scholarly journals 3MD for Chronic Conditions, a Model for Motivational mHealth Design: Embedded Case Study

10.2196/11631 ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. e11631 ◽  
Author(s):  
Guido Giunti
2018 ◽  
Author(s):  
Guido Giunti

BACKGROUND Chronic conditions are the leading cause of death in the world. Major improvements in acute care and diagnostics have created a tendency toward the chronification of formerly terminal conditions, requiring people with these conditions to learn how to self-manage. Mobile technologies hold promise as self-management tools due to their ubiquity and cost-effectiveness. The delivery of health-related services through mobile technologies (mobile health, mHealth) has grown exponentially in recent years. However, only a fraction of these solutions take into consideration the views of relevant stakeholders such as health care professionals or even patients. The use of behavioral change models (BCMs) has proven important in developing successful health solutions, yet engaging patients remains a challenge. There is a trend in mHealth solutions called gamification that attempts to use game elements to drive user behavior and increase engagement. As it stands, designers of mHealth solutions for behavioral change in chronic conditions have no clear way of deciding what factors are relevant to consider. OBJECTIVE The goal of this work is to discover factors for the design of mHealth solutions for chronic patients using negotiations between medical knowledge, BCMs, and gamification. METHODS This study uses an embedded case study research methodology consisting of 4 embedded units: 1) cross-sectional studies of mHealth applications; 2) statistical analysis of gamification presence; 3) focus groups and interviews to relevant stakeholders; and 4) research through design of an mHealth solution. The data obtained was thematically analyzed to create a conceptual model for the design of mHealth solutions. RESULTS The Model for Motivational Mobile-health Design (3MD) for chronic conditions guides the design of condition-oriented gamified behavioral change mHealth solutions. The main components are (1) condition specific, which describe factors that need to be adjusted and adapted for each particular chronic condition; (2) motivation related, which are factors that address how to influence behaviors in an engaging manner; and (3) technology based, which are factors that are directly connected to the technical capabilities of mobile technologies. The 3MD also provides a series of high-level illustrative design questions for designers to use and consider during the design process. CONCLUSIONS This work addresses a recognized gap in research and practice, and proposes a unique model that could be of use in the generation of new solutions to help chronic patients.


2018 ◽  
Vol 4 (1) ◽  
pp. 295-313 ◽  
Author(s):  
Karley A Riffe

Faculty work now includes market-like behaviors that create research, teaching, and service opportunities. This study employs an embedded case study design to evaluate the extent to which faculty members interact with external organizations to mitigate financial constraints and how those relationships vary by academic discipline. The findings show a similar number of ties among faculty members in high- and low-resource disciplines, reciprocity between faculty members and external organizations, and an expanded conceptualization of faculty work.


2020 ◽  
Author(s):  
Iftitahul Kamaliyah
Keyword(s):  

Kajian mengenai Soisolinguistik memang sangat menarik untuk dibahas. Dengan beraneka ragam suku, bahasa, dan budaya mengakibatkan munculnya masyarakat Indonesia yang kedwibahasaan. Sebagai objek dari sosiolinguistik, bahasa tidak dipandang sebagai bahasa, melainkan dilihat dipandang sebagai sarana interaksi atau komunikasi di dalam masyarakat (Chaer dan Agustina,2010:3). Sebagai sarana komunikasi di dalam masyarakat, bahasa menitik beratkan pada penggunanan yang bertujuan membuat komunikasi antara penutur dan lawan tutur dapat berkomunikasi dengan baik walaupun dilakukan secara kedwibahasaan. Penelitian ini bertujuan untuk mengetahui serta mendeskripsikan penggunaan alih kode di media sosial Instagram dan Twitter. Serta untuk mengetahui alasan munculnya alih kode pada media sosial. Penelitian ini menggunakan metode kualititatif deskriptif, dikarenakan memiliki tujuan untuk mendeskripsikan, menjelasakan serta memaparkan data dengan sedetail mungkin. Penelitian berfokus pada penggunaan alih kode di media sosial. Apabila ditinjau berdasarkan sifat kasusnya, termasuk dalam studi kasus tunggal terpancang (embedded case study). Sumber data penelitian ini didapatkan melalui dokumen-dokumen tertulis yang diunggah di berbagai media sosial seperti Instagram dan twitter. Dalam teknik pengumpuan data, menggunakan metode observasi dan studi dokumen.


2021 ◽  
Vol 6 (7) ◽  
pp. e006140
Author(s):  
Zakaria Belrhiti ◽  
Sara Van Belle ◽  
Bart Criel

BackgroundIn Morocco’s health systems, reforms were accompanied by increased tensions among doctors, nurses and health managers, poor interprofessional collaboration and counterproductive power struggles. However, little attention has focused on the processes underlying these interprofessional conflicts and their nature. Here, we explored the perspective of health workers and managers in four Moroccan hospitals.MethodsWe adopted a multiple embedded case study design and conducted 68 interviews, 8 focus group discussions and 11 group discussions with doctors, nurses, administrators and health managers at different organisational levels. We analysed what health workers (doctors and nurses) and health managers said about their sources of power, perceived roles and relationships with other healthcare professions. For our iterative qualitative data analysis, we coded all data sources using NVivo V.11 software and carried out thematic analysis using the concepts of ‘negotiated order’ and the four worldviews. For context, we used historical analysis to trace the development of medical and nursing professions during the colonial and postcolonial eras in Morocco.ResultsOur findings highlight professional hierarchies that counterbalance the power of formal hierarchies. Interprofessional interactions in Moroccan hospitals are marked by conflicts, power struggles and daily negotiated orders that may not serve the best interests of patients. The results confirm the dominance of medical specialists occupying the top of the professional hierarchy pyramid, as perceived at all levels in the four hospitals. In addition, health managers, lacking institutional backing, resources and decision spaces, often must rely on soft power when dealing with health workers to ensure smooth collaboration in care.ConclusionThe stratified order of care professions creates hierarchical professional boundaries in Moroccan hospitals, leading to partitioning of care and poor interprofessional collaboration. More attention should be placed on empowering health workers in delivering quality care by ensuring smooth interprofessional collaboration.


