@article{KernebeckBusseFischeretal.2024, author = {Kernebeck, Sven and Busse, Theresa Sophie and Fischer, Florian and Ehlers, Jan P.}, title = {Partizipatives Design im Kontext gesundheitsbezogener Technologien - Herausforderungen und Handlungserfordernisse aus Perspektive der Versorgungsforschung}, series = {Das Gesundheitswesen}, journal = {Das Gesundheitswesen}, issn = {0941-3790}, doi = {10.1055/a-2184-5731}, pages = {1 -- 6}, year = {2024}, abstract = {Partizipatives Design (PD) erm{\"o}glicht den Einbezug von Nutzer:innen in den Entwicklungsprozess digitaler Technologien im Gesundheitswesen. Der Einsatz von PD birgt jedoch H{\"u}rden, da theoretische und methodische Entscheidungen zu treffen sind. Oftmals werden diese in Forschungsarbeiten in der Versorgungsforschung nicht hinreichend dargestellt oder begr{\"u}ndet. Dies kann zu einer eingeschr{\"a}nkten Bewertbarkeit und Nachvollziehbarkeit der Ergebnisse f{\"u}hren. Der vorliegende Beitrag thematisiert drei Schwerpunkte: Erstens wird ein {\"U}berblick {\"u}ber die wesentlichen theoretischen und methodischen Entscheidungen gegeben, die im Rahmen des PD aus Perspektive der Versorgungsforschung getroffen werden m{\"u}ssen. Zweitens werden die damit einhergehenden Herausforderungen aufgezeigt und drittens Erfordernisse f{\"u}r die zuk{\"u}nftige Anwendung und (Weiter-)Entwicklung des PD in der Versorgungsforschung beschrieben.}, language = {de} } @incollection{BusseKernebeckEhlers2023, author = {Busse, Theresa Sophie and Kernebeck, Sven and Ehlers, Jan Peter}, title = {Projektbericht - partizipative Entwicklung eines elektronischen Aktensystems- Erfahrungen und {\"U}bertragung auf ePA und ePA-nahe Anwendungen.}, series = {eHealth Monitor 2022}, booktitle = {eHealth Monitor 2022}, isbn = {978-3-95466-759-8}, year = {2023}, language = {de} } @incollection{Kernebeck2023, author = {Kernebeck, Sven}, title = {eHealth Literacy und Schmerz - Relevanz der digitalen Gesundheitskompetenz als Merkmal guter Schmerzedukation}, series = {Schmerzedukation - Schmerzexpertise nach dem EFIC-Curriculum}, booktitle = {Schmerzedukation - Schmerzexpertise nach dem EFIC-Curriculum}, publisher = {Hogrefe}, isbn = {978-3-456-86216-3}, year = {2023}, language = {de} } @article{BusseJuxLaseretal.2023, author = {Busse, Theresa Sophie and Jux, Chantal and Laser, Johannes and Rasche, Peter and Vollmar, Horst Christian and Ehlers, Jan P and Kernebeck, Sven}, title = {Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review}, series = {JMIR Human Factors}, volume = {10}, journal = {JMIR Human Factors}, doi = {10.25974/fhms-17305}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173050}, pages = {e45598}, year = {2023}, abstract = {Electronic health records (EHRs) are a promising approach to document and map (complex) health information gathered in health care worldwide. However, possible unintended consequences during use, which can occur owing to low usability or the lack of adaption to existing workflows (eg, high cognitive load), may pose a challenge. To prevent this, the involvement of users in the development of EHRs is crucial and growing. Overall, involvement is designed to be very multifaceted, for example, in terms of the timing, frequency, or even methods used to capture user preferences. Setting, users and their needs, and the context and practice of health care must be considered in the design and subsequent implementation of EHRs. Many different approaches to user involvement exist, each requiring a variety of methodological choices. The aim of the study was to provide an overview of the existing forms of user involvement and the circumstances they need and to provide support for the planning of new involvement processes. We conducted a scoping review to provide a database for future projects on which design of inclusion is worthwhile and to show the diversity of reporting. Using a very broad search string, we searched the PubMed, CINAHL, and Scopus databases. In addition, we searched Google Scholar. Hits were screened according to scoping review methodology and then examined, focusing on methods and materials, participants, frequency and design of the development, and competencies of the researchers involved. In total, 70 articles were included in the final analysis. There was a wide range of methods of involvement. Physicians and nurses were the most frequently included groups and, in most cases, were involved only once in the process. The approach of involvement (eg, co-design) was not specified in most of the studies (44/70, 63\%). Further qualitative deficiencies in the reporting were evident in the presentation of the competences of members of the research and development teams. Think-aloud sessions, interviews, and prototypes were frequently used. This review provides insights into the diversity of health care professionals' involvement in the development of EHRs. It provides an overview of the different approaches in various fields of health care. However, it also shows the necessity of considering quality standards in the development of EHRs together with future users and the need for reporting this in future studies.