Mapping socioeconomic factors driving antimicrobial resistance in humans: An umbrella review

One Health, Год журнала: 2025, Номер 20, С. 100986 - 100986

Опубликована: Фев. 10, 2025

Язык: Английский

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Perceived acceptance, intention to use and actual use behavior of digital information technologies among nursing professionals in Shanghai: a cross-sectional study

BMC Nursing, Год журнала: 2025, Номер 24(1)

Опубликована: Апрель 16, 2025

Digital information technologies (DITs) can contribute to optimizing the quality and efficiency of healthcare delivery. However, profiles awareness use behavior DITs among Chinese nursing professionals remained limited. This study aimed investigate perceived acceptance, intention identify influencing factors in hospitals Shanghai. A total 1421 from 20 across Shanghai were selected as participants between August October 2021. After excluding missing values, 1395 included analyses. Using technology acceptance model, general was measured ease (PEU) usefulness (PU). Intention using two single 5-point Likert scales. Linear logistic regression models mediation analyses developed examine factors. All PU PEU items received affirmative responses (agree or strongly agree) over 50% participants. Of all participants, 1101 (78.9%) expressed DITs; 626 (44.9%) frequent users. Age, bachelor's degree, in-house training on DITs, school-based training, out-of-hospital associated with acceptance. Licensed practical nurse, deputy chief working years, significant predictors use. Vocational college diploma, tertiary level 1 2 hospitals, specialized mediated 42.6% (95%CI: 10.3% ~ 60.4%) effects DITs. suggests that although have positive strong they rarely their practice. Therefore, policies interventions should be enhance integration into professionals' daily

Язык: Английский

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From awareness to integration: a qualitative interview study on the impact of digital therapeutics on physicians’ practices in Germany

BMC Health Services Research, Год журнала: 2025, Номер 25(1)

Опубликована: Апрель 18, 2025

Abstract Background The integration of digital therapeutics (DTx) into the German statutory healthcare system marks a significant shift in medical practice through introduction innovative, reimbursable interventions for patient care. While DTx can bridge therapy gaps and enhance care, number prescriptions is increasing slowly. This study aims to explore challenges physicians face when integrating their treatment options changes this entails workflows. Methods A qualitative approach was adopted, gathering data from semi-structured interviews with 46 across Germany. Participants, sampled diversity specialty, experience, region, were interviewed between June 2022 August 2024. explored physicians’ knowledge, experiences, perspectives on DTx. Data analyzed using content analysis, combining deductive inductive coding. Results workflows impacts multiple levels. First, must become aware new regulations therapeutic possibilities, requiring information intake time feel adequately prepared prescribing Second, add complexity assessment, as evaluate factors such literacy, motivation, cognitive conditions, necessitating deeper understanding patients. Third, reshapes physician‒patient relationship, it alters interaction dynamics, redistributes responsibilities, poses communication challenges. Fourth, expand options, particularly by bridging delays enabling more personalized Finally, has potential drive long-term mindsets, fostering alignment multimodal patient-centered approaches. Conclusions offer opportunities care but also pose challenges, development skills or familiarization regulations, that necessitate adjustments Physicians are generally confronted an innovation demands time, reliable effectiveness, practical openness adopting health tools complementary options. However, reception vary among physicians, reflecting individual preferences Further research should these diverse adoption strategies examine effects delivery outcomes.

Язык: Английский

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Deciphering the evolution of digital therapeutics: A bibliometric analysis of clinical trials

Proceedings of Singapore Healthcare, Год журнала: 2025, Номер 34

Опубликована: Апрель 1, 2025

Background Fewer studies have analyzed the clinical trials within digital therapeutics (DTx) domain, lacking comprehensive scope to capture full spectrum of global DTx research. This study provides a bibliometric and text-mining analysis research landscape trials. Objectives aims analyze across diverse indications using analysis. Methods We utilized data-driven approach 99 articles retrieved from databases (PubMed, Scopus, Web Science) spanning nearly decade (2014-2023), allowing for more thorough understanding progression trends in R Studio package Vosviewer were used data Results The findings showed 56.5% annual growth scientific production since 2020, with most cited country, contributing author, local source being United States, Gerwien R, Journal Medical Internet Research, respectively. Trending topics include sleep disorders, diabetes, anxiety, depression, mental health, blood pressure monitoring, hypertension. Conclusions emphasize need robust randomized controlled evaluate effectiveness interventions offer new insights directions future this rapidly growing field. contribution is particularly significant given increasing reliance on technologies managing various medical conditions improving patient-reported healthcare outcomes.

Язык: Английский

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Maximizing the value of patient and public involvement in the digital health co-design process: A qualitative descriptive study with design leaders and patient-public partners

PLOS Digital Health, Год журнала: 2023, Номер 2(10), С. e0000213 - e0000213

Опубликована: Окт. 25, 2023

Digital health interventions have enormous potential to support patients and the public in achieving their goals. Nonetheless, many digital are failing effectively engage public. One solution that has been proposed is directly involve design process of these interventions. Although there consensus involving collaborative valuable, teams little guidance on how maximize value work. The main objective this study was understand patient involvement can be maximized, from perspective leaders patient-public partners. Using a qualitative descriptive methodology, we conducted semi-structured interviews with 19 9 Interviewees agreed however, they questioned if current methods were optimized ensure maximal value. suggested add through four different mechanisms: (1) by allowing an empowering intervention itself, (2) ensuring will engaging for users, (3) seamlessly implemented practice, (4) collaborations extend beyond initial product design. Overall, interviewees emphasized although historically focused improving crucial insights implementation planning as well used its own intervention. results paper provide clarity about ways made more valuable. use intentional approaches.

