Future Implementation Challenges Research Articles

Voice Recognition Technologies: Comparative Analysis and Potential Challenges in Future Implementation

Voice Recognition Technologies: Comparative Analysis and Potential Challenges in Future Implementation

Systematic Review of Health Economic Evaluations Focused on Artificial Intelligence in Healthcare: The Tortoise and the Cheetah

ObjectivesThis study aimed to systematically review recent health economic evaluations (HEEs) of artificial intelligence (AI) applications in healthcare. The aim was to discuss pertinent methods, reporting quality and challenges for future implementation of AI in healthcare, and additionally advise future HEEs. MethodsA systematic literature review was conducted in 2 databases (PubMed and Scopus) for articles published in the last 5 years. Two reviewers performed independent screening, full-text inclusion, data extraction, and appraisal. The Consolidated Health Economic Evaluation Reporting Standards and Philips checklist were used for the quality assessment of included studies. ResultsA total of 884 unique studies were identified; 20 were included for full-text review, covering a wide range of medical specialties and care pathway phases. The most commonly evaluated type of AI was automated medical image analysis models (n = 9, 45%). The prevailing health economic analysis was cost minimization (n = 8, 40%) with the costs saved per case as preferred outcome measure. A total of 9 studies (45%) reported model-based HEEs, 4 of which applied a time horizon >1 year. The evidence supporting the chosen analytical methods, assessment of uncertainty, and model structures was underreported. The reporting quality of the articles was moderate as on average studies reported on 66% of Consolidated Health Economic Evaluation Reporting Standards items. ConclusionsHEEs of AI in healthcare are limited and often focus on costs rather than health impact. Surprisingly, model-based long-term evaluations are just as uncommon as model-based short-term evaluations. Consequently, insight into the actual benefits offered by AI is lagging behind current technological developments.

The use of eHealth interventions among persons experiencing homelessness: A systematic review.

ObjectiveeHealth interventions are being developed to meet the needs of diverse populations. Despite these advancements, little is known about how these interventions are used to improve the health of persons experiencing homelessness. The aim of this systematic review was to examine the feasibility, effectiveness, and experience of eHealth interventions for the homeless population.MethodsFollowing PRISMA guidelines, a systematic search of PsycINFO, PubMed, Web of Science, and Google Scholar was conducted along with forward and backward citation searching to identify relevant articles.ResultsEight articles met eligibility criteria. All articles were pilot or feasibility studies that used modalities, including short message service, mobile apps, computers, email, and websites, to deliver the interventions. The accessibility, flexibility, and convenience of the interventions were valued by participants. However, phone retention, limited adaptability, a high level of human involvement, and preference for in-person communication may pose future implementation challenges.ConclusionseHealth interventions are promising digital tools that have the potential to improve access to care and service delivery. eHealth interventions are feasible and usable for persons experiencing homelessness. These interventions may have health benefits by augmenting existing services and if implementation challenges are addressed. Further evaluation of the effectiveness of eHealth interventions is needed before widespread implementation. Those with lived experience should also be engaged in developing and evaluating these interventions.

Vaccines in support of globalisation: the current status of coronavirus and future implementation challenges

The key aspects to be discussed by this panelist are the role of vaccines in the support of globalization and the life style of global village, and the current status of coronavirus vaccines and future challenges of implementation.The present pandemic made obvious to the general public the central role of vaccines in the support of modern lifestyle. It also revealed the possibility (or near certainty) of totally new pandemics, for which the world had ample warnings, with AIDS, Ebola, Zika, Lassa, Hendra, SARS, MERS, and many other emerging viruses threatening the world order. We entered a new era of pandemics as the last areas of the planet become members of the global village and due to climate change. Therefore, the world will go through a period of new threats that become more intense due several factors. These include the climate change, the dense co-habitation of large number of humans and their food, the rapid, cheap and universal travel, and the public health rules and traditions. Vaccines and immunotherapies are among the best and most cost-effective ways to address new and established epidemic threats.Work on a safe and effective coronavirus vaccines progresses with unprecedented speed and substantial resources. Vaccines may be available in a year, and this time could be shortened if emergency approval of a safe but not fully tested vaccine is allowed. Production ability is expected to address the challenge of high demand, but the worrisome signals are that, even under the conditions of a spreading epidemic, a sector of the population is not convinced about the remedies, whether they are public health measures, or preventive vaccines. Addressing the reasons for the denial of scientific method and conclusions is a major priority for everybody involved in the fight of this and other epidemics. Scientific progress and implementation of the results is the only way forward.

