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Wang, James M. 1961. "An Internet based system to monitor aircraft's health". Thesis, Massachusetts Institute of Technology, 2001. http://hdl.handle.net/1721.1/91731.
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Palmer, Kathleen. "Undergraduate College Students’ Attitudes About Internet-based Mental Health Interventions". Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5756.
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Millennial-aged young adults, often referred to as “digital natives,” comprise the typical college-age population, and there has been a growing number college students at risk for mental health problems (Mowbray, Mandiberg, Stein, Kopels, Curlin, Megivern, Strauss, Collins & Lett, 2006; Eisenberg, Gollust, Golberstein & Hefner, 2007). Suicide is the second leading cause of death among college students (Suicide Statistics, 2014); however, their rate of utilizing mental heath counseling is decreasing. Providing the types of mental health services college students are likely to use can mitigate factors thought to impede their use (e.g., stigma, anonymity, confidentiality), as well as help improve students’ learning and success and reduce college attrition rates.
Minimal research has been conducted on undergraduate college students’ attitudes about Internet-based mental health interventions, and the findings from those studies are conflicting. This study attempts to fill in the missing data to address undergraduate students’ attitudes about several types Internet-based of mental health counseling, and to determine the extent of their familiarity with its terminology.
Forty-two undergraduate college students participated in a survey where they were asked about their familiarity with Internet-based mental health interventions, experience with and preferences for mental health counseling, and the availability of campus-based Internet mental health interventions. Quantitative data was collected, and descriptive statistics and chi square test of independence were calculated. The students’ familiarity with Internet-based mental health interventions did not influence their use of counseling services, but they were interested in knowing more about mental health-related cell phone apps. Other findings are discussed, conclusions are drawn, and recommendations for future study and implications for the field are included.
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Radon, Katja. "Evaluation of an internet-based online-questionnaire administered to young adults". Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=29467.
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The objective of this thesis was to assess the acceptance of an online-questionnaire in a survey of young adults in southern Germany. The online-questionnaire was implemented in a study of respiratory diseases. Each of 280 subjects, aged 18 to 20 years, was assigned randomly to one of two groups who responded using (1) a paper-based questionnaire and (2) an otherwise identical questionnaire that was to be completed on the Internet. This group also received a copy of the printed questionnaire. Only eight subjects made use of the online-questionnaire, and the remainder of the respondents used the paper-based instrument. The major reason given for not using the online-questionnaire was that subjects considered it too time-consuming (39.7%). Additionally, 27.0% of the subjects did not have access to the Internet at home. In conclusion, the acceptance of an Internet-based questionnaire by adolescents with an Internet coverage of about 60% may still be low.
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Kalckreuth, Sophie, Friederike Trefflich i Christine Rummel-Kluge. "Mental health related Internet use among psychiatric patients". Universitätsbibliothek Leipzig, 2015. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-159186.
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Background: The Internet is of great importance in today’s health sector, as most Internet users utilize online functions for health related purposes. Concerning the mental health care sector, little data exist about the Internet use of psychiatric patients. It is the scope of this current study to analyze the quantity and pattern of Internet usage among mental health patients. Methods: Patients from all services of the Department of Psychiatry at a university hospital were surveyed by completing a 29-item questionnaire. The data analysis included evaluation of frequencies, as well as group comparisons. Results: 337 patients participated in the survey, of whom 79.5% were Internet users. Social media was utilized by less than half of the users: social networks (47.8%), forums (19.4%), chats (18.7%), blogs (12.3%). 70.9% used the Internet for mental health related reasons. The contents accessed by the patients included: information on mental disorders (57.8%), information on medication (43.7%), search for mental health services (38.8%), platforms with other patients (19.8%) and platforms with mental health professionals (17.2%). Differences in the pattern of use between users with low, medium and high frequency of Internet use were statistically significant for all entities of social media (p < 0.01), search for mental health services (p = 0.017) and usage of platforms with mental health professionals (p = 0. 048). The analysis of differences in Internet use depending on the participants’ type of mental disorder revealed no statistically significant differences, with one exception. Regarding the Internet’s role in mental health care, the participants showed differing opinions: 36.2% believe that the Internet has or may have helped them in coping with their mental disorder, while 38.4% stated the contrary. Conclusions: Most psychiatric patients are Internet users. Mental health related Internet use is common among patients, mainly for information seeking. The use of social media is generally less frequent. It varies significantly between different user types and was shown to be associated with high frequency of Internet use. The results illustrate the importance of the Internet in mental health related contexts and may contribute to the further development of mental health related online offers.
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Mattheos, Nikos. "Developing a Problem Based Learning model for Internet-based teaching in academic oral health education". Licentiate thesis, Malmö högskola, Odontologiska fakulteten (OD), 2001. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-7752.
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Problem Based Learning (PBL) has been fully or partly adopted by several medical and dental schools throughout the world, but only few attempts have been made to adjust this method to Distance Learning (DL) environments. It appears that the interaction demands of PBL could not be easily facilitated by the technologies used for DL in the past. The recent introduction of Virtual Learning Environments or Virtual Classrooms, is suggested by many as the development that could allow Distance Learning to utilise highly structured collaborative learning methods such as PBL. A literature review and two pilot studies were undertaken, in an attempt to investigate the possibility of adjusting an existing in-classroom PBL model to Internet-based environments for distance learning. There is a strong need of a conceptual theoretical framework and research results to support the function and effectiveness of distance learning in health education. Drop-out rates are still high in all kinds of distance education. Accreditation, team-work and personal contact, appear to be factors of importance for increasing motivation and minimising drop-out rates in distance learning. During the pilot studies it was evident that both postgraduate and undergraduate students were very positive towards the PBL method, as they experienced it while working over the network. However, it is very difficult to introduce inexperienced students to PBL through distance. Students? competence with computers seems to be an important factor for the success of a virtual classroom and their computer literacy has to be objectively assessed prior to any course. Significant differences were identified between in-classroom and over the Internet communication. These differences, although measured in the quantity of interaction, appear to influence the quality and depth of discussion as well. Tutor involvement was higher in the Internet discussions than the in-classroom ones. It was concluded that an entirely Internet-based PBL course is possible, if properly organised. However, such a model might constitute a compromise over the quality standards of in-classroom PBL, at least with the currently available Internet technology. A hybrid approach, which will combine personal contact with network-based interaction, might be the safest and most beneficial option right now.
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Yang, Cheng-Chen. "Cyber-physical system : real-time Internet-based wireless structural health monitoring system /". Available to subscribers only, 2009. http://proquest.umi.com/pqdweb?did=1967890341&sid=3&Fmt=2&clientId=1509&RQT=309&VName=PQD.
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Yang, Chengchen. "CYBER-PHYSICAL SYSTEM: REAL-TIME INTERNET-BASED WIRELESS STRUCTURAL HEALTH MONITORING SYSTEM". OpenSIUC, 2009. https://opensiuc.lib.siu.edu/dissertations/111.
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As the demands to monitor the health status of structures increase, researchers around the world have proposed several concepts to solve this issue. This research first examines the existing technologies and then works toward a novel structural health monitoring solution. A comprehensive discussion includes major topics from sensor selection and installation to sensing data display. A cyber-physical system combining embedded system, wireless communication, and the Java platform was developed for structural health monitoring. The focus of this system is to continuously monitor structural response and broadcast the information to users worldwide via the Internet. A wireless sensor node is designed to connect up to eight sensor channels. Various sensors have been tested on the sensor node. A data acquisition and repository system was also developed. The use of the Java language makes this system capable of running in virtually any existing computer platform. Distributed design concept expands its functionalities and capabilities. Its graphical user interface offers users a friendly and ease-of-use environment to monitor real-time and historical data in both graphical and numerical ways. Every component of the system has been validated to verify its functionality. Additionally, the whole system has been implemented on a steel pedestrian bridge to observe its performance.
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Delgado, Kira. "A school based mental health programme delivered via the internet : an evaluation study". Thesis, Royal Holloway, University of London, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.588598.
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The aim of this research was to implement and evaluate the efficacy of an internet-based depression prevention programme (Mood GYM) in a UK adolescent sample, with a particular focus on its impact on measures of general well-being and other 'strength' based measures. It was hoped that the inclusion of positive, strength-based outcome measures may help to determine MoodGYM'spotential usefulness as a mental health promotion resource for young people in the UK. While previous research suggests that some depression prevention programmes are effective, little is known about their cross cultural applicability here in the UK, as most have been developed abroad. Most of these programmes are also largely unsustainable due to the significant resources they require. Finally, the potential mental health 'promotional' effects of most of these programmes have yet to be explored, which inhibits understanding of their universal applicability and subsequent widespread implementation. Using a quasi-experimental design, adolescent participants were allocated to either the intervention (MoodGYM) or the control condition. Participants completed standardized measures of well-being, cognitive coping strategies, depression and anxiety, at pre- intervention, post-intervention and at a 12 week follow up. While a reasonable retention rate was observed in the intervention group, attrition was high in the control group, necessitating the recruitment of a further control group. This resulted in a lack of control group data at the follow up stage. Participants in the MoodGYM condition reported a significant reduction in levels of anxiety and maladaptive cognitive coping strategies, relative to controls, an effect which was maintained at follow up. The MoodGYM participants also reported a significant increase in positive affect and a significant decrease in depression at the follow up stage. No significant effects emerged on levels of negative affect or adaptive cognitive coping strategies. Furthermore, contradictory results were observed for levels of life satisfaction.
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Hargrave, Dina. "School-Based Mental Health Practices in Utah: A Descriptive Study". DigitalCommons@USU, 2015. https://digitalcommons.usu.edu/etd/4474.
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As psychological well-being, or mental health, is a key factor to academic performance, schools are in a pivotal position to provide needed services to improve the well-being of individual students, parents, and teachers, as well as school-wide wellness. Research has shown positive outcomes related to psychological symptom reduction, but academic outcomes are less prevalent. Due to the increasing need for services, schoolbased mental health (SBMH) programs are being developed to combine the resources and expertise of SBMH professionals and community agency mental health professionals to serve these needs. In an effort toward developing a statewide Communities of Practice Model for the state of Utah, an internet survey was developed to identify the current practices that are being implemented with schools in Utah. This study explored the current and possible types of school based and community services within a multi-tier service system approach at each tier level (universal, at-risk, and intensive) delivered to elementary and secondary students, the outcomes expected to be impacted by these partnerships, and the barriers and key factors associated with effective program iv implementation. The sample included 32 school district respondents from 21 districts and 19 community agency respondents from 18 agencies throughout the state. Results revealed that 18 of the 21 districts are involved in a SBMH partnership implementing a broad range of collaborative activities, assessments and interventions that vary between tier levels. Specific practices, barriers, and implications for SBMH services and future research are discussed.
