Development Process Research Articles

Designing an innovative learning model for fundamental throwing and catching skills using the teaching games for understanding (tgfu) approach in elementary education

This research focuses on enhancing elementary school students' fundamental throwing and catching skills through an engaging and effective learning model grounded in the Teaching Games for Understanding (TGFU) approach. Traditional physical education methods often fail to engage students, particularly those with underdeveloped motor skills, resulting in lower participation in physical activities. This study aimed to design and validate a TGFU-based learning model specifically for fifth graders, following Borg and Gall's development process, which includes iterative testing and refinement stages. Instruments used to measure throwing and catching skills included performance assessments and observational checklists. The study involved three stages: initial testing with 20 students, main product testing with 100 students, and effectiveness testing with 36 students. Content validation reached 91%, and media expert validation was 85%, with practicality and student engagement questionnaires scoring 92.5% and 95%, respectively, in small-scale trials, and media interest reaching 96% in large-scale trials. Data normality and homogeneity were confirmed through normality (p > 0.05) and homogeneity tests (p > 0.05), indicating that the data were normally distributed and homogeneous. The paired t-test results (sig. 0.000) demonstrated a significant improvement in students' throwing and catching skills, confirming the effectiveness of the developed learning model. These findings validate the TGFU-based approach as a superior method for engaging students and enhancing their motor skills in physical education. Keywords: Physical Activity, The Teaching Games for Understanding, Learning Model, Basic Movements, Throwing, Catching.

24-hour Movement Questionnaire (QMov24h) for adults: development process and measurement properties

BackgroundSleep, sedentary behaviour, and physical activity are essential components within the 24-hour time frame. Existing questionnaires used to measure these behaviours have insufficient measurement properties and are unsuitable for assessing compliance with the WHO Physical Activity and 24-hour Movement Guidelines. To describe the development process of the 24-hour Movement Questionnaire (QMov24h) and its testing. The QMov24h was developed to gather detailed information on sleep, sedentary behaviour, and physical activity.MethodsThe sample comprised 117 participants (58% women), aged 30.95 ± 13.56 years. The development process of the QMov24h followed the COSMIN guidelines: (i) Construction of items; (ii) Face validity with end-users; (iii) Content validity with experts; (iv) Criterion validity against accelerometry and convergent validity against diary assessments; and (v) 7-day test-retest reliability.ResultsThe QMov24h presented adequate content and face validity. The QMov24h showed moderate criterion validity for sleep (rho=0.343;p<0.001), light physical activity (rho=0.31;p=0.002) and total aerobic physical activity (rho=0.343;p<0.001), as well as strong criterion validity for sedentary behaviour (rho=0.428;p<0.001) and aerobic moderate-to-vigorous physical activity (rho=0.534;p<0.001). Reliability varied from poor to excellent (ICC from 0.38 to 0.962;p<0.001) for all questionnaire variables. Regarding compliance of the 24-hour movement guidelines, the questionnaire also showed a strong to almost perfect percentage of agreement with accelerometry (from 69% to 94.3%), and minimal to strong reliability (k from 0.38 to 0.87) between the first and second administrations of the QMov24h.ConclusionsThe QMov24h questionnaire is a valid and reliable tool for assessing levels of movement behaviours and compliance with guidelines in adults. Its measurement properties are comparable to, or even better than, those of existing questionnaires, while posing a similar burden to participants. The QMov24h is useful for research, clinical practice, and public health surveillance. The QMov24h has strong psychometric properties, making it suitable for translation, cultural adaptation, and testing in diverse populations for broader international use.