Aircraft disinsection: what is the usefulness as a public health measure?

Insecticide treatments in aircraft (termed 'aircraft disinsection') aim to support the containment of potentially disease-carrying vector insects. The introduction of non-endemic mosquito species is of concern as some mosquitoes can act as vectors of many serious human diseases. Expansion of vectors to previously non-endemic regions, extended flight networks and mosquito resistance to insecticides pose challenges to contemporary vector-control approaches. Despite established efficacy of aircraft disinsection in trials, there is increasing concern over its effectiveness and feasibility in flight operations, and its usefulness as a public health measure. We explored the literature on disinsection through a narrative approach to obtain a pragmatic assessment of existing and future implementation challenges. We describe the shortcomings that hinder evaluation of the success of aircraft disinsection. These shortcomings include operational constraints that may impact effective treatment outcomes, lack of longitudinal data on pesticide exposure scenarios, lack of compliance mechanisms, pesticide resistance in mosquitoes, and limited evidence of the extent and type of mosquito species potentially transported via aircraft. Concerns about the introduction of non-endemic mosquito vectors reinforce the need for effective preventive measures. Import of disease vectors is likely to occur in the future under changing environmental and operational conditions. Optimal impact from disinsection requires appropriate deployment, commitment and use. The current system of evaluation is inadequate for producing the evidence needed for informed policy decisions. While utilizing the results of research into environmentally sustainable vector-control methods for use in aircraft, future approaches to aircraft disinsection require improved evidence of anticipated benefits and harms, reliable monitoring data on insecticide resistance, and must be supported by strong vector control at airports.

Engaging with nurses to develop an occupational violence risk assessment tool for use in emergency departments: A participatory action research inquiry

BackgroundEarly detection of occupational violence (OV) risk factors could facilitate timely and appropriate management of patients in the emergency department. For this purpose, an OV risk assessment could be useful and best initiated at triage. AimsTo understand the need for and determine potential utility and desirable components of an OV risk assessment tool; and to determine specific challenges to its implementation if appropriate. MethodsA participatory action research was conducted. Data were collected through focus groups and semi-structured interviews. Thematic analysis was done inductively and collaboratively using Braun and Clarke’s technique. FindingsSix themes were identified from triage nurses (N = 15) pertaining to: i) OV risk assessment; ii) communication of OV risk; iii) clinical implications of risk assessment; iv) tool attributes; v) future implementation challenges; vi) unintended consequences. ConclusionThe development of an OV risk assessment tool is supported, but with very specific attributes. Findings herein also have implications on the implementation and evaluation of this tool in emergency settings.

Incorporating Patient-Reported Outcome Measures into Breast Surgical Oncology: Advancing Toward Value-Based Care.

Value in health care is defined as the health outcome achieved per unit of cost. For health care systems, improving value means achieving better outcomes at lower costs. Improving outcomes, including patient-reported outcomes (PROs), as well as more established metrics such as mortality and complication rates, ensures high-quality care. This is particularly true in breast cancer surgery, where survival and recurrence rates are comparable across different surgical approaches. Outcomes reflecting survivorship quality may therefore better inform decision making regarding surgical approaches. PROs can be assessed using validated instruments known as patient-reported outcome measures (PROMs). They are obtained directly from patients reflecting their health-related quality of life (HRQOL). Ongoing initiatives strive to define PROMs that accurately reflect HRQOL and demonstrate value, with the goal of establishing benchmarks for quality of care. Clinicians caring for patients with breast cancer are well positioned to be involved in defining meaningful measures of value-based breast cancer care. This article reviews value-based breast cancer care in the context of locoregional therapy, with attention paid to the work done by the International Consortium of Health Outcome Measures in which a "standard set" of value-based patient-centered outcomes for breast cancer for international use is defined. In addition, an overview is provided of relevant PROMs and previously reported scores. Recommendations and future challenges for implementation of routine collection of PROs are also discussed. IMPLICATIONS FOR PRACTICE: Opportunity exists to act as early adopters of the routine collection of longitudinal patient-reported outcome data for breast cancer, allowing transition of current care to value-based cancer care.

Text Messaging to Enhance Behavioral Health Treatment Engagement Among Justice-Involved Youth: Qualitative and User Testing Study.