}, language = {de} } @inproceedings{BusseKernebeckJuxetal.2022, author = {Busse, Theresa Sophie and Kernebeck, Sven and Jux, Chantal and Laser, Johannes and Ehlers, Jan Peter}, title = {Einbezug von Versorger:innen in die Entwicklung und Evaluation elektronischer Gesundheitsakten - ein Scoping Review}, series = {21. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e. V., 05.10. - 07.10.2022, Potsdam}, booktitle = {21. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e. V., 05.10. - 07.10.2022, Potsdam}, doi = {10.3205/22dkvf342}, year = {2022}, language = {de} } @article{KornBoettcherBusseetal.2022, author = {Korn, Sandra and B{\"o}ttcher, Maximilian David and Busse, Theresa Sophie and Kernebeck, Sven and Breucha, Michael and Ehlers, Jan and Kahlert, Christoph and Weitz, J{\"u}rgen and Bork, Ulrich}, title = {Use and Perception of Digital Health Technologies by Surgical Patients in Germany in the Pre-COVID-19 Era: Survey Study}, series = {JMIR Formative Research}, volume = {6}, journal = {JMIR Formative Research}, doi = {10.25974/fhms-17304}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173046}, pages = {e33985}, year = {2022}, abstract = {This survey study investigates surgical patients' use and perception of digital health technologies in Germany in the pre-COVID-19 era. The objective of this study was to relate surgical patients' characteristics to the use and perception of several digital health technologies. In this single-center, cross-sectional survey study in the outpatient department of a university hospital in Germany, 406 patients completed a questionnaire with the following three domains: general information and use of the internet, smartphones, and general digital health aspects. Analyses were stratified by age group and highest education level achieved. We found significant age-based differences in most of the evaluated aspects. Younger patients were more open to using new technologies in private and medical settings but had more security concerns. Although searching for information on illnesses on the web was common, the overall acceptance of and trust in web-based consultations were rather low, with <50\% of patients in each age group reporting acceptance and trust. More people with academic qualifications than without academic qualifications searched for information on the web before visiting physicians (73/121, 60.3\% and 100/240, 41.7\%, respectively). Patients with academic degrees were also more engaged in health-related information and communication technology use. These results support the need for eHealth literacy, health literacy, and available digital devices and internet access to support the active, meaningful use of information and communication technologies in health care. Uncertainties and a lack of knowledge exist, especially regarding telemedicine and the use of medical and health apps. This is especially pronounced among older patients and patients with a low education status.}, language = {de} } @article{NitscheBusseKernebecketal.2022, author = {Nitsche, Julia and Busse, Theresa Sophie and Kernebeck, Sven and Ehlers, Jan P.}, title = {Virtual Classrooms and Their Challenge of Interaction—An Evaluation of Chat Activities and Logs in an Online Course about Digital Medicine with Heterogeneous Participants}, series = {International Journal of Environmental Research and Public Health}, volume = {19}, journal = {International Journal of Environmental Research and Public Health}, issn = {1661-7827}, doi = {10.25974/fhms-17308}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173083}, pages = {10184}, year = {2022}, abstract = {Learning digital competencies can be successful if the information is also tried out immediately using interactive elements. However, interactive teaching poses a particular challenge, especially in large group formats. Various strategies are used to promote interaction, but there is little known about the results. This article shows different strategies and evaluates their influence on the interaction rate in a large group course over two terms that teaches digital medicine. Log files and participation in surveys as well as participation in chat were quantitatively evaluated. In addition, the chat messages themselves were evaluated qualitatively. For the evaluation, relation to the total number of participants was particularly relevant in order to be able to determine an interaction rate in the individual course sessions. A maximum average interaction rate of 90.97\% could be determined over the entire term while the participants wrote an average of 3.96 comments during a session in the chat. In summary, this research could show that interactive elements should be well planned and used at regular intervals in order to reap the benefits.