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Perle, Jonathan. "Attitudes Toward Psychological Tele-Health: Current and Future Psychologists' Opinions of Internet-Based Interventions". NSUWorks, 2011. http://nsuworks.nova.edu/cps_stuetd/58.
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Over the past 20 years, with the development and expansion of computer- and internet-based services (e.g., psychoeducational, intervention, and testing programs), the integration of technology with the treatment of mental health disorders has sparked one of the most debated topics in the mental health profession. With no clear end for this debate in sight, many believe that clinicians wish to reach a consensus and adopt a universal stance on computer-based psychological services so that discussion and research can be shifted to make meaningful contributions for the future. Although paramount, many licensed psychologists have yet to state their stance of whether they believe that internet-based therapeutic methods can be helpful; with fewer having declared whether they would be willing to utilize such techniques if given the opportunity. For this reason, the current study aimed to create a multi-focused survey to explore the attitudes of currently licensed and future clinicians (current Ph.D. or Psy.D. doctoral candidates) to explore differences in their acceptance of tele-health therapeutic interventions. An online survey was created to assess such attitudes across various domains of tele-health, as well as assess acceptance or rejection of such modalities. Clinical training directors, faculty, and students from around the United States, as well as members from the APA Division 12 (clinical psychology) were invited to participate. Binary logistic regression, percentages, and descriptive statistics were utilized to examine the data. Data indicated that no significant differences between currently licensed and future psychologists exist in their endorsement of tele-health modalities. However, it was found that cognitive-behavioral-, cognitive-, behavioral-, and systems-oriented psychologists were significantly more endorsing, and willing to utilize tele-health modes of interventions than were dynamic/analytic, or existential-oriented therapists. Data was further analyzed by gender, age, and the interaction of age * orientation. Results of this study will aid in creating a consensus as to the utilization of tele-health practices and help drive research by demonstrating which modalities (e.g., web camera, e-mail, etc.) and orientations should be the focus of research.
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Oprescu, Florin Ilie. "Explorations of uncertainty management: internet based behaviors of caregivers in the context of clubfoot". Diss., University of Iowa, 2009. https://ir.uiowa.edu/etd/3508.
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The availability of online support communities creates new opportunities for caregivers of children affected by health conditions to manage their illness-related uncertainty. This dissertation includes two studies that examined the presence of uncertainty management behaviors in online interactions among parents (caregivers) of children with clubfeet, and empirically tested the applicability of the uncertainty management theory to online behaviors. The Uncertainty Management Theory provided the theoretical foundation for both studies. For the first study, a content analysis of messages exchanged in an online support community dedicated to parents of children with clubfeet was conducted. Most messages were authored by women. The majority of the emotions expressed in the messages were positive. The most frequent information-seeking behaviors were direct questioning and self-disclosure. Information exchanges as a strategy to manage uncertainty included names of health care professionals and medical information. Five major types of social support (informational, tangible, network, esteem, and emotional) were identified. Informational support was the most frequent type of support provided, followed by emotional and esteem support. A third of the messages included combinations of two or more types of social support. For the second study an online survey was distributed using a snow-balling technique. Based on the survey data structural equation modeling was used to empirically test the uncertainty management framework. Positive relationships were identified between knowledge and information seeking, information seeking and social support, social support and sense of virtual community, uncertainty and stress. The results suggested that the uncertainty management theory may need to be adapted for use in online contexts. Uncertainty seems to be an important part of the experience of parents caring for children with clubfoot. Online communities dedicated to these parents represent a promising setting for studying illness-related uncertainty and its potential causes. Such studies can be a critical source of information to inform priorities for research and practice. This dissertation is the first step in better understanding the audience and provides an initial exploration of uncertainty management and communication processes present in an online support community. As we learn more about the parent audience, the importance of communicating with them becomes increasingly clear.
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Makarushka, Marta Maria 1969. "Efficacy of an Internet-based Intervention Targeted to Adolescents with Subthreshold Depression". Thesis, University of Oregon, 2011. http://hdl.handle.net/1794/12091.
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xiv, 105 p. ill. (some col.)Depression during adolescence is highly prevalent with as many as 20% experiencing a major depressive episode by the age of 18. Adolescent depression causes significant impairment across life areas including school functioning, such as poor academic performance and decreased academic achievement. Despite the existence of many evidence-based treatment options, merely 25% of depressed adolescents receive treatment. For this reason, it is essential that easily accessible preventive interventions for adolescent depression be developed and made available. Computerized interventions could broaden the reach of prevention efforts and preliminary results indicate that they have the potential to successfully prevent adolescent depression. The Coping with Depression course is an empirically validated cognitive-behavioral depression treatment and prevention program that is well-suited for computerized delivery. This dissertation reports on the development and evaluation of a web-based interactive multimedia version of the adolescent Coping with Depression course with students experiencing subclinical levels of depression. The Blues Blaster program includes the following six modules, with five mini-sessions in each: (a) defining depression, (b) mood monitoring, (c) increasing fun activities, (d) increasing positive thinking, (e) recognizing negative thinking, and (f) decreasing negative thinking. Key concepts are presented and reinforced in a variety of engaging ways within each session, including video, animation, comic strips, graphics, interactive exercises, and games. The Blues Blaster program was evaluated in a randomized controlled trial with 161 adolescents who were randomly assigned to either the Blues Blaster or informationonly control conditions. Participants were assessed at baseline, post-treatment (six weeks after baseline), and six-month follow-up. Results demonstrated greater improvement for the Blues Blaster condition in depression levels, negative thoughts, behavioral activation, knowledge, self-efficacy, and school functioning compared to the information-only control condition. These findings suggest that this targeted prevention program is appropriate for use with middle school students to decrease depression levels and therefore the risk that they will develop major depression in the future.
Committee in charge: Christopher Murray， Chairperson； Deanne Unruh， Member； Jeffrey Sprague， Member； John R. Seeley， Member； Sara Hodges， Outside Member
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Chan, Melissa. "An Internet -based support program for transitional age youth struggling with mental health barriers| A grant proposal". Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527898.
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Given the need for higher levels of support and guidance for Transitional Age Youth (TAY) who are diagnosed with a mental illness, the purpose of this project was to identify a funding source and write a grant proposal to design and implement an Internet-based support program to supplement services currently provided to TAY diagnosed with a mental illness. There are many risks associated with TAY including homelessness, substance abuse disorders, and repeated interactions with the criminal justice system. The target area is Los Angeles County, more specifically, Long Beach, California. The potential funding source for this project is the California Wellness Foundation because the criteria of the grant guidelines were consistent with the description of this program and identified population. The actual submission and/or funding of this program was not required for successful completion of this project.
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Johnston, M. Suzanne. "Effect of Internet-based health promotion on college preparatory stream adolescent girls' knowledge of depression". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0035/MQ65495.pdf.
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Kalckreuth, Sophie, Friederike Trefflich i Christine Rummel-Kluge. "Mental health related Internet use among psychiatric patients: a cross-sectional analysis". BioMed Central, 2014. https://ul.qucosa.de/id/qucosa%3A13091.
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Background: The Internet is of great importance in today’s health sector, as most Internet users utilize online functions for health related purposes. Concerning the mental health care sector, little data exist about the Internet use of psychiatric patients. It is the scope of this current study to analyze the quantity and pattern of Internet usage among mental health patients. Methods: Patients from all services of the Department of Psychiatry at a university hospital were surveyed by completing a 29-item questionnaire. The data analysis included evaluation of frequencies, as well as group comparisons. Results: 337 patients participated in the survey, of whom 79.5% were Internet users. Social media was utilized by less than half of the users: social networks (47.8%), forums (19.4%), chats (18.7%), blogs (12.3%). 70.9% used the Internet for mental health related reasons. The contents accessed by the patients included: information on mental disorders (57.8%), information on medication (43.7%), search for mental health services (38.8%), platforms with other patients (19.8%) and platforms with mental health professionals (17.2%). Differences in the pattern of use between users with low, medium and high frequency of Internet use were statistically significant for all entities of social media (p < 0.01), search for mental health services (p = 0.017) and usage of platforms with mental health professionals (p = 0. 048). The analysis of differences in Internet use depending on the participants’ type of mental disorder revealed no statistically significant differences, with one exception. Regarding the Internet’s role in mental health care, the participants showed differing opinions: 36.2% believe that the Internet has or may have helped them in coping with their mental disorder, while 38.4% stated the contrary. Conclusions: Most psychiatric patients are Internet users. Mental health related Internet use is common among patients, mainly for information seeking. The use of social media is generally less frequent. It varies significantly between different user types and was shown to be associated with high frequency of Internet use. The results illustrate the importance of the Internet in mental health related contexts and may contribute to the further development of mental health related online offers.
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Morrison, Leanne Georgette. "How do users perceive and engage with Internet-based interventions to support health-related behaviour change?" Thesis, University of Southampton, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.617945.
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Previous research has shown that Internet-based health behaviour interventions can have variable effects on health -related outcomes. Effectiveness may be improved by optimising the design of interventions. However, there have been few systematic investigations to identify the specific effects on outcomes of different ways of delivering intervention content. This thesis describes the theory-based development and evaluation of three different versions of an Internet-based health intervention to compare user engagement with two interactive design features - tailoring and self management (self-assessment and activity planning). To inform the design of the intervention, reviews of the quantitative and qualitative literatures and two qualitative think-aloud studies of individuals' reactions to the intervention, and another intervention, were undertaken. A quantitative study using a partial factorial design showed that self-assessment and activity planning were more engaging when provided in conjunction with tailored feedback. The version providing self- assessment and activity planning without tailored feedback was rated as less engaging than the version which also provided tailored feedback, and a version which only provided generic information. Self-assessment and activity planning without tailored feedback was also associated with greater drop out and lower satisfaction. The think-aloud study suggested that self-assessment without tailored feedback may have been less engaging because participants were disappointed and frustrated by completing self-assessment quizzes, which offered no personal benefit and no personalised advice. The quantitative study, and a second think-aloud study of a different intervention, also suggested that participants' intrinsic motivation, health locus of control beliefs, and confidence in self-caring for medical symptoms may be associated with differences in their engagement with intervention design. This thesis has shown that there are differences between the individual and combined effect of different interactive design features on user engagement with Internet-based health behaviour interventions. This thesis also suggests that users' preferences and beliefs may influence their engagement with intervention design.
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Beiwinkel, Till Verfasser], i Wulf [Akademischer Betreuer] [Rössler. "Monitoring and improving mental health with internet- and mobile-based approaches / Till Beiwinkel ; Betreuer: Wulf Rössler". Lüneburg : Universitätsbibliothek der Leuphana Universität Lüneburg, 2018. http://d-nb.info/1155587251/34.