BackgroundMental health and substance use disorders are highly prevalent in justice-involved youth, yet only 8% of court-involved, nonincarcerated (CINI) youth in need of treatment receive it. Dual diagnosis (co-occurring psychiatric and substance use disorders) in justice-involved youth is highly predictive of recidivism. Identifying novel approaches, such as the use of mobile health (mHealth) technologies, to close this gap between need and receipt of behavioral health treatment for the CINI population could potentially offset rates of reoffending into adulthood. Text-messaging (short message service, SMS) interventions have demonstrated efficacy in improving treatment adherence and other associated outcomes in other vulnerable youth populations, but development and testing of mHealth interventions to improve behavioral health treatment rates and outcomes for CINI youth are lacking.ObjectiveThis study aimed to collect qualitative data from key stakeholders to inform the development of a theoretically grounded, family-based text-messaging (SMS) intervention targeting CINI youth’s behavioral health treatment engagement; additionally, the aim was to conduct end-user testing over 6 months with CINI youth and caregivers to determine intervention feasibility and acceptability.MethodsCINI youth and caregivers were referred from a California-based Juvenile Probation Department and community-based provider organizations providing services for justice-involved youth. Eligibility criteria included the following: being a justice-involved youth or a caregiver of a justice-involved youth, English speaking, youth aged 13 to 17 years old and either referred to or currently attending mental health or substance use treatment, and youth and caregiver have access to a cell phone with text-messaging capability.ResultsOverall, 28 individuals participated in focus groups and interviews—8 youth, 5 caregivers, and 15 juvenile justice (JJ) personnel. Three major themes emerged: (1) texting among JJ personnel and CINI youth and caregivers in their caseload is common but not systematic, (2) stigma and privacy are perceived as barriers to texting youth about behavioral health treatment appointments, and (3) messages should be short, simple, relatable, positive, and personalized. In total, 9 participants (7 youth and 2 caregivers) participated in end-user testing and rated the intervention as useful, helpful, and supportive.ConclusionsText messaging (SMS) is an acceptable and feasible means of reminding CINI youth to attend behavioral health treatment appointments. Future implementation challenges include making text messaging (SMS) personalized and tailored but not resource intensive (eg, requiring one-to-one, 24/7 human contact) and identifying which systems will deliver and sustain the intervention. Text messaging (SMS) among justice personnel, youth, and their caregivers is already widespread, but lack of clear guidelines about privacy, confidentiality, and information sharing poses ethical conundrums. Future hybrid-type research designs that explore the efficacy of the intervention while also studying ethical, system, and policy-level factors associated with using digital health interventions to improve CINI youth outcomes is a key next step.

Sustainable Biomass as an Alternative Energy Source: Bangladesh Perspective

Presently, the crisis of energy has become a growing concern all over the world and a serious barrier for the developing nations. Conversely, the resources of fossil fuels are limited and depleting due to the exploration and higher production activities around the glove. The impact of fossil fuels exploration has become a serious threat for naturalism and creates environmental hazardous accidents. However, the demand for energy in Bangladesh is increasing day by day and fossil fuel reserves continue the countries demand almost only 50 years. So, it is the high time to utilize its natural biomass resources to fulfill energy demand. The climate condition and waste generation rate of Bangladesh is key factors for biomass energy production. Nowadays the Bangladeshi government has made an agenda “waste to electricity” thus the utilization of biomass resources has become a blessing for the static economic growth in the nation. Recently Bangladeshi government has made an extra effort for the commercialization and marketable of biomass energy engendering and production in the country. This paper explored the potential of biomass energy as a sustainable energy source and their future implementation challenges in Bangladesh.

Global disability action plan 2014–2021 (GDAP): The way forward

An estimated 80% of persons with disability (PwD) live in low- and middle-income countries (LMICs), with significant burden of disease and subsequent disability. The WHO Global Disability Action Plan 2014–2021 (GDAP), provides a list of specific actions and metrics for the empowerment of PwD, including strengthening/extending rehabilitation, assistive-technology, support services, and community-based rehabilitation. The aim of this study was to identify potential barriers for implementation of the GDAP in LMICs. The Flying Faculty rehabilitation team from the Royal Melbourne Hospital, Australia conducted intensive workshops at medical/academic institutions in LMICs for healthcare professionals from various local Physical Medicine and Rehabilitation (PM&R) facilities. A modified Delphi method identified challenges for future implementation to address gaps identified. Despite differences in the healthcare system and practices in LMICs, the challenges reported in four countries, at both macro (governmental/policy makers) and micro levels (community/social/individual) were similar. Common strategies were implemented to address challenges: limited knowledge of disability services, PM&R workforce, guidelines and accreditation standards; coordination amongst healthcare sectors; social issues; data and research; legislation and political commitment. Support of potential facilitators were: need for strong leadership; advocacy of disability-inclusive development; investment in infrastructure/human resources; coordination/partnerships in healthcare sector; and research. Disability care and rehabilitation is an emerging priority in LMICs to address the needs of people with disability. The GDAP framework provides guidance to facilitate access and strengthen PM&R services.

