Modeling a Clinical Pathway for Contraception

Sooter, Letha J.; Hasley, Steve; Lario, Robert F.; Rubin, Kenneth S.; Hasić, Faruk

doi:10.1055/s-0039-3400749

Cited by 16 publications

(6 citation statements)

References 21 publications

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“…To assist in selecting the appropriate contraceptive methods, online decision aids could be potentially useful tools. Online decision aids integrate various resources for patient education, provide support in complex decision making, and generate customized recommendations based on a specific user's needs and preferences 3,7,8 . These tools have been used in a wide variety of health problems to assist patients and healthcare consumers [9][10][11][12] .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Evaluation of an Online Decision Aid for Selection of Contraceptive Methods

2022

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OBJECTIVES Knowledge gaps in contraceptives led to their low adoption rates and misuse in young women. The existing online contraception decision aids missed certain decision factors deemed important to college-aged women and did not consistently provide clear and accurate recommendations. To address the needs of young women and the limitations in current tools, we developed a prototype contraception decision aid, My Contraceptive Choice (MCC). This paper reports an evaluation study of the MCC tool. METHODS We conducted a mixed methods study: (1) to assess MCC’s usefulness and usability through an online survey and a follow-up focus group; and (2) to provide a quantitative examination on the recommendations generated by MCC to match with individual user’s needs and preferences through simulated test cases. RESULTS The survey of 150 college-aged women showed very positive responses (reflecting personal preferences, 75%; helping people learn more about birth control methods, 88%; easy to navigate, 91%). The follow-up focus group of 10 survey participants re-confirmed most findings from the survey and provided detailed feedback on certain system functions, such as the inclusion of an important decision factor of weight gain and the efficient hybrid design to integrate the customized recommendations with the side-by-side comparison of all contraceptive methods. Simulated test cases showed that the MCC tool achieved an accuracy of 72% in addressing user preferences and an accuracy of 72% in satisfying user needs, which were significantly better than the existing Planned Parenthood tool. CONCLUSIONS The initial evaluations suggest that the MCC tool has achieved good levels of usefulness, usability, and appropriate recommendations to address user needs and preferences. Future research is required to assess the performance of the MCC tool in naturalistic setting and to examine the generalizability of the findings to other user populations.

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Section: Accepted Manuscriptmentioning

confidence: 99%

Evaluation of an Online Decision Aid for Selection of Contraceptive Methods

2022

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“…It was designed by the Object Management Group (OMG), who aimed at creating a notation that is readable, user-friendly and executable. Because of these features, the standard has quickly gained popularity in both industry [2,3,4] and academia [5,6].…”

Section: Introductionmentioning

confidence: 99%

Context-Aware Verification of DMN

Vandevelde¹,

Callewaert²,

Vennekens³

2022

Proceedings of the Annual Hawaii International Conference on System Sciences

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The Decision Model and Notation (DMN) standard is a user-friendly notation for decision logic. To verify correctness of DMN decision tables, many tools are available. However, most of these look at a table in isolation, with little or no regards for its context. In this work, we argue for the importance of context, and extend the formal verification criteria to include it. We identify two forms of context, namely in-model context and background knowledge. We also present our own context-aware verification tool, implemented in our DMN-IDP interface, and show that this context-aware approach allows us to perform more thorough verification than any other available tool.

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“…Therefore, the connection between involved personnel, necessary activities, as well as the required infrastructure must be clarified. To that extent, process modelling is a well-established methodology providing a (graphical) language that can be understood by both computer scientists and physicians [19,20]. To our knowledge, no study explicitly addressed socioorganizational aspects of the introduction of CLE into routine neurosurgical diagnostic and therapy so far.…”

Section: Introductionmentioning

confidence: 99%

Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey

et al. 2021

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During brain tumor resection surgery, it is essential to determine the tumor borders as the extent of resection is important for post-operative patient survival. The current process of removing a tissue sample for frozen section analysis has several shortcomings that might be overcome by confocal laser endomicroscopy (CLE). CLE is a promising new technology enabling the digital in vivo visualization of tissue structures in near real-time. Research on the socio-organizational impact of introducing this new methodology to routine care in neurosurgery and neuropathology is scarce. We analyzed a potential clinical workflow employing CLE by comparing it to the current process. Additionally, a small expert survey was conducted to collect data on the opinion of clinical staff working with CLE. While CLE can contribute to a workload reduction for neuropathologists and enable a shorter process and a more efficient use of resources, the effort for neurosurgeons and surgery assistants might increase. Experts agree that CLE offers huge potential for better diagnosis and therapy but also see challenges, especially due to the current state of experimental use, including a risk for misinterpretations and the need for special training. Future studies will show whether CLE can become part of routine care.

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Modeling a Clinical Pathway for Contraception

Cited by 16 publications

References 21 publications

Evaluation of an Online Decision Aid for Selection of Contraceptive Methods

Evaluation of an Online Decision Aid for Selection of Contraceptive Methods

Context-Aware Verification of DMN

Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey

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