Язык: Английский

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A Factorial Randomized Controlled Trial to Optimize User Engagement With a Chatbot-Led Parenting Intervention: Protocol for the ParentText Optimisation Trial

JMIR Research Protocols, Год журнала: 2024, Номер 13, С. e52145 - e52145

Опубликована: Март 15, 2024

Background Violence against children (VAC) is a serious public health concern with long-lasting adverse effects. Evidence-based parenting programs are one effective means to prevent VAC; however, these interventions not scalable in their typical in-person group format, especially low- and middle-income countries where the need greatest. While digital delivery, including via chatbots, offers cost-effective scale up within settings, it crucial understand key pillars of user engagement ensure implementation. Objective This study aims investigate most combination external components optimize ParentText, an open-source chatbot-led intervention VAC Mpumalanga, South Africa. Methods will use mixed methods design incorporating 2 × factorial cluster-randomized controlled trial qualitative interviews. Parents adolescent girls (32 clusters, 120 participants [60 parents 60 aged 10 17 years] per cluster; N=3840 total participants) be recruited from Ehlanzeni Nkangala districts Mpumalanga. Clusters randomly assigned receive 1 4 packages that include ParentText alone or combined sessions facilitated WhatsApp support group. Quantitative data collected pretest-posttest parent- adolescent-reported surveys, facilitator-reported implementation data, digitally tracked data. Qualitative facilitators through over-the-phone individual semistructured interviews used expand interpretation understanding quantitative findings. Results Recruitment collection started August 2023 were finalized November 2023. The number enrolled 1009, 744 caregivers having completed onboarding intervention. Female represent 92.96% (938/1009) sample population, whereas male 7.03% (71/1009). average participant age 43 (SD 9) years. Conclusions Optimisation Trial first rigorously test country. results this inform final selection delivery preparation for further evaluation randomized 2024. Registration Open Science Framework (OSF); https://doi.org/10.17605/OSF.IO/WFXNE International Registered Report Identifier (IRRID) DERR1-10.2196/52145

Язык: Английский

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Hybrid care in mental health: a framework for understanding care, research, and future opportunities

NPP—Digital Psychiatry and Neuroscience, Год журнала: 2024, Номер 2(1)

Опубликована: Окт. 17, 2024

Abstract Technology is playing an increasing role in healthcare, especially mental health. Traditional whether in-person or via telehealth, cannot by itself address the massive need for services. Standalone technology such as smartphone apps, while easily accessible, have seen limited engagement and efficacy on their own. Hybrid care – combination of synchronous telehealth appointments with use asynchronous digital tools applications, wearable devices, therapeutics has potential to offer best both worlds, providing increased access higher efficacy. In this paper, we present a framework highlighting key components hybrid models: intervention, human support, target population. This can be used evaluate existing models literature practice, identify areas opportunity, serve blueprint elements consider when designing new models.

Язык: Английский

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Strengthening Cybersecurity for Patient Data Protection in Europe

Journal of Medical Internet Research, Год журнала: 2023, Номер 25, С. e48824 - e48824

Опубликована: Авг. 24, 2023

The health care sector experiences 76% of cybersecurity breaches due to basic web application attacks, miscellaneous errors, and system intrusions, resulting in compromised data or disrupted services. European Commission proposed the Health Data Space (EHDS) 2022 enhance delivery improve patients’ lives by offering all Union (EU) citizens control over their personal a private secure environment. EU has taken an important step homogenizing environment ecosystem, although more attention needs be paid keeping safe within EHDS. pooling across countries can have tremendous benefits, but it may also become target for cybercriminals state-sponsored hackers. State-of-the-art security measures are essential, current EHDS proposal lacks sufficient warrant cybersecure resilient

Язык: Английский

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Understanding citizens’ attitudes within user-centered digital health ecosystems: A sequential mixed method methodology including a web-survey

Digital Health, Год журнала: 2024, Номер 10

Опубликована: Янв. 1, 2024

Transitioning from digital health applications to ecosystems, leveraging the advances in technologies and informatics, could be next revolution health. This includes offering centralized access various services improving citizens' well-being, delivery, clinical processes, data management. However, a limited understanding of citizens may impede adaptation. Therefore, this study investigates attitudes within differentiated by their characteristics, support service-providers governmental policymakers establishing user-centered solutions.

Язык: Английский

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Digital outpatient health solutions as a vehicle to improve healthcare sustainability—a United Kingdom focused policy and practice perspective

Frontiers in Digital Health, Год журнала: 2023, Номер 5

Опубликована: Сен. 26, 2023

Introduction In the midst of a global climate emergency and with health care systems across world facing extreme pressure, interest in digital approaches as potential part-solution to these challenges has increased rapidly. The evidence base support role that digitalization can play moving towards more sustainable models healthcare is growing, awareness this key area reform amongst policy makers, clinicians public. Method Results practice review we explore four domains sustainability-environmental, economic, patient clinician, delineating impact digitally enabled have on each area. Real-world examples are provided illustrate individual interventions pillar sustainability demonstrate scale benefits which be achieved. Discussion Digitally solutions present an approach offer numerous benefits, including environmental sustainability, economic improved experience. There also drawbacks such risk exclusion need for integration existing technology platforms. Overall, it essential strike balance between ensure they equitable, effective, sustainable.

Язык: Английский

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