital care staff towards the Medical Internet of Things and to explore the role of awareness videos in changing negative perceptions. Methods: One group pre-test post-test quasi-experimental study design was incorporated, and 116 participants from Ministry of Health hospitals in Riyadh, KSA, were included. A series of four videos were developed to observe their influence on the knowledge and perceptions of mIoT. Results: The findings showed that participants had more knowledge about the individual components of mIoT (particularly wearable devices) compared to the processes or functions of mIoT. Similarly, just over half (56.0%) of the individuals think that the current systems in the hospital are enough to deliver mIoT. However, 90% think mIoT is the future of digital health. Similarly, PE, SI, BI, EE and CESE were considered facilitators and PTA and CC were considered grave barriers to mIoT adoption. The awareness videos positively influenced knowledge and perceptions of PE, EE, CESE and SI. Conclusion: The study concludes that hospital staff in Riyadh (excluding doctors) possess basic mIoT knowledge, consider various adoption factors as enablers, and awareness video can play a critical role in effectively introducing the technology to the hospital care staff.展开更多
文摘In this article,we discuss evidence supporting the effective implementation of e Health,telehealth,and telemedicine during the coronavirus disease 2019 pandemic,with a view towards its permanent future integration in healthcare.We performed a literature search for articles describing the use of telehealth/telemedicine in the pandemic context using five databases.The articles selected describe the use of telemedicine as its advantages in terms of practicality and costeffectiveness.This synthesis of articles is applicable to high-,middle-and lowincome countries.Some of the notable benefits include breaking down geographical and time barriers,reducing waiting lists and crowding in healthcare facilities,and saving on national healthcare expenditure.However,there are a number of difficulties with the widespread implementation of telemedicine services that mainly relate to bureaucratic and regulatory concerns.Moreover,it is also important to make healthcare professionals and providers aware of the limits of this tool to avoid potential cases of negligence.Patients in turn will have to be made aware of and be educated on the use of this new healthcare modality before it is accepted by them.In the current socio-economic climate,it is therefore essential to implement a telehealth model aimed at efficiency and continuity of healthcare,as well as leading to an improvement in the quality of life of patients,whilst optimising existing resources and reducing costs.In that regard,the adoption of e Health,telehealth,and telemedicine services should be considered highly timely,despite current existing limitations.
文摘Models of services, processes and technology are useful tools for conceptualizing complex systems such as healthcare. The application of a component architecture helps illustrate the processes and technologies that are important to the operation of a health service and conceptualize the relationships between each component. Telehealth services are relatively recent and have characteristics that do not fit neatly into established models of health services. This paper analyzes the components used to build a telehealth in the home service in South Australia and the design choices that were taken. The service used commodity-based devices and systems to deliver simple to use, low-cost in the home care. Building on this analysis, the components required in an architectural component model of a telehealth service are identified enabling a provisional architecture for telehealth services to be derived from an existing internationally recognized architectural model for eHealth systems. Situated within the broad family of eHealth architectures, a Telehealth Architectural Model of telehealth processes, software, devices, common systems and ICT infrastructure is proposed that represents the components required to support telehealth and allows for customization of services according to clinical models of care.
基金This study was funded by the National Social Science Foundation of China with Grant No.20CTQ024.
文摘Purpose:This study attempts to disclose the characteristics of knowledge integration in an interdisciplinary field by looking into the content aspect of knowledge.Design/methodology/approach:The eHealth field was chosen in the case study.Associated knowledge phrases(AKPs)that are shared between citing papers and their references were extracted from the citation contexts of the eHealth papers by applying a stem-matching method.A classification schema that considers the functions of knowledge in the domain was proposed to categorize the identified AKPs.The source disciplines of each knowledge type were analyzed.Quantitative indicators and a co-occurrence analysis were applied to disclose the integration patterns of different knowledge types.Findings:The annotated AKPs evidence the major disciplines supplying each type of knowledge.Different knowledge types have remarkably different integration patterns in terms of knowledge amount,the breadth of source disciplines,and the integration time lag.We also find several frequent co-occurrence patterns of different knowledge types.Research limitations:The collected articles of the field are limited to the two leading open access journals.The stem-matching method to extract AKPs could not identify those phrases with the same meaning but expressed in words with different stems.The type of Research Subject dominates the recognized AKPs,which calls on an improvement of the classification schema for better knowledge integration analysis on knowledge units.Practical implications:The methodology proposed in this paper sheds new light on knowledge integration characteristics of an interdisciplinary field from the content perspective.The findings have practical implications on the future development of research strategies in eHealth and the policies about interdisciplinary research.Originality/value:This study proposed a new methodology to explore the content characteristics of knowledge integration in an interdisciplinary field.
文摘Community of Practice (CoP) has been proved as an effective means for co-creation of knowledge. It is not yet widely used in health promotion, not to mention to utilize technological environment such as Web 2.0 to add value to the CoP. Under this study, an eHealth promotion @HKIEd, a CoP platform to promote healthy lifestyles was designed and constructed. It helped facilitate the CoP to share useful health information, locate expertise, promote health related events, communicate health updates effectively, co-construct shared repertoire of knowledge and build shared best practice on effective health promotion which was not limited to time, space and distance. Usability test was conducted to evaluate user acceptance of the eHealth promotion CoP platform using the Computer System Usability Questionnaire. A random sample of eighty-three active participants was recruited. Fifty females and thirty-three males with mean (S.D.) aged 21.1 were asked to evaluate the e-platform. The average scores of each domain were calculated with the corresponding means of the average scores of System Use, Information Quality and Interface Quality being 2.69, 2.83 and 2.74 respectively. The overall usability was 2.48 and the eHealth promotion @HKIEd demonstrated a high usability. It will provide a promising way to disseminate information for the public in health awareness promotion.