Scale-up of Routine Viral Load Testing in Resource-Poor Settings: Current and Future Implementation Challenges.

Despite immense progress in antiretroviral therapy (ART) scale-up, many people still lack access to basic standards of care, with our ability to meet the Joint United Nations Programme on HIV/AIDS 90-90-90 treatment targets for HIV/AIDS dependent on dramatic improvements in diagnostics. The World Health Organization recommends routine monitoring of ART effectiveness using viral load (VL) testing at 6 months and every 12 months, to monitor treatment adherence and minimize failure, and will publish its VL toolkit later this year. However, the cost and complexity of VL is preventing scale-up beyond developed countries and there is a lack of awareness among clinicians as to the long-term patient benefits and its role in prolonging the longevity of treatment programs. With developments in this diagnostic field rapidly evolving-including the recent improvements for accurately using dried blood spots and the imminent appearance to the market of point-of-care technologies offering decentralized diagnosis-we describe current barriers to VL testing in resource-limited settings. Effective scale-up can be achieved through health system and laboratory system strengthening and test price reductions, as well as tackling multiple programmatic and funding challenges.

Cross-Sectoral Perspectives of Market Implementation of the MVA Platform for Influenza Vaccines: Regulatory, Industry and Academia

This study provides a quantitative multidisciplinary approach to identify and prioritize the main implementation challenges of the MVA platform for novel influenza vaccines using a tailor-made prioritization process. Influential key opinion leaders (KOL’s) in the field of vaccine research, development, and manufacturing were approached to participate in this study. Semi-structured interviews were performed with 32 KOL’s representing the regulatory, industry, and academia fields. The opinions were analyzed quantitatively, through various ranking methods that were integrated and adapted to fit the purpose of this study, identifying 6 implementation challenges main categories, 21 implementation challenges categories, and 39 implementation challenges underlying causes. The most significant barriers are associated with “production & speed” category whereas the least significant are associated with “regulatory” category. Perspectives among the KOL’s proved to be divergent with regard to implementation challenges for the MVA platform. Through comparing these perspectives, useful information on current and potential future implementation challenges of novel platforms in general may be expected. Providing an overview and assessment to reveal these challenges may lead to a more substantial situation for all stakeholders involved, given that such an overview allows for the recognition of various implementation challenges from a multidisciplinary perspective, making it possible to identify underlying causes that contribute to the successful implementation of the MVA platform. Remarkably, analysis of implementation challenges resulted in core challenges that resemble similarities between the three perspectives.

Planning ahead for implementation of long-acting HIV prevention: challenges and opportunities.

Broad-based access, uptake, and dissemination of daily oral HIV preexposure prophylaxis (PrEP) have been slow, despite strong evidence for efficacy. Effective and efficient implementation of long-acting HIV prevention products will require both analysis of the dynamics and determinants of daily oral PrEP implementation and identification of the distinct challenges and opportunities inherent in emerging technologies. Evidence suggests the importance of addressing implementation issues at three levels: patient, provider, and system. Patient-level factors include targeted education and messaging, tailored supports to enhance acceptability and uptake, and effective strategies for promoting adherence/persistence and retention in care. Provider-level factors include engaging a broad mix of providers, while ensuring adequate training and support for patient assessment, counseling, and follow-up. Systems-level factors include optimal delivery modalities, resource allocation, and ensuring access to populations most in need of new prevention options. Formative social/behavioral research must be undertaken proactively to prepare for and address future implementation challenges and reduce the gap between proving efficacy in clinical trials and assuring real-world effectiveness. Conceptualizing new HIV prevention technologies as behavioral interventions at the level of the patient, provider, and system will be paramount to effective and efficient implementation.

Wearable technologies - future challenges for implementation in healthcare services.

