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Session For Margaret Wade Students
 

Session For Margaret Wade Students

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    Session For Margaret Wade Students Session For Margaret Wade Students Presentation Transcript

    • Webcast by Ray Jones You should be able to hear music. If not – do you need headphones? Is your speaker muted? Still not working? – click on help link
    • Patients and the public using computers for health information Professor Ray Jones School of Nursing and Community Studies
    • Technical Problems If you seem to be having problems, eg with sound contact Cito on Inocencio.maramba@plymouth.ac.uk or on 01752 233886 • Please keep the chat room for discussion of content.
    • Live webcasting Chat message window Webcast User Window List Chat input box
    • This will contribute towards your understanding of uses of ICT: • How individuals or groups can learn about their health • How individuals can be enabled to change their behaviour • Appropriate ways of measuring the success of interventions • Issues of equity of access to information
    • If you have a question or comment please type it into the chat room during my presentation I will review the chat room dialogue at the end of the presentation and we can continue to chat even after the video window has ‘gone’.
    • When typing a message… • Remember to ‘preface’ it so that others know who it is aimed at, or who you are replying to…. • Paul, can you tell me….. • Ray, I disagree with what you said about xyz…… • Etc
    • Outline 1. Information push and pull 3. Examples of projects and developments 5. Discussion of ‘public health’ concerns and how to evaluate use of computers for health information
    • Health promotion – information push
    • Consumer health information – information pull
    • • China: 100BC -200AD The Yellow Emperors’ Inner Classic (Huang Di Nei Jing) applied principles of Yin and Yang and other Chinese philosophy to the prevention and alleviation of illness. • Europe: books from Rabbi Moshe ben Maimon (born 1135, Cordoba, Spain) included works on poisons and their antidotes, a discourse on asthma, and a list of hygienic regulations which would lead to a healthful life.
    • • UK flourishing trade in lay health care guides since the Middle Ages. The Regimen sanitas salernitanum was a thirteenth century collection of Latin verses giving practical advice on a health lifestyle.
    • Examples of projects -1 ‘Public access kiosks’
    • Opportunistic health kiosks
    • Healthpoint (Study in Glasgow early 1990s) • 10 Healthpoints in Clydebank • After 5 months 17% of a random sample had used a Healthpoint • 20% of those under 50 Vs 13% of those over 50
    • Kiosks integrated into process
    • • Question? What percentage of <24 yr olds and over 65s had accessed Internet 2000-06
    • Percentage by age group who had accessed Internet 2000-06 120 100 16-24 80 25-44 60 45-54 55-64 40 65+ 20 0 Jul-02 Jul-00 Jan-01 Jul-01 Jan-02 Jan-03 Jul-03 Jan-04 Jul-04 Jan-05 Jul-05 Jan-06
    • Main sources of information -1 • Health professionals
    • Sources of information -2 Other people – mainly family and friends
    • • Internet, leaflets, TV, newspapers, radio etc
    • Patient self assessment
    • Examples of projects -2 Tailored information for patients with cancer
    • Randomised trial BMJ 1999 • Compared tailored information based on medical record Vs general information • Outcomes: satisfaction, use, anxiety
    • • Patients more satisfied with tailored information • More likely to show it to their family • Showed greater reduction in anxiety
    • Examples of projects – 3 Computerised cognitive behavioural therapy for anxiety
    • Finding the right sites for specific health education or computer-based therapy
    • Examples of projects – 4 Online discussion of self-harm 1. Can engagement (health promotion model) be applied online ? 3. Can patients, students and professionals learn online with and from each other?
    • Aim To explore the potential of a bulletin board and a wiki for: a) engagement and shared learning between health professionals and young people; b) collaboration in the production of health information that is safe, but also relevant to and trusted by the young people themselves
    • Study design • Creation, monitoring and analysis of experimental online discussion groups • Monitoring and analysis of existing online self-harm bulletin boards for comparison • Wiki-based literature review
    • Participants • ‘lay’ young people aged 16-25 who have or been affected by self-harm • students in health and social care • health and social care professionals qualified <5 years …recruited through existing electronic bulletin boards, student portals etc
    • Allocation Random blind allocation to one of 3 discrete discussion groups: 24 ‘lay’ young people 18 ‘lay’; 6 students & ‘professionals’ 12 ‘lay’; 12 students &
    • Intervention/task • Separate threaded asynchronous bulletin boards • Open for 3 months • Same set of discussion topics; new topic at least every 1-2 weeks • Exit to possible wiki contribution
    • Summary
    • Public/patient use of computers 1. Meeting ‘consumer demand’ (peace of mind) 2. Supporting patient decisions (empowerment) 3. Health/patient education (compliance) 4. Health promotion (changing attitude/behaviour)
    • Some questions for discussion in the chat room • How would you go about evaluating the use of ICT by patients? • How important is quality of information and how would you assess it? • What are the concerns about equity of access to information and how can these be addressed?
    • Changing rooms • There are different chat rooms and you can change rooms by typing (eg) /room r1 followed by enter, or /room r2 or /room main
    • Choose room to discuss r1 How do you think we can use ICT (including eg mobiles) to encourage people to take more exercise and eat a better diet? /room r1 r2 How do you think we can make ICT based health information more accessible to older people? /room r2