Internet-capable Devices Research Articles

Engaging wheelchair and scooter users in the co-design of an mHealth application for fall prevention and management: thematic analysis of focus group research

This study aimed to explore the potential of a mobile health (mHealth) application (app) to support the delivery of a fall prevention and management program, Individualized Reduction of FaLLs (iROLL), for people with spinal cord injury (SCI) and multiple sclerosis (MS) who use wheelchairs and scooters (WC/S) full-time by seeking end-users’ input into the functioning and ongoing design of the iROLL-O + mobile app. Two focus group discussions included nine adults with SCI or MS who used a WC/S for at least 75% of mobility, who experienced at least one fall in the past three years and have internet and access to an internet-capable device. One group had prior iROLL experience (n = 4); while the other had none (n = 5). The focus groups examined the app’s usefulness, accessibility, appearance, and ease of use. The participants with prior iROLL experience also discussed how the app would enhance their experience with the program. Thematic analysis revealed five app-related themes: perceived usefulness, perceived usability, accessibility, appearance, and enhancement of the iROLL experience, with participants providing actionable suggestions for improvement. Participants with previous exposure to the iROLL program emphasized the app’s potential to facilitate flexible access to the program and expand its reach to a wider audience. The iROLL-O + app was perceived positively, especially with respect to the enhancement of users’ access and experience with the program. Focus group findings will inform ongoing app development for optimized usability and reduced likelihood of technology abandonment. IMPLICATIONS FOR REHABILITATION End-users’ impressions of the Individual Reduction of faLLs Online application (iROLL-O + app) highlight the potential for integrating mHealth apps in fall prevention and management education efforts, offering a promising and accessible avenue to support the delivery of tailored programs. The study notes that the app facilitates flexible access and wider reach to the program, indicating the importance of incorporating features that enhance accessibility and accommodate the diverse needs of individuals who use wheelchairs and scooters. Actionable suggestions provided by participants underscore the importance of a user-centered design approach in developing rehabilitation-related mobile apps.

Identifying and Ranking Critical Success Factors for Cloud Computing Deployment at Mazandaran University of Medical Sciences

Background: Cloud computing offers benefits such as faster innovation, scalability, and the ability to access data from any internet-capable device. Objectives: To explore and identify the critical success factors for cloud computing deployment and ranking at Mazandaran University of Medical Sciences in 2023. Methods: This study employed a mixed approach (qualitative and quantitative) with an exploratory design. The qualitative part utilized the three-step Delphi method, while the quantitative part employed the descriptive method (survey type). A sample of 276 individuals was selected using the stratified random sampling method. Questionnaires were distributed to participants through various methods. Data analysis involved descriptive statistics, exploratory factor analysis, confirmatory factor analysis, and structural equation modeling. Results: The dimension with the highest average value was the service level agreement, with a value of 3.25. In second place was choosing a service vendor, with an average of 3.08, followed by optimization with an average of 2.73, and choosing a model with an average rating of 2. Conclusions: The implementation of cloud computing at Mazandaran University of Medical Sciences could lead to improved quality and efficiency in medical, research, and educational services

An interventional study of the impact of digital patient monitoring (DPM) on health outcomes, healthcare resource utilization, and feasibility of a combination with at-home treatment (tx) for delivery of systemic anticancer tx in clinical practice.