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Bader, Abeer. "Internet-based menu planning in type 2 diabetes and its impact on weight, A1C and blood pressure". Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=106334.
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Weight loss in overweight and obese persons with type 2 diabetes mellitus (T2DM) decreases risk of cardiovascular disease. There is some evidence that written menu plans and Internet-based menu programs advocating healthy eating are associated with weight loss in non-diabetic obese persons, particularly in those who frequently log-into such programs, but this approach has not been assessed in T2DM. To address this gap in knowledge, the objective of this study was to determine whether the number of weeks participants logged-into SOSCuisine, an Internet-based menu program, over a 24-week period was predictive of weight loss in overweight/obese adults with T2DM. Data were collected on 33 adults (57.8 ±7.4 years) recruited through collaborating registered dietitians at outpatient diabetes clinics of McGill University-affiliated hospitals (Montréal, Québec, Canada). Each participant's dietitian consulted with the SOSCuisine dietitian to individualize the menu plan. Body weight, other adiposity markers, blood pressure and A1C were measured at baseline and 24-weeks after initiating the program. The number of weeks participants logged-into the program was tracked electronically. After adjustment for age and sex and using multiple imputations to account for missing data, a 10-week increase in log-ins to the program was associated with a -2.0% [95% CI, -3.0 to -1.0%] weight change. A 5% or greater weight reduction was achieved by 18.0% of participants overall and 27.8% of those defined as adherent (i.e., those who accessed the web-based program once per week for a minimum of 18/24 weeks). A 1% weight reduction was associated with a -2.4 mm Hg change in systolic blood pressure [95% CI, -3.5 to -1.2 mm Hg] and a -0.8 mm Hg change in diastolic blood pressure [95% CI, -1.4 to -0.2 mm Hg]. Weight changes were not conclusively related to A1C changes (glycemic control). Our findings indicate that an Internet-based menu program leads to a clinically important weight loss in 1/5 of those who enroll and 1/3 of those who adhere. We have demonstrated a clear association between log-in frequency and weight change, again emphasizing the importance of adherence. The weight change was conclusively related to reductions in blood pressure, confirming clinically important effects.La perte de poids chez les personnes en surpoids/obèses souffrant de diabète sucré de type 2 (DST2) réduit le risque de maladies cardiovasculaires. Certaines données indiquent que les plans-repas écrits et les programmes de plans-repas sur Internet pour une alimentation plus saine sont associés à une perte de poids chez les personnes non-diabétiques, surtout ceux qui fréquentent ces programmes en ligne, mais ce phénomène n'avait pas été évalué chez les personnes atteintes de DST2. Pour combler cette lacune, on a cherché à déterminer si le nombre de semaines de fréquentation du site SOSCuisine, des plans-repas sur Internet, pendant 24 semaines, permettait de prédire la perte de poids chez les adultes en surpoids/ obèses atteints de DST2. Les données ont été recueillies auprès de 33 adultes (57,8 ±7,4 ans) par des diététistes d'hôpitaux affiliés à l'Université McGill. Ces diététistes ont consulté celui de SOSCuisine pour personnaliser le plan-repas du sujet. Le poids corporel, d'autres marqueurs de l'adiposité, la tension artérielle et l'A1C ont été mesurés au début de l'étude et après 24 semaines, le taux de fréquentation faisant l'objet d'une surveillance électronique. En tenant compte de l'âge et du sexe des participants et à l'aide d'imputations multiples pour compenser les données manquantes, il ressort qu'une augmentation de 10 semaines de fréquentation de SOSCuisine est associée à une baisse du poids de -2,0% [IC 95%, de -3,0 à 1,0%]. Une réduction de 5% ou plus a été observée chez 18.0% (1/3) de tous les participants et chez 27,8% (1/5) des « adhérents » – les personnes ayant fréquenté le site au cours d'au moins 18 des 24 semaines de l'étude. Une perte de poids de 1% était associée à une variation de la tension artérielle systolique de -2,4 mm Hg [IC 95%, de -3,5 à 1,2 mm Hg] et de la tension artérielle diastolique de -0,8 mm Hg [IC 95%, de 1,4 à -0,2 mm Hg]. Il n'a pas été possible de relier la variation de poids à celle de l'A1C (le contrôle de la glycémie) de manière concluante. Nous avons démontré une association claire entre la fréquence d'accès au site et la perte de poids, ce qui souligne l'importance de l'adhésion. La perte de poids a pu être reliée irréfutablement à des réductions de la tension artérielle, confirmant ainsi d'importants effets sur le plan clinique.
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Akbar, Abdullah A. J. "Patient information system for national health care : an intranet internet-based model for the State of Kuwait". Thesis, University of Leeds, 2003. http://etheses.whiterose.ac.uk/194/.
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This research seeks to introduce for the first time a conceptual solution to Kuwait's problems in healthcare delivery. The core objective of the study which is to promote and recommend the basis for the best possible patient information and national healthcare delivery system in the State of Kuwait. The research question is directed towards the appropriateness and usefulness of introducing the pay-per-use concept in the context of national (Kuwait) and global use. The research introduces a new pay-per-use concept for IT services associated with Kuwait's healthcare delivery system within an environment that is investment, communication, technology, platform, database and application-independent. Being the first study on health informatics in Kuwait, the research also sheds light on the contemporary health industry and addresses issues that focus on health information management within the State of Kuwait. The new paradigm for healthcare delivery is presented in such a way that both the potential practical benefits for national users (Kuwait) and the advantages that may be reaped by global users within the health industry are described. The required shift in the paradigm in Kuwait healthcare will take the form of cultural and social transformations, namely, changes in the doctor-patient relationship and in the increase of patient empowerment where health issues are concerned. The research methodology uses a social process (Grounded Theory) to delineate social context (clinical scenario) in order to understand the relationships between medical work and IT networks. Analysis of the data obtained from the clinical scenario and implications of human experiences within the social settings enable the interpretation and the development of a theory, and a model architecture, that can be used for pay-per-use. The State of Kuwait has developed its medical facilities but it lacks the resources to meet the rising demands of the medical and IT worlds. It is argued that the proposed pay-per-use concept can prove feasible, adaptable and globally accessible with an infrastructure that is less burdensome on the national budget. Additionally, the conceptual 'open' architecture to be used with the concept, with its integrated and independent features, is anticipated to provide ample scope for future amendments and development within an evolving technological world. Thus protecting from technologically obsolescence. The study concludes with proposed for further research work on the subject so as to enable additional evaluation and verification of results and thus fully establish the concept, prior to its Potential implementation in the national and international health care delivery system.
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Pattath, Priyadarshini. "Internet-based Behavior of IT Professionals: Implications for Online Ergonomic Education to Prevent Work-Related Musculoskeletal Disorders". VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4933.
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INTERNET-BASED BEHAVIOR OF IT PROFESSIONALS: IMPLICATIONS FOR ONLINE ERGONOMIC EDUCATION TO PREVENT WORK-RELATED MUSCULOSKELETAL DISORDERS
By Priyadarshini Pattath, Ph.D. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University Virginia Commonwealth University, 2017 Director: Dr. Robin Hurst, Assistant Professor of Adult Learning, Teaching and Learning,
School of Education
The purpose of this study was to explore the preferences of medium of ergonomic education and views about self-directed online training modules to prevent musculoskeletal disorders in computer professionals and understand their perspectives and experiences about online health information seeking using a self-directed learning framework. To accomplish this, a qualitative research design was used to analyze data from interviews and observation. An exploratory case study research design was employed to examine the experiences of fifteen information technology professionals. The findings revealed that the preference for the mode of delivery of ergonomic education depends on the individual attitude and on the perceived attributes of the particular mode of delivery. The findings highlighted the role of the Internet in making significant lifestyle and contextual modifications. Finally, the findings highlighted the barriers that were faced when seeking health information on the Internet. The findings of this study were limited by the nature of the research and sample size. Additional research is needed to support the findings. Implications for research and practice are discussed.
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Stupiansky, Nathan W. "Alcohol use and sexual behavior during a college special event week utilizing internet based daily diary methodology to analyze event-level data /". [Bloomington, Ind.] : Indiana University, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3331274.
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Thesis (Ph.D.)--Indiana University, School of Health, Physical Education and Recreation, 2008.Title from PDF t.p. (viewed on Jul 27, 2009). Source: Dissertation Abstracts International, Volume: 69-11, Section: B, page: 6740. Adviser: Michael Reece.
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González, Robles Vicente Alberto. "Effectiveness of a transdiagnostic Internet-based protocol for the treatment of emotional disorders in public specialized mental health care". Doctoral thesis, Universitat Jaume I, 2019. http://hdl.handle.net/10803/666585.
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The principal objective of the current doctoral thesis was to test the effectiveness of a transdiagnostic Internet-based cognitive-behavioral protocol for emotional disorders (depression and anxiety disorders), compared to treatment as usual in Spanish public specialized mental health care. Overall, the results showed that the transdiagnostic Internet-based protocol was more effective than treatment as usual in measures of anxiety, depression, and quality of life. Additionally, a number of secondary studies were conducted: a systematic review to summarize the state-of-the-art about transdiagnostic treatments for emotional disorders, two validation studies focused on brief measures for the assessment of anxiety and depression, and a randomized pilot study testing the feasibility of a transdiagnostic protocol that includes a component for the regulation of positive affectivity. The findings of the current doctoral thesis contribute to the field of transdiagnostic treatments, showing that a transdiagnostic Internet-based protocol can be effectivily delivered in public specialized mental health care.La presente tesis doctoral se centró fundamentalmente en estudiar la efectividad de un protocolo de tratamiento transdiagnóstico cognitivo-comportamental online para trastornos emocionales (ansiedad y depresión), en comparación al tratamiento habitual proporcionado por el sistema público español de salud mental. Globalmente, se encontró una mayor efectividad del protocolo de tratamiento transdiagnóstico online en comparación al tratamiento habitual en medidas de ansiedad, depresión y calidad de vida. Además, se realizaron distintos estudios secundarios: una revisión sistemática sobre protocolos de tratamiento transdiagnósticos, la validación de dos instrumentos breves para la evaluación de la ansiedad y la depresión, y un estudio piloto aleatorizado para probar la viabilidad de un protocolo de tratamiento transdiagnóstico con un componente de regulación del afecto positivo. Los resultados de esta tesis contribuyen al campo de los tratamientos transdiagnósticos, mostrando que un protocolo de tratamiento transdiagnóstico online puede ser administrado de manera efectiva en el sistema público de salud mental.
