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Detjen, Henrik, Robert Niklas Degenhart, Stefan Schneegass, and Stefan Geisler. "Supporting User Onboarding in Automated Vehicles through Multimodal Augmented Reality Tutorials." Multimodal Technologies and Interaction 5, no. 5 (April 21, 2021): 22. http://dx.doi.org/10.3390/mti5050022.
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Misconceptions of vehicle automation functionalities lead to either non-use or dangerous misuse of assistant systems, harming the users’ experience by reducing potential comfort or compromise safety. Thus, users must understand how and when to use an assistant system. In a preliminary online survey, we examined the use, trust, and the perceived understanding of modern vehicle assistant systems. Despite remaining incomprehensibility (36–64%), experienced misunderstandings (up to 9%), and the need for training (around 30%), users reported high trust in the systems. In the following study with first-time users, we examine the effect of different User Onboarding approaches for an automated parking assistant system in a Tesla and compare the traditional text-based manual with a multimodal augmented reality (AR) smartphone application in means of user acceptance, UX, trust, understanding, and task performance. While the User Onboarding experience for both approaches shows high pragmatic quality, the hedonic quality was perceived significantly higher in AR. For the automated parking process, reported hedonic and pragmatic user experience, trust, automation understanding, and acceptance do not differ, yet the observed task performance was higher in the AR condition. Overall, AR might help motivate proper User Onboarding and better communicate how to operate the system for inexperienced users.
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Eschenbrenner, Brenda, Fiona Fui-Hoon Nah, and Venkata Rajasekhar Telaprolu. "Efficacy of Social Media Utilization by Public Accounting Firms: Findings and Directions for Future Research." Journal of Information Systems 29, no. 2 (August 1, 2014): 5–21. http://dx.doi.org/10.2308/isys-50894.
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ABSTRACT Social media presents a new platform for businesses to communicate and interact with others, both internally and externally. Social media may be utilized for activities such as sharing success stories and providing industry updates. Although a plethora of opportunities to achieve business objectives with social media usage exists, the efficacy of its use by public accounting firms is unclear. This article identifies the business objectives that Big 4 and second-tier firms are pursuing with social media. Primary business objectives being fulfilled by social media include Knowledge Sharing, Branding and Marketing, and Socialization and Onboarding. The findings suggest that Big 4 firms are pursuing Knowledge Sharing on Facebook™ and Twitter™ to a greater extent than second-tier firms, while second-tier firms pursue Socialization and Onboarding on Facebook and Branding and Marketing on Twitter to a greater extent than Big 4 firms. Suggestions for business opportunities and future research are also identified.
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Blattgerste, Jonas, Kristina Luksch, Carmen Lewa, and Thies Pfeiffer. "TrainAR: A Scalable Interaction Concept and Didactic Framework for Procedural Trainings Using Handheld Augmented Reality." Multimodal Technologies and Interaction 5, no. 7 (June 22, 2021): 30. http://dx.doi.org/10.3390/mti5070030.
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The potential of Augmented Reality (AR) for educational and training purposes is well known. While large-scale deployments of head-mounted AR headsets remain challenging due to technical limitations and cost factors, advances in mobile devices and tracking solutions introduce handheld AR devices as a powerful, broadly available alternative, yet with some restrictions. One of the current limitations of AR training applications on handheld AR devices is that most offer rather static experiences, only providing descriptive knowledge with little interactivity. Holistic concepts for the coverage of procedural knowledge are largely missing. The contribution of this paper is twofold. We propose a scalabe interaction concept for handheld AR devices with an accompanied didactic framework for procedural training tasks called TrainAR. Then, we implement TrainAR for a training scenario in academics for the context of midwifery and explain the educational theories behind our framework and how to apply it for procedural training tasks. We evaluate and subsequently improve the concept based on three formative usability studies (n = 24), where explicitness, redundant feedback mechanisms and onboarding were identified as major success factors. Finally, we conclude by discussing derived implications for improvements and ongoing and future work.
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Tu, Yu-Zhen, Ya-Ting Chang, Hung-Yi Chiou, and Ken Lai. "The Effects of Continuous Usage of a Diabetes Management App on Glycemic Control in Real-world Clinical Practice: Retrospective Analysis." Journal of Medical Internet Research 23, no. 7 (July 15, 2021): e23227. http://dx.doi.org/10.2196/23227.
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Background The efficacy of digital technology in improving diabetes management has typically been demonstrated through studies such as randomized controlled trials, which have reported a steeper reduction in hemoglobin A1c (HbA1c) values for patients who adopted a digital solution. However, evidence from real-world clinical practice is still limited. Objective This study aimed to evaluate the effectiveness of digital interventions by tracking HbA1c improvements over 1 year in real-world clinical settings. Methods Patients used the Health2Sync mobile app to track self-measured outcomes and communicate with health care professionals (HCPs). HCPs used the web-based Patient Management Platform to monitor patient data, view test results from clinical laboratories, and communicate with patients. Patients who have been onboarded for at least 13 months and have consecutive HbA1c findings for 5 quarters were included in the analysis. They were then stratified into 3 groups (high, mid, and low retention) based on their level of use of Health2Sync in the first 6 months of onboarding. A mixed model was built to compare the slopes of the rate of reduction in HbA1c among the groups. In addition, these patients’ retention on the app from the seventh to the 12th month was verified through multiple comparisons. Results A sample of 2036 users was included in the analysis. With the mixed model coefficient estimates, we found that app users had significant HbA1c percentage reductions as the passed quarter count increased (t=–9.869; P<.001), and that effectiveness increased in the high (t=–5.173) and mid retention (t=–6.620) groups as the interaction effects were significantly negative compared to that in the low retention group (P<.001) in the passed quarter count. The low retention group also had the highest average HbA1c value at the end of 13 months (high: 7.01%, SD 1.02%; mid: 6.99%, SD 1.00%; low: 7.17%, SD 1.14%) (Bonferroni correction: high vs low, P=.07; mid vs low, P=.02; high vs mid, P>.99). The level of use of the app remained consistent in the seventh to the 12th month after onboarding (high: 5.23 [SD 1.37] months, mid: 2.43 [SD 1.68] months, low: 0.41 [SD 0.97] months) (P<.001). Conclusions Our analysis shows that continuous usage of the diabetes management app is associated with better glycemic control in real-world clinical practice. Further studies are required to reveal the efficacy for specific diabetes types and to observe effects beyond 1 year.
