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1 – 10 of 580I. Martens, H. Verbeek, J. Aarts, W.P.H. Bosems, E. Felix and J. van Hoof
Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents…
Abstract
Purpose
Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents who are still mobile. Little research has been conducted on how to improve the QoL of this bedfast population, particularly through making technological adjustments to the bed and the direct surroundings. The purpose of this paper is to gain insight into the QoL of bedfast residents and how to improve this through technology.
Design/methodology/approach
A mixed-method multi-case study with thematic analysis was conducted in two nursing homes with seven participants based on semi-structured interviews and Short Form-12 questionnaire.
Findings
The major causes of the experienced low QoL were the limited opportunities for engaging in social contacts with others, and coping with the dependency on other people and having limited control. Participants suggested improvements of QoL through the application of modern communication technologies to engage in social contacts and to control the bed itself and environment around the bed.
Practical implications
The results may help improve the design of the bed and the direct environment in order to improve the QoL of bedfast nursing home residents.
Originality/value
The QoL of bedfast nursing home residents has not been studied before in relation to the bed itself and technological solutions that may help improve the QoL and level of control.
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Dongxiang Zhao, Qiping Zhang and Feicheng Ma
Online health communities (OHCs) are attracting more and more healthy consumers, including patients, their families, caregivers and the general public. This paper aims to explore…
Abstract
Purpose
Online health communities (OHCs) are attracting more and more healthy consumers, including patients, their families, caregivers and the general public. This paper aims to explore the themes and characteristics of patient-generated content (PGC) in Chinese OHCs.
Design/methodology/approach
Baidu Tieba for hypertension was selected as the research site. Online ethnography (netnography) approach was utilized to explore the PGC and health communication in the online hypertension community. The final database included 300 randomly sampled threads and their 3,187 reply posts and was further analyzed from three perspectives: health information needs, attitudes and psychological reactions to hypertension and social support exchange.
Findings
The members' health information needs were mainly concentrated on five aspects: causes, symptoms, measuring instrument, tests and diagnosis and treatment. Their attitudes and psychological reactions to hypertension varied with the context, for example, disease stage, health condition. Within the health communication, three types of social support – information support, emotional support and network support – were generated, transmitted and exchanged among members.
Practical implications
OHCs are able to serve as important source of health information and tool for health education. The implications and suggestions for health promotion of individuals, health information services optimization of OHCs and national health strategy plans were also discussed.
Originality/value
This is the first netnography study in information field on Chinese online hypertension community. This study provides a new perspective to explore the needs, attitudes and social support behaviors of Chinese hypertension population and also enables the Chinese experience of using OHCs to reduce health disparities to come to the world.
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Femke D. Vennik, Samantha A. Adams and Kim Putters
– The purpose of this paper is to improve the general operationalization of an “active patient,” by examining the specific activities and skills expected of active patients.
Abstract
Purpose
The purpose of this paper is to improve the general operationalization of an “active patient,” by examining the specific activities and skills expected of active patients.
Design/methodology/approach
Expected activities and necessary skills were studied through a qualitative case study into the development and use of an assistive technology (i.e. web site) aimed at stimulating active patient-ship. Interviews, observations and document analysis were used to capture and explore designers’ inscribing practices and their consequences regarding expected competences and activities of patients using the web site.
Findings
Designers inscribed two “co-design roles” that active patients were expected to perform on the web site (co-designing their own healthcare and co-designing the healthcare of peers), for which at least eight different competencies were needed. The absence of skills or facilities to apply these skills resulted in incomplete use, a different use than intended by designers and non-use of the web site.
Practical implications
Technological choices and inscribing processes determine who is able or facilitated to become active and who is not. Due to inscribed co-design roles, it also influences the extent to which already active peers are able to perform health-related activities. Different users with different conditions should be taken into account in the design as specific group characteristics can influence level of individual activity.
Originality/value
This study is, as far as the authors know, the first that examines the “active patient” concept by studying an assistive technology and using scripting literature, resulting in an improved understanding of what it means to become “active” in terms of skills and activities.
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Susanne Colenberg and Tuuli Jylhä
It is widely recognized that interior office space can affect health in several ways. Strategic and evidence-based design, including explicit design objectives, well-chosen design…
Abstract
Purpose
It is widely recognized that interior office space can affect health in several ways. Strategic and evidence-based design, including explicit design objectives, well-chosen design solutions and evaluation of results, aid realization of desired health effects. Therefore, this paper aims to identify possibly effective interior design strategies and accompanying design solutions and to provide examples of effectiveness measures.