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Morrill, Edward Forrest Gil Karen M. "The E-Diary-CS an Internet based daily diary study of stress, physical activity and health in cancer survivors /". Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2006. http://dc.lib.unc.edu/u?/etd,643.
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Thesis (M.A.)--University of North Carolina at Chapel Hill, 2006.Title from electronic title page (viewed Oct. 10, 2007). "... in partial fulfillment of the requirements for the degree of Master of Arts in the Department of Psychology (Clinical Psychology)." Discipline: Psychology; Department/School: Psychology.
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Larsson, Ellinor. "Promoting social activities and participation among seniors : exploring and evaluating social and Internet-based occupational therapy interventions". Doctoral thesis, Umeå universitet, Arbetsterapi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-114436.
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Introduction The use of technology and Internet-based activities (IBAs) is increasing in society. However, seniors with limited experiences with the Internet can experience restricted participation in meaningful activities that are dependent on the Internet. Also, social transitions during aging might lead to reduced social activities and social contacts and to increased experiences of loneliness, all of which might have negative health implications. Therefore, there is a need to advance the knowledge of how occupational therapists can support seniors’ use of IBAs and create opportunities for social contacts and social activities during aging. Aim The overall aim of this thesis is to increase the knowledge of how Internet-based activities influence seniors’ participation in society, how seniors experience and are influenced by support from a social Internet-based occupational therapy intervention, and how different aspects of this intervention can contribute to healthy ageing. Methods In study I, seniors’ experiences of IBAs were explored and described through interviews with 10 seniors (66–82 years old) that were analyzed with the constant comparative method. In study II, a multiple case study with five seniors (65–85 years old) was used to explore the design of an Internet-based occupational therapy social intervention program and how it influenced social activities and social contacts among the participants. The qualitative and quantitative data from multiple sources were analyzed by pattern matching. In study III, an explorative randomized crossover study with an AB/BA design was conducted with 30 seniors (61–89 years old) who were vulnerable to loneliness and who participated in the intervention program. The quantitative data were analyzed with parametric and non-parametric statistics. In study IV, a qualitative interview study was conducted to collect the experiences of 15 seniors (66–87 years old) from the previous intervention process in study III. The interviews were analyzed with the constant comparative method. All participants in studies I–IV were community-dwelling, retired seniors without home-care services. Results Complex interactions of different aspects influence seniors’ possibilities and preferences for taking part in IBAs. The performance of IBAs yielded different experiences of participation in society (study I). The initial explorative results indicated that the client-centered and individually adapted intervention program supports participation in social IBAs (SIBAs) and other social contexts (study II). After participation in the intervention program, the experiences of loneliness significantly decreased, and satisfaction with social contacts on the Internet increased for one group (study III). If an individual’s requirements are met during the intervention process, experiences of habitual SIBA usage, increased self-reliance, and enriched social contacts and social activities both on and off the Internet might be facilitated (study IV). Conclusion This thesis provides knowledge of how social support, experiences of and accessibility to technology, life-changing events, and identified meaningfulness with online activities influence the motivation to participate in social and Internet-based activities. The occupational therapist should address the individual’s perspective in the intervention program so as to adapt the intervention and to support experiences of satisfactory participation and enhanced social activities and social contacts for seniors. In addition, healthy aging might be supported by the intervention program due to the reduction in loneliness and increased participation in social activities and society. Further evaluation of the framework and content of the intervention program for seniors with restricted participation in IBAs and SIBAs and high levels of loneliness is suggested.
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Nacke, Barbara, Ina Beintner, Dennis Görlich, Bianka Vollert, Juliane Schmidt-Hantke, Kristian Hütter, C. Barr Taylor i Corinna Jacobi. "everyBody–Tailored online health promotion and eating disorder prevention for women: Study protocol of a dissemination trial". Elsevier, 2018. https://tud.qucosa.de/id/qucosa%3A32369.
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Background: Although there is extensive evidence for the efficacy of online eating disorder (ED) prevention programs in clinical trials, these programs have rarely been adopted beyond the trial phase and offered to a wider audience. As risk factors for eating disorders are partly associated with overweight and overweight in turn is correlated to disordered eating, this study will offer a combined eating disorder prevention program which also promotes a balanced lifestyle to normal weight and overweight individuals alike. The efficacy of the program
has been proven in previous trials. The study aims to evaluate the dissemination of a combined eating disorder prevention and health promotion program (everyBody) to women of all age groups and varying levels of ED risk status in the general population.
Methods: A dissemination trial will be conducted in German-speaking countries, including 4160 women from the general population. Participants will be screened to exclude participants who are likely to have an ED. Eligible participants will be allocated to one of five program arms based on their BMI and respective ED symptoms. The guided program consists of 4 to 12 weeks of weekly sessions offering CBT-based exercises, psychoeducational material, self-monitoring, and group discussions. Outcomes will be assessed according to the RE-AIM model,
including measures of effectiveness, reach, adoption, implementation, and maintenance of the program.
Discussion/conclusions: This trial aims to disseminate a combined ED prevention and health promotion program in the general population, offering universal, selective and indicated prevention in one program. To our knowledge, it is the first trial to systematically evaluate dissemination efforts based on the RE-AIM model. This trial will be conducted as part of the EU-funded ICare (Integrating Technology into Mental Health Care Delivery in Europe) project.
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Jensen, Melissa A. "Internet-based motivational interviewing: Factors influencing the impact of a brief motivational intervention on college students’ awareness of weight-related risk". University of Toledo / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1438208782.
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Sloan, Kelly E. "A Guide for Nutrition and Health Professionals to Improve Their Ability to Identify and Use Credible, Science-Based Resources on the Internet". Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10840261.
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The purpose of this research project was to create a guide for nutrition and health professionals to improve their ability to identify and use credible, science-based resources on the Internet. Specifically, a Qualtrics questionnaire assessed the experience and knowledge of nutrition and health professionals that assisted in the selection of the Nutrition and Health Professional Review Committee (NHPRC). A pre-questionnaire was sent to NHPRC members assessing how they determined if a website or resource on the Internet was credible and science-based. Their post-evaluation of the final guide was comprised of eight rating components. Response categories suggested that the NHPRC members used different techniques to determine credibility of Internet information. Overall, they supported development of a guide.
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Silfvernagel, Kristin. "Individually tailored internet-based cognitive behavioural therapy for adolescents, young adults and older adults with anxiety". Doctoral thesis, Linköpings universitet, Psykologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-135823.
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Anxiety disorders share the feature of excessive fear, anxiety and related behavioural disturbances. Fear is defined as the emotional response to a real or a perceived imminent threat and anxiety is the anticipation of a future threat. The anxiety disorders covered in this thesis are panic disorder with or without agoraphobia, social phobia, post-traumatic stress disorder, generalized anxiety disorder and anxiety disorder not otherwise specified. Cognitive behavioural treatment protocols are typically designed to target one specific disorder and falls under the definition of disorder-specific cognitive behavioural therapy. It is however unclear if this is the most optimal approach in regards to the high comorbidity between anxiety disorders and depressive disorders. Internet-based cognitive behavioural therapy has in the past generally been disorder-specific and from above mentioned predicament two alternative treatment approaches emerged, the tailored and the transdiagnostic approach that aims to simultaneously treat both principal and comorbid disorders. Previous trials on internet-based cognitive behavioural therapy have targeted adults in general and relatively few target adolescents, young adults and older adults. The aims of this thesis were to further develop and test the effects of tailored internet-based cognitive behavioural therapy on the basis of age, for adolescents, young adults and older adults. Specifically by developing and testing the effects of individually tailored internet-based cognitive behavioural therapy for adolescents with anxiety and comorbid depressive symptoms and by adapting and testing the effects of individually tailored internet-based cognitive behavioural therapy for young adults and older adults with anxiety and comorbid depressive symptoms. These aims were tested in two pilot effectiveness studies (Paper I and III) and two efficacy randomised controlled trials (Paper II and IV). The results from these four trials showed significant results across all outcome measures with overall moderate to large effect sizes. The tentative conclusion based on these results is that tailoring internet-based cognitive behavioural therapy can be a feasible approach in the treatment of anxiety symptoms and comorbid depressive symptoms for adolescents, young adults and older adults. Despite the positive findings of the studies in this thesis, there is a need for more research examining the acceptability and effectiveness of internet-based cognitive behavioural therapy for adolescents, young adults and older adults with anxiety and depression before implementation on a larger scale.
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Englund, Ida. "“Recruitment of research participants into randomized controlled trials of internet-based cognitive behavioural therapy (iCBT) for depression: a systematic review and meta-analysis”". Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-415871.
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Introduction Research about health has become a very important part of the world today. Theres a constant need for new treatment methods and evidence. Recruitment is one of the most challenging parts of conducting a trial, especially in trials regarding mental health. The result of this is often a waste of money and resources in research. Method This study is a systematic review and meta-analysis investigating the recruitment in randomized controlled trials on internet-based CBT interventions for depression. Results The recruitment rates were calculated as number of participants screened divided by number of participants randomized into the trial. The overall recruitment rates of all the trials was 54.3%. The analysis of the recruitment moderators shown that a clinical recruitment setting together with referral as recruitment personnel.
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Saleh, Dalia. "Santé mentale et gestion du stress chez des étudiants à l’université : mise en place et évaluation d’un programme de gestion du stress par internet". Thesis, Paris 10, 2017. http://www.theses.fr/2017PA100024/document.