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Mulgund, Pavankumar, Raj Sharman, Daniel Rifkin, and Sam Marrazzo. "Design, Development, and Evaluation of a Telemedicine Platform for Patients With Sleep Apnea (Ognomy): Design Science Research Approach." JMIR Formative Research 5, no. 7 (July 19, 2021): e26059. http://dx.doi.org/10.2196/26059.
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Background With an aging population and the escalating cost of care, telemedicine has become a societal imperative. Telemedicine alternatives are especially relevant to patients seeking care for sleep apnea, with its prevalence approaching one billion cases worldwide. Increasing awareness has led to a surge in demand for sleep apnea care; however, there is a shortage of the resources and expertise necessary to cater to the rising demand. Objective The aim of this study is to design, develop, and evaluate a telemedicine platform, called Ognomy, for the consultation, diagnosis, and treatment of patients with sleep apnea. Methods Using the design science research methodology, we developed a telemedicine platform for patients with sleep apnea. To explore the problem, in the analysis phase, we conducted two brainstorming workshops and structured interviews with 6 subject matter experts to gather requirements. Following that, we conducted three design and architectural review sessions to define and evaluate the system architecture. Subsequently, we conducted 14 formative usability assessments to improve the user interface of the system. In addition, 3 trained test engineers performed end-to-end system testing to comprehensively evaluate the platform. Results Patient registration and data collection, physician appointments, video consultation, and patient progress tracking have emerged as critical functional requirements. A telemedicine platform comprising four artifacts—a mobile app for patients, a web app for providers, a dashboard for reporting, and an artificial intelligence–based chatbot for customer onboarding and support—was developed to meet these requirements. Design reviews emphasized the need for a highly cohesive but loosely coupled interaction among the platform’s components, which was achieved through a layered modular architecture using third-party application programming interfaces. In contrast, critical findings from formative usability assessments focused on the need for a more straightforward onboarding process for patients, better status indicators during patient registration, and reorganization of the appointment calendar. Feedback from the design reviews and usability assessments was translated into technical improvements and design enhancements that were implemented in subsequent iterations. Conclusions Sleep apnea is an underdiagnosed and undertreated condition. However, with increasing awareness, the demand for quality sleep apnea care is likely to surge, and creative alternatives are needed. The results of this study demonstrate the successful application of a framework using a design science research paradigm to design, develop, and evaluate a telemedicine platform for patients with sleep apnea and their providers.
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Wei, Kevin S., Nasrien E. Ibrahim, Ashok A. Kumar, Sidhant Jena, Veronica Chew, Michal Depa, Namrata Mayanil, Joseph C. Kvedar, and Hanna K. Gaggin. "Habits Heart App for Patient Engagement in Heart Failure Management: Pilot Feasibility Randomized Trial." JMIR mHealth and uHealth 9, no. 1 (January 20, 2021): e19465. http://dx.doi.org/10.2196/19465.
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Background Due to the complexity and chronicity of heart failure, engaging yet simple patient self-management tools are needed. Objective This study aimed to assess the feasibility and patient engagement with a smartphone app designed for heart failure. Methods Patients with heart failure were randomized to intervention (smartphone with the Habits Heart App installed and Bluetooth-linked scale) or control (paper education material) groups. All intervention group patients were interviewed and monitored closely for app feasibility while receiving standard of care heart failure management by cardiologists. The Atlanta Heart Failure Knowledge Test, a quality of life survey (Kansas City Cardiomyopathy Questionnaire), and weight were assessed at baseline and final visits. Results Patients (N=28 patients; intervention: n=15; control: n=13) with heart failure (with reduced ejection fraction: 15/28, 54%; male: 20/28, 71%, female: 8/28, 29%; median age 63 years) were enrolled, and 82% of patients (N=23; intervention: 12/15, 80%; control: 11/13, 85%) completed both baseline and final visits (median follow up 60 days). In the intervention group, 2 out of the 12 patients who completed the study did not use the app after study onboarding due to illnesses and hospitalizations. Of the remaining 10 patients who used the app, 5 patients logged ≥1 interaction with the app per day on average, and 2 patients logged an interaction with the app every other day on average. The intervention group averaged 403 screen views (per patient) in 56 distinct sessions, 5-minute session durations, and 22 weight entries per patient. There was a direct correlation between duration of app use and improvement in heart failure knowledge (Atlanta Heart Failure Knowledge Test score; ρ=0.59, P=.04) and quality of life (Kansas City Cardiomyopathy Questionnaire score; ρ=0.63, P=.03). The correlation between app use and weight change was ρ=–0.40 (P=.19). Only 1 out of 11 patients in the control group retained education material by the follow-up visit. Conclusions The Habits Heart App with a Bluetooth-linked scale is a feasible way to engage patients in heart failure management, and barriers to app engagement were identified. A larger multicenter study may be warranted to evaluate the effectiveness of the app. Trial Registration ClinicalTrials.gov NCT03238729; http://clinicaltrials.gov/ct2/show/NCT03238729
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Barykin, Sergey, Olga Kalinina, Igor Aleksandrov, Evgenii Konnikov, Vladimir Yadikin, and Mikhail Draganov. "Personnel Management Digital Model Based on the Social Profiles’ Analysis." Journal of Open Innovation: Technology, Market, and Complexity 6, no. 4 (November 16, 2020): 152. http://dx.doi.org/10.3390/joitmc6040152.