TPS1617 Background: Disease- and tx-related symptoms negatively affect quality of life and may become life-threatening. There is a need for improved understanding, prevention, reduction and mitigation of symptoms, and tools to facilitate remote tracking of pt-reported outcomes (PROs) and support self-management of symptoms. As anticancer txs are increasingly given outside of the clinical settings, DPM tools are becoming more important to support remote symptom management. DPM can improve clinical care and pt outcomes; however, broad adoption requires proven usability and demonstration of real-world clinical utility/impact. ORIGAMA (NCT05694013) is an interventional, open-label, multi-country platform study investigating the clinical utility of DPM tools with specific txs. ORIGAMA will assess atezolizumab (atezo)-specific Roche DPM Modules (F. Hoffmann-La Roche Ltd, Basel, Switzerland; hosted on Kaiku Health DPM platform [Helsinki, Finland]) in two cohorts, to study the impact of DPM on clinical outcomes and healthcare resource utilization, and its feasibility to support at-home tx administration. Methods: Adult pts with ECOG PS of 0–2, an email address, and access to an internet-capable device and internet connection are eligible. In Cohort A, systemic tx-naive pts with metastatic non-small cell lung cancer (NSCLC), extensive-stage SCLC, or Child–Pugh A unresectable hepatocellular carcinoma, with a life expectancy of ≥ 12 weeks (wks) will be randomized 1:1 to a locally approved anticancer regimen of intravenous atezo and local standard-of-care (SoC) support with/without access to the Roche DPM Module. Pts will receive tx until progressive disease or per local SoC. Cohort B will assess the Roche DPM Module in pts receiving 3 cycles of subcutaneous atezo in a hospital setting, followed by 13 cycles of at-home administration by a healthcare professional. Eligible pts have programmed-death ligand 1-positive (expression on ≥ 1% of tumor cells), NSCLC (Stages IIB, IIIA, IIIB [T3–N2]), have completed adjuvant chemotherapy 4–12 wks prior to randomization, and must have a complete resection. Future cohorts may be added to investigate digital health solutions in other tx settings. The primary endpoints are the mean difference in change of the pt-reported Total Symptom Interference Score at Wk 12 from baseline (Cohort A), and flexible care adoption rate at Cycle 6 (Cohort B). The primary analysis for Cohort A will occur when all randomized pts have been followed for ≥ 12 wks and for Cohort B when all pts have completed 16 cycles of tx. Other endpoints include safety and PROs. An exploratory analysis of overall survival will be performed. ~400 pts in Cohort A and 40 pts in Cohort B will be enrolled. Recruitment has started; the first pt to be enrolled in February 2023. Clinical trial information: NCT05694013 .

THIS IS THE WAY!: ANALYSIS OF ARTICLES FOCUSED ON THE INTERNET OF THINGS WITH THE AIM OF EXPLAINING THE ISSUE TO EXISTING AND FUTURE RESEARCHERS

The purpose of this paper is to provide an overview of the Internet of Things issue from the perspective of scientists who specialize in this area. It is crucial to conduct new research on the Internet of Things because it raises awareness and improves the connectivity of other discoveries. The purpose of this study is to estimate, based on bibliometric analysis, the most frequently used keywords associated with the term IoT in its gradual development since its inception. The purpose of this analysis is to aid new scientists in integrating IoT more quickly. Changes in keywords associated with the term IoT over distinct time periods will be included among the anticipated outcomes. This is due to the fact that as more Internet-capable devices become available, the IoT's applications are expanding.

IS ONLINE ACCESS AND ACTIVITY ASSOCIATED WITH BETTER MOOD IN OLDER ADULTS LIVING ALONE DURING THE COVID-19 PANDEMIC?

Abstract Older adults living alone during the COVID-19 pandemic face risks for social isolation and mental health problems. The goal of this study was to investigate the relationship between access to internet-capable devices or utilizing email/ texting, social networking [SN], or health-related internet use [HIU] and psychological outcomes (depressive and anxiety symptoms) among older adults living in the community during the early months of the pandemic, March, 2020-May, 2020. A cross-sectional analysis of the National Health and Aging Trends Study (NHATS, Round 10) was conducted, using multivariable logistic regression. Adults aged ≥85y were more likely to live alone than those aged 65-84y (34.3% and 24.9% respectively, p< 0.001). Additionally, 39.6% of women lived alone compared with 21.2% of men (p< 0.001). Fewer people living alone had access to an internet-enabled device than those living with others (10.4% and 5.4%, respectively). Among older adults living alone, utilizing SN and HIU was associated with lower likelihood of depression or anxiety (Depression: adj.OR 0.36, CI 0.17-0.77; Anxiety: adj.OR 0.31 CI 0.13-0.76). Alternatively, among those living with others, using email/ texting was associated with lower likelihood of depression and anxiety (Depression: adj.OR 0.23, CI 0.13-0.46, Anxiety: 0.33 CI, 0.17-0.67). In summary, internet activity was associated with reduced risk for depression and anxiety among older adults who lived alone or with others early in the pandemic. Further research is needed to better understand the potentially mitigating role of internet activities among older adults at risk for isolation and associated mood disturbances.

Use of Information and Communication Technology among Patients with Chronic Obstructive Pulmonary Disease Who Smoke: A Mixed Methods Study.

