Guidelines for designing personal health dashboards
- Authors: Chabana, Chabana Ernst
- Date: 2022-11
- Subjects: Dashboards (Management information systems) , Information visualization , Medical informatics , Digital health , Design manual
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/419137 , vital:71619
- Description: The healthcare industry is realising the value of providing ordinary individuals with their personal health data for self-care and self-management purposes, however, these individuals are faced with the challenge of going through, understanding and extracting insights from large volumes of complex personal health data. A dashboard (coupled with data visualization) is regarded as a suitable way to present personal health data effectively, to inform self-care and self- management-based decisions. However, there is no homogeneous (i.e. “one-size-fits-all”) approach to designing dashboards; therefore, this research aimed at creating a set of design guidelines that can be used as a foundation for tailoring dashboards that support the presentation of personal health data. The Design Science Research methodology was used to systematically develop and evaluate the set of dashboard design guidelines. Within this methodology, literature was reviewed and focus groups with participants were conducted to extract insights and inform the development of the initial set (proposed) design guidelines. The proposed design guidelines were then used to develop a medium-fidelity personal health dashboard prototype. Usability testing with the dashboard prototype was conducted to evaluate the efficacy and utility of these design guidelines. The evaluation provided insights that strengthened the quality of the design guidelines. The evaluation indicated that the proposed set of guidelines are suitable for designing a dashboard that presents personal health data effectively. These design guidelines can be adapted in order to inform the process of tailoring dashboards for accommodating different personal health data presentation needs. , Thesis (MCOM) -- Faculty of Commerce, Information Systems, 2023
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- Date Issued: 2022-11
A framework for guiding the interdisciplinary design of mHealth intervention apps for physical activity behaviour change
- Authors: Thomson, Callie Deborah
- Date: 2022-04-06
- Subjects: Wireless communication systems in medical care , Exercise Health aspects , Behavior modification , Mobile apps , Medical care Technological innovations , Medical informatics , Health promotion Technological innovations , Application software Development , Design Science Research (DSR)
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/232193 , vital:49970 , DOI http://doi.org/10.21504/10962/232193
- Description: The global pandemic of noncommunicable diseases and its associated premature mortality rates and socioeconomic burden have led to increasingly intensified efforts towards designing and delivering health promotion interventions aimed at addressing the leading modifiable health risk behaviours, such as physical inactivity. Developing physical activity behaviour change interventions that target individuals at the dual intra-interpersonal socioecological levels of health promotion has become a key objective worldwide. Digital and mobile technology is revolutionising the ways in which health behaviour change interventions are delivered to individuals across the world, with mobile health applications (mHealth apps) increasingly recognised as a powerful means of promoting physical activity behaviour change. However, with the growth and opportunities of mHealth apps, come several design challenges. Key design challenges concern the integration of theory, the incorporation of evidence-based behaviour change techniques, the application of persuasive systems design principles, and the importance of multi- and interdisciplinary collaborative design, development and evaluation approaches. These key challenges influence the output product design and effectiveness of mHealth physical activity behaviour change intervention apps. There exists a paucity of approaches for guiding and supporting the multi- and interdisciplinary collaborative design, development and evaluation of mHealth physical activity behaviour change intervention apps. To address this gap, this research study proposes an Interdisciplinary mHealth App Design Framework, framed by a novel boundary object view. This view considers the diverse communities of practice, boundary objects and supporting artefacts, process activities, and knowledge sharing practices necessary and relevant to the design of effective mHealth physical activity behaviour change intervention apps. The framework’s development is guided by a Design Science Research (DSR) approach. Its core components are based on the findings of a critical theoretical analysis of twenty existing multi- and interdisciplinary digital health development approaches. Once developed, the framework is evaluated using a qualitative DSR linguistic interpretivist approach, with semi-structured interviews as the research instrument. The thematic analysis findings from interviews with thirty-one international academic researchers and industry practitioners informs the iterative modification and revision of an enhanced Interdisciplinary mHealth App Design Framework, constituting the main DSR artefact contribution of the research study. In addition, four theoretical contributions are made to the mHealth intervention app design body of knowledge, and a practical contribution is made through the provision of guideline recommendations for academics and industry practitioners. Methodological contributions are also made in terms of applying DSR, adopting a hybrid cognitive reasoning strategy, and employing a qualitative linguistic interpretivist approach to evaluation within a DSR project. , Thesis (PhD) -- Faculty of Commerce, Information Systems, 2022
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- Date Issued: 2022-04-06
Factors influencing the adoption of mobile health monitoring and care systems by the elderly living at home in South Africa: a case of Buffalo City Metropolitan Municipality.