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This paper examines a new approach to defining the task of personnel management in the digital age, taking into account the fundamental changes in internal communications stemming from an increasing use of digital platforms such as intranet, blogs, bulletin boards, instant messaging, and social networking sites. Personnel social media presence plays internal communication roles and thus relates to technologies of social profile analysis regarding employee interaction within the digital economy. The research aims at examining the task of personnel management based on data deriving from social media, for instance social networking sites and other social media tools, with the development of a relevant model for personnel management assessment. It could be shown that communication becomes one of the important aspects of personnel management, which consists of, i.e., human resources planning, recruitment, onboarding, assessment of individual work effects, as well as staff training, rewarding and motivating employees. Effective communication is a prerequisite for carrying out the above-mentioned tasks and performing work effectively. This means that the digital management of personnel can be viewed as a complex task, assuming that organizations operate less by using any formal connections and more by instilling in employees such feelings as feeling inspired, technologically advanced, and proud (on the basis of social media analytics). This paper presents theoretical foundations for developing a model for personnel management with consideration of the distinct employee features based on social media data and included in the assessment process. This allows the same approaches to be used for future research and modeling for assessing team effectiveness. In this paper, a methodological and instrumental solution to the current problem of creating the most effective work team in a digital ecosystem is proposed. The tools proposed to make it possible to create the most potentially effective work team based on the automated processing of natural information contained online on social profiles of potential members of the work team. At the same time, the level of communication compatibility acts as the criterion for the potential effectiveness of the work team. This is an innovative solution for the existing method of managing personnel.
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Christensen, Erin, Kara Webber, Janet L. Kelly, Stanley S. Weber, and Teresa A. O'Sullivan. "Evaluation of a Longitudinal Institutional Advanced Pharmacy Practice Model." INNOVATIONS in pharmacy 9, no. 3 (October 12, 2018): 2. http://dx.doi.org/10.24926/iip.v9i3.992.
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Objective: To evaluate a longitudinal experiential training model for advanced pharmacy practice experiences (APPEs).
Innovation: A six-month longitudinal pilot program named the Focused Institutional Longitudinal Experience (FILE) program was developed at two academic medical centers to maximize active participation of the student and minimize the time spent orienting and onboarding students to each APPE experience. A unique component of the FILE program is the longitudinal service project, which involved a medication use evaluation, including a review of published literature and drug policy recommendations to medical center quality committees.
Analysis: Student ratings regarding the quality and value of the FILE student experience was compared to the traditional APPE model. Nine quality measures were compared (e.g. amount of opportunity for direct patient care experience, learning, integration into healthcare team, and accountability for patient outcomes) between students from the FILE program to peers completing similar APPEs outside the FILE program. FILE students and APPE preceptors also completed surveys regarding the value of several program aspects.
Key Findings: There was no difference between FILE and non-FILE student self-rated measures of APPE quality, and thus the decision to participate in a longitudinal APPE program should be based on the personal preference of the student. Students in the FILE program agreed or strongly agreed (mean score 4.3) that they felt prepared for post-graduate training at the completion of the program. The potential value that students in a longitudinal program might bring to the site is reinforced by the general agreement by preceptors in the end of year survey that FILE students take less of their time to orient to their service and the trend toward perception that FILE students are more likely to independently participate in patient care activities.
Next Steps: To address feedback on preceptor-mentor role and the desire for more interaction with pharmacy residents, students are now paired with a pharmacy resident, and the student and resident work together on the service project with a clinical pharmacist as an advisor. Updated standards of practice clearly delineate the roles and responsibilities of students, residents, and the clinical pharmacist preceptor. Annual surveys of FILE students and preceptors provide necessary feedback to continuously improve the quality of the program.
Article Type: Note
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Hernandez-Ramos, Rosa, Adrian Aguilera, Faviola Garcia, Jose Miramontes-Gomez, Laura Elizabeth Pathak, Caroline Astrid Figueroa, and Courtney Rees Lyles. "Conducting Internet-Based Visits for Onboarding Populations With Limited Digital Literacy to an mHealth Intervention: Development of a Patient-Centered Approach." JMIR Formative Research 5, no. 4 (April 29, 2021): e25299. http://dx.doi.org/10.2196/25299.