文摘Knowledge sharing has become an important issue that challenges the efficient healthcare delivery in eHealth system. It also rises as one of the most demanding applications with reference to dynamic interactivities among various healthcare actors (e.g. doctors, nurses, patients, relatives of patients). In this paper, we suggest an activity theory based ontology model to represent various healthcare actors. The goal of the suggested model is to enhance interactivities among these healthcare actors for conducting more efficient knowledge sharing, which helps to design eHealth system. To validate the feasibility of suggested ontology model, three typical use cases are further studied. A questionnaire based survey is carried out and the corresponding survey results are reported, together with the detailed discussions.
文摘Through engineering projects, we have integrated software engineering, geographical information systems and HL7 standard to propose a model of an eHealth management platform for Down’s syndrome screening, replicable in all the country. It will use real time sample information acquired from the local population and will geographically reference this information in the territory of Panama for future research.
文摘目的汉化、修订数字健康素养量表(Digital Health Literacy Instrument,DHLI),并检验其信度和效度。方法根据Brislin翻译模型,将数字健康素养量表进行直译和回译,并对其进行文化调适;2022年7月—8月采用便利抽样法,借助在线问卷平台对458名调查对象进行调查,2周后从中随机抽取25名调查对象进行重测,检验中文版DHLI的信效度。结果中文版DHLI共28个条目(21个自我评估主观条目和7个客观条目),其中21个主观条目经探索性因子分析提取出4个公因子,累计方差贡献率为71.630%。验证性因子分析结果显示,中文版DHLI的结果模型拟合较好(χ2/df=2.850,CFI=0.924,IFI=0.924,TLI=0.904,RMSEA=0.088,RMR=0.046)。量表的条目内容效度指数为0.833~1.00,全体一致内容效度指数为0.964,平均内容效度指数为0.994;Cronbach’sα为0.929,重测信度系数为0.828。结论中文版DHLI量表具有良好的信效度,可作为实施数字健康服务的有效评估工具。
基金funded by the Dutch Cancer Society (Koningin Wilhelmina Kankerfonds Kankerbestrijding,Grant No.NOU2012-5585).
文摘Background Physical activity(PA)can improve the physical and psychological health of prostate and colorectal cancer survivors,but PA behavior change maintenance is necessary for long-term health benefits.OncoActive is a print-and web-based intervention in which prostate and colorectal cancer patients and survivors receive automatically generated,personalized feedback aimed at integrating PA into daily life to increase and maintain PA.We evaluated the long-term outcomes of OncoActive by examining the 12-month follow-up differences between OncoActive and a control group,and we explored whether PA was maintained during a 6-month non-intervention follow-up period.Methods Prostate or colorectal cancer patients were randomly assigned to an OncoActive(n=249)or a usual care waitlist control group(n=229).OncoActive participants received PA advice and a pedometer.PA outcomes(i.e.,ActiGraph and self-report moderate-to-vigorous intensity PA(MVPA)min/week and days with≥30 min PA)and health-related outcomes(i.e.,fatigue,depression,physical functioning)were assessed at baseline,6 months,and 12 months.Differences between groups and changes over time were assessed with multilevel linear regressions for the primary outcome(ActiGraph MVPA min/week)and all additional outcomes.Results At 12 months,OncoActive participants did not perform better than control group participants at ActiGraph MVPA min/week,self-report MVPA min/week,or ActiGraph days with PA.Only self-report days with PA were significantly higher in OncoActive compared to the control group.For health-related outcomes only long-term fatigue was significantly lower in OncoActive.When exploratively examining PA within OncoActive,the previously found PA effects at the end of the intervention(6 months follow-up)were maintained at 12 months.Furthermore,all PA outcomes improved significantly from baseline to 12 months.The control group showed small but non-significant improvements from 6 months to 12 months(and from baseline to 12 months),resulting in a decline of differences between groups.Conclusion The majority of previously reported significant between-group differences at 6 months follow-up were no longer present at long-term follow-up,possibly because of natural improvement in the control group.At long-term follow-up,fatigue was significantly lower in OncoActive compared to control group participants.Computer-tailored PA advice may give participants an early start toward recovery and potentially contributes to improving long-term health.
文摘Introduction: The healthcare industry continues to adopt and integrate smart technology into its operations. However, the adoption of the eHealth solutions has not been smooth in the Kingdom of Saudi Arabia (KSA) due to negative beliefs about the technology, lack of awareness and motivation and resistance to change. Thus, this study was developed to investigate the knowledge and perceptions of hospital care staff towards the Medical Internet of Things and to explore the role of awareness videos in changing negative perceptions. Methods: One group pre-test post-test quasi-experimental study design was incorporated, and 116 participants from Ministry of Health hospitals in Riyadh, KSA, were included. A series of four videos were developed to observe their influence on the knowledge and perceptions of mIoT. Results: The findings showed that participants had more knowledge about the individual components of mIoT (particularly wearable devices) compared to the processes or functions of mIoT. Similarly, just over half (56.0%) of the individuals think that the current systems in the hospital are enough to deliver mIoT. However, 90% think mIoT is the future of digital health. Similarly, PE, SI, BI, EE and CESE were considered facilitators and PTA and CC were considered grave barriers to mIoT adoption. The awareness videos positively influenced knowledge and perceptions of PE, EE, CESE and SI. Conclusion: The study concludes that hospital staff in Riyadh (excluding doctors) possess basic mIoT knowledge, consider various adoption factors as enablers, and awareness video can play a critical role in effectively introducing the technology to the hospital care staff.