Multi-platform metabolic profiling of the stages of production of locally made lambanog, a traditional Philippine alcoholic beverage

Traditional alcoholic beverages contain a diverse range of metabolites that determine their taste and aroma profiles, as well as potential health benefits and possible toxicities. Furthermore, the metabolite levels can vary with the growing conditions of the raw materials and the production process, giving distinct profiles to products from different sources. Thus, the profiling of metabolites present in traditional alcoholic beverages is important for quality control, safety, and authentication purposes. In this study, the various metabolites that can be found in lambanog, a traditional Filipino coconut wine, are profiled using a multi-platform approach, together with the raw material and intermediates across the production process. Proton nuclear magnetic resonance (1H NMR) spectroscopy, liquid chromatography–mass spectrometry (LC–MS), and gas chromatography–mass spectrometry (GC–MS), were used to tentatively identify the metabolites present in samples from the different stages of lambanog production. 1H NMR spectroscopy has revealed the presence of ethanol, pyruvate, uracil, and sugars such as glycerol, fructose, mannitol, and glucose. GC–MS studies revealed potential compounds that may influence organoleptic properties in the different stages of lambanog production. Identifying and monitoring the identified metabolite components along the production process can aid future product and process developments, quality control, and authentication of lambanog and other traditional alcoholic beverages.

СИМФОНИЗМ ПРОИЗВЕДЕНИЙ И. Л. СЕЛЬВИНСКОГО: РОМАН-ЭПОПЕЯ «АРКТИКА» И ПОЭТИЧЕСКИЙ ЦИКЛ «АЛИСА»

The article examines the interconnection of musical and verbal arts. Using the novel «Arctic» and the poem cycle «Alice» as examples, an analysis is conducted of the artistic techniques employed by I. L. Selvinsky to create verbal analogs of musical structures. It is established that the thematic depth of the works, detailed depiction of the processes of character formation and development, their spiritual quests, and the resolution of internal conflicts indicate the symphonic nature of the poet’s thinking. The reference to the symphonic works of P.I. Tchaikovsky, the disruption of the composer’s accepted symphony order, enhances the aesthetic direction of the poetic work and reveals profound meaning. The unity of thematic and imagery material, the utilization of similar principles in the development of musical and literary works allow for the poetic cycle «Alice» to be considered as a symphonic suite, with its poetic elements assessed in the parameters of musicology correlated with literary methodology.

Exploring the decision-making process in model development: focus on the Arctic snowpack

Abstract. The Arctic poses many challenges for Earth system and snow physics models, which are commonly unable to simulate crucial Arctic snowpack processes,such as vapour gradients and rain-on-snow-induced ice layers. These limitations raise concerns about the current understanding of Arctic warming and its impact on biodiversity, livelihoods, permafrost, and the global carbon budget. Recognizing that models are shaped by human choices, 18 Arctic researchers were interviewed to delve into the decision-making process behind model construction. Although data availability, issues of scale, internal model consistency, and historical and numerical model legacies were cited as obstacles to developing an Arctic snowpack model, no opinion was unanimous. Divergences were not merely scientific disagreements about the Arctic snowpack but reflected the broader research context. Inadequate and insufficient resources, partly driven by short-term priorities dominating research landscapes, impeded progress. Nevertheless, modellers were found to be both adaptable to shifting strategic research priorities – an adaptability demonstrated by the fact that interdisciplinary collaborations were the key motivation for model development – and anchored in the past. This anchoring and non-epistemic values led to diverging opinions about whether existing models were “good enough” and whether investing time and effort to build a new model was a useful strategy when addressing pressing research challenges. Moving forward, we recommend that both stakeholders and modellers be involved in future snow model intercomparison projects in order to drive developments that address snow model limitations currently impeding progress in various disciplines. We also argue for more transparency about the contextual factors that shape research decisions. Otherwise, the reality of our scientific process will remain hidden, limiting the changes necessary to our research practice.

Consensus-Building Processes for Implementing Perioperative Care Pathways in Common Elective Surgeries: A Systematic Review.