Rationale: Although overall use is on the rise, certain patient populations have persistently low technology use. Objectives: To inform the creation of a proactive tobacco treatment program, we assessed access to, use of, and barriers surrounding information and communication technology (ICT) among patients with chronic obstructive pulmonary disease (COPD) who currently smoke, examining associations between key predictors and electronic health (e-health) literacy. Methods: Single-center mixed-methods study of veterans with COPD who smoke. Eligible participants who smoked were identified by the e-health record and mailed a survey. E-health literacy was assessed by the eHEALS (Electronic Health Literacy Scale; 8-40). Low technology use was defined as no Internet-capable device and use of ICT less than monthly. Qualitative participants were purposively selected from survey respondents and interviewed using a semistructured guide. Interviews were transcribed and analyzed using directed content analysis. We used a Bayesian three-component joint model to identify predictors of low technology use and low eHEALS. Results: Participants (N = 204) were older (mean age, 65.8), primarily White (76.4%), men (87.1%), and with low income (44.9% income under $20,000). Low technology use was reported by 25.5%, and many reported low use of specific types of ICT. For example, only 36.3% had reliable in-home Internet, fewer than half (46.6%) accessed e-mail at least weekly, 58.3% texted at least weekly, and few used the secure patient portal (13.2% accessed it monthly). The mean eHEALS was 24.6 (±8.7), indicating low to moderate e-health literacy. In the Bayesian analysis, low technology use was associated with lower eHEALS (estimate: -8.5 [95% confidence interval, -12.13 to -4.81]). Attainment of at least a college graduate-level education was associated with higher eHEALS (3.83 [0.43-7.24]). Participants reported barriers to use of ICT, including struggles navigating account security, frequently lost login information, mistrust of providing personal information to the Internet, and lack of familiarity with processes. Many perceived ICT as not useful or necessary. Conclusions: Many patients with COPD who smoke report barriers to engagement with health promotion programs offered electronically, which may perpetuate health disparities. Health promotion programs must account for the low use of ICT and e-health literacy to ensure equitable access across the population.

Parents’ View on Online Education during Covid-19 Pandemic in Nepal: Narrative Analysis

Nearly 77 million children, has taken away their classrooms for the past 18 months in the pandemic. School children worldwide have lost 1.8 trillion hours and counting of in-person learning due to COVID-19 lockdowns. At least 1 in 3 school children had no access to remote learning during school closures. Narrative review of Analysis was prepared by using secondary data of the all international and national published journal, report and articles. The narrative review analysis was done only on; a) English language b) involved sample of at least 10 subjects and diverse research design were eligible. Main finding of analysis is to parents as key partners of the efficiency of remote learning during COVID-19. Parent’s participation has played an equalizing role explanatory some of the limitations of remote learning. Difficulties in completing distance learning tasks at home, with major difficulties being children’s lack of learning interests and home environment related limitations. Many parents perceived that the pandemic as an opportunity for family relations, and more research possibilities related to the personal interests of their child as well as focused on the development of their child’s technological skills. Parents found themselves in the place of teachers’ shoes with the arrival of COVID-19 due to shutting down of school. Parents and caregivers face significant gaps in the knowledge and resources needed to help their children with school. They faced challenges of limited access to reliable electricity, affordable internet, and internet-capable devices were major barriers in helping their children continue education remotely.

Telemedicine Preparedness Among Older Adults With Chronic Illness: Survey of Primary Care Patients.

BackgroundOlder adults are a high priority for telemedicine given their elevated COVID-19 risk and need for frequent provider contact to manage chronic illnesses. It seems that many older adults now use smartphones but few studies have examined their overall readiness for telemedicine.ObjectiveThe aim of this study is to survey older primary care patients about their telemedicine preparedness, including internet usage, internet-capable devices, telemedicine experiences and concerns, and perceived barriers. Results were used to inform a telemedicine preparedness training program.MethodsCommunity-dwelling older adult patients (aged 65-81 years; N=30) with a chronic health condition that could be managed remotely who were present at a family medicine clinic that primarily serves an urban African American population for a prescheduled in-person appointment were asked to complete a brief survey written for this study. Data were collected February-June 2021 at a large, urban, Midwestern hospital. To minimize patient burden, the survey was limited to 10 questions, focused on the most critical topics.ResultsMost participants (21/30, 70%) reported having a device that could be used for telemedicine and using the internet. However, about half had only a single connected device, and messaging and video calling were the most commonly used applications. Few used email and none used online shopping or banking. Only 7 patients had had telemedicine appointments. Telemedicine users were younger than nonusers and used more internet functions than nonusers. Only 2 people reported problems with their telemedicine visits (technology and privacy). Nearly all respondents recognized avoiding travel and COVID-19 exposure as telemedicine benefits. The most common concerns were loss of the doctor-patient connection and inability to be examined.ConclusionsMost older adults reported having devices that could be used for telemedicine, but their internet use patterns did not confirm the adequacy of their devices or skills for telemedicine. Doctor-patient conversations could be helpful in addressing telemedicine concerns but device and skill gaps must be addressed as well.