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Contexte : Les étudiants universitaires représentent la catégorie la plus touchée par le stress, la détresse psychique et leurs conséquences (physiques et psychiques). Ils sont plus vulnérables aux troubles psychiques que la population générale et que les autres étudiants en raison des nombreux changements et des responsabilités qui accompagnent la période d’étude à l'université. Cette thèse a pour but, d’une part, de mieux comprendre le mal-être psychologique des étudiants universitaires, et, d’autre part, de se pencher sur les actions pouvant être menées pour faire face à ce problème. Format de la thèse : Cette thèse s’articule en deux axes. Le premier axe porte sur l’évaluation de la santé mentale, et notamment du stress, auprès d’un échantillon d’étudiants universitaires (Partie I : Santé mentale chez les étudiants universitaires: perspectives théoriques et études empiriques). Le deuxième axe porte sur l’élaboration et l’évaluation d’une intervention de gestion du stress menée auprès de ces étudiants (Partie II : Gestion du stress chez les étudiants : perspectives théoriques et études empiriques). Pour chaque axe, une revue de la littérature sur les concepts étudiés, ainsi qu’une revue des études empiriques ont été menées sous forme d’articles (publiés ou en cours).Le but de cette dissertation est donc double et s’articule autour de dix articles ;Conclusion: Malgré certaines limites, nos résultats constituent des apports nouveaux et prometteurs sur la gestion du stress via internet pour les étudiants universitaires. Cette proposition d'intervention via internet pourrait s'adresser particulièrement aux étudiants qui ne consultent pasContext: University students are the most affected by stress, psychological distress and their consequences (physical and mental). They are more vulnerable to mental disorders than the general population and other students because of the many changes and responsibilities that come with studying at the university. On the one hand, this thesis aims to better understand the psychological ill being of university students, and on the other hand, to look at ways to face this problem.Format of the thesis: This thesis is articulated in two axes. The first focuses on the evaluation of mental health, including stress, among a sample of university students (Part I: Mental Health among University Students: Theoretical Perspectives and Empirical Studies). The second focuses on the development and the evaluation of a stress management intervention for these students (Part II: Students Stress Management: Theoretical Perspectives and Empirical Studies). For each, a review of the literature on the concepts studied, as well as a review of empirical studies, was conducted in the form of articles (published or in progress). The purpose of this dissertation is therefore dual and is articulated around ten articles;Conclusion: Despite some limitations, our results constitute new and promising contributions on stress management online for university students. This proposal for an intervention online could be particularly aimed at students who do not consult
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Paul, Suzanna. "Comparative assessment of the effectiveness of online vs paper based post graduate courses in occupational and environmental safety and health at Edith Cowan University, Perth, Western Australia". Connect to thesis, 2006. http://portal.ecu.edu.au/adt-public/adt-ECU2007.0030.html.
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Ingabire, Paula. "Convergence of eco-system technologies : potential for hybrid electronic health record (EHR) systems combining distributed ledgers and the Internet of Medical Things towards delivering value-based Healthcare". Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/118548.
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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2018.Cataloged from PDF version of thesis.
Includes bibliographical references (pages 64-66).
The Healthcare industry, just like any industry, is constantly racing to stay abreast with pace of technological innovations, especially at such a time where the industry is experiencing a strain on the global healthcare infrastructure. Specifically, the evolution of record management systems in the healthcare system has taken a slow and gradual transformation with each stage of transformation carrying over certain aspects and functions of previous stages. A survey of record management practices reveals that record management begun with paper-based records that have since partially been replaced with centralized Electronic Health Records (EHR). With the advent of Electronic Health Records enabled by distributed ledgers, we continue to see the inclusion of traditional paper-based functions beyond centralized EHR functions. Electronic data sharing in the healthcare ecosystem is constrained by interoperability challenges with different providers choosing to implement systems that respond to increasing their productivity. Prioritizing a patient-focused strategy during implementation of EHRs forces providers to implement systems that are more interoperable. A system engineering approach was adopted to guide the development and valuation of candidate architectures from Stakeholder analysis to concept generation and enumeration. Nine (9) key design decisions were selected with their combinations yielding 512 feasible hybrid architectures. In this paper, we proposed a hybrid EHR solution combining distributed ledger technologies and Internet of Medical Things, which contributes towards providing value-based healthcare. Leveraging properties of distributed ledgers and IoMT, the hybrid solution interconnects various data sources for health records to provide real-time record creation and monitoring whilst enabling data sharing and management in a secure manner.
by Paula Ingabire.
S.M. in Engineering and Management
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Wellstead, Darryn Anne. "Digitally-Mediated Mothering: An Ethnography of Health and Parenting Groups on Facebook". Thesis, Université d'Ottawa / University of Ottawa, 2020. http://hdl.handle.net/10393/40678.
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Research over the last several decades offers clear evidence that mothers experience considerable pressure in carrying out the expectations of contemporary mothering, including expanded responsibilities relating to child and family health (Hays, 1996; Wolf, 2013). While we know that these pressures produce negative impacts, we know less about the strategies and tools mothers use to cope with these anxieties as they try to "do it right" (Villalobos, 2014). At the same time, research suggests that mothering is increasingly digitally-embedded, as mothers look to the internet and social media for information and support (Schoppe-Sullivan et al., 2017). This study thus explores how mothers use Facebook groups to inform health and parenting decisions. Drawing on data generated through a digital ethnography incorporating 18 months of participant observation, discourse analysis, and interviews with 29 mothers across two sets of divergent, specialized sets of Facebook groups (focusing on “evidence-based” and “natural” health and parenting), I advance three key, interconnected arguments. First, I apply theories of boundaries and boundary-work to show how specialized Facebook groups become persuasive ideological spaces for mothers who seek certainty around their healthcare beliefs and decisions. Next, I apply the concept of echo chambers to argue that mothers involved with these specialized Facebook groups engage in siloed health learning that shapes health beliefs, decisions, and even conversations with healthcare providers. Finally, I show how mothers engage in a form of digitally-mediated emotion management by turning Facebook groups that confirm their parenting ideology in order to alleviate anxieties associated with neoliberalism and individualist parenting, and to feel better about their maternal performance. I ultimately conclude that the turn to digital platforms for certainty, reassurance, and good feelings is both a logical expression and a reflection of the latest wave of maternal responsibilization.
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Beintner, Ina, Dennis Görlich, Thomas Berger, David Daniel Ebert, Michael Zeiler, Rocío Herrero Camarano, Karin Waldherr i Corinna Jacobi. "Interrelations between participant and intervention characteristics, process variables and outcomes in online interventions: A protocol for overarching analyses within and across seven clinical trials in ICare". Elsevier, 2018. https://tud.qucosa.de/id/qucosa%3A32375.
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Background: It is well known that web-based interventions can be effective treatments for various conditions. Less is known about predictors, moderators, and mediators of outcome and especially interrelations between participant and interventions characteristics, process variables and outcomes in online interventions. Clinical trials often lack statistical power to detect variables that affect intervention effects and their interrelations. Within ICare, we can investigate the interrelation of potential predictor and process variables in a large sample.
Method: The ICare consortium postulated a model of interrelations between participant and intervention characteristics, process variables and outcomes in online interventions. We will assess general and disorderspecific interrelations between characteristics of the intervention, characteristics of the participants, adherence, working alliance, early response, and intervention outcomes in a sample of over 7500 participants from seven clinical trials evaluating 15 online interventions addressing a range of mental health conditions and disorders, using an individual participant data meta-analyses approach.
Discussion/conclusion: Existing research tends to support the efficacy of online mental health interventions, but the knowledge base regarding factors that affect intervention effects needs to be expanded. The overarching analyses using data from the ICare intervention trials will add considerably to the evidence.
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Hernández, Rabanal Carme. "La informació sobre salut a Internet: qualitat, beneficis de la formació i autopercepció de les competències informacionals". Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/457352.
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La present recerca té com a marc de referència la informació sobre salut a Internet. La finalitat del nostre treball és realitzar una anàlisi a l’entorn de la informació sobre salut a Internet i l’alfabetització dels usuaris en aquest àmbit a partir d’una aproximació vertebrada en tres eixos. En primer lloc s’aborda una de les característiques crítiques d’aquest tipus d’informació: la qualitat. En segon lloc s’analitzen els beneficis d’una formació reglada en competències informacionals en el currículum dels estudiants d’educació superior de l’àrea de les ciències de la salut, els quals, a curt termini, seran prescriptors d’aquesta informació i alhora responsables de la seva qualitat. En tercer lloc es posa el focus d’atenció sobre un dels altres actors principals del procés comunicatiu que involucra la informació sobre salut en línia: els seus usuaris. En concret, a partir d’un estudi aplicat en estudiants de batxillerat, aportem noves dades al conjunt d’investigacions que han utilitzat el qüestionari amb reconeixement internacional eHEALS com a instrument de mesura de l’autopercepció de les competències informacionals en e-salut.
La societat del coneixement d’avui en dia sol·licita perfils alfabetitzats informacionalment, capaços d’identificar informació digital de qualitat. En el futur immediat, l’educació i l’apoderament dels pacients serà una prioritat major en els entorns mèdics, d’aquí que els futurs professionals de la salut i els adolescents hagin estat la unitat d’anàlisi de la nostra investigació. Aquests darrers, que pertanyen a un col·lectiu encara en edat escolar, estan altament implicats en les noves tecnologies i seran pacients potencials d’uns professionals de la salut compromesos amb les noves necessitats informatives.The framework of the current research is the online health-related information. Our goal is to conduct an analysis on the health-related information available on the Internet and on the users’ literacy in this area. To this end, we made an approach structured in three axes. First, we tackle one of the critical features that characterise this kind of information: the quality. Second, we analyse the benefits of integrating information literacy activities into the higher education curriculum of future healthcare professionals, which, in the near future, will be the prescribers of this information and ultimately responsible for its quality. Third, we focus our attention on one of the other main characters in the communicative process that involves the online heath-related information: the users. Specifically, based on a study conducted on high school students, we provide new data to the studies that have used the internationally acknowledged eHEALS scale as a self-report tool for perceived measurement of eHealth literacy. The nowadays knowledge society requests literate individuals able to discern quality information online. In the coming future, education and the empowerment of patients will be a major priority in medical environments, that’s why we have focused into the health professionals and adolescents as unit of analysis in our research. These adolescents, who are still in school, are highly involved in new technologies and are going to be potential patients of health professionals committed to the new information needs.
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Granat, Nicklas, i Sofie Malmström. "Internetbaserade interventioners effekter vid långvarig smärta : En begränsad systematisk litteraturöversikt". Thesis, Röda Korsets Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2827.
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Bakgrund: Långvarig smärta är en av de främsta orsakerna till varaktigt lidande och funktionsnedsättning både i Sverige och globalt. Dagens behandlingsmetoder anses i många fall bristfälliga. I ett allt mer högteknologiskt samhälle utvecklas elektroniska hjälpmedel som stöd till personer med olika sjukdomstillstånd. Tidigare studier visar att internetbaserade interventioner främjar hälsa, lindrar lidande och ökar egenmakten, dock är området fortfarande under snabb utvecklig. Syfte: Att beskriva effekterna av internetbaserade interventioner riktade mot långvarig smärta. Metod: Begränsad systematisk litteraturöversikt med elva kvantitativa artiklar. Resultat: Fem av artiklarna använde KBT, tre artiklar använde ACT och tre artiklar använde självhanteringsmetoder. Fyra effekter av interventionerna framkom; smärtreducering, smärthantering, livskvalitet och psykisk hälsa. Smärthantering förbättrades signifikant, resterande förbättrades, dock ej signifikant. Effekterna är förbättrade till signifikant förbättrade vid uppföljningar efter avslutad behandling. Slutsats: Att införa internetbaserade interventioner som tillägg till klinisk omvårdnad kan innebära hälsovinster för enskild person samt för samhället. Dock ses svårigheter att implementera den här typen av intervention på en större befolkning då faktorer som tillgänglighet och könsfördelning påverkar negativt. Fortsatt forskning: Jämnare könsfördelning i studier, större geografisk utbredning samt långtidsuppföljningar bör ligga i fokus för framtida forskning.Background: Chronic pain is one of the primary causes to abiding suffering and disabilities in Sweden and globally. Today’s treatment methods are somewhat considered lacking. In a high technology society, as the one we are living in today, the developing of electronic aids for persons with different disease states increases. Internet-based interventions is considered a part of the future in health care. Aim: The aim of this study was to describe the effects of Internet-based interventions designed for people with chronic pain. Method: A rapid systematic review with eleven quantitative studies. Result: Five studies used CBT, three studies used ACT and three is denominated as self-management. Four effects became clear; mental health, pain management, pain reducing, and quality of life. Pain management showed significant improvement, the other three effects showed improvement, although no significant improvement. At follow-up after post intervention the effects improved, some with significance. Conclusion: To implement internet-based interventions as an addition to clinical care could mean health benefits for the community as well as the individual person. However, this intervention type is not accessible on a larger population. Further Research: There should be focus on gender equality, broader geographic areas and longer follow-ups in future research.
