Auflistung nach Schlagwort "Digital health"
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- ZeitschriftenartikelDesigning Virtual Coaching Solutions(Business & Information Systems Engineering: Vol. 66, No. 3, 2024) Schlieter, Hannes; Gand, Kai; Weimann, Thure Georg; Sandner, Emanuel; Kreiner, Karl; Thoma, Steffen; Liu, Jin; Caprino, Massimo; Corbo, Massimo; Seregni, Agnese; Tropea, Peppino; Pino, Rocio; Gómez Esteban, Juan Carlos; Gabilondo, Inigo; Lacraru, Andreea Elena; Busnatu, Stefan SebastianEspecially older persons are prone to disabilities and chronic diseases. These chronic conditions pose a worldwide challenge, leading to deteriorating health, economic strain, loss of life, and a decline in the quality of life (QoL). Therefore, healthcare institutions seek to enhance their strategies for disease prevention and management to uphold the well-being of the community. This leads to the need to regain independence and improve QoL to properly rehabilitate the patients. Virtual Coaches (VCs) in the form of Embodied Conversational Agents are seen as a relevant digital intervention to support the continuity of care. The paper at hand reports on a Design Science Research project about implementing a VC solution to support older patients' home rehabilitation. The study underpins four pivotal design principles: Adaptivity, Coaching Strategy, Multi-user Interface, and Sustainable Infrastructure. The final artifact was tested with 80 patients which were supported in continuing their inpatient rehabilitation at home by using a VC. The evaluation shows both positive results for usability and acceptance of the intervention for four different use cases and a positive impact on the QoL. Given the comprehensive clinical evaluation, the system represents a safe and appealing solution for ensuring the continuity of medical rehabilitation care and the access to personalized cognitive and motor function treatments.
- ZeitschriftenartikelPrecision Digital Health(Business & Information Systems Engineering: Vol. 66, No. 3, 2024) Baird, Aaron; Xia, YusenAccounting for individual and situational heterogeneity (i.e., precision) is now an important area of research and treatment in the field of medicine. This essay argues that precision should also be embraced within digital health artifacts, such as by designing digital health apps to tailor recommendations to individual user characteristics, needs, and situations, rather than only providing generic advice. The challenge, however, is that not much guidance is available for embracing precision when designing or researching digital health artifacts. The paper suggests that a shift toward precision in digital health will require embracing heterogeneous treatment effects (HTEs), which are variations in the effectiveness of treatment, such as variations in effects for individuals of different ages. Embracing precision via HTEs is not trivial, however, and will require new approaches to the research and design of digital health artifacts. Thus, this essay seeks to not only define precision digital health, but also to offer suggestions as to where and how machine learning, deep learning, and artificial intelligence can be used to enhance the precision of interventions provisioned via digital health artifacts (e.g., personalized advice from mental health wellbeing apps). The study emphasizes the value of applying emerging causal ML methods and generative AI features within digital health artifacts toward the goal of increasing the effectiveness of digitially provisioned interventions.
- ZeitschriftenartikelTrust in Public and Private Providers of Health Apps and Usage Intentions(Business & Information Systems Engineering: Vol. 66, No. 3, 2024) Binzer, Björn; Kendziorra, Jennifer; Witte, Anne-Katrin; Winkler, Till J.Mobile health apps, particularly personal health records (PHRs), play a vital role in healthcare digitalization. However, the varying governance approaches for providing PHR platforms have led to a growing debate on the adequate regulation of health technology with regard to their adoption. This article investigates how provider governance, whether public or private, influences users’ intentions to use and decisions to download a PHR app. Drawing on institutional trust, privacy calculus, and privacy control frameworks, the study develops hypotheses about how provider governance affects the pathways through which trust influences users’ intentions to adopt the app. Data acquired from an online experiment in the German market reveals that users exhibit a higher level of trust in public providers compared to the same app provided by private companies. Furthermore, provider governance significantly alters the paths in how trust influences usage intentions through perceived benefits, perceived risks, and privacy control. These findings contribute to the development of a sectoral theory of privacy calculus and privacy control in Information Systems (IS). Moreover, they offer practical insights for healthcare regulators and health app providers with the aim of promoting the acceptance and usage of PHRs and other mobile health apps.