Organisational drivers for, constraints on and impacts of decision and information support tool use in desertification policy and management

2011 ◽  
Vol 26 (3) ◽  
pp. 317-327 ◽  
Author(s):  
Esther Diez ◽  
Brian S. McIntosh
Keyword(s):  
Tool Use ◽  
Information Support ◽  
Support Tool

Exploring Training Factors as Incentive Tools in Safeguarding Cultural Heritage of Malaysian Traditional Settlements

2017 ◽  
Vol 2 (2) ◽  
pp. 189-201 ◽  
Author(s):  
Indera Syahrul Mat Radzuan ◽  
Dodo Mansir ◽  
Yahaya Ahmad
Keyword(s):  
Cultural Heritage ◽  
Financial Incentives ◽  
Information Support ◽  
Support Tool ◽  
Factor Loadings ◽  
Heritage Sites ◽  
Intangible Heritage ◽  
Hard Skills ◽  
Key Aspects ◽  
Historic City

Training and education has become one of the key aspects in improving incentives programme, thus leading to improved cultural heritage preservation within heritage sites. The study investigated the relationship between the importance of training as a tool on incentivizing cultural heritage in selected traditional settlements in Malaysia. Data were collected through a survey from a total of 63 respondents in both Morten and Chitty Village situated at Melaka Historic City and was analysed using IBM SPSS Statistics 23.0 by means of running an exploratory factor analysis (EFA). The 10 indicator items studied for tangible heritage training have satisfactory factor loadings ranging from 0.59 to 0.77 and distribute across 2 extracted factors having satisfactory cumulative variance of 58.36 per cent. Furthermore, the themes of the distributed indicator items enabled the labelling of the 2 extracted factors to being ‘soft skills’ and ‘hard skills’ for tangible heritage training. Similarly, the 9 indicator items studied for intangible heritage training have satisfactory factor loadings ranging from 0.41 to 0.90 and distribute across 2 extracted factors having a satisfactory cumulative variance of 64.42 per cent. Furthermore, the themes of the distributed indicator items across the 2 extracted factors enabled the labelling of the factors to being ‘intangible arts’ and ‘legislation’ for intangible heritage training. These results found that the ‘explored’ indicator items are fit to be used in further structurally modelling both tangible and intangible heritage training as non-financial incentives in sustainably preserving traditional settlements. The implication of this research is its serving as an information support tool for such intended modelling purpose.

Decision support tool use in colorectal surgery: what is the role?

2015 ◽  
Vol 194 (1) ◽  
pp. 69-76 ◽  
Author(s):  
Elizabeth Hechenbleikner ◽  
Martin Makary ◽  
Daniel Samarov ◽  
Curtis Leung ◽  
Jason D. Miller ◽  
...  
Keyword(s):  
Decision Support ◽  
Colorectal Surgery ◽  
Tool Use ◽  
Decision Support Tool ◽  
Support Tool

scholarly journals Effectiveness of an insurance enrollment support tool on insurance rates and cancer prevention in community health centers: a quasi-experimental study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huguet Nathalie ◽  
Valenzuela Steele ◽  
Marino Miguel ◽  
Moreno Laura ◽  
Hatch Brigit ◽  
...  
Keyword(s):  
Experimental Study ◽  
Health Insurance ◽  
Community Health ◽  
Tool Use ◽  
Comparison Group ◽  
Intervention Group ◽  
Support Tool ◽  
Quasi Experimental ◽  
Insurance Enrollment ◽  
Secondary Outcomes

Abstract Background Following the ACA, millions of people gained Medicaid insurance. Most electronic health record (EHR) tools to date provide clinical-decision support and tracking of clinical biomarkers, we developed an EHR tool to support community health center (CHC) staff in assisting patients with health insurance enrollment documents and tracking insurance application steps. The objective of this study was to test the effectiveness of the health insurance support tool in (1) assisting uninsured patients gaining insurance coverage, (2) ensuring insurance continuity for patients with Medicaid insurance (preventing coverage gaps between visits); and (3) improving receipt of cancer preventive care. Methods In this quasi-experimental study, twenty-three clinics received the intervention (EHR-based insurance support tool) and were matched to 23 comparison clinics. CHCs were recruited from the OCHIN network. EHR data were linked to Medicaid enrollment data. The primary outcomes were rates of uninsured and Medicaid visits. The secondary outcomes were receipt of recommended breast, cervical, and colorectal cancer screenings. A comparative interrupted time-series using Poisson generalized estimated equation (GEE) modeling was performed to evaluate the effectiveness of the EHR-based tool on the primary and secondary outcomes. Results Immediately following implementation of the enrollment tool, the uninsured visit rate decreased by 21.0% (Adjusted Rate Ratio [RR] = 0.790, 95% CI = 0.621–1.005, p = .055) while Medicaid-insured visits increased by 4.5% (ARR = 1.045, 95% CI = 1.013–1.079) in the intervention group relative to comparison group. Cervical cancer preventive ratio increased 5.0% (ARR = 1.050, 95% CI = 1.009–1.093) immediately following implementation of the enrollment tool in the intervention group relative to comparison group. Among patients with a tool use, 81% were enrolled in Medicaid 12 months after tool use. For the 19% who were never enrolled in Medicaid following tool use, most were uninsured (44%) at the time of tool use. Conclusions A health insurance support tool embedded within the EHR can effectively support clinic staff in assisting patients in maintaining their Medicaid coverage. Such tools may also have an indirect impact on evidence-based practice interventions, such as cancer screening. Trial registration This study was retrospectively registered on February 4th, 2015 with Clinicaltrials.gov (#NCT02355262). The registry record can be found at https://www.clinicaltrials.gov/ct2/show/NCT02355262.

