Optimization of Data Processing and Presentation in Social Surveys: From Likert-Means to “Yes Percentage”

Merkys, Gediminas; Bubelienė, Daiva

doi:10.1007/978-3-030-29862-3_2

Cited by 3 publications

(2 citation statements)

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“…The results were treated with exploratory data analysis methods, and we created visual representations of the score distributions in the form of stacked columns ( Multimedia Appendix 6 and Multimedia Appendix 7 ). To gain interpretability and improve the stability of the ratings, we dichotomized the Likert scale ratings [ 48 ] with a cut between disagreement and neutral (1,2,3,4) and agreement (5,6,7). We also ran a Mann-Whitney U test in SPSS (IBM Corp), a rank-based nonparametric test, to investigate differences in the attitude scores between experts and novices for each questionnaire item.…”

Section: Methodsmentioning

confidence: 99%

Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography: Mixed Methods Study of Practitioner Attitudes

Aminoff¹,

Meijer²,

Arnelo³

et al. 2021

JMIR Form Res

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Background Telemedicine innovations are rarely adopted into routine health care, the reasons for which are not well understood. Teleguidance, a promising service for remote surgical guidance during endoscopic retrograde cholangiopancreatography (ERCP) was due to be scaled up, but there were concerns that user attitudes might influence adoption. Objective Our objective was to gain a deeper understanding of ERCP practitioners’ attitudes toward teleguidance. These findings could inform the implementation process and future evaluations. Methods We conducted semistructured interviews with ERCP staff about challenges during work and beliefs about teleguidance. Theoretical constructs from the technology acceptance model (TAM) guided the thematic analysis. Our findings became input to a 16-item questionnaire, investigating surgeons’ beliefs about teleguidance’s contribution to performance and factors that might interact with implementation. Results Results from 20 interviews with ERCP staff from 5 hospitals were used to adapt a TAM questionnaire, exchanging the standard “Ease of Use” items for “Compatibility and Implementation Climate.” In total, 23 ERCP specialists from 15 ERCP clinics responded to the questionnaire: 9 novices (<500 ERCP procedures) and 14 experts (>500 ERCP procedures). The average agreement ratings for usefulness items were 64% (~9/14) among experts and 75% (~7/9) among novices. The average agreement ratings for compatibility items were somewhat lower (experts 64% [~9/14], novices 69% [~6/9]). The averages have been calculated from the sum of several items and therefore, they only approximate the actual values. While 11 of the 14 experts (79%) and 8 of the 9 novices (89%) agreed that teleguidance could improve overall quality and patient safety during ERCP procedures, only 8 of the 14 experts (57%) and 6 of the 9 novices (67%) agreed that teleguidance would not create new patient safety risks. Only 5 of the 14 experts (36%) and 3 of the 9 novices (33%) were convinced that video and image transmission would function well. Similarly, only 6 of the 14 experts (43%) and 6 of the 9 novices (67%) agreed that administration would work smoothly. There were no statistically significant differences between the experts and novices on any of the 16 items ( P <.05). Conclusions Both novices and experts in ERCP procedures had concerns that teleguidance might disrupt existing work practices. However, novices were generally more positive toward teleguidance than experts, especially with regard to the possibility of developing technical skills and work practices. While newly trained specialists were the main target for teleguidance, the experts were also intended users. As experts are more likely to be key decision makers, their attitudes may have a greater relative impact on adoption. We present suggestions to address these concerns. We conclude that using the...

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Section: Methodsmentioning

confidence: 99%

Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography: Mixed Methods Study of Practitioner Attitudes

Aminoff¹,

Meijer²,

Arnelo³

et al. 2021

JMIR Form Res

View full text Add to dashboard Cite

show abstract

“…The results were treated with exploratory data analysis methods, and we created visual representations of the score distributions in the form of stacked columns (Multimedia Appendix 6 and Multimedia Appendix 7). To gain interpretability and improve the stability of the ratings, we dichotomized the Likert scale ratings [48] with a cut between disagreement and neutral (1,2,3,4) and agreement (5,6,7). We also ran a Mann-Whitney U test in SPSS (IBM Corp), a rank-based nonparametric test, to investigate differences in the attitude scores between experts and novices for each questionnaire item.…”

Section: Questionnaire Proceduresmentioning

confidence: 99%

Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography: Mixed Methods Study of Practitioner Attitudes (Preprint)

Aminoff¹,

Meijer²,

Arnelo³

et al. 2020

Preprint

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BACKGROUND A telemedicine service for remote surgical guidance had shown teaching effects and impact on clinical practice during a highly specialized endoscopic procedure called ERCP. However, doctors’ interest in the innovation did not appear to correspond to the anticipated needs, and there was concern about how to make the practice an integrated and accepted way of working. OBJECTIVE In this study, the Technology Acceptance Model (TAM) is used as a conceptual framework to structure a qualitative investigation into endoscopic surgeons attitudes towards remote surgical guidance in ERCP, prior to its implementation. METHODS 20 semi-structured interviews were conducted with ERCP staff from 5 hospitals to elicit details about work practices, common challenges during procedures and factors contributing to performance during ERCP, as well as beliefs regarding the value of teleguidance. Theoretical constructs from TAM were used to guide the thematic analysis of the interviews. The findings from the interviews guided the preparation of test items for a questionnaire directed to a wider group of ERCP specialists. Descriptive statistics were employed to calculate mean scores and variance. In addition, results were dichotomized due to the small sample, in order to support comparison between groups. RESULTS In the interviews, practitioners described performance during ERCP as dependent on individual, team and and organisational factors. They weighed the value of teleguidance in terms of how it might affect both their individual performance but also how it might interact with the wider context. The questionnaire results from 23 respondents at 15 different ERCP clinics indicated a number of differences between novices’ and experts’ attitudes. Novices were generally positive towards the usefulness of teleguidance (69% giving a positive rating). While the experts also were generally positive (64 %), there was more variance in this group, and some respondents were consistently very negative. CONCLUSIONS The findings from the interviews and the questionnaire indicated that novices and experts weigh the value of teleguidance in different ways. Senior practitioners have less urgent needs for consultation and often have managerial functions, hence a different perspective of the changes that teleguidance might entail. As senior clinicians are more likely to be key decision makers, the attitudes among this group can have a greater relative importance for adoption than that of the novices. TAM can be seen as a valuable conceptual framework to help direct an investigation about acceptance of teleguidance. However, a TAM questionnaire can only capture a small portion of the factors affecting how a telemedicine service in complex and collaborative clinical work can come to be adopted. CLINICALTRIAL Swedish Ethical Review Authority 2014/859-31

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Quantifying of Governance and Sectoral Policy History: Assessing General Education Efficiency in Lithuania in 1990–2020

Merkys,

Balciunas,

Bubeliene

et al. 2024

Communications in Computer and Information Science

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Optimization of Data Processing and Presentation in Social Surveys: From Likert-Means to “Yes Percentage”

Cited by 3 publications

References 10 publications

Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography: Mixed Methods Study of Practitioner Attitudes

Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography: Mixed Methods Study of Practitioner Attitudes

Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography: Mixed Methods Study of Practitioner Attitudes (Preprint)

Quantifying of Governance and Sectoral Policy History: Assessing General Education Efficiency in Lithuania in 1990–2020

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