Converting and expanding a mobile support intervention: Focus group and field-testing findings from individuals in active tuberculosis treatment

Iribarren, Sarah J.; Rodriguez, Yvette; Lin, Lorelei; Chirico, Cristina; Discacciati, Vilda; Schnall, Rebecca; Demiris, George

doi:10.1016/j.ijmedinf.2019.104057

Cited by 13 publications

(9 citation statements)

References 35 publications

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“…The needs of Implementation Research are very important for the critical health situation in Eastern Sudan, where the population has been suffering for long time from the endemic TB, beside poverty and long distant has stimulate the need of mobile comboclinic for patients' outreach. This emergency facility has been used in many countries as stated by (30)(31)(32)(33). The success of such implemented research is obviously seen in the reduction of the disease among the selected populations, this is in agreement with 34 (Table-1)this was previously stated by (38,39).…”

Section: Direct Health Impact Outcomesupporting

confidence: 76%

Innovative Strategies for Developing Tuberculosis Implementation Research in Sudan

Elshayeb

Ahmed

Salih

et al. 2020

Preprint

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Introduction: Sudan, especially Eastern States are very poor areas at great risk of endemic and communicable diseases particularly tuberculosis. The reasons for the spread and transmission of this disease include medical, economical and geographical issues, besides Sudan’s location in the middle of nine countries in East Africa, its boundaries were affected by free movement, high number of conflicts displaced peoples from boarders’ countries, high illiteracy rates, limited financial resources and shortages in medical services. Objectives: This project is conducted to implement a new developed system for eliminating Tuberculosis infections among eastern Sudanese populations focusing on the eradication of multidrug resistant Mycobacterium tuberculosis including novel methods for the targeted delivery of new therapeutic drugs. Conceptual Methodology: Strategies adopted in this work are proposed to increase access includes to communicable and economic factors. Disease Survey and Laboratorial Investigation for Multi Drug Resistant bacterial strains confirmation. Medical Assessment of TB Patients to facilitate improved efficiencies through metric measurement and enable patients’ relationship management. Established a national level policy of treatment, vaccination and prevention. Administering regular evaluation of the disease situation and control.Results: Implementation outcomes includes the conceptual framework for this project were informed by a combination of the general program logic model, the health system framework of the World Health Organization, WHO, the pillars of the Sudan health agenda, and the framework of the Strategic Elimination Plan. It is assumed that the reduction of TB burden at the national level (long-term output or impact) is preceded by improved case-finding and case-holding practices (short-term output). Impact outcome of the project is derived from the observation that tuberculosis is much more common at the boarders than center of Sudan where no adequate clinical services are available. It is conceivable that, although outbreaks may occur periodically, the control of disease might be easier to overcome than direct medication.Conclusion: A major success of the project accomplishment, is the stimulation of the implementation strategy development for elimination and eradication of Tuberculosis in Sudan with a view to bring diagnostic and surveillance issues much higher up according to the implementation research agenda especially for those areas explored with similar national and international research projects, reports and technical initiatives.

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Section: Direct Health Impact Outcomesupporting

confidence: 76%

Innovative Strategies for Developing Tuberculosis Implementation Research in Sudan

Elshayeb

Ahmed

Salih

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The needs of Implementation Research are very important for the critical health situation in Eastern Sudan, where the population has been suffering for long time from the endemic TB, beside poverty and long distant has stimulate the need of mobile comboclinic for patients' outreach. This emergency facility has been used in many countries as stated by (30)(31)(32)(33). The success of such implemented research is obviously seen in the reduction of the disease among the selected populations, this is in agreement with(34) who outlined the implementation challenges around the diagnosis and treatment of TB and described how current TB preventive therapy activities have been shaped and managed.…”

Section: Discussionsupporting

confidence: 53%

Innovative Strategies for Developing Tuberculosis Implementation Research in Sudan