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Background The COVID-19 pandemic has propelled patient-facing research to shift to digital and telehealth strategies. If these strategies are not adapted for minority patients of lower socioeconomic status, health inequality will further increase. Patient-centered models of care can successfully improve access and experience for minority patients. Objective This study aims to present the development process and preliminary acceptability of altering in-person onboarding procedures into internet-based, remote procedures for a mobile health (mHealth) intervention in a population with limited digital literacy. Methods We actively recruited safety-net patients (English- and Spanish-speaking adults with diabetes and depression who were receiving care at a public health care delivery system in San Francisco, United States) into a randomized controlled trial of text messaging support for physical activity. Because of the COVID-19 pandemic, we modified the in-person recruitment and onboarding procedures to internet-based, remote processes with human support. We conducted a preliminary evaluation of how the composition of the recruited cohort might have changed from the pre–COVID-19 period to the COVID-19 enrollment period. First, we analyzed the digital profiles of patients (n=32) who had participated in previous in-person onboarding sessions prior to the COVID-19 pandemic. Next, we documented all changes made to our onboarding processes to account for remote recruitment, especially those needed to support patients who were not very familiar with downloading apps onto their mobile phones on their own. Finally, we used the new study procedures to recruit patients (n=11) during the COVID-19 social distancing period. These patients were also asked about their experience enrolling into a fully digitized mHealth intervention. Results Recruitment across both pre–COVID-19 and COVID-19 periods (N=43) demonstrated relatively high rates of smartphone ownership but lower self-reported digital literacy, with 32.6% (14/43) of all patients reporting they needed help with using their smartphone and installing apps. Significant changes were made to the onboarding procedures, including facilitating app download via Zoom video call and/or a standard phone call and implementing brief, one-on-one staff-patient interactions to provide technical assistance personalized to each patient’s digital literacy skills. Comparing recruitment during pre–COVID-19 and COVID-19 periods, the proportion of patients with digital literacy barriers reduced from 34.4% (11/32) in the pre–COVID-19 cohort to 27.3% (3/11) in the COVID-19 cohort. Differences in digital literacy scores between both cohorts were not significant (P=.49). Conclusions Patients of lower socioeconomic status have high interest in using digital platforms to manage their health, but they may require additional upfront human support to gain access. One-on-one staff-patient partnerships allowed us to provide unique technical assistance personalized to each patient’s digital literacy skills, with simple strategies to troubleshoot patient barriers upfront. These additional remote onboarding strategies can mitigate but not eliminate digital barriers for patients without extensive technology experience. Trial Registration Clinicaltrials.gov NCT0349025, https://clinicaltrials.gov/ct2/show/NCT03490253
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Prati, Davide, Stefania Spiazzi, Gregor Cerinšek, and Annarita Ferrante. "A User-Oriented Ethnographic Approach to Energy Renovation Projects in Multiapartment Buildings." Sustainability 12, no. 19 (October 4, 2020): 8179. http://dx.doi.org/10.3390/su12198179.
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The paper presents the activities related to ethnographic research in the Italian demo-case adapted to the needs of the TripleA-reno EU project (Affordable, Attractive, Accessible deep renovation). The overall study methodology is focused on the four phases of the People-centered development strategy, which focuses on the core idea that “knowing people” should become an integral part of energy renovation development processes as a means of achieving new categories of products, services, or business strategies. Ethnography is a typical methodology of anthropology. It is based primarily on the end-users observation, during which the researcher is directly involved in the daily activities, interactions, and events of a group of people. Involvement is intended as a means to learn the explicit and hidden aspects of an end-user’s daily life. The primary objective is to understand interactions between building occupants and the building itself, as well as their relationships and roles within the renovation processes. Implementing this research in the Italian case study has made it possible to form a knowledge base on the opinions of the subjects involved at the national level. The application of simplified ethnography methods combined with an appropriately studied questionnaire, conveyed through a web form, allowed for gathering useful information. The quantitative questionnaire data collected were then compared with the open-ended interviews collected from the residents of the Italian demo case building that was undergoing a forthcoming renovation. By confronting European, national, and demo case levels, it was possible to verify how the resident attitudes change concerning the energy renovation processes once directly involved. The aim was to understand which most stimulating factors have to be considered in order to make the end-user onboarding and renovation project experience more affordable, attractive, and accessible.
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Bundy, Jennifer, and Cori Siberski. "70 Identifying factors that play a significant role in the animal science transfer student experience." Journal of Animal Science 98, Supplement_3 (November 2, 2020): 146. http://dx.doi.org/10.1093/jas/skaa054.256.
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Abstract Transfer students make up 16.5% of the undergraduate population in the Animal Science (ANS) major, and transfer enrollment is on the rise. Transfers often face challenges that are different from their direct-from-high-school peers. The objective of this study was to determine the factors that affected the transfer transition from a previous institution to the ANS department. Based on focus group (n=6) feedback, a survey instrument was developed and piloted. Using pilot data, a factor analysis was performed and the instrument was tested for reliability. Once validated, the instrument was used to collect data from first semester ANS transfer students (n=47). No incentives were offered, and participation was voluntary. Between-factor Pearson correlations were estimated, and responses to scale questions were tallied. Significant negative correlations were observed between social integration and risk of attrition (r=-0.53, p< 0.01), and between social integration and academic struggle (r=-0.48, p< 0.01). Social integration was positively correlated with overall satisfaction within the ANS department (r=0.638, p< 0.01). Students who felt socially integrated were more confident academically, more comfortable at ISU, and were less likely to leave. Students had a positive view of the ANS department if they were involved in clubs and student organizations (r=0.42, p< 0.05). Transfers who were satisfied with instructor interactions tended to be more content with the overall transfer process (r=0.44, p< 0.01). Approximately 72% of respondents felt that paying for school created a lot stress in their life, but 52% felt satisfied with the financial assistance they received. Only half of the respondents reported that the pre-registration orientation helped prepare them for transfer to ISU, but 95.9% of ANS transfers reported that they understood the requirements for graduation. These data will inform policy and procedures related to transfer student onboarding and the promotion of social interactions with peers.
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Selzer, Robin, and Todd Foley. "Implementing grassroots inclusive change through a cultural audit." Qualitative Research in Organizations and Management: An International Journal 13, no. 3 (September 10, 2018): 284–302. http://dx.doi.org/10.1108/qrom-10-2016-1455.