To identify and understand the different approaches to local consensus discussions that have been used to implement perioperative pathways for common elective surgeries. Systematic review. Five databases (MEDLINE, CINAHL, EMBASE, Web of Science and the Cochrane Library) were searched electronically for literature published between 1 January 2000 and 6 April 2023. Two reviewers independently screened studies for inclusion and assessed quality. Data were extracted using a structured extraction tool. A narrative synthesis was undertaken to identify and categorise the core elements of local consensus discussions reported. Data were synthesised into process models for undertaking local consensus discussions. The initial search returned 1159 articles after duplicates were removed. Following title and abstract screening, 135 articles underwent full-text review. A total of 63 articles met the inclusion criteria. Reporting of local consensus discussions varied substantially across the included studies. Four elements were consistently reported, which together define a structured process for undertaking local consensus discussions. Local consensus discussions are a common implementation strategy used to reduce unwarranted clinical variation in surgical care. Several models for undertaking local consensus discussions and their implementation are presented. Advancing our understanding of consensus building processes in perioperative pathway development could be significantly improved by refining reporting standards to include criteria for achieving consensus and assessing implementation fidelity, alongside advocating for a systematic approach to employing consensus discussions in hospitals. These findings contribute to recognised gaps in the literature, including how decisions are commonly made in the design and implementation of perioperative pathways, furthering our understanding of the meaning of consensus processes that can be used by clinicians undertaking improvement initiatives. This review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. No patient or public contribution. CRD42023413817.

A comprehensive review of the application of NLP technology in language learning

The rapid development of Natural Language Processing (NLP) technology has provided new perspectives and tools for the acquisition of second languages. As our world becomes increasingly interconnected, the role of NLP in facilitating language learning has become more prominent. This paper reviews the multifaceted applications of NLP technology in language learning, including auxiliary teaching functions such as reading assistance, writing feedback, oral interaction, and personalized learning. These applications have significantly enhanced language learners' abilities in vocabulary acquisition, grammatical application, pronunciation accuracy, and reading comprehension through real-time feedback, enhanced interactivity, and promotion of cultural understanding. Despite the immense potential of NLP technology in second language learning, challenges such as technical accuracy, cultural adaptability, and data privacy exist. This paper proposes strategies, such as ensuring technical accuracy, curating diverse datasets and safeguarding data privacy to address these challenges. Looking forward, the future development of NLP technology in second language education holds great promise. As NLP continues to evolve, it is expected to contribute to more personalized, effective, and accessible language learning solutions. This paper aims to provide valuable references and insights for educators, technology developers, and policymakers, enabling them to harness the transformative potential of NLP in language education and to navigate the future of educational technology with confidence and foresight.

SUBSTANTIATION OF METHODOLOGICAL RECOMMENDATIONS FOR THE USE OF INFORMATION AND MEASURING SYSTEM BUILT ON THE LATEST HARDWARE DEVELOPMENTS DURING THE TESTING OF AME

The constant process of development of both hardware and software perfection inevitably leads to the improvement (creation) of existing (new) advanced information and measurement systems. At the same time, there is a need to develop methodological recommendations for the use of advanced information gathering and processing systems built on the basis of the latest hardware systems and complexes and software products for conducting heterogeneous tests. At the same time, there is a need to develop methodological recommendations for the use of a promising IMS for collecting and processing information built on the basis of the latest hardware systems and complexes and software products for conducting heterogeneous tests. Modern systems used for testing AME are measuring complexes that include modules for connecting sensors, modules for converting analogue sensor signals into digital form, modules for storing the received information in digital form and modules for communication with external computerised devices. Depending on the tasks of the test or experiment, the IMS can be supplemented (simplified) by the need to use certain measuring complexes and systems to measure parameters and obtain reliable information. The ideas, principles and algorithms that currently constitute the methodology of information processing have already made it possible to make a significant breakthrough in information processing technology. Processing methods and principles of their implementation for each field have their own specific features, which are primarily determined by the specific type of information carrier, encoding methods and ways of presenting the results of information processing. As a result, information processing arrangements for different areas often appear to be outwardly dissimilar. However, this external dissimilarity hides the same methodology and principles of building processing systems, which is crucial. The authors of the article study the capabilities of the latest hardware systems and complexes which should be included in advanced IMS and substantiate new methodological approaches, in accordance with regulatory and legal documents, to the use of such IMS during testing of AME.