- Authors: Fotoyi, Yolande Odwa
- Date: 2021-09
- Subjects: Medical informatics , Wireless communication systems in medical care
- Language: English
- Type: Master's/ theses , text
- Identifier: http://hdl.handle.net/10353/20406 , vital:45662
- Description: The gradual increase of elderly people around the globe necessitates intensive dialogue amongst government, the healthcare sector and elderly communities as per MPAA 2002 resolutions. Literature identifies technology as the enabler to drive the facilitation of improved living conditions beginning with an affordable, accessible and integrated health information system (HIS). The attainment of a better quality of care to meet the elderly’s needs requires the re-engineering of current modalities. The diverse nature of South Africa is more suited to a people-based rather than a process-centric approach currently in existence. Access barriers, affordability, the digital divide, lack of government buy-in, and fragmented HIS are considered major impediments to adoption of mobile monitoring and care systems (MMCs) for the elderly’s healthcare. Given the complications brought about by the Covid-19 pandemic, the adoption of MMCs cannot be more pronounced. However, despite available literature regarding elderly issues in both developed and developing countries, the elderly plight has still not been considered a national priority. The main purpose of this research was to investigate why elderly people do not adopt MMCs to improve their quality of life, with MMC technologies as a general area of research. The main objective of the study was to develop critical success factors to improve the adoption of MMCs by the elderly living at home. This would potentially alleviate the burden on healthcare resources and also improve the elderly’s quality of life. Primary data collection took place from 21 February to 28 February 2020 in Buffalo City Metropolitan Municipality. Semi-structured interviews were conducted with 15 participants comprising one male and 14 females who represented the elderly Black, Coloured, Indian and White people. This qualitative research tool and purposive sampling method were chosen in order to fully capture the participants’ experiences in the home environment, which excluded those living in frail care or step-down facilities or state institutions. Despite the sample size being small and not being generalizable, it delivered rich information which provided a deeper understanding and fresh insights into the landscape of the elderly and their healthcare needs. The interviews were recorded, transcribed and analysed thematically. The study found that elderly communities are not entirely averse to adoption of MMCs but challenges like affordability and chronic shortage of technical skills prove to be impediments to adoption of MMCs for the elderly’s healthcare. The lack of standardisation and data governance pertaining to data sharing in HISs also serve to exacerbate the matter. The study, therefore, recommends collaborative engagements amongst government, business and the elderly to facilitate the availability of affordable and accessible ICT infrastructure for the elderly communities. Improved adoption of MMCs carry the potential benefit which emanates from the assumption of a pro-active role by the elderly and optimising available MMCs thus reducing strain and freeing-up healthcare workers to concentrate on core duties. The onus thus falls on the healthcare sector to revise the available strategies which seek to enhance the quality of life of the elderly people living in the home environment. , Thesis (MCom) (Information Systems) -- University of Fort Hare, 2021.