The growing use of wearable technologies increases the ability to have more information from the patient including clinical, behavioural and self-monitored data. The availability and large amounts of data that did not exist before brings an opportunity to develop new tools with intelligent analyses and decision support tools for use in clinical practice. It also opens new possibilities for the patients by providing them with more information and decision support tools specially designed for them, and empowers them in managing their own health conditions, keeping their autonomy. These new developments drive a change in healthcare delivery models and the relationship between patients and healthcare providers. It raises challenges for the healthcare systems in how to implement these new technologies and the growing amount of information in clinical practice, integrate it into the clinical workflows of the various healthcare providers. The future challenge for healthcare will be how to use the developing knowledge in a way that will bring added value to healthcare professionals, healthcare organisations and patients without increasing the workload and cost of the healthcare services. For wearable technology developers, the challenge is to develop solutions that can be easily integrated and used by healthcare professionals considering the existing constraints.

Video-assisted feedback in general practice internships using German general practitioner's guidelines.

Introduction: The planned modification of the Medical Licenses Act in Germany will strengthen the specialty of general practice. Therefore, medical students should get to know the daily routine of general practitioners during their academic studies. At least 10% of students should get the possibility to spend one quarter of the internship, in the last year of their academic studies, in a practice of family medicine. The demonstrated teaching method aims at giving feedback to the student based on video recordings of patient consultations (student-patient) with the help of a checklist. Video-feedback is already successful used in medical teaching in Germany and abroad. This feasibility study aims at assessing the practicability of video-assisted feedback as a teaching method during internship in general practice. Teaching method: First of all, the general practice chooses a guideline as the learning objective. Secondly, a subsequent patient – student – consultation is recorded on video. Afterwards, a video-assisted formative feedback is given by the physician. A checklist with learning objectives (communication, medical examination, a structured case report according to the guideline) is used to structure the feedback content. Feasibility: The feasibility was assessed by a semi structured interview in order to gain insight into barriers and challenges for future implementation. The teaching method was performed in one general practice. Afterwards the teaching physician and the trainee intern were interviewed. The following four main categories were identified: feasibility, performance, implementation in daily routine, challenges of the teaching concept.The results of the feasibility study show general practicability of this approach. Installing a video camera in one examination room may solve technical problems. The trainee intern mentioned theoretical and practical benefits using the guideline. The teaching physician noted the challenge to reflect on his daily routines in the light of evidence-based guidelines. Conclusion: This teaching method supports quality control and standardizing of learning objectives during the internship in general practice by using general practice guidelines. The use of a checklist enhances this method in general practice. We consider the presented teaching method in the context of the planned modification of the Medical Licenses Act is part of quality control and standardisation of medical teaching during general practice internships. In order to validate these presumptions, further, evaluation of this method concerning the learning objectives using the guidelines of general practice need to be carried out.

Can we vaccinate against Type 1 diabetes?

Vaccination is the administration of antigenic material to stimulate the immune system to develop adaptive immunity to a disease. As the most successful prophylactic in medical history, there is now an emerging interest as to whether vaccination can be applied in autoimmune and inflammatory conditions. These are diseases of failed immune regulation; vaccination in this context aims to exploit the power of antigenic material to stimulate immune homeostasis in the form of active, adaptive, regulatory immune responses. Type 1 diabetes is an autoimmune disease that could benefit from the therapeutic potential of vaccination. The major conditions necessary to make prophylaxis feasible are in place; the self antigens are known, the failure of existing immune regulation has been demonstrated, early studies of vaccine approaches have proved safe, and the preclinical prodrome of the disease can be easily detected by simple blood tests. Challenges for future implementation include finding the best mode of delivery and the best blend of adjunctive therapies that create the favorable conditions required for a vaccine to be effective.

BATTLE OF VALUES: A GAP BETWEEN ORGANIZATIONAL AND IDEAL TQM CULTURE IN LITHUANIA AND TURKEY

The research is centred on potentially existing gap between present organizational values and values essential to TQM. The values essential to TQM are fixed and encoded in its internal logic. Therefore each organization has different values which may be more or less compatible with values essential for TQM. The gap between TQM values and organisational values is measured according 8 dimensions of organizational culture suggested by Detert et al (2000) in Turkish and Lithuanian organizations. The results of research show that organizations from these countries will face different challenges when implementing TQM. Studied Turkish organizations are less oriented externally and less ready to delegate decision making as TQM would promote. Studied Lithuanian organizations are characterized by short-term orientation which is not compatible with TQM value. Such approach recognizes that individual organizations have individual challenges related with TQM adoption. It provides more nuanced, contingent view of TQM adoption or defection. It constitutes a mean to diagnose future implementation challenges in advance which could help change agents to prepare targeted attractors or interventions when implementing TQM. DOI: http://dx.doi.org/10.5755/j01.em.17.3.2146

The New Brazilian Merger Control

The new Brazilian regime for merger control was established by Law 12529 of November 30th, 2011, bringing antitrust and merger control largely in line with OECD and ICN recommendations. Major institutional changes was the concentration of merger control in only one institution (CADE), replacing the previous tripartite system, and the extension of the mandates of Commissioners from 2 to 4 years. Pre-notification is now mandatory and the law has clarified the conditions for notification. The paper reviews the changes introduced by the law and refers some future challenges for implementation.