The development of social learning: from pedagogical cues to selective learning

Learning new information from others, called social learning, is one of the most fundamental types of learning from infancy. Developmental studies show that infants likely engage in social learning situations selectively and that social learning facilitates infant information processing. In this paper, we summarize how social learning functions support human learning from infancy focusing on two aspects of social learning; pedagogical learning and selective learning. We also provide an overview of the developmental process of social learning based on the findings of developmental research. This review suggests that the learning facilitation effects of pedagogical learning decrease with development, while the facilitation effects of selective learning are observed even in older ages. The differences in these learning facilitation effects are considered to be due to the differences in the utility of learning in uncertain environments. The findings of the studies imply the unique nature of human social learning and the critical role of social interactions in cognitive development. Understanding the development of social learning provides valuable insights into how infants learn and adapt in complex social environments.

Selecting Third-Party Libraries: The Web Developers’ Perspective

Web developers use third-party libraries to enhance the performance and effectiveness of web development process. There may be different libraries to perform each task, and they have a significant impact on a project’s timelines and success; therefore, library selection is crucial. Many factors influence library selection, making it challenging for a web developer to choose the best library to utilize. Researchers have found out the factors that data scientists and software developers consider when selecting a third-party library. This research determines the factors that web developers consider when selecting a library by conducting a survey of web developers using the same 26 factors (used for software developers and data scientists). This work highlights the top-ranked library selection factors based on the ratings by web developers and identifies new factors influencing web developers’ choice of libraries. This research also compares the top-ranked library selection factors highlighted by web developers with the ones identified by software developers and data scientists. It also discusses the factors that these two communities and web developers score differently. This study finds out that web developers rate 14 factors differently from software developers and there are 12 factors that web developers rate differently from data scientists.

Productive CHO cell lines selection in biopharm process development through machine learning on metabolomic dynamics

Productive <scp>CHO</scp> cell lines selection in biopharm process development through machine learning on metabolomic dynamics

A TRANSFORMAÇÃO DA INDÚSTRIA FARMACÊUTICA PELA INTELIGÊNCIA ARTIFICIAL: IMPACTOS NO DESENVOLVIMENTO DE MEDICAMENTOS

The overall objective is to investigate how AI influences everything from the discovery of new compounds to the optimization of research and development processes. The methodology was based on a literature review using Google Scholar, prioritizing publications between 2020 and 2024. The main advances, such as neural networks and deep learning algorithms, which accelerate the identification of bioactive compounds and the conduct of clinical trials were explored. In development, AI has proven to be an essential tool for optimizing processes, reducing costs and increasing the efficiency of clinical trials, standing out for its ability to predict failures and personalize treatments. The conclusion highlights that, despite the advantages of AI, there are ethical and regulatory challenges that need to be addressed to ensure its safe and effective implementation. By overcoming these obstacles, AI will continue to profoundly transform the pharmaceutical industry, promoting more effective and accessible treatments.

The Planning Process of “HOMERESC” Home Service System

This paper presents the planning process of the HOMERESC mobile application, the home service system. In contemporary times, locating companies or individuals providing home repair services has become increasingly challenging. Home repairing services in Malaysia encompass a range of maintenance and renovation tasks to enhance the condition and functionality of residential properties. Some examples include the Taman Seri Berembang flat building, which was formerly in critical condition. A 22-year-old complex of flats with 30 homes was discovered to be damaged and unsafe to live in. Therefore, a mobile application named "HOMERESC" Home Service System was developed to address all the issues and ensure the welfare of users. The name ‘HOMERESC’ was chosen to represent this application's ability to "rescue" all damaged homes. An Agile methodology has been used to build this system, ensuring the project’s goals are met and the development process goes smoothly. The implication of the research suggests that the mobile application offers a secure and viable solution for home repair services. In conclusion, the research demonstrates that the HOMERESC mobile application could enhance the safety and welfare of residential property owners.