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PurposeThe purpose of this paper is to implement diversity and inclusion practices in an USA university department through the application of a cultural audit in the style of participatory action research (PAR). The cultural audit process demonstrates an inclusive, grassroots approach to creating actionable solutions that brings about positive organizational change and can be replicated by others.Design/methodology/approachThe version of an organizational cultural audit described here included two phases. The first was quantitative in nature, using a survey to collect data that would provide the organization with a perspective of how its culture is perceived (Fletcher and Jones, 1992) and serve as the basis for the second, more crucial phase. The second phase utilized PAR qualitative approach. Having data presented in aggregate form allows for truer reactions to how others believe they experience the work environment, as opposed to making assumptions about how others may experience the work environment. A cultural audit such as this relies heavily upon the qualitative narrative that is exposed when participants react to the quantitative data presented. In fact, the real assessment begins not with the quantitative data collection process, but with the presentation of the quantitative data and the analysis of how participants respond to what they see.FindingsThe researchers found social and practical implications for empowering employees to develop a culturally agile organization. Results showed that participants generally viewed the culture as lacking transparency and needing values-based guidelines for everyday interactions. Participants thought they should value diversity, but viewed the culture as having a gap in solutions to apply that value. Incentivizing actions that promote diversity and inclusion and better shared governance were needed to address cultural problems in the organization. Recommendations for actionable solutions included: developing shared language through a values statement, restructuring onboarding and mentoring support, increasing transparency of standing committee work, membership, and minutes to foster trust and communication, implementing group guidelines for respectful interactions, and the creation of regular, planned social events to enhance human relations. This case study is significant because it uses an innovative method to not only study diversity and inclusion in a university setting, but also take action, thereby filling a gap in the literature on critical studies of organizations.Research limitations/implicationsFor those trying to institute a similar experience for their organization, it would be important to note that the cultural audit was a grassroots intervention, designed to help the division discern what kinds of lived experiences and shared assumptions exist within.Practical implicationsThe case study presented should serve as a roadmap for how individuals can garner support for conducting a similar cultural audit with their own organizations.Originality/valueThis case study is significant because it uses an innovative method to not only study diversity in a university setting, but also take action, thereby filling a gap in the literature on critical studies of organizations.
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Wali, Sahr, Milena Guessi Margarido, Amika Shah, Patrick Ware, Michael McDonald, Mary O'Sullivan, Juan Duero Posada, Heather Ross, and Emily Seto. "Expanding Telemonitoring in a Virtual World: A Case Study of the Expansion of a Heart Failure Telemonitoring Program During the COVID-19 Pandemic." Journal of Medical Internet Research 23, no. 1 (January 22, 2021): e26165. http://dx.doi.org/10.2196/26165.
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Background To minimize the spread and risk of a COVID-19 outbreak, societal norms have been challenged with respect to how essential services are delivered. With pressures to reduce the number of in-person ambulatory visits, innovative models of telemonitoring have been used during the pandemic as a necessary alternative to support access to care for patients with chronic conditions. The pandemic has led health care organizations to consider the adoption of telemonitoring interventions for the first time, while others have seen existing programs rapidly expand. Objective At the Toronto General Hospital in Ontario, Canada, the rapid expansion of a telemonitoring program began on March 9, 2020, in response to COVID-19. The objective of this study was to understand the experiences related to the expanded role of a telemonitoring program under the changing conditions of the pandemic. Methods A single-case qualitative study was conducted with 3 embedded units of analysis. Semistructured interviews probed the experiences of patients, clinicians, and program staff from the Medly telemonitoring program at a heart function clinic in Toronto, Canada. Data were analyzed using inductive thematic analysis as well as Eakin and Gladstone’s value-adding approach to enhance the analytic interpretation of the study findings. Results A total of 29 participants were interviewed, including patients (n=16), clinicians (n=9), and operational staff (n=4). Four themes were identified: (1) providing care continuity through telemonitoring; (2) adapting telemonitoring operations for a more virtual health care system; (3) confronting virtual workflow challenges; and (4) fostering a meaningful patient-provider relationship. Beyond supporting virtual visits, the program’s ability to provide a more comprehensive picture of the patient’s health was valued. However, issues relating to the lack of system integration and alert-driven interactions jeopardized the perceived sustainability of the program. Conclusions With the reduction of in-person visits during the pandemic, virtual services such as telemonitoring have demonstrated significant value. Based on our study findings, we offer recommendations to proactively adapt and scale telemonitoring programs under the changing conditions of an increasingly virtual health care system. These include revisiting the scope and expectations of telemedicine interventions, streamlining virtual patient onboarding processes, and personalizing the collection of patient information to build a stronger virtual relationship and a more holistic assessment of patient well-being.
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Samuel, Anita, Steven Durning, and Holly Meyer. "Preparing Adult Learners for Success in Blended Learning through Onboarding: A pilot study." eLearn 2021, no. 9 (September 16, 2021). http://dx.doi.org/10.1145/3486955.3480946.
