"In recent years, the former Dutch welfare state has been transformed into a participation society [1]. As support from the government decreases, citizens are increasingly expected to be self-managing. Since not everyone is able to be self-managing, there is an increasing demand for help offered by volunteers. Although the number of volunteers in the Netherlands is relatively stable, the amount of time per volunteer has decreased over the past couple of years [2]. Most volunteers traditionally come from the wealthier, more educated segment of society and are likely to be female, married with children, 50+, and active in religion [3, 4]. In order to meet the increasing demand for volunteers, either the amount of time spent per volunteer should be increased, or new groups of volunteers should be attracted. The Dutch foundation “Possible Today” started an initiative aimed at motivating (potential) volunteers: Social Credits for Volunteers. This is digital platform, based on block chain technology, connects volunteers with projects. The platform uses a digital currency -Social Credits- to appreciate and reward the efforts of volunteers. The currency can be exchanged for discounts or other value, offered by organizations and stores that feel involved with the community. An important feature of this system is the opportunity for volunteers to draft a social curriculum vitae. The aim of this study is to generate recommendations for Possible Foundation about how the Social Credits Platform should be designed and deployed in order to persuade (potential) volunteers to spend (more) hours on volunteering. Therefore, the following research question is answered: ‘What motives, desires and barriers traditional and less traditional volunteers have in regard to appreciation and reward for volunteering?’"
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Abstract Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. Aim: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. Methods: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the intervention. Results: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0.20% before the intervention and 0.27% after the intervention; this difference in slopes was statistically significant (P = 0.027). The decrease of CCQ-mental was 0.97% before the intervention and after the intervention there was an increase of 0.017%; this difference was statistically significant (P = 0.01). No significant difference was found in the slopes of CCQ (P = 0.12) and CCQ-function (P = 0.11) before and after the intervention. Conclusion: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management. Trial registration: Our study is registered in the Dutch Trial Register (national registration of clinical trails, mandatory for publication) with number NTR4098 and can be found at http://www.trialregister.nl/trial/3936.
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Author Supplied: In the last decades, architecture has emerged as a discipline in the domain of Information Technology (IT). A well-accepted definition of architecture is from ISO/IEC 42010: "The fundamental organization of a system, embodied in its components, their relationships to each other and the environment, and the principles governing its design and evolution." Currently, many levels and types of architecture in the domain of IT have been defined. We have scoped our work to two types of architecture: enterprise architecture and software architecture. IT architecture work is demanding and challenging and includes, inter alia, identifying architectural significant requirements (functional and non-functional), designing and selecting solutions for these requirements, and ensuring that the solutions are implemented according to the architectural design. To reflect on the quality of architecture work, we have taken ISO/IEC 8402 as a starting point. It defines quality as "the totality of characteristics of an entity that bear on its ability to satisfy stated requirements". We consider architecture work to be of high quality, when it is effective; when it answers stated requirements. Although IT Architecture has been introduced in many organizations, the elaboration does not always proceed without problems. In the domain of enterprise architecture, most practices are still in the early stages of maturity with, for example, low scores on the focus areas ‘Development of architecture’ and ‘Monitoring’ (of the implementation activities). In the domain of software architecture, problems of the same kind are observed. For instance, architecture designs are frequently poor and incomplete, while architecture compliance checking is performed in practice on a limited scale only. With our work, we intend to contribute to the advancement of architecture in the domain of IT and the effectiveness of architecture work by means of the development and improvement of supporting instruments and tools. In line with this intention, the main research question of this thesis is: How can the effectiveness of IT architecture work be evaluated and improved?
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The European Open Platform for Prescribing Education (EurOP2 E) seeks to improve and harmonize European clinical pharmacology and therapeutics (CPT) education by facilitating international collaboration and sharing problem-based, online, open educational resources. The COVID-19 pandemic forced teachers to switch to virtual modalities, highlighting the need for high-quality online teaching materials. The goal of this study was to establish the online problem-based teaching resources needed to sustain prescribing education during the pandemic and thereafter. A nominal group technique study was conducted with prescribing teachers from 15 European countries. Results were analyzed through thematic analysis. In four meetings, 20 teachers from 15 countries proposed and ranked 35 teaching materials. According to the participants, the most necessary problem-based-online teaching materials related to three overarching themes. Related to learning outcomes for CPT, participants proposed creating prescription scenarios, including materials focusing on background knowledge and resources on personalized medicine and topical/ethical issues such as the prescription’s impact on planetary health. Second, related to teaching, they proposed online case discussions, gamification and decision support systems. Finally, in relation to faculty development, they recommend teacher courses, a repository of reusable exam questions and harmonized formularies. Future work will aim to collaboratively produce such materials.