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- Date Issued: 2021-09
An access control model for a South African National Electronic Health Record System
- Authors: Tsegaye, Tamir Asrat
- Date: 2019
- Subjects: Medical records -- Data processing , Medical records -- Data processing -- Safety measures , Medical records -- Data processing -- South Africa , Medical records -- Data processing -- Access control , Medical informatics , Medical records -- Management -- South Africa , Health services administration -- South Africa
- Language: English
- Type: text , Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/97046 , vital:31390
- Description: Countries such as South Africa have attempted to leverage eHealth by digitising patients’ medical records with the ultimate goal of improving the delivery of healthcare. This involves the use of the Electronic Health Record (EHR) which is a longitudinal electronic record of a patient’s information. The EHR is comprised of all of the encounters that have been made at different health facilities. In the national context, the EHR is also known as a national EHR which enables the sharing of patient information between points of care. Despite this, the realisation of a national EHR system puts patients' EHRs at risk. This is because patients’ information, which was once only available at local health facilities in the form of paper-based records, can be accessed anywhere within the country as a national EHR. This results in security and privacy issues since patients’ EHRs are shared with an increasing number of parties who are geographically distributed. This study proposes an access control model that will address the security and privacy issues by providing the right level of secure access to authorised clinicians. The proposed model is based on a combination of Role-Based Access Control (RBAC) and Attribute-Based Access Control (ABAC). The study found that RBAC is the most common access control model that is used within the healthcare domain where users’ job functions are based on roles. While RBAC is not able to handle dynamic events such as emergencies, the proposed model’s use of ABAC addresses this limitation. The development of the proposed model followed the design science research paradigm and was informed by the results of the content analysis plus an expert review. The content analysis sample was retrieved by conducting a systematic literature review and the analysis of this sample resulted in 6743 tags. The proposed model was evaluated using an evaluation framework via an expert review.
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- Date Issued: 2019
Building an E-health system for health awareness campaigns in poor areas
- Authors: Gremu, Chikumbutso David
- Date: 2015
- Subjects: National health services -- South Africa , Medical informatics , Public health -- Information services
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:4708 , http://hdl.handle.net/10962/d1017930
- Description: Appropriate e-services as well as revenue generation capabilities are key to the deployment and the sustainability for ICT installations in poor areas, particularly common in developing country. The area of e-Health is a promising area for e-services that are both important to the population in those areas and potentially of direct interest to National Health Organizations, which already spend money for Health campaigns there. This thesis focuses on the design, implementation, and full functional testing of HealthAware, an application that allows health organization to set up targeted awareness campaigns for poor areas. Requirements for such application are very specific, starting from the fact that the preparation of the campaign and its execution/consumption happen in two different environments from a technological and social point of view. Part of the research work done for this thesis was to make the above requirements explicit and then use them in the design. This phase of the research was facilitated by the fact that the thesis' work was executed within the context of the Siyakhula Living Lab (SLL; www.siyakhulaLL.org), which has accumulated multi-year experience of ICT deployment in such areas. As a result of the found requirements, HealthAware comprises two components, which are web-based, Java applications that run in a peer-to-peer fashion. The first component, the Dashboard, is used to create, manage, and publish information for conducting awareness campaigns or surveys. The second component, HealthMessenger, facilitates users' access to the campaigns or surveys that were created using the Dashboard. The HealthMessenger was designed to be hosted on TeleWeaver while the Dashboard is hosted independently of TeleWeaver and simply communicates with the HealthMessenger through webservices. TeleWeaver is an application integration platform developed within the SLL to host software applications for poor areas. Using a core service of TeleWeaver, the profile service, where all the users' defining elements are contained, campaigns and surveys can be easily and effectively targeted, for example to match specific demographics or geographic locations. Revenue generation is attained via the logging of the interactions of the target users in the communities with the applications in TeleWeaver, from which billing data is generated according to the specific contractual agreements with the National Health Organization. From a general point of view, HealthAware contributes to the concrete realizations of a bidirectional access channel between Health Organizations and users in poor communities, which not only allows the communication of appropriate content in both directions, but get 'monetized' and in so doing becomes a revenue generator.