Design/methodology/approach
A literature sample of 59 peer-reviewed papers published across disciplines was used to collect examples of workplace design features that have positively influenced workers’ well-being. The papers were grouped by their health objective and design scope successively and their theoretical assumptions, measures and findings were analyzed.
Findings
Four main workplace design strategies were identified. Design for comfort aims at reducing or preventing health complaints, discomfort and stress, following a pathogenic approach. It has the longest tradition and is the most frequently addressed in the included papers. The other three take a salutogenic approach, promoting health by increasing resources for coping with demands through positive design. Design for restoration supports physical and mental recovery through connections with nature. Design for social well-being facilitates social cohesion and feelings of belonging. Design for healthy behavior aims at nudging physical activity in the workplace.
Originality/value
By drawing complementary perspectives and offering examples of design solutions and effectiveness measures, this paper encourages workplace designers, managers and researchers to take a transdisciplinary and evidence-based approach to healthy workplaces. It also serves as a starting point for future empirical research.
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Justine Virlée, Allard C.R. van Riel and Wafa Hammedi
This study aims to develop a better understanding of how online health community (OHC) members with different health literacy (HL) levels benefit from their participation, through…
Abstract
Purpose
This study aims to develop a better understanding of how online health community (OHC) members with different health literacy (HL) levels benefit from their participation, through the analysis and comparison of their resource integration (RI) processes. It investigates through a RI lens how the vulnerability of community members – captured as their level of HL – affects the benefits they derive from participation.
Design/methodology/approach
Quantitative and qualitative methods were used to investigate the effects of healthcare service users’ vulnerability. Data were collected about their profiles and levels of HL. Furthermore, 15 in-depth interviews were conducted.
Findings
The study demonstrates how low levels of HL act as a barrier to the integration of available online health resources. Participation in OHCs appears less beneficial for vulnerable users. Three types of benefits were identified at the individual level, namely, psychological quality-of-life, physical quality-of-life and learning. Benefits identified at the community level were: content generation and participation in the development of the community.
Originality/value
This study has implications for the understanding of how service users’ activities affect their own outcomes and how the vulnerability of users could be anticipated and considered in the design of the community.
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Shuang Hao, Guangming Song, Juzheng Mao, Yue Gu and Aiguo Song
This paper aims to present a fully actuated aerial manipulator (AM) with a robust motion/force hybrid controller for conducting contact-typed inspection tasks in industrial plants.
Abstract
Purpose
This paper aims to present a fully actuated aerial manipulator (AM) with a robust motion/force hybrid controller for conducting contact-typed inspection tasks in industrial plants.
Design/methodology/approach
An AM is designed based on a hexarotor with tilted rotors and a rigidly attached end effector. By tilting the rotors, the position and attitude of the AM can be controlled independently, and the AM can actively exert forces on industrial facilities through the rigidly attached end effector. A motion/force hybrid controller is proposed to perform contact-typed inspection tasks. The contact-typed inspection task is divided into the approach phase and the contact phase. In the approach phase, the AM automatically approaches the contact surface. In the contact phase, a motion/force hybrid controller is used for contact-typed inspection. Finally, a disturbance observer (DOB) is used to estimate external disturbances and used as feedforward compensation.
Findings
The proposed AM can slowly approach the contact surface without significant impact in the contact phase. It can realize constant force control in the direction normal to the contact surface in the contact phase, whereas the motion of the remaining directions can be controlled by the operator. The use of the DOB ensures the robustness of the AM in the presence of external wind disturbances.
Originality/value
A fully actuated AM system with a robust motion/force hybrid controller is proposed. The effectiveness of the proposed AM system for conducting contact-typed industrial inspection tasks is validated by practical experiments.
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Bouke Boegheim, Rianne Appel-Meulenbroek, Dujuan Yang and Marcel Loomans
This paper aims to study employee mental health in relation to workplace design and indoor environmental quality (IEQ) when working from home, which has received little attention…
Abstract
Purpose
This paper aims to study employee mental health in relation to workplace design and indoor environmental quality (IEQ) when working from home, which has received little attention. The trend toward hybrid working urges for more knowledge.