Undergraduate medical students’ readiness for online learning at a South African university: Implications for decentralised training


 Background. Decentralised teaching has the potential to transform medical education but requires greater use of online learning to address some of the challenges of decentralised teaching in low- and middle-income countries. Given the digital divide that exists in South Africa (SA), it is necessary to establish the extent of student readiness for the broader implementation of online learning. 
 Objectives. To determine medical students’ device ownership, usage and attitudes towards online learning at the University of the Witwatersrand, Johannesburg. 
 Methods. A cross-sectional survey of first-, third- and sixth-year students was conducted in 2017. The questionnaire included open- and closed-ended questions. Quantitative data were analysed using frequency and custom tables and Kruskal-Wallis one-way analysis of variance (ANOVA) tests. Open-ended responses were analysed using content analysis. 
 Results. The survey response rate was 48.5% (448/924). No significant differences in device usage and attitudes towards online learning were observed across the 3 years of study. Most respondents (99%) owned internet-capable devices, and >90% wanted some degree of online learning. The perceived barriers included poor internet connectivity on university campuses and the high cost of data in SA. 
 Conclusion. The majority of respondents owned internet-capable devices and requested more online learning, but the socioeconomic disparities in the country raise concerns about students’ readiness. Wider online learning requires policy decisions to ensure not only access to devices and data but also the implementation of online learning in ways that avoid further disadvantaging already disadvantaged students. Institutional barriers must be addressed before an expanded online learning environment can be considered.

A Virtual Skin-Model-Building Activity Educates Campers With Chronic Skin Disorders and Their Families

A Virtual Skin-Model-Building Activity Educates Campers With Chronic Skin Disorders and Their Families

The Stream Exchange Protocol: A Secure and Lightweight Tool for Decentralized Connection Establishment.

With the growing availability and prevalence of internet-capable devices, the complexity of networks and associated connection management increases. Depending on the use case, different approaches in handling connectivity have emerged over the years, tackling diverse challenges in each distinct area. Exposing centralized web-services facilitates reachability; distributing information in a peer-to-peer fashion offers availability; and segregating virtual private sub-networks promotes confidentiality. A common challenge herein lies in connection establishment, particularly in discovering, and securely connecting to peers. However, unifying different aspects, including the usability, scalability, and security of this process in a single framework, remains a challenge. In this paper, we present the Stream Exchange Protocol (SEP) collection, which provides a set of building blocks for secure, lightweight, and decentralized connection establishment. These building blocks use unique identities that enable both the identification and authentication of single communication partners. By utilizing federated directories as decentralized databases, peers are able to reliably share authentic data, such as current network locations and available endpoints. Overall, this collection of building blocks is universally applicable, easy to use, and protected by state-of-the-art security mechanisms by design. We demonstrate the capabilities and versatility of the SEP collection by providing three tools that utilize our building blocks: a decentralized file sharing application, a point-to-point network tunnel using the SEP trust model, and an application that utilizes our decentralized discovery mechanism for authentic and asynchronous data distribution.

Mistrust, Neighborhood Deprivation, and Telehealth Use in African Americans with Diabetes.

This study explored the relationship between trust in physicians and telehealth use during the COVID pandemic in 162 African Americans with diabetes. More than 90% of patients had internet-capable devices and internet service but only 61 patients (39%) had a telehealth visit. Compared to the latter, participants with no telehealth visits had less trust in physicians' ability to diagnose COVID, less trust in physicians' ability to treat via telehealth, and resided in more deprived neighborhoods. There were no differences in age, sex, education, nor literacy. For African Americans with diabetes, health disparities may increase unless fundamental issues such as trust are addressed.