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Blended learning offers adult learners unique opportunities for instructional continuity given work and personal commitments. However, learners participating in blended learning may experience a sense of isolation and/or problems with technology. To address the challenges of a blended program, an expanded orientation, called "onboarding," was designed to ensure learners feel connected to their program and clearly understand the programmatic requirements. Onboarding spans six months and includes a series of activities to provide learners with technological, interaction, and self-directed learning skills needed to succeed in a blended program. Results from the evaluation survey reveal that learners feel most engaged with the program through one-to-one interactions with their academic advisors and interactions with peers in an online discussion board. In addition, learners primarily found the onboarding process straightforward and mostly expressed a desire for more explicit instructions. The onboarding, catering to adult learner needs, provides a combination of personal interactions and self-paced activities, offers hands-on experience of the technologies that learners will be using in the program, and contextualizes all the technical activities within programmatic requirements. Providing a comprehensive onboarding process can help returning learners in their transition to blended learning
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Leegon, Jeffrey, Caleb Wiedeman, Vamshi Nukala, and Paul Petersen. "Creation of a Technical Tool to Improve Syndromic Surveillance Onboarding in Tennessee." Online Journal of Public Health Informatics 10, no. 1 (May 22, 2018). http://dx.doi.org/10.5210/ojphi.v10i1.8907.
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Objective: To show how the creation of a software tool and implementation of new processes improved the efficiency of syndromic surveillance onboarding at the Tennessee Department of Health.Introduction: Syndromic surveillance is commonly supported by information generated from electronic health record (EHR) systems and sent to public health via standardized messaging. Before public health can receive syndromic surveillance information from an EHR, a healthcare provider must demonstrate reliable and timely generation of messages according to national standards. This process is known as onboarding. Onboarding at the Tennessee Department of Health (TDH) focused heavily on human review of HL7 messages. However, the visual inspection of messages was time-intensive and delayed efforts to provide constructive feedback to participating healthcare providers. To ease the quantity of manual review done during the onboarding process, TDH created an application to assist in the process of reviewing syndromic surveillance messages.Methods: The application for reviewing syndromic surveillance messages was developed in Python 3.6, a general purpose programming language. Python was selected because of the strong libraries already developed in the language for data analysis, database interaction, and interacting with healthcare related data. To support TDH onboarding efforts, the application performed three tasks : file handling, HL7 processing, and database loading.File handling was completed using Python core libraries. Healthcare facilities participating in onboarding regularly uploaded test HL7 batch files containing all emergency department (ED) visits to a secure File Transfer Protocol (sFTP) server owned by the State of Tennessee. Files are then retrieved from the sFTP server and delivered to the TDH integration engine, Rhapsody. Rhapsody processes the incoming files and makes a copy available to the Python application. The copies are then loaded by the application into a database and backed up in an archive.After the application has finished handling the received files, the raw HL7 messages within the files are processed to extract relevant information needed to validate the message. The extraction was supported by the “python-hl7” library. The application referenced a CSV file with the names and locations of all of the PHIN 2.0 guide HL7 data elements to guide data processing. Processed HL7 fields and file metadata were then extracted into a relational database using the Python library SQL Alchemy.Conclusions: The creation of this application has greatly assisted in the process of reviewing syndromic surveillance messages at TDH by automating data extraction and organization for all received HL7 messages. The database tables of extracted HL7 data elements allowed for easy analysis in any tool that can connect to a database (e.g., SAS, R, Python, Excel, Tableau) and faster, more manageable message validation. TDH has been able communicate better feedback to more healthcare providers because of the efficiencies gained after deploying the application.
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Sharunova, Alyona, Mehwish Butt, Suzanne Kresta, Jason Carey, Loren Wyard-Scott, Samer Adeeb, Luciënne Blessing, and A. J. Qureshi. "COGNITION AND TRANSDISCIPLINARY DESIGN: AN EDUCATIONAL FRAMEWORK FOR UNDERGRADUATE ENGINEERING DESIGN CURRICULUM DEVELOPMENT." Proceedings of the Canadian Engineering Education Association (CEEA), March 2, 2018. http://dx.doi.org/10.24908/pceea.v0i0.10353.
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Abstract - Contemporary engineering product design and development no longer adheres to the boundaries of a single discipline and has become tightly integrated, often relying on interaction of multiple disciplines for completion of integrated product design projects. In order to design these products, design and development practice has transcended the discipline boundaries to become a transdisciplinary engineering design process. A collaboration of specialists from different engineering disciplines is required to develop efficient solutions to interdisciplinary problems of product design. Despite this shift from mono-disciplinary to transdisciplinary, the engineering design curriculum remains focused on teaching discipline specific design practice through skill based subject specific pedagogy with a limited emphasis on the importance of design process and transdisciplinarity in the design process. As a result, new graduates starting in design and development organizations face a difficulty finding a common basis of understanding of disciplines’ interactions and must go through a process of often implicit ‘onboarding’ to understand the transdisciplinary engineering design process. This can be avoided by developing and adapting undergraduate design process education in line with industrial demands. This paper proposes a theoretical framework based on empirical engineering design research in industry, educational psychology and teaching approaches such as Bloom’s Taxonomy and Kolb’s Model of Experiential Learning for developing the core elements of a transdisciplinary engineering design process curriculum.
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Armstrong, Shelley N., Kirsten Lupinski, Michelle M. Burcin, Kimberly Kato, and Marsha Kaufman. "Evaluation of a Teaching Assistant Program in Online Education." Journal of Educational Research and Practice 11, no. 1 (April 1, 2021). http://dx.doi.org/10.5590/jerap.2020.11.1.04.
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Online student success is determined by several factors, including learning effectiveness, access (academic, technical, and administrative support), faculty satisfaction, and student satisfaction. These factors are part of the Online Learning Consortium’s Pillars of Quality Online Education, which were established to ensure all students are provided a quality education, with high levels of student engagement, instructor feedback and interaction, and experiential learning opportunities. Using Teaching Assistants (TAs) in the virtual classroom is not a traditional practice for most online institutions, but is a strategy that can have a positive impact on these factors. This exploratory research study discusses a TA program that was developed, implemented, and evaluated over 3 years. Fifteen (<em>n</em> = 15) doctoral students were hired to provide teaching support to high-risk courses in the undergraduate programs. Background, recruitment, onboarding, division of course responsibilities, data, and outcomes of the 3-year TA programs are discussed in alignment with the five pillars. Findings suggest the addition of TAs in online education is a potentially useful strategy to improve student learning outcomes, scale, access, and faculty and student satisfaction.