scholarly journals Support provided by healthcare professionals to the mothers of newborns in the neonatal unit

2021 ◽  
Vol 11 (2) ◽  
pp. 59-65
Author(s):  
Suziane de Souza Giroux ◽  
Brenda Tuany Pacheco Dias ◽  
Emanuele Rocha da Silva ◽  
Jéssica Haline Souza dos Reis ◽  
Samuel Filipe Lopes Alves ◽  
...  
Keyword(s):  
Health Education ◽  
Health Professionals ◽  
New Technologies ◽  
Daily Practice ◽  
Well Being ◽  
Neonatal Unit ◽  
Communication Process ◽  
Information Support ◽  
Cross Sectional ◽  
Support Tool

Objective: To evaluate the support offered by health professionals to mothers of newborns admitted to the neonatal unit.Methods: Descriptive cross-sectional study with a quantitative approach conducted at the Regional Hospital of Tucuruí, in the state of Pará, region of the Brazilian Amazon, where 33 mothers who had newborn children admitted to the neonatal unit responded to the structured adapted version of the NPST (Nurse Parent Support Tool ). Results: Most were aged 20-34 years (48%), married or in a stable relationship (69%), multiracial (87%), housewife (57%), with up to 11 years of study (72%). The scores for the NPST subdomains were 3.39 ± 1.65 (Communication and Information Support), 4.13 ± 1.33 (Emotional Support), 3.93 ± 1.46 (Incentive Support), and 4.21 ± 1,27 (Instrumental Support). The findings revealed unsatisfactory communication and information support from health professionals to mothers, although they expressed satisfaction with the care provided. Conclusions: The perception of scarcity of human resources and health education, verified in this study, weakens the communication process during hospitalization and influences the mother's well-being, leading to a decrease in the efficiency of the support provided. The improvement in this area can lead to better results in daily practice. The replication of this study to other locations can lead to more significant assistance to mothers of hospitalized neonates and provide new technologies and strategies in health education.

scholarly journals The “Lakes of Russia” Information System

2014 ◽  
pp. 21-28
Author(s):  
Keyword(s):  
Water Management ◽  
Information System ◽  
Lake Water ◽  
Economic Planning ◽  
Information Support ◽  
Support Tool ◽  
Wide Circle ◽  
Automated Processing ◽  
The Russian Federation ◽  
Academy Of Sciences

This paper presents an information system on the lakes of Russia (ISRL) developed in the Russian Academy of Sciences Institute of Limnology, intended for the wide circle of users and containing the data on the largest lakes of Russia, as well as summarizing the information on the lake water resources of the Russian Federation. ISRL has been composed as problems-oriented information support tool with the use of advanced means of automated processing including analysis and visualization of the data realized through Internet. ISRL-provided information is a result of the Institute’s work on assessment of Russian lake resources and it is very important both for researches in the field of hydrology, water management, ecology, economic planning and for those taking decisions in the sphere of economic planning.

Implementing Guidelines for Shared Decision Making in Lung Cancer Screening (Preprint)

2021 ◽  
Author(s):  
Julie Lowery ◽  
Angela Fagerlin ◽  
Angela R. Larkin ◽  
Renda S. Wiener ◽  
Sarah E. Skurla ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Decision Support ◽  
Tool Use ◽  
Phase 1 ◽  
Lung Cancer Screening ◽  
Decision Support Tool ◽  
Academic Detailing ◽  
Web Based ◽  
Support Tool ◽  
Training Approach