Exploring community members' perceptions to adopt a Tele-COPD program in rural counties

BackgroundPatients diagnosed with COPD residing in rural areas report a lower quality of life. Telehealth addresses geographic barriers by offering routine, technology-based visits, and remote patient monitoring. ObjectiveThe study objective was to explore adoption perceptions of a tele-COPD program among community members in rural Western North Carolina (WNC) counties. MethodsA convenience sample of 17 community members were recruited to participate in one of five 45-min focus groups. Before the focus group, all participants completed a brief demographic survey. Focus groups were digitally recorded, transcribed verbatim, imported into MAXQDA v10, and analyzed thematically using established qualitative coding procedures. SPSS v22 was used to calculate descriptive statistics. ResultsParticipants were primarily Non-Hispanic White (100%), male (59%), insured (100%), and had at least a high school education (80%). Only 25% of participants had any prior knowledge of telehealth programs. The majority (94%) of participants expressed interest in receiving a tele-COPD program due to convenience factors. Yet, most participants expressed a lack of interest and comfort in using Internet-capable devices (e.g., mobile devices, tablets, computers). Participants noted that to be successful, telehealth visits must be described and shown to them by their own provider or other trusted individual(s), such as a pharmacist. Privacy and cost were also expressed as telehealth concerns. ConclusionInterest in a tele-COPD program was high among community residents in rural WNC. However, to increase patient willingness to adopt a tele-COPD program, patients' providers must overcome challenges, such as patients' awareness and knowledge of telehealth, privacy and cost concerns, and access to and comfort with using new technologies. Pharmacists may mitigate these challenges by increasing patients' trust and comfort with telehealth programs.

WeCareAdvisor, an Online Platform to Help Family Caregivers Manage Dementia-Related Behavioral Symptoms: an Efficacy Trial in the Time of COVID-19

Dementia-related behavioral and psychology symptoms (BPSD) are undertreated and have negative consequences. However, families do not have access to disease information, tailored problem-solving and effective management strategies, and with COVID-19, are more socially isolated and distressed. To address this dementia care gap, we describe a Phase III efficacy trial testing an online platform, WeCareAdvisor, and design modifications necessitated by COVID-19. WeCareAdvisor provides caregivers with disease information, daily tips, and a systematic approach for describing behaviors, investigating underlying causes, creating tailored strategies, and evaluating their effectiveness (DICE). The trial will enroll 326 caregivers nationwide, randomly assign them to immediately receive WeCareAdvisor (treatment), or a 3-month waitlist (control) and evaluate short (1- and 3-month) and long-term (6-month) outcomes for caregiver distress with and confidence managing BPSD, and BPSD occurrences. We will also evaluate utilization patterns with different prompting conditions: high-intensity (telephone and email reminders), low-intensity (email reminders), or no reminders to use WeCareAdvisor. COVID-19 necessitated design modifications resulting in greater inclusivity of caregivers from diverse races, ethnicities, and geographic areas. Key modifications include shifting from in-home, in-person interviewing to telephone; adjusting tool functionality from operating on a grant-funded iPad to caregivers’ personal internet-capable devices; and expanding recruitment from one metropolitan area to nationwide. Study modifications necessitated by COVID-19 facilitate national outreach, easier tool adoption, and enable more diverse caregivers to participate. This study addresses a critical dementia care need, and design modifications may shorten timeline from efficacy testing to commercialization.

Implementation of a visual raise hand function in PowerPoint®.

Objective: Replacing face-to-face lessons by remote teaching due to COVID-19 led to a markedly reduced interaction between students and lecturers. In our opinion, one of the main reasons for this is the raise hand function of the respective web conference systems, which (independent of the system used) results in an unobtrusive signal that can easily be missed by the lecturer. Given the necessary focus on one's own presentation, questions can therefore only be perceived with a considerable time delay and can only be integrated into the lessons to a limited extent.Thus, the idea arose to display question requests of the auditorium by a clear visual signal in PowerPoint® itself. Methodology: With Visual Basic for Applications (VBA), Microsoft PowerPoint® holds an integrated programming language that extends its functionality. Accordingly, VBA was used to program a routine running in the background of the presentation, which periodically retrieves the contents of a web-based “signal file” in a cycle of a few seconds. The content of this signal file, in turn, can be modified by the students by calling up an URL (i.e. from any Internet-capable device) - this results in a (customizable) visual signal in PowerPoint® that is temporarily visible and does not further interfere with the presentation.Conclusion: With the concept presented here, a raise hand function was realized in PowerPoint®, which manifests itself as a clear visual signal independent of the web conferencing system used. This enables the lecturers to respond instantly to questions from the audience during live transmission of lectures.