Antiretroviral Prophylaxis for the Prevention of HIV Infection: Future Implementation Challenges

Use of antiretrovirals in pre-exposure prophylaxis (PrEP) for prevention of HIV infection builds on the premise that effective therapeutic medications can be used by healthy people to prevent certain infections. This article reviews past clinical trial findings discusses upcoming trials and addresses future PrEP implementation challenges.

Integrating WebQuests in preservice teacher education

During the past decade, WebQuests have been widely used by teachers to integrate technology into teaching and learning. Recently, teacher educators have applied the WebQuest model with preservice teachers in order to develop technology integration skills akin to those used in everyday schools. Scaffolding, used to support the gradual acquisition of knowledge and skills, may help preservice teachers to better understand the underlying assumptions and assess the feasibility of WebQuests for their teaching. Based on a review of existing WebQuest and scaffolding research, this article presents guidance for scaffolding preservice teachers’ WebQuest designs, and identifies issues and challenges for future implementation. L’intégration des Webquests dans la formation initiale des enseignants Au cours de la dernière décennie, les professeurs ont largement eu recours aux Webquests pour intégrer la technologie dans l’enseignement et l’apprentissage. Récemment les formateurs d’enseignants ont appliqué le modèle Webquest avec les maîtres en formation initiale ceci pour développer des compétences pour l’intégration de la technologie proches de celles que l’on met en œuvre tous les jours dans les écoles. L’emploi de l’étayage pour soutenir l’acquisition progressive des connaissances et des compétences peut aider les enseignants en formation initiale à mieux comprendre les hypothèses sous‐jacentes et à évaluer la faisabilité des Webquests dans leur enseignement. Pour cet article on a passé en revue les recherches existantes sur les Webquests et l’étayage, on présente des recommandations pour étayer les productions de Webquests conçues par les enseignants en formation initiale et on identifie les problèmes et les défis que pose une mise en œuvre future. Inegration von Webquests in die Lehrerausbildung Im vergangenen Jahrzehnt wurden WebQuests auf breiter Linie von Lehrern eingesetzt, um Technologie in Lehren und Lernen zu integrieren. Vor kurzem haben Lehrerausbilder das WebQuest Modell in der Lehrerausbildung (1. Phase) verwendet, um die Fähigkeiten zu vermitteln, Technologien in ähnlicher Form zu integrieren, wie dies im normalen Schulbetrieb erforderlich ist. Die Methode des “Scaffolding” ("Didaktik des Gerüstbauens"), die eine graduelle Aneignung von Wissen und Fähigkeiten zum Ziel hat, kann Lehrern in der Ausbildung helfen, die Prinzipien besser zu verstehen und die Machbarkeit von WebQuests für ihren Unterricht zu prüfen. Vor dem Hintergrund der aktuellen Forschung im Bereich WebQuests und Scaffolding, bietet dieser Artikel eine Anleitung zum Aufbau von WebQuests für das scaffolding von Lehrern in der Ausbildung und weist auf Themen und Herausforderungen bei zukünftigen Implementationen. La integración de los Webquests en la formación inicial de los profesores Durante la última década, los profesores han hecho un uso extensivo de los Webquests para integrar la tecnología dentro de los procesos de enseñanza y de aprendizaje. Hace poco, los formadores de profesores han aplicado el modelo de Webquest con los profesores en formación inicial para desarrollar capacidades de integración de la tecnología parecidas a las que se usan diariamente en las escuelas. Los apuntalamientos que se usan para sostener la adquisición progresiva de conocimientos y destrezas, pueden ayudar a los futuros profesores a entender mejor las suposiciones subyacentes y a evaluar la factibilidad de Webquests en su enseñanza. Basandose en las investigaciones existentes sobre Webquests y apuntalamientos, este artículo presenta direcciones para sostener los diseños de Webquests por parte de los maestros en formación inicial y identifica los problemas y desafíos para una aplicación futura.