Developing a Monitoring and Evaluation (M&amp;E) Plan for Organization's Strategic Objectives Using the Design Thinking Approach

The objective of this study was to develop a theoretical framework tailored for managers of small and medium-sized businesses, as well as project managers. Design thinking is human centered approach that involves stakeholders at different levels of its application in the development of innovations. Originally as an engineering method, it has been applied in diverse fields, including entrepreneurship. This paper presents an extended version of the double diamond framework used in design thinking. The double diamond framework was developed in 2005 as a graphical approach for achieving project design process. The author’s in-depth analysis of the model indicates that it can be applied to formulating business strategic objectives, a use case not previously discussed in the literature. Therefore, this paper aims contribute to the scientific body of knowledge by extending the double diamond model for strategic objective formulation. A normative conceptual methodology was used to develop this framework. The development of a monitoring and evaluation plan for businesses or projects, based on a traditional literature review methodology, illustrates how design thinking can offer a new perspective on these processes, helping to address key challenges. This paper demonstrates how each of the five stages in the design thinking process can be employed during the development of a monitoring and evaluation plan. Although this development process can be tedious and complicated, applying the design thinking approach can simplify and streamline it, ensuring active involvement from all stakeholders through the introduced extended framework. Recommendations for future research include applying the proposed extended framework in empirical studies involving large organizations. For practical implications, managers of small and medium businesses are encouraged to apply this model when developing strategies or incorporate it into project management to enhance the development of a project's monitoring and evaluation plan.

Voting Rights of Indigenous Papuan Women in a Patriarchal Culture: A Study of Gender Equality among Indigenous Papuan Women in Yoboi Village, Sentani District, Jayapura Regency, Papua From the Perspective of Jurgen Habermas

Gender equality has become a significant issue and a focal point at both the national and international levels. The government has implemented various measures as a commitment to minimizing gender disparities. Women, being a vital part of human resources, must optimize their abilities, intelligence, and their role as mothers. Therefore, the issue of gender equality must be intertwined in the development process. Consequently, increasing women’s responsibilities has a positive impact on economic growth in Indonesia. The Gender Empowerment Index (IPG) reveals a substantial gap between provinces in Indonesia, especially in the eastern regions. The cultural system in Papua, which adheres to a patriarchal system, results in the confinement and neglect of women’s voting rights. This research adopts a critical or transformative paradigm processed from the intersection of criticism regarding assumptions made by previous researchers. A critical perspective typically utilizes information gaps for analysis, followed by reconstructing a new narrative without gaps. This allows for the development of a new, feasible concept, enabling researchers to design a new approach. This qualitative study aims to describe and explain the suppression of voting rights experienced by indigenous Papuan women in Yoboi Village, Sentani District, Jayapura Regency, Papua. The results indicate that Papuan women face numerous obstacles in exercising their voting rights in education, economy, culture, and religion. However, there are several ways to address these challenges, such as creating a discussion forum to explore the potential of Papuan women and providing opportunities for them to contribute their opinions. Additionally, the roles of tribal chiefs and customary leaders are crucial in providing space for Papuan women to actively participate in the development of their villages. Keywords: patriarchal culture, indigenous Papuan women

Simulation Model of One-Parameter Selective Assembly of Two Elements With Multivariate Set-Making