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- Date Issued: 2015
A framework for personal health records in online social networking
- Authors: Van der Westhuizen, Eldridge Werner
- Date: 2012
- Subjects: Medical care -- Data processing , Medical records -- Access control , Medical informatics , Information storage and retrieval systems -- Medicine
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9804 , http://hdl.handle.net/10948/d1012382 , Medical care -- Data processing , Medical records -- Access control , Medical informatics , Information storage and retrieval systems -- Medicine
- Description: Since the early 20th century, the view has developed that high quality health care can be delivered only when all the pertinent data about the health of a patient is available to the clinician. Various types of health records have emerged to serve the needs of healthcare providers and more recently, patients or consumers. These health records include, but are not limited to, Personal Health Records, Electronic Heath Records, Electronic Medical Records and Payer-Based Health Records. Payer-Based Health Records emerged to serve the needs of medical aids or health care plans. Electronic Medical Records and Electronic Health Records were targeted at the healthcare provider market, whereas a gap developed in the patient market. Personal Health Records were developed to address the patient market, but adoption was slow at first. The success of online social networking reignited the flame that Personal Health Records needed and online consumer-based Personal Health Records were developed. Despite all the various types of health records, there still seems to be a lack of meaningful use of personal health records in modern society. The purpose of this dissertation is to propose a framework for Personal Health Records in online social networking, to address the issue of a lack of a central, accessible repository for health records. In order for a Personal Health Record to serve this need it has to be of meaningful use. The capability of a PHR to be of meaningful use is core to this research. In order to determine whether a Personal Health Record is of meaningful use, a tool is developed to evaluate Personal Health Records. This evaluation tool takes into account all the attributes that a Personal Health Record which is of meaningful use should comprise of. Suitable ratings are allocated to enable measuring of each attribute. A model is compiled to facilitate the selection of six Personal Health Records to be evaluated. One of these six Personal Health Records acts as a pilot site to test the evaluation tool in order to determine the tool’s utility and effect improvements. The other five Personal Health Records are then evaluated to measure their adherence to the attributes of meaningful use. These findings, together with a literature study on the various types of health records and the evaluation tool, inform the building blocks used to present the framework. It is hoped that the framework for Personal Health Records in online social networking proposed in this research, may be of benefit to provide clear guidance for the achievement of a central or integrated, accessible repository for health records through the meaningful use of Personal Health Records.
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- Date Issued: 2012
Consumer health informatics in the information age and beyond
- Authors: Pottas, Dalenca
- Subjects: Medical informatics , Information technology , f-sa
- Language: English
- Type: text , Lectures
- Identifier: http://hdl.handle.net/10948/20757 , vital:29386
- Description: This paper reviews current and future trends and challenges in the field of consumer health informatics. Emergent innovations driving consumer health informatics in the information age include devices, tools and applications supporting personalised healthcare, electronic personal health record (PHR) systems and a plethora of tools in the health social media domain. Within this domain, a new kind of social media citizen, the consumer specialist or patient opinion leader, is taking the lead in online communities of patients. A new generation of personal health records combining PHRs and social media is emerging, even though pervasive adoption and use of PHRs remains elusive. The accuracy of information, security and privacy of personal health information, legislative matters and the digital divide remain recurring challenges of consumer health informatics. In future, PHR vendors will have to address the lack of espousal of PHRs in innovative ways to provide a compelling case for adoption. The continued uptake of health social media necessitates efforts to understand, through longitudinal studies, precisely who the users are, what they use it for and how it contributes to the achievement of both personal and public health outcomes. Health information consumers, of varying levels of techno-literacy, needs and preferences, must be assisted to move from simply accessing information to distilling relevant and credible information and making informed decisions. Further research is required to understand the changing relationships between patients and healthcare providers and how consumer health information technologies can best support these. There is a need to evaluate the effectiveness of consumer health information technologies to inform both public policy and the next generation of tools, technologies and artefacts that could better facilitate improved health outcomes. Lastly, more effort is required to erode digital inequalities. As we move into a future emphasising both the global and the individual, accelerated connectedness and speed of change, consumer health informatics must respond such that it remains germane and amplifies the value that can be gained by all stakeholders.
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