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Software platform developed for the Hipper project. It supports remotely monitoring geriatric patients during (hip) rehabilitation. Activity data and location data are collected and securely communicated to a secure centralised server where the data are processed and made available on a secured website. Patients and therapists can then together determine the rehabilitation process and determine appropriate actions.--Dutch:Het Hipper-platform is bedoeld ter ondersteuning van therapeuten betrokken bij de revalidatie van ouderen na een heupoperatie. Het platform bestaat uit een nieuw behandelprotocol ondersteund door een technisch systeem waarmee activiteiten van ouderen in de woonomgeving kunnen worden gemeten. Deze informatie wordt gevisualiseerd en als feedback aan de therapeut gegeven. De therapeut kan hierdoor gerichter de behandeling uitvoeren. Het Hipper-platform biedt naast het behandelprotocol en sensortechnologie scholing en een helpdesk functie.
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Background: To strengthen nursing in Kazakhstan, an e-platform has been developed to support knowledge sharing and collaboration in nursing education, nursing research, and clinical practice. Objective: This study aims to identify and prioritize requirements for an e-platform to strengthen nursing in the trinity of nursing education, nursing research, and clinical practice. Methods: The research was conducted using an exploratory sequential mixed-method design, including a systematic review and a Delphi study. The systematic review utilized search terms concerning nursing, e-platform, research, and education. The Delphi study included two rounds of questionnaires among a panel of Kazakh and European experts. Outcomes were analyzed using content validity ratios and level of consensus thresholds. Results: The systematic review generated eight studies and identified nine categories of requirements to be covered by four groups in the Delphi study. These four groups were content-related, functional, usability, and technical requirements. The study generated 52 essential and 15 useful requirements, which are common in the literature and in experts’ opinions. Conclusion: The list of requirements is well embedded in the literature as well as in the national context of nursing in Kazakhstan. Therefore, the e-platform developed according to these requirements will contribute to improving the trinity of nursing education, research, and practice. Although the list is context-specific, when validated by a panel of experts, it is universally applicable when developing e-platforms for nursing. © 2021 Elsevier B.V., All rights reserved.
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A plea to reclaim the internet from addictive platform capitalism, from the author of Sad by Design. However often you delete apps from your phone, the seduction of the platform draws you back. There is a rising disaffection with "platform" culture--with megacorporations such as Google and Facebook that provide the foundational software for others to use, and to which we are almost all addicted. What can be done against it?
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Abstract: Technological innovation in the healthcare sector is increasing, but integration of information technology (IT) in the care process is difficult. Healthcare workers are important agents in this IT integration. The purpose of this study is to explore factors that feed motivation to use IT. Self-determination theory (SDT) is applied to study how motivational factors impact effective IT use among frontline caregivers in residential care settings. As the team is very important to these caregivers, the team is our unit of analysis. In an embedded single case study design, interviews were conducted with all nine members of a team effectively using IT. All three basic psychological needs from SDT - autonomy, competence and relatedness - were found to have impact on effective IT use, though autonomy was primarily experienced at team level. Conversely, the effective use of an IT collaboration tool influences relatedness.
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For IT services companies, delivering high quality IT services is of eminent importance. IT service quality drives customer satisfaction, which in its turn drives firm performance. It is this link that is addressed in this paper: How can the performance of customer service delivery teams be improved, when looked upon from the perspective of firm performance? Based on the literature on excellent performing organizations, we apply the concepts that, according to Collins (2001), drove the development of 'good' companies to 'great' companies to a case study of an under performing service delivery team that developed into an excellent performing service delivery team. The lessons from this study were that most of the drivers behind the performance improvement of this team were in fact 'soft' factors that concerned the human side of the team more than the organizational, procedural or structural measures.
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What you don’t know can’t hurt you: this seems to be the current approach for responding to disinformation by public regulators across the world. Nobody is able to say with any degree of certainty what is actually going on. This is in no small part because, at present, public regulators don’t have the slightest idea how disinformation actually works in practice. We believe that there are very good reasons for the current state of affairs, which stem from a lack of verifiable data available to public institutions. If an election board or a media regulator wants to know what types of digital content are being shared in their jurisdiction, they have no effective mechanisms for finding this data or ensuring its veracity. While there are many other reasons why governments would want access to this kind of data, the phenomenon of disinformation provides a particularly salient example of the consequences of a lack of access to this data for ensuring free and fair elections and informed democratic participation. This chapter will provide an overview of the main aspects of the problems associated with basing public regulatory decisions on unverified data, before sketching out some ideas of what a solution might look like. In order to do this, the chapter develops the concept of auditing intermediaries. After discussing which problems the concept of auditing intermediaries is designed to solve, it then discusses some of the main challenges associated with access to data, potential misuse of intermediaries, and the general lack of standards for the provision of data by large online platforms. In conclusion, the chapter suggests that there is an urgent need for an auditing mechanism to ensure the accuracy of transparency data provided by large online platform providers about the content on their services. Transparency data that have been audited would be considered verified data in this context. Without such a transparency verification mechanism, existing public debate is based merely on a whim, and digital dominance is likely to only become more pronounced.
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