Analytical and simulation methods are used to model assembly processes and technological systems in order to determine and optimize their performance and functioning parameters. The first one, describes an object or process using mathematical relationships indirectly. Simulation modelling is one of the modern methods of production system experimental research, allowing to take the presence of various components in the system, nonlinear characteristics, non-determinism and dynamism of ongoing processes into account. This work is devoted to the simulation model development of the technological process of multivariate one-parameter selective assembly of two elements. Multivariate set-making is defined by generalized rules with a set of weights which elements are set the distribution of elements between sets of different types. Selectively assembled elements have parameters determined by the manufacturing stage, which are independent random variables with known probabilistic characteristics. It is assumed that the input-output relationship is linear with given coefficients, the set-making equations linking the numbers of selective groups and assembly sets are known. A simulation model of the assembly process was built in the GPSS World, which, in contrast to the known one, operates with multivariate set-making rules for the case of assembly of two elements. The model allows to determine the quantitative indicators of the assembly process, in particular, the probabilities of assembly set formation, work-in-progress and preliminary rejects. As an example, the process of multivariate set-making of two parts forming a precision engineering product is considered. The data of parts distributions of both types by selective groups before assembly are given, the technological process indicators are calculated. Based on the modelling results the advantages and disadvantages of the multivariate set-making process are outlined.

New Insights into the Mechanisms of Toxicity of Aging Microplastics

Nowadays, synthetic polymer (plastic) particles are ubiquitous in the environment. It is known that for several decades microplastics (MPs) have been accumulating in the World Ocean, becoming available to a large variety of marine organisms. Particularly alarming is the accumulation of aging plastic particles, as the degradation processes of such particles increase their toxicity. The diverse display of negative properties of aging MPs and its effect on biota are still poorly understood. In this study, in vitro experiments modeling the interaction of pristine and UV-irradiated aging polypropylene (PP) fragments with hemocytes and mitochondria of bivalve mollusks Mytilus sp. were performed. The appearance of free radicals in the environment was recorded by spectral characteristics of indicator dyes—methylene blue (MB) and nitroblue tetrazolium (NBT). It was found that due to photooxidation, aging PP fragments sorbed more than threefold MB on their modified surface compared to pristine samples of this polymer. Using NBT, the formation of reactive oxygen species in seawater in the presence of pristine and photoactivated PP was recorded. It was also found that photodegraded PP fragments largely stimulated the development of lipid peroxidation processes in mitochondrial membranes and reduced the stability of hemocyte lysosome membranes compared to pristine PP fragments. In general, the results obtained concretize and supplement with experimental data the previously stated hypothesis of toxicity of aging MPs.

Литогеодинамическая эволюция внешней окраины североуральского палеошельфа Печорской плиты в позднем ордовике (бассейн р. Илыч, Северный Урал)

Upper Ordovician carbonate deposits in the Northern Urals are the most common in the Ilych River basin. At the same time, the sections drilled here, which are the objects of this study, have a fragmentary character and tectonic boundaries, which led to significantly different ideas about the age of some strata and, as a result, to the ambiguity of their sedimentation conditions. The lithological-facies, paleoecological and paleontological studies revealed that the section of the Upper Ordovician carbonate deposits in the Northern Urals was represented by two formations, the Bolshaya Kosya reef and four thickness covering three tiers of the International Stratigraphic Scale of the Upper Ordovician — Sandbian, Katian and Hirnantian. The analysis of the spatiotemporal relationships of 36 lithotypes isolated in these sediments showed that they were grouped into 10 paragenetic associations of rocks reflecting the change of sedimentation conditions from a deep-water ramp with the accumulation of terrigenous calcareous silts (Sandbian) to a carbonate shelf with a clearly defined brow and the formation of a reef shoal on it (Middle Katian) and further to a shallow ramp with the widespread development of erosion processes and the formation of sandbanks (Late Katian-Hirnantian).