Design/methodology/approach
Through a mixed data collection method, this study analyzed potential relationships (between mental health, workplace design and IEQ) from information obtained through a cross-sectional survey, repeated point-in-time surveys and desk-based IEQ sensors at home. Data were collected in April 2020 during a national COVID-19 lockdown in The Netherlands amongst 36 subjects. They all worked full time from home in this period and together completed 321 point-in-time surveys. The three data sets were combined and analyzed using bivariate and path analysis.
Findings
Outcomes indicate that subjective and objective IEQ conditions, workplace suitability and distraction affect employee mental health in the home workplace in a similar way as in the office. Being satisfied with the noise level increases concentration, self-reported well-being and engagement. High sound pressure levels (>58 dB) increased tension or nervous feelings.
Originality/value
To the best of the authors’ knowledge, this study is one of the first to explore employee mental health in relation to simultaneously assessed (perceived and measured) multiple IEQ parameters in the home workplace.
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Ebru Baykal Uluoz and Göksenin Inalhan
This paper aims to propose and provide an overview of a model analysis that considers the main spatial design attributes that influence and produce the most relevant salutogenic…
Abstract
Purpose
This paper aims to propose and provide an overview of a model analysis that considers the main spatial design attributes that influence and produce the most relevant salutogenic outcomes. These results are essential for a healthy work experience, especially in shared workspaces.
Design/methodology/approach
This study departs from the theoretical contributions of the salutogenic approach, principles from supportive design theory, psychosocial supportive design and the environmental demands and resources model. After a scoping literature review covering different fields of workspace design, environmental psychology and evidence-based design of health-care facilities, a conceptual analysis is done on a proposed understanding of work, health and environmental relations to overview spatial attributes that enhance specific salutogenic and well-being-promoting outcomes needed for a healthy work experience.
Findings
The model of analysis, as a theoretical element that helps create methodological tools, combined with the application of a post occupancy evaluation, is thought to assist architects, designers, workspace owners and stakeholders in their new designs or to evaluate existing ones.
Originality/value
Studies on defining spatial attributes and their intended salutogenic outcomes have been formally done in health-care facilities. However, applying this idea to shared workspaces is something new and is expected to contribute to their design and evaluation, especially if the notion of environmental demands and resources is complemented.
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Walter J. Gutjahr, Christine Strauss and Martin Toth
The application of advanced methods of process management is essential, especially in those fields in which activity durations can be determined only vaguely, while at the same…
Abstract
The application of advanced methods of process management is essential, especially in those fields in which activity durations can be determined only vaguely, while at the same time a highly competitive market enforces strict completion schedules through the implementation of penalties. The technique presented is most suitable for determining a time‐cost trade‐off based on practice‐relevant assumptions. Completion time overruns usually cause penalties whose size depends on the degree of the overruns. To avoid such penalties – or at least to keep any losses low – distinct processes may be crashed by one or several measures that decrease the activity duration. The risk of an overrun has to be weighed against the expected costs and benefits of certain crashing measures and their combinations. The technique presented is a new PERT‐based, hybridised approach using simulated annealing and importance sampling to support typical process re‐engineering, which focuses on the efficient allocation of extra resources in order to achieve a more reliable performance without changing the precedence‐successor‐structure.
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The purpose of this paper is to assess the empirical support for the use of assistive technology in the care of people with dementia as an intervention to improve independence…
Abstract
Purpose
The purpose of this paper is to assess the empirical support for the use of assistive technology in the care of people with dementia as an intervention to improve independence, safety, communication, wellbeing and carer support.
Design/methodology/approach
A total of 232 papers were identified as potentially relevant. Inclusion criteria were: studies published between 1995 and 2011, incorporated a control group, pre-test-post-test, cross sectional or survey design, type of interventions and types of participants. The 41 papers that met criteria were subjected to an assessment of their validity using the model provided by Forbes. Following the assessment seven papers were considered as strong, ten moderate and 24 weak. The review is presented around the following topics: independence, prompts and reminders; safety and security; leisure and lifestyle, communication and telehealth; and therapeutic interventions.
Findings
The literature exploring the use of assistive technologies for increasing independence and compensating for memory problems illustrate the problems of moving from the laboratory to real life. The studies are usually limited by very small samples, high drop-out rates, very basic statistical analyses and lack of adjustment for multiple comparisons and poor performance of the technology itself.
Originality/value
Research to date has been unable to establish a positive difference to the lives of people with dementia by the general use of the assistive technology reviewed here.
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