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Armstrong, Shelley N., Kirsten Lupinski, Michelle M. Burcin, Kimberly Kato, and Marsha Kaufman. "Evaluation of a Teaching Assistant Program in Online Education." Journal of Educational Research and Practice 11, no. 1 (April 1, 2021). http://dx.doi.org/10.5590/jerap.2021.11.1.04.
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Online student success is determined by several factors, including learning effectiveness, access (academic, technical, and administrative support), faculty satisfaction, and student satisfaction. These factors are part of the Online Learning Consortium’s Pillars of Quality Online Education, which were established to ensure all students are provided a quality education, with high levels of student engagement, instructor feedback and interaction, and experiential learning opportunities. Using Teaching Assistants (TAs) in the virtual classroom is not a traditional practice for most online institutions, but is a strategy that can have a positive impact on these factors. This exploratory research study discusses a TA program that was developed, implemented, and evaluated over 3 years. Fifteen (<em>n</em> = 15) doctoral students were hired to provide teaching support to high-risk courses in the undergraduate programs. Background, recruitment, onboarding, division of course responsibilities, data, and outcomes of the 3-year TA programs are discussed in alignment with the five pillars. Findings suggest the addition of TAs in online education is a potentially useful strategy to improve student learning outcomes, scale, access, and faculty and student satisfaction.
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Suresh, Vasanthi, and Lata Dyaram. "Workplace disability inclusion in India: review and directions." Management Research Review 43, no. 12 (July 23, 2020). http://dx.doi.org/10.1108/mrr-11-2019-0479.
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Purpose This study aims to review the extant literature on workplace disability inclusion in the organised sector in India and presents an integrated model based on emergent themes in indigenous studies. Design/methodology/approach The review is directed by the following foci: In what contexts was workplace disability inclusion in India empirically investigated? How was workplace disability inclusion examined (method)? What important themes emerge from the studies? Towards this, empirical scholarly studies in India, published between 2011–2019, is reviewed to identify the evolutionary trends. Findings Prominent themes have been identified at three levels – organization, group and individual. At an organization level, the focus is on inclusive strategy and practices. Country-specific contextual factors such as legislation, accessibility and external eco-system influence an organization’s inclusive strategy, which addresses how organizations engage with persons with disability (PwD), job mapping, accessibility and targeted recruitment. Inclusive practices span across various phases of the employee life cycle, namely, recruitment, onboarding, development and retention. At the group level, the themes highlight group boundaries, PwD-supervisor interaction, PwD-co-worker interaction and PwD-PwD interaction. At an individual level, PwD experiences are categorized as physical, job-related and psychological. Workplace treatment and experiences of PwD vary from discrimination to inclusion and along with other outcomes, are influenced by contextual factors. Research limitations/implications This study contributes to the development of workplace disability inclusion theory, by presenting an integrated model of prominent themes, offering greater clarity and avenues for extending the literature. The paper discusses themes that can help organizations facilitate inclusion, thereby improving employment opportunities for PwD. Originality/value In a first, the study provides an integrated account of inclusion of PwD in organized sector in India.
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Peltokorpi, Vesa, Jie Feng, Sasha Pustovit, David G. Allen, and Alex L. Rubenstein. "EXPRESS: The Interactive Effects of Socialization Tactics and Work Locus of Control on Newcomer Work Adjustment, Job Embeddedness, and Voluntary Turnover." Human Relations, December 23, 2020, 001872672098684. http://dx.doi.org/10.1177/0018726720986843.
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Previous research has focused on general best practices for onboarding organizational newcomers. In this study, we shift the conversation to address the question: for whom are certain socialization tactics more or less beneficial? Whereas institutionalized socialization tactics provide considerable structure and help newcomers adjust, less is known about whether and how individual psychological differences cause some newcomers to react differently to the same tactics. To examine the interplay between organizational socialization efforts and newcomer individual differences, we hypothesize that newcomers’ work locus of control (WLOC) moderates the relationship between socialization tactics and voluntary turnover. We also examine the indirect role of newcomer work adjustment—role clarity, work mastery, social integration—and job embeddedness in transmitting the interaction between socialization tactics and WLOC to turnover. Data collected from 676 newcomers in various organizations provided general support for our hypotheses: Newcomers with an external WLOC showed higher social integration and embeddedness and lower turnover under institutionalized tactics, but lower social integration and embeddedness and higher turnover under individualized tactics. Their turnover was also reduced from individualized to institutionalized tactics. In contrast, newcomers with an internal WLOC were less influenced by either socialization tactic approach in terms of their social integration, embeddedness, or turnover.
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Mast, Danica, Sanne I. de Vries, Joost Broekens, and Fons J. Verbeek. "The Participant Journey Map: Understanding the Design of Interactive Augmented Play Spaces." Frontiers in Computer Science 3 (June 4, 2021). http://dx.doi.org/10.3389/fcomp.2021.674132.