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Gao, Lingling [Verfasser], Sonia [Akademischer Betreuer] Lippke, Sonia [Gutachter] Lippke, Song [Gutachter] Yan, Roßnagel Christian [Gutachter] Stamov i Yiqun [Gutachter] Gan. "Interrelations of Internet Use and Health Behaviors, Perceived Quality of Life and Work-life Balance: Findings from Web-based studies in Germany and China / Lingling Gao ; Gutachter: Sonia Lippke, Song Yan, Christian Stamov Roßnagel, Yiqun Gan ; Betreuer: Sonia Lippke". Bremen : IRC-Library, Information Resource Center der Jacobs University Bremen, 2020. http://d-nb.info/1213975654/34.
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Reinhart, Eric T. "Burnout, work engagement, and well-being in the healthcare professions: A proposal for a digital intervention". Wright State University Professional Psychology Program / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1434821504.
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Westman, Johannes, i Axel Vilhelmsson. "Implementering av IKBT : En intervjustudie om internetbehandlares erfarenheter av implementering". Thesis, Linnéuniversitetet, Institutionen för psykologi (PSY), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-74561.
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Internetbaserad kognitiv beteendeterapi (IKBT) för olika former av psykisk ohälsa har presenterats som ett alternativ till traditionell samtalsbehandling baserat på forskning från det senaste decenniet. Trots klinisk relevans och flera fördelar för patienter och behandlare går implementeringen långsamt i flera europeiska länder. Syftet med den föreliggande studien var att undersöka behandlares erfarenheter av att implementera IKBT i sina verksamheter. Intervjuer genomfördes med åtta behandlare hos en svensk offentlig vårdgivare, varefter en tematisk analys gjordes. Fyra huvudteman arbetades fram: En ny metod, En ny roll, Premisser och Lärande. Behandlarna har en övergripande samstämmighet och förståelse kring IKBT och dess användning, vilket är en viktig aspekt av implementeringen. Behandlarna beskriver dock också att kollegor som inte arbetar med behandling, men har en roll i implementeringen, ibland har bristande kunskap och negativa fördomar som förhindrar arbetet. Vidare berättar behandlarna att organiserat samarbete mellan aktiva behandlare bortprioriteras i den kliniska vardagen. Resultaten från analysen diskuteras med utgångspunkt i Normalization Process Theory. Vidare forskning kan utforska upplevelsen hos IKBT-utbildade behandlare som inte börjat arbeta med IKBT och hos icke-behandlande kollegor på arbetsplatser där metoden implementeras.Internet-based Cognitive Behavioral Therapy (ICBT) for different kinds of mental health issues has been presented as an alternative to traditional face-to-face treatment based on research from the last decade. Despite clinical relevance and several advantages for both patients and therapists the implementation of the method is progressing slowly in many European countries. The purpose of this study was to examine therapists’ experiences of implementing ICBT in their everyday work. Interviews were conducted with eight therapists in a Swedish public health care setting, after which a thematic analysis was made. Four main themes were defined: A new method, A new role, Premises and Learning. The therapists have an overarching mutual comprehension of ICBT and its use, which is an important aspect of the implementation. The therapists explained that colleagues that don't work with ICBT, but still have a role in the implementation, sometimes lack knowledge and have negative preconceptions which obstruct the work. Furthermore, therapists talked about organized collaboration between active therapists not being prioritized in the everyday clinical work. Results from the analysis are discussed by applying Normalization Process Theory to the findings. Further research could examine the experiences of ICBT-trained therapists who have not yet started working with ICBT and of colleagues who do not work with treatment in workplaces where ICBT is being implemented.
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Lind, Leili. "Towards Effortless Use of Information Technology in Home Healthcare with a Networked Digital Pen". Doctoral thesis, Linköping : Linköpings universitet, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7840.
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Jasti, Madhu Narasimha Rao. "IoT based remote patient health monitoring system". Kansas State University, 2017. http://hdl.handle.net/2097/38268.
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Master of ScienceDepartment of Computer Science
Daniel A. Andresen
With an improvement in technology and miniaturization of sensors, there have been attempts to utilize the new technology in various areas to improve the quality of human life. One main area of research that has seen an adoption of the technology is the healthcare sector. The people in need of healthcare services find it very expensive this is particularly true in developing countries. As a result, this project is an attempt to solve a healthcare problem currently society is facing. The main objective of the project was to design a remote healthcare system. It’s comprised of three main parts. The first part being, detection of patient’s vitals using sensors, second for sending data to cloud storage and the last part was providing the detected data for remote viewing. Remote viewing of the data enables a doctor or guardian to monitor a patient’s health progress away from hospital premises. The Internet of Things (IoT) concepts have been widely used to interconnect the available medical resources and offer smart, reliable, and effective healthcare service to the patients. Health monitoring for active and assisted living is one of the paradigms that can use the IoT advantages to improve the patient’s lifestyle. In this project, I have presented an IoT architecture customized for healthcare applications. The aim of the project was to come up with a Remote Health Monitoring System that can be made with locally available sensors with a view to making it affordable if it were to be mass produced. Hence the proposed architecture collects the sensor data through Arduino microcontroller and relays it to the cloud where it is processed and analyzed for remote viewing. Feedback actions based on the analyzed data can be sent back to the doctor or guardian through Email and/or SMS alerts in case of any emergencies.
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Stein, Joanne Lisa. "CDC.gov's Web-based Outreach Channels for H1N1 Flu (Swine Flu)". Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/iph_theses/122.
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Introduction: H1N1 flu (swine flu) first emerged in mid-April 2009, and the Centers for Disease Control and Prevention (CDC) was a lead U.S. federal agency responding to the disease, the first pandemic in more than 40 years. Aim: The purpose of this program evaluation is to assess CDC’s Web-based outreach for the first part of the H1N1 flu pandemic (April to July 2009). Evaluation focuses on the seven CDC Web sites used for H1N1 flu outreach: H1N1 Flu (English and Spanish), CDC.gov, CDC en Español, CDC Partners, CDC Seasonal Flu, and MMWR. Methods: The evaluation assessed Web use and users through data collected by the American Consumer Satisfaction Index (ACSI) and specific Web statistics gathered through Omniture SiteCatalyst. Discussion: People have been using the internet to collect health information since the early days of popular usage. During the early H1N1 flu emergency, CDC used seven different Web sites to reach out to its users, who are primarily public health professionals, healthcare providers and consumers. Most users cite one of four reasons for visiting CDC’s Web sites: health information for my work, health information for myself, health information for patient or client, and health information for someone else. Between April and July, a clear majority of users visited the Web site for H1N1 flu information (from a high of 58% in May to a low of 35% in July). CDC.gov has received ACSI satisfaction scores of 80 (considered a top performer) or higher since the first quarter of 2007; the overall site satisfaction score of 82 during the first quarter of 2009 was bested by the H1N1-specific satisfaction score of 84 from mid-April to the end of June. Traffic to the site increased enormously during the early H1N1 flu emergency, from approximately 45 million page views per month in February and March 2009 to more than 98.2 million page views in April 2009. Recommendations: Those working on CDC.gov H1N1 flu-related content should continue trying to anticipate and meet user needs by expanding Web content, partnering with external organizations to share key information through syndication and information placement, and enhancing translation capabilities.
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Lane, Taylor S., Julie Armin i Judith S. Gordon. "Online Recruitment Methods for Web-Based and Mobile Health Studies: A Review of the Literature". JMIR, 2015. http://hdl.handle.net/10150/621267.
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UA Open Access Publishing FundBackground: Internet and mobile health (mHealth) apps hold promise for expanding the reach of evidence-based health interventions. Research in this area is rapidly expanding. However, these studies may experience problems with recruitment and retention. Web-based and mHealth studies are in need of a wide-reaching and low-cost method of recruitment that will also effectively retain participants for the duration of the study. Online recruitment may be a low-cost and wide-reaching tool in comparison to traditional recruitment methods, although empirical evidence is limited. Objective: This study aims to review the literature on online recruitment for, and retention in, mHealth studies. Methods: We conducted a review of the literature of studies examining online recruitment methods as a viable means of obtaining mHealth research participants. The data sources used were PubMed, CINAHL, EbscoHost, PyscINFO, and MEDLINE. Studies reporting at least one method of online recruitment were included. A narrative approach enabled the authors to discuss the variability in recruitment results, as well as in recruitment duration and study design. Results: From 550 initial publications, 12 studies were included in this review. The studies reported multiple uses and outcomes for online recruitment methods. Web-based recruitment was the only type of recruitment used in 67% (8/12) of the studies. Online recruitment was used for studies with a variety of health domains: smoking cessation (58%; 7/12) and mental health (17%; 2/12) being the most common. Recruitment duration lasted under a year in 67% (8/12) of the studies, with an average of 5 months spent on recruiting. In those studies that spent over a year (33%; 4/12), an average of 17 months was spent on recruiting. A little less than half (42%; 5/12) of the studies found Facebook ads or newsfeed posts to be an effective method of recruitment, a quarter (25%; 3/12) of the studies found Google ads to be the most effective way to reach participants, and one study showed better outcomes with traditional (eg in-person) methods of recruitment. Only one study recorded retention rates in their results, and half (50%; 6/12) of the studies recorded survey completion rates. Conclusions: Although online methods of recruitment may be promising in experimental research, more empirical evidence is needed to make specific recommendations. Several barriers to using online recruitment were identified, including participant retention. These unique challenges of virtual interventions can affect the generalizability and validity of findings from Web-based and mHealth studies. There is a need for additional research to evaluate the effectiveness of online recruitment methods and participant retention in experimental mHealth studies.