Evaluation of the level of tumor necrosis factor-alpha and lactate dehydrogenase in acute lymphoblastic leukemia patients

Abstract: BACKGROUND: Acute lymphoblastic leukemia (ALL) is an abnormal clonal proliferation of early hemopoietic precursor cells in bone marrow (BM). There are certain cytokines like tumor necrosis factor alpha ( TNF-α) which plays a crucial role in the development and progression of malignant process, and other enzymes like lactate dehydrogenase (LDH) which has prognostic value. OBJECTIVE: The aims of this study were to evaluate the level of serum TNF-α and LDH in ALL patients at diagnosis and post-induction chemotherapy. PATIENTS, MATERIALS, AND METHODS: This was an observational–analytical study, which was done in Ibn-Sina Teaching Hospital in the period between May 2023 and November 2023. It included 22 newly diagnosed patients with ALL. All patients underwent complete blood count, bone marrow examination, flowcytometry, serum TNF-α and LDH at diagnosis and post induction chemotherapy. RESULTS: In 22 patients with ALL, at diagnosis, the means of serum TNF-α (97.89 ± 52.945 ng/l), serum lactate dehydrogenase(1138.94 ± 430.10 IU/l), and percentage of blasts cells in BM (0.742 ± 0.181) in B-ALL. The means of serum TNF-α (165.33 ± 23.437 ng/l), serum lactate dehydrogenase (1633.33 ± 497.426 iu/l), and percentage of blasts cells in BM (0.816 ± 0.125) in T-ALL were statistically higher than those among the controls (s.TNF-a (18.09 ± 6.795 ng/l), s.LDH (142.59 ± 61.626 IU/l), and percentage of blasts cells in BM 0.0 ± 0.0) with P = 0.000 for all parameters mentioned, respectively. After induction phase chemotherapy in B-cell ALL , there were a significant reduction noted for serum TNF-α (29.26 ± 18.648 ng/l) and LDH levels (245.47 ± 154.592 IU/l) and a significant decrease in the percentage of blasts cells (0.07 ± 0.060).also in T-cell ALL there were a significant reduction noted for serum TNF-a (26.00 ± 11.135 ng/l) serum LDH (347.66 ± 160.300 IU/l) and percentage of blasts cells in bone marrow (0.06 ± 0.046). All of the postchemotherapy acute leukemia cases with lower TNF-α levels had complete remission (100%). CONCLUSIONS: There were significant increases in serum TNF-α and LDH in ALL patients at diagnosis; while after induction, there was a significant reduction in their levels. Complete remission from the disease was associated with lower levels of serum TNF-α in newly diagnosed patients.

Development and validation of an instrument to evaluate the perspective of using the electronic health record in a hospital setting

BackgroundEvaluating healthcare information systems, such as the Electronic Health Records (EHR), is both challenging and essential, especially in resource-limited countries. This study aims to psychometrically develop and validate an instrument (questionnaire) to assess the factors influencing the successful adoption of the EHR system by healthcare professionals in Moroccan university hospitals.MethodsThe questionnaire validation process occurred in two main stages. Initially, data collected from a pilot sample of 164 participants underwent analysis using exploratory factor analysis (EFA) to evaluate the validity and reliability of the retained factor structure. Subsequently, the validity of the overall measurement model was confirmed using confirmatory factor analysis (CFA) in a sample of 368 healthcare professionals.ResultsThe structure of the modified HOT-fit model, comprising seven constructs (System Quality, Information Quality, Information technology Service Quality, User Satisfaction, Organization, Environment, and Clinical Performance), was confirmed through confirmatory factor analysis. Absolute, incremental, and parsimonious fit indices all indicated an appropriate level of acceptability, affirming the robustness of the measurement model. Additionally, the instrument demonstrated adequate reliability and convergent validity, with composite reliability values ranging from 0.75 to 0.89 and average variance extracted (AVE) values ranging from 0.51 to 0.63. Furthermore, the square roots of AVE values exceeded the correlations between different pairs of constructs, and the heterotrait-monotrait ratio of correlations (HTMT) was below 0.85, confirming suitable discriminant validity.ConclusionsThe resulting instrument, due to its rigorous development and validation process, can serve as a reliable and valid tool for assessing the success of information technologies in similar contexts.