2021 ◽  
Vol 30 (1) ◽  
pp. 3-14
Author(s):  
Alex Maritz ◽  
Bronwyn Eager ◽  
Saskia De Klerk

Not only do Australian mature-aged entrepreneurs contribute $11.9 billion per annum to the Australian economy in over 379,000 businesses, they launch approximately 14,000 new businesses each year and actively contribute to fiscal, social, health, and active ageing outcomes in their communities. Thirty-four per cent of all young businesses in Australia are now led by mature-aged entrepreneurs, identifying mature-aged entrepreneurship as the fastest growing sector of entrepreneurship. This study is the first of its kind to examine mature-aged entrepreneurship in Australia using five pragmatic and embedded case-study examples. Aligning to Cartensen's sociomotional selection theory, we adopted an interpretivist philosphical framework of emergent enquiry action research. The paper includes benefits and challenges associated with mature-aged entrepreneurship, including contextual and theoretical foundations. We provide policy and research recommendations to enhance the development of a dedicated entrepreneurial ecosystem for mature-aged people.


2021 ◽  
pp. 0013161X2110344
Author(s):  
Michael A. Szolowicz ◽  
R. Aaron Wisman

Purpose: In recent years, a new wave of teacher-led political action has erupted resulting in work stoppages in several states across the United States. This study examines how superintendents navigated this Red for Ed movement in two representative states. Methods: Framed as a multisite, embedded case study, we drew from public documents and semistructured interviews with superintendents. We took a deductive approach to data analysis, seeking analytic generalization to the theoretical frameworks adopted herein. Findings: Red for Ed-motivated teacher job actions did create a political dilemma for superintendents. Superintendents addressed the dilemma by utilizing the roles of business manager, instructional leader, and politician as expressed through symbolic politics including assigning responsibility and vaguely supporting the Red for Ed cause. Superintendent responses are consistent with isomorphic tenants of sociological institutionalism. Implications: Considering the modern superintendency’s political nature, superintendents might benefit from preparation in political strategy and tactics.


Author(s):  
Janet Richards

Few inquiries have investigated master's students in education as they mentor preservice teachers. In this embedded case study I explored the professional development of 15 master's students as they mentored 35 preservice teachers for eight weeks in a summer literacy camp. Data sources were e-mail exchanges, written reports, and transcriptions from focus groups and in-class conversations. I analyzed the data through constant comparison methods and discovered that the mentors were initially frustrated with their mentoring responsibilities and had little empathy for the preservice teachers. By the end of the camp, they recognized the benefits of mentoring and gained confidence as mentors. Learning occurred for both the mentors and the preservice teachers. Implications include the power of social participation in authentic contexts.


2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Tatiana Silva Tavares ◽  
Kênia Lara Silva ◽  
Regina Garcia de Lima ◽  
Elysângela Dittz Duarte

ABSTRACT Objective: To analyze the experiences of families in the exercise of the rights of children with chronic conditions in public health, education and social assistance institutions. Method: ethnographic multiple case study, with qualitative approach, following the theoretical approach of Boaventura Santos. Experiences of the families of these children in a city were studied through interviews with family members, managers and professionals from social institutions (35), participant observations in social spaces (13) and creation of eco-maps (3). Critical Discourse Analysis was performed. Results: the offer of services is lower than the demand, and exclusion processes persist. Given the hegemony of neoliberal and normality ideologies, meetings between family members and professionals revealed obstacles to civil rights; however, when these ideologies were challenged, the realization of their rights was enhanced. Final considerations: the care to promote civil rights requires family members, managers and professionals to develop subjectivities that overcome neoliberal and normality ideologies, recognizing these children as subjects of law.


Author(s):  
Wilson Ozuem

Questioning and dialogue provide a framework for sharing educational objectives with students and for charting their progress. However, such an approach can generate feedback information that can be used by students to enhance learning and achievement. Moreover, the feedback generated from good “questioning and dialogue” could help tutors realign their teaching in response to the needs of learners. Organisations or institutions of learning, which integrate productive questioning and dialogue as part of their classroom practices and commitments to students, provide enhanced meaningful connections between what their students are studying and the relevance both their thinking and their knowledge has in comprehending life issues and solving problems. Drawing on qualitative research perspectives and adopting an embedded case study strategy, this chapter addresses the following questions: What are the connections between good questioning and student learning and achievement? What conscious knowledge and beliefs do tutors hold about productive questioning in their classes? The study findings indicate that learners need to be motivated to ask questions and encouraged to get involved in discussions. Tutors should consider “think-pair share strategy” in their classroom delivery.


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