The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis.

Mobile health is the health care use of mobile devices, such as smartphones. Mobile health readiness is a prerequisite to successful implementation of mobile health programs. The aim of this study was to examine the status and correlates of mobile health readiness among individuals on dialysis. A cross-sectional 30-item questionnaire guided by the Khatun mobile health readiness conceptual model was distributed to individuals on dialysis from 21 in-center hemodialysis facilities and 14 home dialysis centers. The survey assessed the availability of devices and the internet, proficiency, and interest in using mobile health. In total, 949 patients (632 hemodialysis and 317 home dialysis) completed the survey. Of those, 81% owned smartphones or other internet-capable devices, and 72% reported using the internet. The majority (70%) reported intermediate or advanced mobile health proficiency. The main reasons for using mobile health were appointments (56%), communication with health care personnel (56%), and laboratory results (55%). The main reported concerns with mobile health were privacy and security (18%). Mobile health proficiency was lower in older patients: compared with the 45- to 60-years group, respondents in age groups <45, 61-70, and >70 years had adjusted odds ratios of 5.04 (95% confidence interval, 2.23 to 11.38), 0.39 (95% confidence interval, 0.24 to 0.62), and 0.22 (95% confidence interval, 0.14 to 0.35), respectively. Proficiency was lower in participants with Hispanic/Latinx ethnicity (adjusted odds ratio, 0.49; 95% confidence interval, 0.31 to 0.75) and with less than college education (adjusted odds ratio for "below high school," 0.09; 95% confidence interval, 0.05 to 0.16 and adjusted odds ratio for "high school only," 0.26; 95% confidence interval, 0.18 to 0.39). Employment was associated with higher proficiency (adjusted odds ratio, 2.26; 95% confidence interval, 1.18 to 4.32). Although home dialysis was associated with higher proficiency in the unadjusted analyses, we did not observe this association after adjustment for other factors. The majority of patients on dialysis surveyed were ready for, and proficient in, mobile health. CLINICAL TRIAL REGISTRY NAME AND REGISTRATION NUMBER DIALYSIS MHEALTH SURVEY,: NCT04177277.

Telemedicine and the Forgotten America

Telemedicine and the Forgotten America

Are mobile and fixed broadband substitutes or complements? New empirical evidence from Italy and implications for the digital divide policies

The literature on broadband policies has been focusing on the possible role of mobile broadband as a means for addressing geographical digital divide in areas with no or inadequate fixed broadband infrastructure coverage. Broadband plans designed by most of the industrialized countries take the substitutability between fixed and mobile technologies for granted, with restrictions essentially relating only to bandwidth performance. We explore the determinants of individuals' private access (away from work) to the Internet with the smartphone through a mobile broadband connection, focusing on the role played by Internet uses and taking into account the availability of a fixed broadband connection at home. The results of our econometric exercise, carried out on microdata referred to Italian individuals, provide original and interesting evidence: a complementarity effect between mobile and fixed broadband is found for browsing, video streaming, gaming and cloud services; a substitution effect emerges for social networking and music streaming. Such increasing complexity of individuals’ broadband usage patterns should be acknowledged in the way broadband coverage is mapped and policies designed, adopting a more ecosystem-oriented approach which integrates supply- and demand-side features. A first step in this direction is the inclusion of some, so far neglected, key-attributes of the demand (data traffic allowance, latency, ease of interconnection with Internet capable devices) among the relevant dimensions of policy design.

The Effects of Health Disparities on Perceptions About Lung Cancer Screening (LCS): Survey Results of a Patient Sample.

Lung cancer screening (LCS) is currently advocated in a subset of current or former smokers with a thirty pack-year smoking history or higher. Studies report that few patients meeting the criteria for screening are undergoing LCS. We conducted a survey to assess if barriers to LCS (race, ethnicity, and socioeconomic status) affect the perceptions about LCS that could influence screening uptake. We did not detect different perceptions based on race, ethnicity, or socioeconomic status; however, our survey found that fewer barriers and more benefits to LCS may be perceived in patients who undergo other types of health screening and more benefits for those with internet capable devices.

Better evidence: prospective cohort study assessing the utility of an evidence-based clinical resource at the University of Rwanda

ObjectiveEvidence-based clinical resources (EBCRs) have the potential to improve diagnostic and therapeutic accuracy. The majority of US teaching medical institutions have incorporated them into clinical training. Many EBCRs are subscription...