Aim: This review aimed to provide a comprehensive overview of the current state of evidence for the use of clinical and quality dashboards in health care environments. Methods:A literature search was performed for the dates 1996 to 2012 on CINAHL, Medline, Embase, Cochrane Library, PsychInfo, Science Direct and ACM Digital Library. A citation search and a hand search of relevant papers were also conducted.Results: One hundred and twenty two full text papers were retrieved of which 11 were included in the review. There was considerable heterogeneity in implementation setting, dashboard users and indicators used. There was evidence that in contexts where dashboards were easily accessible to clinicians (such as in the form of a screen saver) their use was associated with improved care processes and patient outcomes. Conclusion:There is some evidence that implementing clinical and/or quality dashboards that provide immediate access to information for clinicians can improve adherence to quality guidelines and may help improve patient outcomes. However, further high quality detailed research studies need to be conducted to obtain evidence of their efficacy and establish guidelines for their design.4
The field of Participatory Design (PD) has greatly diversified and we see a broad spectrum of approaches and methodologies emerging. However, to foster its role in designing future interactive technologies, a discussion about accountability and rigour across this spectrum is needed. Rejecting the traditional, positivistic framework, we take inspiration from related fields such as Design Research and Action Research to develop interpretations of these concepts that are rooted in PD׳s own belief system. We argue that unlike in other fields, accountability and rigour are nuanced concepts that are delivered through debate, critique and reflection. A key prerequisite for having such debates is the availability of a language that allows designers, researchers and practitioners to construct solid arguments about the appropriateness of their stances, choices and judgements.To this end, we propose a “tool-to-think-with” that provides such a language by guiding designers, researchers and practitioners through a process of systematic reflection and critical analysis. The tool proposes four lenses to critically reflect on the nature of a PD effort: epistemology, values, stakeholders and outcomes. In a subsequent step, the coherence between the revealed features is analysed and shows whether they pull the project in the same direction or work against each other. Regardless of the flavour of PD, we argue that this coherence of features indicates the level of internal rigour of PD work and that the process of reflection and analysis provides the language to argue for it. We envision our tool to be useful at all stages of PD work: in the planning phase, as part of a reflective practice during the work, and as a means to construct knowledge and advance the field after the fact. We ground our theoretical discussions in a specific PD experience, the ECHOES project, to motivate the tool and to illustrate its workings.
Digital augmentation dissolves many of the physical barriers to learning by offering tools to integrate data and discoveries that travel with students as they explore new terrain.
Technology-enabled feedback on domestic energy consumption can promote awareness and lead to energy savings. The authors articulate a set of design concerns that frame and focus ongoing research into user experience and more effective feedback display designs. E nvironmental sustainability begins at home with our everyday choices: the appliances we buy, the utilities we choose, and how we use them. As in many developed economies, the UK's domestic energy consumption continues to rise, accounting for roughly one-third of the nation's total energy usage (http://stats. berr.gov.uk/energystats/dukes07.pdf). Domestic energy consumption remains largely invisible and intangible to consumers. Corinna Fischer argues that "it is not perceived as a coherent field of action. Rather it involves activities." 1 Peter Crabb similarly points out that "people do not use energy, they use devices and products." 2 For this reason, several approaches to encouraging more sustainable energy consumption provide some form of feedback to try to create more consumer awareness of how activities and products relate to use. To date, feedback has been in the form of more informative billing statements or direct feedback at the time of use. We're interested in the latter, particularly technology-enabled feedback of usage via digital displays in the home. Current displays fall into two categories: smart metering systems that are linked to a utility provider or off-the-shelf devices installed by the consumer, most commonly to monitor electricity use.Two substantial metareviews of domestic energy consumption feedback studies found that feedback, especially technology-enabled feedback, can result in energy savings of roughly three to 15 percent. Sarah Darby's review focuses on the effectiveness of feedback on behavior changes, concluding that "clear feedback is a necessary element in learning how to control fuel use more effectively over a long period of time." 3 Fischer's review suggests that feedback is most successful when it's "given frequently and over a long time, provides an appliancespecific breakdown, is presented in a clear and appealing way and uses computerized and interactive tools." 1 What isn't clear from either of these metareviews, or from the studies they draw on, is what constitutes good design for user-centric feedback displays. For example, what kind of data should be presented and how, and what form should the device take? Most studies have used a single display device without considering a solid rationale for device choice or design. 1 Studies that have compared different displays have only measured the usefulness of paper-based billing information. 38 P ER VA SI V E computing www.computer.org/pervasive EnvironmEntal SuStainabilityIn this article, we outline a usercentered research and design agenda on real-time, domestic energy displays, hoping it will encourage a more systematic analysis of the underlying design principles for what makes for a good energy-usage display. By good, we mean displays that will not only provide us...
This paper presents another iteration in the ongoing CSCW dialogue between the understanding of work and the design of systems to support work. We overview the Locales Framework (and its five aspects of locale foundations, individual views, civic structures, interaction trajectory, and mutuality) as a shared abstraction for both understanding and designing. We describe the use of the framework in a telehealth case study and discuss the implications of the framework for the design of generic toolkit environments, as interpreted in the prototype system called Orbit. We conclude with a critique of the framework and suggestions for further iterations in the dialogue.
This paper presents a case study of a 79 year old video blogger called ‘Geriatric1927’, and his use of the video sharing website, YouTube. Analysis of his first eight video blogs, and the subsequent text responses, reveals opportunities of this medium for intergenerational contact, reminiscence, reciprocal learning and co-creation of content, suggesting older people can be highly motivated to use computers when social contact is their aim. We conclude by noting the importance of technologies that are socially engaging and meaningful for older people and pointing to ways in which the social life of YouTube might be better promoted on its interface
Ecological sustainability is becoming of increasing concern to the HCI community, though little focus has been given yet to issues around food waste. Given the environmental impact of food waste, there is potential to make a significant difference. To understand everyday domestic practices around food and waste, we took a "practice" lens and carried out a study in 14 households that involved interviews, in-home tours and, in five of the households, a FridgeCam technology probe. The analysis highlights that food waste is the unintended result of multiple moments of consumption dispersed in space and time across other integrated practices such as shopping and cooking, which are themselves embedded in broader contextual factors and values. We highlight the importance of respecting the complex negotiations that people make within given structural conditions and competing values and practices, and suggest design strategies to support dispersed as well as integrated food practices, rather than focusing on waste itself.
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