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Lundgren, Johan. "Behind the Screen : -Internet-Based Cognitive Behavioural Therapy to Treat Depressive Symptoms in Persons with Heart Failure". Doctoral thesis, Linköpings universitet, Avdelningen för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-143312.
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Introduction The prevalence of depressive symptoms in persons with heart failure is higher than in age- and gender-matched populations not suffering from heart failure. Heart failure in itself is associated with an unpredictable trajectory of symptoms, a poor prognosis, high mortality and morbidity, and low health-related quality of life (HrQoL). With the addition of depressive symptoms to heart failure the negative health effects increase further. Though the negative consequences of depressive symptoms in heart failure are well known, there is a knowledge gap about the course of depressive symptoms in heart failure and about how to effectively manage these symptoms. Pharmacological treatment with serotonin reuptake inhibitors has not been able to demonstrate efficacy in persons with heart failure. In a few studies, cognitive behavioural therapy (CBT) delivered face-to-face, has demonstrated effects on depressive symptoms in persons with heart failure. However, currently there are barriers in delivering face-to-face CBT as there is a lack of therapists with the required training. As a solution to this, the use of Internet-based CBT (ICBT) has been proposed. ICBT has been shown to be effective in treatment of mild and moderate depression but has not been evaluated in persons with heart failure. Aim The overall aim of this thesis was to describe depressive symptoms over time and to develop and evaluate an ICBT intervention to treat depressive symptoms in persons with heart failure. Design and Methods The studies in this thesis employ both quantitative (Studies I, II and III) and qualitative (Studies II and IV) research methods. The sample in Study I (n=611) were recruited in the Netherlands. The participants (n=7) in Study II were recruited via advertisements in Swedish newspapers. Studies III and IV used the same cohort of participants (Study III n=50, Study IV n=13). These participants were recruited via an invitation letter sent to all persons who had made contact with healthcare services in relation to heart failure during the previous year, at the clinics of cardiology or medicine in four hospitals in southeast Sweden. Study I had a quantitative longitudinal design. Data on depressive symptoms was collected at baseline (discharge from hospital) and after 18 months. Data on mortality and hospitalisation was collected at 18 and 36 months after discharge from hospital. Study II employed three differentBehind the Screen2patterns of design, as follows: I) The development and context adaptation of the ICBT program was based on research, literature and clinical experience and performed within a multi-professional team. II) The feasibility of the program from the perspective of limited efficacy and function was investigated with a quantitative pre-post design. III) Participants’ experience of the ICBT program was investigated with a qualitative content analysis. Data on depressive symptoms was collected pre and post intervention. The time used for support and feedback was logged during the intervention, and qualitative interviews were performed with the participants after the end of the intervention. Study III was designed as a randomised controlled trial. A nine-week ICBT program adapted to persons with heart failure and depressive symptoms was tested against an online moderated discussion forum. Data on depressive symptoms, HrQoL and cardiac anxiety was collected at baseline (before the intervention started) and after the end of the intervention (approximately 10 weeks after the start of the intervention). Study IV had a qualitative design to explore and describe participants’ experiences of ICBT. The participants were recruited from within the sample in Study III and all had experience of ICBT. Data collection occurred after the ICBT program ended and was carried out using qualitative interviews by telephone. Results The mean age of the samples used in this thesis varied between 62 and 69 years of age. Concerning the symptom severity of heart failure, most persons reported New York Heart Association (NYHA) class II (40-57%) followed by NYHA class III (36-41%). Ischaemic heart disease was the most common comorbidity (36-43%). The vast majority had pharmacological treatment for their heart failure. Six percent of the persons in Study I used pharmacological antidepressants. In Studies II and III, the corresponding numbers were 43% and 18% respectively. Among persons hospitalised due to heart failure symptoms, 38% reported depressive symptoms. After 18 months, 26% reported depressive symptoms. Four different courses of depressive symptoms were identified: 1) Non-depressed 2) Remitted depressive symptoms. 3) Ongoing depressive symptoms. 4) New depressive symptoms. The highest risk for readmission to hospital and mortality was found among persons in the groups with ongoing and new depressive symptoms. A nine-week ICBT program consisting of seven modules including homework assignments on depressive symptoms for persons with heart failure was developed and tested. The RCT study (Study III) showed no significant difference in depressive symptoms between ICBT and a moderated discussion forum. Within-group analysis of depressive symptoms demonstrated a significant decrease of depressive symptoms in the ICBT group but not in the discussion forum group. The participants’ experience of ICBT was described in one theme: ICBT- an effective, but also challenging tool for self-management of health problems. This theme was constructed based on six categories: Something other than usual healthcare; Relevance and recognition; Flexible, understandable and safe; Technical problems; Improvements by live contact; Managing my life better. Conclusion After discharge from hospital, depressive symptoms decrease spontaneously among a large proportion of persons with heart failure, though depressive symptoms are still common in persons with heart failure that are community dwelling. Depressive symptoms in persons with heart failure are associated with increased risk of death and hospitalisation. The highest risks are found among persons with long-term ongoing depressive symptoms and those developing depressive symptoms while not hospitalised. ICBT for depressive symptoms in heart failure is feasible. An intervention with a nine-week guided self-help program with emphasis on behavioural activation and problem-solving skills appears to contribute to a decrease in depressive symptoms and improvement of HrQoL. When ICBT is delivered to persons with heart failure and depressive symptoms the participants requests that the ICBT is contextually adapted to health problems related to both heart failure and depressive symptoms. ICBT is experienced as a useful tool for self-care and something other than usual healthcare. ICBT also requires active participation by the persons receiving the intervention, something that was sometimes experienced as challenging.
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Palmer, Stephen E. "The Effects of the Web-Based Instructional Unit Healthy Hearts on Fifth Grade Children's Physical Activity Knowledge, Attitudes, and Behavior". Diss., Virginia Tech, 2001. http://hdl.handle.net/10919/26415.
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Substantial resources are being directed towards use of the Internet in K-12 Education with over $2.25 billion annually distributed to K-12 schools from the Federal government alone (Maiden & Beckham, 1999). In 1998, 90% of schools had Internet access while only 2% of funds spent on software in K-12 schools were directed towards Web-based courseware (Jerald & Orlofsky, 1999). The Web-based instructional module Healthy Hearts was developed as a self-contained instructional unit delivered over the Internet, popularly referred to as â e-Learningâ , for fifth grade students to use as part of the classroom curriculum. Healthy Hearts teaches children about risk factors associated with heart disease, including physical activity, tobacco, and nutrition. After piloting and formatively evaluating Healthy Hearts in two fifth grade classrooms, Elliott (1997) made recommendations for future modification and implementation. No research regarding effects the Web-based instructional unit Healthy Hearts has on fifth grade children exists. The purpose of this study is to evaluate the impact Healthy Hearts has on fifth grade childrenâ s physical activity knowledge, attitudes, and behavior.
Participants included 233 fifth grade boys and girls and 11 teachers who implemented Healthy Hearts during Spring 2001. A repeated measures experimental-control design was employed to measure Healthy Hearts effects on physical activity knowledge, attitudes, and behavior. The questionnaire used for this study included three attitude items adapted from Sport, Play, and Active Recreation for Kids (SPARK) (Sallis, Alcaraz, McKenzie, & Hovell, 1999a), six criterion referenced knowledge items developed from Healthy Hearts objectives, and a Weekly Activity Checklist to assess physical activity behavior, which was developed and validated for SPARK (Sallis et. al., 1993a). Classroom teachers administered the baseline test before students began using the module. For five weeks following the baseline test, the group 1 engaged in Healthy Hearts lessons by going to a computer lab for 45 minutes twice a week while group 2 participated in regularly scheduled classroom activities. After group 1 finished Healthy Hearts, both groups completed test 1 and then teachers from group 2 implemented Healthy Hearts with their classes. When group 2 finished using Healthy Hearts, both groups completed test 2. Dependent variables were physical activity knowledge, attitude, and behavior with group as independent variables. Other independent variables included school socioeconomic status, time allocated to Healthy Hearts, non-Healthy Hearts instruction time for related objectives, and speed of Internet connection.
Repeated measures ANOVA revealed significant effects of Healthy Hearts on physical activity knowledge and attitude, however Healthy Hearts had no significant effects on behavior. Results of this study indicate Healthy Hearts could be an effective means of using the Internet to deliver health and physical activity instruction to fifth grade children, and suggest a need for further design, development, and evaluation of Healthy Hearts.Ph. D.
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Hlungulu, Bulumko. "Building a semantic web-based e-health component for a multipurpose communication centre". Thesis, University of Fort Hare, 2010. http://hdl.handle.net/10353/374.
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Rural communities have limited access to health information which is made available on the internet. This is due to poor infrastructure (i.e., lack of clinics or Internet access) and that gives them problems in accessing information within the domain of health. The availability of Information and Communication Technologies (ICTs) in a rural community can provide the community with a number of beneficial solutions to their problems as they maximize the potential of knowledge sharing and delivery. This research seeks to make use of ICTs deployed in the community of Dwesa, in order to contribute to improving the health standards of the community. It seeks to accomplish this by carrying out an investigation and literature review with the aim of understanding health knowledge sharing dynamics in the context of marginalized communities. The knowledge acquired will then be used in the development and implementation of a semantic web-based e-Health portal as part of the Siyakhula Living Lab (SLL) project. This portal will share and deliver western medical knowledge, traditional knowledge and indigenous knowledge. This research seeks to make use of a combination of Free and/or Open Sources Software in developing the portal to make it affordable to the community.
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Kurz, Daniel L. "Ourspace: the efficacy of a group dynamics-based social support application in increasing cohesion and physical activity". Thesis, Kansas State University, 2015. http://hdl.handle.net/2097/20495.
