@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} } @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{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} } @incollection{KernebeckBusseVollmar2022, author = {Kernebeck, Sven and Busse, Theresa Sophie and Vollmar, Horst Christian}, title = {E-Health-{\"O}konomie II, Evaluation und Implementierung}, series = {E-Health-{\"O}konomie II, Evaluation und Implementierung}, booktitle = {E-Health-{\"O}konomie II, Evaluation und Implementierung}, isbn = {9783658356903}, doi = {10.1007/978-3-658-35691-0_4}, pages = {47 -- 69}, year = {2022}, abstract = {Eine intransparente, unvollst{\"a}ndige und unpr{\"a}zise Berichtserstattung von Forschungsergebnissen ist ein best{\"a}ndiges Problem in der Bio-Medizinischen Forschung. Dies f{\"u}hrt zu einer eingeschr{\"a}nkten Nachvollziehbarkeit von Forschungsergebnissen und schr{\"a}nkt die {\"U}bertragbarkeit der Ergebnisse deutlich ein. Auch bei Studien zu digitalen Interventionen im Bereich Electronic-Health (E-Health) ist die intransparente, unvollst{\"a}ndige und unpr{\"a}zise Berichtserstattung von Forschungsergebnissen zunehmend in der Diskussion. Dieser Beitrag verfolgt drei wesentliche Ziele: Es wird dargestellt, warum ein qualitativ hochwertiges Reporting von Studienergebnissen zu digitalen Interventionen von hoher Relevanz ist. Auf dieser Basis werden ausgew{\"a}hlte Reporting Guidelines und Frameworks beschrieben, die f{\"u}r das Berichten von Studienergebnissen zu digitalen Interventionen entwickelt wurden. Zudem werden weitere Elemente beschrieben, die die Berichterstattung unterst{\"u}tzen k{\"o}nnen, wie etwa ein Evidenzkonzept und allgemeine Entwicklungsmodelle digitaler Interventionen.}, language = {de} } @article{KernebeckBusseJuxetal.2022, author = {Kernebeck, Sven and Busse, Theresa Sophie and Jux, Chantal and Dreier, Larissa Alice and Meyer, Dorothee and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter}, title = {Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach}, 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-17313}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173137}, pages = {3637}, year = {2022}, abstract = {Background: Paediatric palliative care (PPC) is a noncurative approach to the care of children and adolescents with life-limiting and life-threatening illnesses. Electronic medical records (EMRs) play an important role in documenting such complex processes. Despite their benefits, they can introduce unintended consequences if future users are not involved in their development. Aim: The aim of this study was to evaluate the acceptance of a novel module for nursing documentation by nurses working in the context of PPC. Methods: An observational study employing concurrent think-aloud and semi-structured qualitative interviews were conducted with 11 nurses working in PPC. Based on the main determinants of the unified theory of acceptance and use of technology (UTAUT), data were analysed using qualitative content analysis. Results: The main determinants of UTAUT were found to potentially influence acceptance of the novel module. Participants perceived the module to be self-explanatory and intuitive. Some adaptations, such as the reduction of fragmentation in the display, the optimization of confusing mouseover fields, and the use of familiar nursing terminology, are reasonable ways of increasing software adoption. Conclusions: After adaptation of the modules based on the results, further evaluation with the participation of future users is required.}, language = {de} } @article{KernebeckJuxBusseetal.2022, author = {Kernebeck, Sven and Jux, Chantal and Busse, Theresa Sophie and Meyer, Dorothee and Dreier, Larissa Alice and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter}, title = {Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians}, series = {Children}, volume = {9}, journal = {Children}, issn = {2227-9067}, doi = {10.25974/fhms-17314}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173146}, pages = {82}, year = {2022}, abstract = {Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user's perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories "performance expectancies" and "effort expectancies". Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.}, language = {de} }