@inproceedings{BusseJuxKernebecketal.2021, author = {Busse, Theresa Sophie and Jux, Chantal and Kernebeck, Sven and Meyer, Dorothee and Dreier, Larissa and Zenz, Daniel and Wager, Julia and Zernikow, Boris and Ehlers, Jan Peter}, title = {"Manchmal gehen die Faxger{\"a}te gerade nicht so wie sie sollen. Dann kommt irgendwie nichts an und dann ruft man das f{\"u}nfte Mal an." - Nutzung von Design Thinking zur partizipativen Entwicklung einer elektronischen Fallakte in der p{\"a}diatrischen Palliativversorgung}, series = {20. Deutscher Kongress f{\"u}r Versorgungsforschung, 06. - 08.10.2021, digital}, booktitle = {20. Deutscher Kongress f{\"u}r Versorgungsforschung, 06. - 08.10.2021, digital}, doi = {10.3205/21dkvf220}, year = {2021}, language = {de} } @article{KernebeckBusseEhlersetal.2021, author = {Kernebeck, Sven and Busse, Theresa Sophie and Ehlers, Jan Peter and Vollmar, Horst Christian}, title = {Adh{\"a}renz digitaler Interventionen im Gesundheitswesen: Definitionen, Methoden und offene Fragen}, series = {Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz}, volume = {64}, journal = {Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz}, issn = {1436-9990}, doi = {10.25974/fhms-17318}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173188}, pages = {1278 -- 1284}, year = {2021}, abstract = {AbstractMany digital interventions rely on the participation of their users to have a positive impact. In various areas it can be observed that the use of digital interventions is often reduced or fully discontinued by the users after a short period of time. This is seen as one of the main factors that can limit the effectiveness of digital interventions. In this context, the concept of adherence to digital interventions is becoming increasingly important. Adherence to digital interventions is roughly defined as "the degree to which the user followed the program as it was designed," which can also be paraphrased as "intended use" or "use as it is designed." However, both the theoretical-conceptual and practical discussions regarding adherence to digital interventions still receive too little attention.The aim of this narrative review article is to shed more light on the concept of adherence to digital interventions and to distinguish it from related concepts. It also discusses the methods and metrics that can be used to operationalize adherence and the predictors that positively influence adherence. Finally, needs for action to better address adherence are considered critically.}, language = {en} } @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} } @inproceedings{EhlersNitscheBusseetal.2021, author = {Ehlers, Jan Peter and Nitsche, Julia and Busse, Theresa Sophie and Kernebeck, Sven and Smetana, Jan and Taetz-Harrer, Angelika and Eulitz, Mona and Zupanic, Michaela}, title = {Digitale Lehre - Reine Informationsvermittlung oder auch Lebensraum Universit{\"a}t und Gemeinschaftsbildung?}, series = {digiGEBF, 18.06.2021, digital}, booktitle = {digiGEBF, 18.06.2021, digital}, year = {2021}, 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} } @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} } @incollection{BusseKernebeckRascheetal.2024, author = {Busse, Theresa Sophie and Kernebeck, Sven and Rasche, Peter and Ehlers, Jan Peter}, title = {Einsatz von Mock-Ups und Prototypen im Rahmen partizipativer Technologieentwicklung}, series = {Partizipative Technikentwicklung im Sozial- und Gesundheitswesen Interdisziplin{\"a}re Konzepte und Methoden. Hrsg. Sven Kernebeck, Florian Fischer}, booktitle = {Partizipative Technikentwicklung im Sozial- und Gesundheitswesen Interdisziplin{\"a}re Konzepte und Methoden. Hrsg. Sven Kernebeck, Florian Fischer}, publisher = {Hogrefe}, address = {G{\"o}ttingen}, isbn = {978-3-456-86266-8}, publisher = {FH M{\"u}nster - University of Applied Sciences}, pages = {215 -- 223}, year = {2024}, language = {de} } @article{MeyerKernebeckBusseetal.2021, author = {Meyer, Dorothee and Kernebeck, Sven and Busse, Theresa Sophie and Ehlers, Jan and Wager, Julia and Zernikow, Boris and Dreier, Larissa Alice}, title = {Electronic Health Records in Specialized Pediatric Palliative Care: A Qualitative Needs Assessment among Professionals Experienced and Inexperienced in Electronic Documentation}, series = {Children}, volume = {8}, journal = {Children}, issn = {2227-9067}, doi = {10.25974/fhms-17326}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173265}, pages = {249}, year = {2021}, abstract = {Background: Currently, to the best of our knowledge, no findings exist concerning the needs of professionals in specialized pediatric palliative care (PPC) regarding electronic health records (EHRs). Several studies have highlighted benefits concerning the use of EHRs in pediatrics. However, usability is strongly affected by the degree of adaptivity to the context of application. The aim of this study is to examine the needs of professionals concerning an EHR in the specialized PPC inpatient and outpatient settings. Methods: A qualitative research design was chosen to address the complex aspects of user demands. Focus group interviews and semi-structured one-on-one interviews were conducted with PPC professionals. N = 23 participants from inpatient and N = 11 participants from outpatient settings of specialized PPC representing various professions took part in the study. Results: The findings could be grouped into four categories: (1) attitude towards the current methods of documentation, (2) attitude towards electronic documentation in general, (3) general requirements for an EHR, and (4) content requirements for an EHR. Conclusions: Professionals in specialized PPC expect and experience many benefits of using electronic documentation. Their requirements for an EHR for inpatient and outpatient settings of PPC are largely consistent with EHRs for pediatrics. However, individual specifications and adaptations are necessary for this particular setting.}, language = {en} } @article{KernebeckBusseJuxetal.2021, author = {Kernebeck, Sven and Busse, Theresa Sophie and Jux, Chantal and Bork, Ulrich and Ehlers, Jan P.}, title = {Electronic Medical Records for (Visceral) Medicine: An Overview of the Current Status and Prospects}, series = {Visceral Medicine}, volume = {37}, journal = {Visceral Medicine}, issn = {2297-4725}, doi = {10.1159/000519254}, pages = {476 -- 481}, year = {2021}, abstract = {Background: Electronic medical records (EMRs) offer key advantages over analog documentation in healthcare. In addition to providing details about current and past treatments, EMRs enable clear and traceable documentation regardless of the location. This supports evidence-based, multi-professional treatment and leads to more efficient healthcare. However, there are still several challenges regarding the use of EMRs. Understanding these challenges is essential to improve healthcare. The aim of this article is to provide an overview of the current state of EMRs in the field of visceral medicine, to describe the future prospects in this field, and to highlight some of the challenges that need to be faced. Summary: The benefits of EMRs are manifold and particularly pronounced in the area of quality assurance and improvement of communication not only between different healthcare professionals but also between physicians and patients. Besides the danger of medical errors, the health consequences for the users (cognitive load) arise from poor usability or a system that does not fit into the real world. Involving users in the development of EMRs in the sense of participatory design can be helpful here. The use of EMRs in practice together with patients should be accompanied by training to ensure optimal outcomes in terms of shared decision-making. Key Message: EMRs offer a variety of benefits. However, it is critical to consider user involvement, setting specificity, and user training during development, implementation, and use in order to minimize unintended consequences.}, language = {en} } @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} }