}, language = {de} } @article{KernebeckScheibeSinhaetal.2022, author = {Kernebeck, Sven and Scheibe, Madlen and Sinha, Monika and Fischer, Florian and Knapp, Andreas and Timpel, Patrick and Harst, Lorenz and Reininghaus, Ulrich and Vollmar, Horst Christian}, title = {Digitale Gesundheitsinterventionen entwickeln, evaluieren und implementieren Teil II - Diskussionspapier der Arbeitsgruppe Digital Health des Deutschen Netzwerk Versorgungsforschung (DNVF)}, series = {Das Gesundheitswesen}, volume = {85}, journal = {Das Gesundheitswesen}, issn = {0941-3790}, doi = {10.1055/a-1915-4371}, pages = {65 -- 70}, year = {2022}, abstract = {Abstract The methodological challenges of evaluating digital interventions (DI) for health services research are omnipresent. The Digital Health Working Group of the German Network for Health Services Research (DNVF) presented and discussed these challenges in a two-part discussion paper. The first part addressed challenges in definition, development and evaluation of DI. In this paper, which represents the second part, the definition of outcomes, reporting of results, synthesis of evidence, and implementation are addressed as methodological challenges of DI. Potential solutions are presented and the need to address these challenges in future research are discussed.}, language = {de} } @article{KernebeckScheibeSinhaetal.2022, author = {Kernebeck, Sven and Scheibe, Madlen and Sinha, Monika and Fischer, Florian and Knapp, Andreas and Timpel, Patrick and Harst, Lorenz and Reininghaus, Ulrich and Vollmar, Horst Christian}, title = {Digitale Gesundheitsinterventionen entwickeln, evaluieren und implementieren (Teil I) - Diskussionspapier der Arbeitsgruppe Digital Health des Deutschen Netzwerk Versorgungsforschung (DNVF)}, series = {Das Gesundheitswesen}, volume = {85}, journal = {Das Gesundheitswesen}, issn = {0941-3790}, doi = {10.1055/a-1933-2779}, pages = {58 -- 64}, year = {2022}, abstract = {Abstract The development and application of digital interventions in health-related topics are gaining momentum in health service research. Digital interventions are often complex and need to be evaluated and implemented in complex settings. Due to their characteristics, this poses methodological challenges for health services research that have to be identified and addressed. Hence, the Working Group on Digital Health of the German Network for Health Services Research (DNVF) has prepared a discussion paper. This paper discusses methodological, practical and theoretical challenges associated with the development and evaluation of digital interventions from the perspective of health services research. Possible solutions are suggested and future research needs to address these methodological challenges are identified.}, language = {mul} } @article{BusseNitscheKernebecketal.2022, author = {Busse, Theresa Sophie and Nitsche, Julia and Kernebeck, Sven and Jux, Chantal and Weitz, J{\"u}rgen and Ehlers, Jan P. and Bork, Ulrich}, title = {Approaches to Improvement of Digital Health Literacy (eHL) in the Context of Person-Centered Care}, series = {International Journal of Environmental Research and Public Health}, volume = {19}, journal = {International Journal of Environmental Research and Public Health}, issn = {1661-7827}, doi = {10.25974/fhms-17311}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173115}, pages = {8309}, year = {2022}, abstract = {The skills, knowledge and resources to search for, find, understand, evaluate and apply health information is defined as health literacy (HL). If individuals want to use health information from the Internet, they need Digital Health Literacy (eHL), which in addition to HL also includes, for example, media literacy. If information cannot be found or understood by patients due to low (e)HL, patients will not have the opportunity to make informed decisions. In addition, many health apps for self-management or prevention also require (e)HL. Thus, it follows that active participation in healthcare, in terms of Person-Centered Care (PCC) is only possible through (e)HL. Currently, there is a great need to strengthen these competencies in society to achieve increased empowerment of patients and their health. However, at the same time, there is a need to train and improve competencies in the field of healthcare professionals so that they can counsel and guide patients. This article provides an overview with a focus on HL and eHL in healthcare, shows the opportunities to adapt services and describes the possible handling of patients with low (e)HL. In addition, the opportunities for patients and healthcare professionals to improve (e)HL are highlighted.}, language = {de} }