BACKGROUND Lung cancer risk and life-expectancy vary substantially across patients eligible for low-dose computed tomography lung cancer screening (LCS), and this has important consequences for optimizing LCS decisions for different patients. To account for this heterogeneity during decision-making, web-based decision support tools are needed, to enable quick calculations and streamline the process of obtaining individualized information that more accurately informs patient-clinician LCS discussions. We created DecisionPrecision (screenLC.com), a clinician-facing, web-based decision support tool, to help tailor the LCS discussion to a patient’s individualized lung cancer risk and estimated net benefit. OBJECTIVE The objective of our study was to test two strategies for implementing DecisionPrecision in primary care at eight VA medical centers: (1) a quality improvement (QI) training approach, and (2) academic detailing. METHODS Phase 1 consisted of a multi-site, cluster randomized trial comparing the effectiveness of standard implementation (adding a link to DecisionPrecision in the electronic health record or EHR) versus standard implementation plus the LEAP (Learn. Engage. Act. Process.) QI training program. The primary outcome measure was use of DecisionPrecision at each site pre- vs post-LEAP QI training. The second phase of the study examined the feasibility and utility of adding academic detailing (AD) as an implementation strategy for DecisionPrecision at all eight medical centers. Outcomes were assessed by (1) comparing tool use pre- and post-AD visits, and (2) conducting semi-structured interviews with a subset of primary care physicians and practitioners (PCPs) following the AD visits. RESULTS Phase 1 findings showed that sites who participated in the LEAP QI training program used DecisionPrecision significantly more often than the standard implementation sites (tool used 190.3 times on average over 6 months at LEAP sites vs. 3.5 at standard sites; P<.001). However, this finding was confounded with the lack of screening coordinators at standard implementation sites. In Phase 2, there was no difference in tool use between pre- and post-academic detailing (95% CI, 5.06 fewer tool uses post-AD to 6.40 more tool uses post-AD; P=0.82). Follow-up interviews with PCPs indicated that the AD strategy did increase provider awareness and appreciation of the benefits of the tool. However, other priorities and limited time prevented PCPs from using it during routine clinic visits. CONCLUSIONS The Phase 1 findings did not provide conclusive evidence of the benefit of a QI training approach for implementing a decision-support tool for LCS among PCPs. In addition, Phase 2 findings showed that our ‘light-touch,’ single-visit academic detailing strategy did not increase tool use. To enable adoption by PCPs, prediction-based tools need to be fully automated and integrated into the electronic health records (EHR), thereby helping providers personalize LCS discussions among their many other competing demands.

scholarly journals A Multifaceted Approach to Supporting Mothers of Premature Infants

2021 ◽  
Author(s):  
Parisa Mohagheghi ◽  
Afsaneh Keramat ◽  
Reza Chaman ◽  
Ahmad Khosravi ◽  
Seyed Abbas Mousavi ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Premature Infants ◽  
Premature Birth ◽  
Intervention Group ◽  
Information Support ◽  
Perceived Support ◽  
Control Group ◽  
Informational Support ◽  
Support Tool ◽  
Supportive Program

Abstract Background Premature birth exposes mothers to a strange experience for which they are not mentally ready. Premature birth exposes mothers to a strange experience for which they are not mentally ready. This study aimed to examine the effect of a multi-faceted supportive approach on the levels of perceived support in mothers. Methods The present experimental study was conducted on 143 mothers with preterm infants, (In the intervention group, 75 infants and mothers and 68 infants and mothers in the control group), in the NICUs of two educational and referral hospitals of Tehran, Iran; from Feb 14, 2016 to May 14, 2016. The inclusion criteria were: having a preterm infant with gestational age < 37 weeks, birth weight < 2500 gr, high probability of survival, Iranian nationality and ability to communicate verbally. Exclusion criteria were: preterm infants without abnormality or disabling conditions such as intra ventricular hemorrhage (IVH) grade 3 or 4. The designed intervention was conducted based on the support system pattern of mothers with premature infants. Different interventions in support (appraisal, instrumental, emotional, and informational support) of mothers in NICU were planned for the supportive program, which was gradually implemented within 3 months of the intervention. The Nurse Parent Support Tool (NPST) was used to assess the mothers' perceptions of the perceived support. The control group received routine care. The obtained data were analyzed by STATA software 13. Classified variables were analyzed using t-test, chi-square and Inverse Probability Treatment Weights (IPTW). Results After adjusted mean differences (95% confidence interval) of outcomes between two groups, results showed that the all support scores including total support, -1.83 (95% CI -1.6 to -2.06), Instrumental support, -1.23 (95% CI -1.04 to -1.43), Emotional support, -1.87 (95% CI -2.15 to 1.6) and Appraisal support, -2.01 (95% CI -1.73 to -2.29), and Informational support, -2.12 (95% CI -1.82 to -2.43), in the experimental group were significantly higher than in the control group (P<0.001). Conclusions The information, support and early intervention play important roles in the maternal empowerment to cope with her situation.

Design Information Support Tool (DIST): Its Development and Effectiveness Investigation

2006 ◽  
Author(s):  
Gu¨l E. Okudan ◽  
Madara Ogot ◽  
Girish Rao
Keyword(s):  
Complex Systems ◽  
Conceptual Design ◽  
Design Process ◽  
Collaborative Design ◽  
Solid Modeling ◽  
Information Support ◽  
Design Activity ◽  
Support Tool ◽  
Successful Design ◽  
Design Support Tool

A number of software tools exist to assist the designer during the design process. These include tools for solid modeling of components, programs for simulating complex systems, for generating machining code and so on. However, a closer examination reveals that most of these tools are of use in the later stages in the design process. Even though design activity analyses showed the initial phases of design to have the maximum impact on the successful design of a product, few tools exist to support the needs of the designer during these critical stages. This paper documents the development of a design support tool (DIST) based on an analysis of a collaborative design activity. Then, results of an experiment are shared, which was designed to investigate DIST’s effectiveness during conceptual design by novice designers.

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