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Augmented Play Spaces (APS) are (semi-) public environments where playful interaction is facilitated by enriching the existing environment with interactive technology. APS can potentially facilitate social interaction and physical activity in (semi-)public environments. In controlled settings APS show promising effects. However, people’s willingness to engage with APS in situ, depends on many factors that do not occur in aforementioned controlled settings (where participation is obvious). To be able to achieve and demonstrate the positive effects of APS when implemented in (semi-)public environments, it is important to gain more insight in how to motivate people to engage with them and better understand when and how those decisions can be influenced by certain (design) factors. The Participant Journey Map (PJM) was developed following multiple iterations. First, based on related work, and insights gained from previously developed and implemented APS, a concept of the PJM was developed. Next, to validate and refine the PJM, interviews with 6 experts with extensive experience with developing and implementing APS were conducted. The first part of these interviews focused on influential (design) factors for engaging people into APS. In the second part, experts were asked to provide feedback on the first concept of the PJM. Based on the insights from the expert interviews, the PJM was adjusted and refined. The Participant Journey Map consists of four layers: Phases, States, Transitions and Influential Factors. There are two overarching phases: ‘Onboarding’ and ‘Participation’ and 6 states a (potential) participant goes through when engaging with an APS: ‘Transit,’ ‘Awareness,’ ‘Interest,’ ‘Intention,’ ‘Participation,’ ‘Finishing.’ Transitions indicate movements between states. Influential factors are the factors that influence these transitions. The PJM supports directions for further research and the design and implementation of APS. It contributes to previous work by providing a detailed overview of a participant journey and the factors that influence motivation to engage with APS. Notable additions are the detailed overview of influential factors, the introduction of the states ‘Awareness,’ ‘Intention’ and ‘Finishing’ and the non-linear approach. This will support taking into account these often overlooked, key moments in future APS research and design projects. Additionally, suggestions for future research into the design of APS are given.
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Coletta, Michael A., and Hong Zhou. "What Can You Really Do with 35,000 Statistical Alerts a Week Anyways?" Online Journal of Public Health Informatics 11, no. 1 (May 30, 2019). http://dx.doi.org/10.5210/ojphi.v11i1.9780.
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ObjectiveFind practical ways to sort through statistical noise in syndromic data and make use of alerts most likely to have public health importance.IntroductionThe National Syndromic Surveillance Program’s (NSSP) instance of ESSENCE* in the BioSense Platform generates about 35,000 statistical alerts each week. Local ESSENCE instances can generate as many as 5,000 statistical alerts each week. While some states have well-coordinated processes for delegating data and statistical alerts to local public health jurisdictions for review, many do not have adequate resources. By design, statistical alerts should indicate potential clusters that warrant a syndromic surveillance practitioner‘s time and focus. However, practitioners frequently ignore statistical alerts altogether because of the overwhelming volume of data and alerts. In 2008, staff in the Virginia Department of Health experimented with rules that could be used to rank the statistical output generated in ESSENCE alert lists. Results were shared with Johns Hopkins University Applied Physics Lab (JHU/APL), the developer of ESSENCE, and were early inputs into what is now known as “myAlerts,” an ESSENCE function that syndromic surveillance practitioners can use to customize alerting and sort through statistical noise. NSSP–ESSENCE produces a shared alert list by syndrome, county, and age-group strata, which generates an unwieldy but rich data set that can be studied to learn more about the importance of these statistical alerts. Ultimately, guidance can be developed to help syndromic surveillance practitioners set up meaningful ESSENCE myAlerts effective in identifying clusters with public health importance.MethodsThe region/syndrome alert list generated from NSSP’s instance of ESSENCE on the BioSense Platform was downloaded and ranked based on five criteria:1. Observed count causing the alert2. Expected count generated by ESSENCE3. Total number of alerts for that syndrome in that county and number of prior alerts during that week for the same syndrome, county, and age group4. Density of alerts during the prior week5. Recency of the latest alertAlerts were then ranked based on:1. Higher absolute counts (regardless of expected value)2. Higher partial chi-square, (Obs-Exp)2 / Exp3. Higher total alerts for a given county/syndrome4. Higher number of earlier alerts for same county/syndrome/age group5. Multiple alerts same day > alerts on consecutive days > alerts separated by days without alerts6. Alerts present on more recent daysThe top 20 alerts with the highest scores were then reviewed and if anything unusual was noticed (i.e. problems unrelated to recent data quality problems or onboardings, seasonal trends, etc.) then there was follow-up with the site. The alert list rankings were then evaluated for differences among factors available in the ESSENCE myAlert function. We compared the top 5% of ranked alerts to the remaining 95% to determine if there were significant differences in the following factors:1. Total number of alerts across six age groups (including all ages) within 8 days of each syndrome and county stratum;2. Average alert frequency across six age groups (including all ages) within 8 days for each stratum;3. Average count across the strata;4. Average expected value across the strata;5. Average of the difference between the count and expected values for each stratum; and6. Average Level across the strata.ResultsPreliminary interactions with sites revealed important clusters – some already known and some not. For example, a cluster of healthcare workers exposed to Neisseria meningitides, and kids exposed to a bat at summer camp and presenting for prophylaxis were among the clusters identified. Additionally there were differences seen in the adjustable myAlert parameters when comparing the top 5% to the lower 95% of ranked alerts.ConclusionsThe differences seen and preliminary feedback suggests that this ranking method may be effective in identifying alerts representing true clusters of public health importance. Testing designed to evaluate myAlert parameters based on the differences seen in the top 5% of ranked alerts is underway in sites where more detailed data access is available. More study is needed; however, there are indications that cutoff values for these parameters may be a valuable way for syndromic surveillance practitioners to reduce the review burden and focus on the most important statistical clusters identified by ESSENCE statistical algorithms.References*ESSENCE stands for the Electronic Surveillance System for the Early Notification of Community-based Epidemics and is designed by Johns Hopkins University Applied Physics Laboratory.