Elshayeb

Ahmed

Salih

et al. 2020

Preprint

View full text Add to dashboard Cite

Introduction: Sudan, especially Eastern States are very poor areas at great risk of endemic and communicable diseases particularly tuberculosis. The reasons for the spread and transmission of this disease include medical, economical and geographical issues, besides Sudan’s location in the middle of nine countries in East Africa, its boundaries were affected by free movement, high number of conflicts displaced peoples from boarders’ countries, high illiteracy rates, limited financial resources and shortages in medical services. Objectives: This project is conducted to implement a new developed system for eliminating Tuberculosis infections among eastern Sudanese populations focusing on the eradication of multidrug resistant Mycobacterium tuberculosis including novel methods for the targeted delivery of new therapeutic drugs. Methods: Strategies adopted in this work are proposed to increase access includes to communicable and economic factors. Disease Survey and Laboratorial Investigation for Multi Drug Resistant bacterial strains confirmation. Medical Assessment of TB Patients to facilitate improved efficiencies through metric measurement and enable patients’ relationship management. Established a national level policy of treatment, vaccination and prevention. Administering regular evaluation of the disease situation and control.Results: Implementation outcomes includes the conceptual framework for this project were informed by a combination of the general program logic model, the health system framework of the World Health Organization, WHO, the pillars of the Sudan health agenda, and the framework of the Strategic Elimination Plan. It is assumed that the reduction of TB burden at the national level (long-term output or impact) is preceded by improved case-finding and case-holding practices (short-term output). Impact outcome of the project is derived from the observation that tuberculosis is much more common at the boarders than center of Sudan where no adequate clinical services are available. It is conceivable that, although outbreaks may occur periodically, the control of disease might be easier to overcome than direct medication.Conclusion: A major success of the project accomplishment, is the stimulation of the implementation strategy development for elimination and eradication of Tuberculosis in Sudan with a view to bring diagnostic and surveillance issues much higher up according to the implementation research agenda especially for those areas explored with similar national and international research projects, reports and technical initiatives.

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“…Yet, one recent comprehensive study showed that vendors vary significantly in the quality of their UCD practices, ranging from well-developed UCD processes to fundamental misconceptions of the UCD process [ 8 ]. Several studies included in this synthesis addressed the value of following a user- or human-centered design approach broadly, either conducting UCD or HCD in their own work or noting the importance of these approaches in health informatics design [ 2 , 7 8 9 10 11 12 13 14 15 16 17 ]. However, for the reasons above, readers of HF/E-focused health informatics manuscripts should be careful to interpret the authors’ use of the (often confused) terms HCD and UCD, and not assume their design process is of high quality.…”

Section: Resultsmentioning

confidence: 99%

“…Many studies focused on creating and evaluating mobile apps, typically aimed at addressing the needs of patients and consumers. These mobile apps focused on a variety of chronic diseases such as diabetes and hypertension [ 63 , 122 ], cardiovascular health [ 30 , 58 , 121 ], cancer care [ 58 , 127 ], mental health [ 13 , 23 , 25 , 57 , 110 ], seizure management [ 57 ], bladder monitoring [ 56 ], tuberculosis treatment [ 15 ], and parental education [ 40 , 41 ]. A small number of studies focused on telehealth [ 10 , 14 , 140 ] and personal health records or patient portals [ 38 , 109 , 141 ].…”

Section: Resultsmentioning

confidence: 99%

Human Factors and Organizational Issues in Health Informatics: Innovations and Opportunities

Marquard

2021

Yearb Med Inform

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Objective: Human factors and ergonomics (HF/E) frameworks and methods are becoming embedded in the health informatics community. There is now broad recognition that health informatics tools must account for the diverse needs, characteristics, and abilities of end users, as well as their context of use. The objective of this review is to synthesize the current nature and scope of HF/E integration into the health informatics community. Methods: Because the focus of this synthesis is on understanding the current integration of the HF/E and health informatics research communities, we manually reviewed all manuscripts published in primary HF/E and health informatics journals during 2020. Results: HF/E-focused health informatics studies included in this synthesis focused heavily on EHR customizations, specifically clinical decision support customizations and customized data displays, and on mobile health innovations. While HF/E methods aimed to jointly improve end user safety, performance, and satisfaction, most HF/E-focused health informatics studies measured only end user satisfaction. Conclusion: HF/E-focused health informatics researchers need to identify and communicate methodological standards specific to health informatics, to better synthesize findings across resource intensive HF/E-focused health informatics studies. Important gaps in the HF/E design and evaluation process should be addressed in future work, including support for technology development platforms and training programs so that health informatics designers are as diverse as end users.

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Converting and expanding a mobile support intervention: Focus group and field-testing findings from individuals in active tuberculosis treatment

Cited by 13 publications

References 35 publications

Innovative Strategies for Developing Tuberculosis Implementation Research in Sudan

Innovative Strategies for Developing Tuberculosis Implementation Research in Sudan

Innovative Strategies for Developing Tuberculosis Implementation Research in Sudan

Human Factors and Organizational Issues in Health Informatics: Innovations and Opportunities

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