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Master of Public HealthKinesiology
Brandon Irwin
Background: Emerging technologies (i.e. smartphones, Internet) may be effective tools for promoting physical activity (PA); however few studies have provided effective means of using them to enhance social support. Face-to-face programs that use group dynamics-based (GDB) principles of behavior change have been shown to be highly effective in promoting group cohesion and PA however few studies have examined their effects in web-based programs. The present study examines the effect of a GDB application on group cohesion and PA. We expected partner’s level of presence to moderate this effect. Methods: Subjects (n=135) were randomized into same-sex dyads and randomized to an experimental condition: low cohesion/low presence (LC-LP), high cohesion/low presence (HC-LP), high cohesion/high presence (HC-HP), or individual. Participants performed two blocks of planking exercises (pre-post). Between blocks, participants in partnered conditions were met their partner using either a standard social support application (LC-LP) or a GDB social support application (HC-LP and HC-HP), where they participated in a series of team-building exercises. Individual subjects were given a rest period. Participants in the HC-HP saw a live video stream of their partner exercising during Block 2. Perception of cohesion was measured using a modified Physical Activity Group Environment-Questionnaire (PAGE-Q). PA was calculated as performance during Block 2 controlled for by performance during Block 1. Results: Findings show that perception of cohesion was higher for the HC-LP condition compared to the LC-LP conditions in three of the four cohesion dimensions: ATG-S(p=0.002), GI-T(p=0.002), GI-S(p=0.022), but not ATG-T(p=0.170). Cohesion means did not differ between HC-LP and HC-HP conditions. Only the HC-HP condition produced significant gains in PA compared to other conditions (HC-LP: p=0.044; LC-LP: p=0.018; Individual: p=0.001). Conclusions: Findings suggest that a GDB application may be an effective method of improving group cohesion, however it may be insufficient on its own to improve PA. Increasing presence may be an effective method of improving performance during a single session of PA, however further research is needed to determine its effect on long term behavior change.
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Witney, Cynthia Ann. "Just a “Click” away from evidence-based online breast cancer information, advice and support provided by a specialist nurse: An ethnonetnographic study". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1679.
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Breast cancer has had, and will continue to have, a devastating impact on the lives of many Australian women, their families, friends and the wider community. The concomitant treatment of this disease places a considerable burden on the health care system and the supporters of the person diagnosed with this disease. While there are many government and non-government organisations that provide treatment and support services for the person with breast cancer, these services are usually provided in person either in the home or at the organisation’s offices. This study extended the information advice and support aspects of these services to the online or Internet based realm via the design and development of a breast cancer focused online support community www.breastcancerclick.com.au and explored the role of the expert nurse through the employment of a specialist breast care nurse as a member, moderator and health professional within this online community.
This study used an ethnonetnographic approach, including online (on the Internet) and offline (face-to-face) methods, to explore the role of the specialist breast care nurse within the online, breast cancer support, community. The study was comprised of three phases, Phase One, the offline and online identification of the information, advice and support needs of Western Australian women with breast cancer and their Internet use; development of a website designed to meet those needs and to foster the development of an online support community; Phase Two, the employment and introduction of a specialist breast care nurse as a member and provider of evidence-based information, advice and support for online community members; Phase Three, the online and offline collection of data relevant to the role of the specialist breast care nurse within the online support community.
The identification of the expert nurse as a linchpin in the patient’s care and communication has implications for future nursing practice and curricula as well as consumers of health care. Recommendations arose from the findings in relation to further research, nursing practice, education these recommendations indicate an innovative extension to expert nursing practice and together the elementary guidelines for health professional when developing an illness specific online support community foreshadow a future direction for nursing, in line with the digital age.
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Reda, Roberto. "A Semantic Web approach to ontology-based system: integrating, sharing and analysing IoT health and fitness data". Master's thesis, Alma Mater Studiorum - Università di Bologna, 2017. http://amslaurea.unibo.it/14645/.
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With the rapid development of fitness industry, Internet of Things (IoT) technology is becoming one of the most popular trends for the health and fitness areas. IoT technologies have revolutionised the fitness and the sport industry by giving users the ability to monitor their health status and keep track of their training sessions. More and more sophisticated wearable devices, fitness trackers, smart watches and health mobile applications will appear in the near future. These systems do collect data non-stop from sensors and upload them to the Cloud. However, from a data-centric perspective the landscape of IoT fitness devices and wellness appliances is characterised by a plethora of representation and serialisation formats. The high heterogeneity of IoT data representations and the lack of common accepted standards, keep data isolated within each single system, preventing users and health professionals from having an integrated view of the various information collected. Moreover, in order to fully exploit the potential of the large amounts of data, it is also necessary to enable advanced analytics over it, thus achieving actionable knowledge. Therefore, due the above situation, the aim of this thesis project is to design and implement an ontology based system to (1) allow data interoperability among heterogeneous IoT fitness and wellness devices, (2) facilitate the integration and the sharing of information and (3) enable advanced analytics over the collected data (Cognitive Computing). The novelty of the proposed solution lies in exploiting Semantic Web technologies to formally describe the meaning of the data collected by the IoT devices and define a common communication strategy for information representation and exchange.
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Corman, Maya. "Approche psychologique des personnes atteintes d'hémopathies et inscrites dans un processus de greffe de cellules souches hématopoiétiques (CSH) : identification des facteurs socio-psychologiques impliqués dans l’état de santé mentale et physique aux différents stades du processus et développement d’un programme d’intervention adapté". Thesis, Université Clermont Auvergne (2017-2020), 2020. http://www.theses.fr/2020CLFAL015.
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L’allogreffe de cellules souches hématopoïétiques, ou greffe de moelle osseuse, fait partie des traitements proposés pour enrayer la course d’hémopathies malignes telles que la leucémie aiguë. Cette intervention consiste à remplacer les cellules du sang malades par des cellules saines, grâce à un donneur compatible afin de maximiser les chances de réussite. Bien que l’injection du greffon apparaisse comme une intervention relativement simple, il n’en demeure pas moins que cet acte s’inscrit dans un processus qui commence bien avant l’intervention et qui a des conséquences durant les mois, voire les années qui suivent l’allogreffe. Ainsi, le parcours de soin du patient peut être divisé en trois étapes : l’avant-greffe, l’hospitalisation en secteur protégé et l’après-greffe avec le retour à domicile. On peut observer à ces différents stades une altération de la qualité de vie, la présence de symptômes de détresse psychologique, voire un état de stress post-traumatique (ESPT). Cependant, ces conséquences psychologiques peuvent différer d’un individu à l’autre suggérant que certains facteurs, autres que médicaux, pourraient influer les conséquences tant physiques que psychologiques de la greffe. C’est dans cette perspective et en s’appuyant sur le modèle Multidimensionnel Intégratif et Transactionnel de Bruchon –Schweitzer et Boujut (2014) ainsi que sur l’approche complète de l’état de santé mentale de Keyes et Lopez (2002), que quatre études ont été réalisées dans ce travail de thèse en psychologie de la santé. L’objectif était de mettre en avant les différents facteurs psychologiques protecteurs et délétères aux différents stades de la greffe sur la santé mentale et physique des patients, en mettant l’accent sur des facteurs peu explorés à ce jour et issus de la troisième vague des thérapies cognitives et comportementales telle que la thérapie d’acceptation et d’engagement. Après avoir validé une version française de l’échelle AFQ (article 1), il ressort de la première étude « psygreffe » que le niveau de bonheur avant la greffe contribue à une meilleure qualité de vie avant la greffe (article 2). La seconde étude psygreffe a mis en avant l’effet prospectif des préoccupations anxieuses durant l’hospitalisation sur la survenue d’un état de stress post-traumatique, et l’effet positif de l’esprit combatif sur le niveau de résilience et de bonheur cinq mois après la greffe (article 3). La troisième étude psygreffe a révélé que plus les personnes tendaient à être dans l’évitement expérientiel plus elles risquaient de présenter des symptômes d’ESPT, tandis que les patients présentant des scores élevés de non-jugement (une facette de la pleine conscience) avaient de moindre risques de présenter une telle symptomatologie (article 4). La quatrième étude psygreffe montre que l’expérience de changements de vie positifs dans la vie des patients après la greffe est loin d’être systématique. Les patients montrent plutôt un déclin de leur santé psychologique cinq mois après la greffe qui serait relié à un faible niveau d’acceptation (article 5). L’ensemble de ces résultats nous a amené à réfléchir et à proposer une intervention adaptée aux besoins des patients (i.e. une plateforme numérique) basée sur des interventions efficaces en psycho-oncologie et sur les thérapies basées sur internet. Dans cette perspective, un premier dispositif (i.e. DESP task) visant à remédier les biais attentionnels impliqués dans l’anxiété et la dépression a été élaborée et testé, dans un premier temps en laboratoire (article 6). La DESP a fait l’objet d’une déclaration d’invention (déclaration d’invention n°0487-UCADESPTASK). Proposer une continuité dans la prise en charge et tenter de pallier les obstacles inhérents aux spécificités du parcours de greffe s’avère essentiel pour améliorer la prise en charge des patients et les accompagner durant ce parcoursHematopoietic stem cells allograft, or bone marrow transplantation, is one of the treatments proposed to stop the course of hematopoietic malignancies such as acute leukemia. This procedure consists of replacing the cells in the diseased blood with healthy cells from a compatible donor to maximize the chances of success. Although injecting the graft appears to be a relatively simple procedure, it is nonetheless part of a whole process that begins well before the procedure and has consequences in the months and even years following the allograft. Thus, the patient's care pathway can be divided into three stages: the pre-transplant, hospitalization in a protected sector, and the post-transplant period with the return home. At these different stages, an alteration in quality of life, the presence of symptoms of psychological distress and even a state of post-traumatic stress disorder (PTSD) can be observed. However, these psychological consequences may differ from one individual to another, suggesting that certain factors, other than medical ones, could influence both the physical and psychological consequences of the allograft. It is in this perspective and based on the Transactional Integrative and Multidimensional Model of Bruchon-Schweitzer and Boujut (2014) and the Complete State Health Approach of Keyes and Lopez (2002) that four studies were conducted in this thesis work in health psychology. The objective was to highlight the different protective and deleterious psychological factors at the different stages of allograft on the mental and physical health of patients, focusing on factors little explored to date and from the third wave of cognitive and behavioural therapies such as acceptance and commitment therapy. After validating a French version of the AFQ scale (article 1), the first study found that the level of happiness before the transplant contributes to a better quality of life before the procedure (article 2). The second highlighted the prospective effect of anxious preoccupations during hospitalization on the occurrence of post-traumatic stress disorder and the positive effect of fighting spirit on the level of resilience and happiness five months post-transplant (article 3). The third one revealed that the more people tended to be in experiential avoidance, the more likely they were to develop symptoms of PTSD, while patients with high non-judgmental scores (a facet of mindfulness) were less likely to develop such symptomatology (article 4). Finally, the fourth study shows that the experience of positive life changes in patients' lives after transplantation is far from systematic. Rather, patients show a decline in their psychological health that is related to a low level of acceptance (article 5). All of these results led us to reflect and propose an intervention adapted to the needs of patients (i.e. a digital platform) based on effective interventions in psycho-oncology and web-based therapies. In this perspective, a first device (i.e. DESP task) aimed at remedying the attentional biases involved in anxiety and depression has been developed and tested (article 6). The DESP has been the subject of a declaration of invention (declaration of invention n°0487-UCADESPTASK). Proposing a continuity of care and trying to overcome the obstacles inherent to the specificities of the allograft course is essential to improve the care of patients and accompany them during this pathway