User Survey Research Articles

Infodemics and Vaccine Confidence: Protocol for Social Listening and Insight Generation to Inform Action.

In the fall of 2020, the COVID-19 infodemic began to affect public confidence in and demand for COVID-19 vaccines in the United States. While polls indicated what consumers felt regarding COVID-19 vaccines, they did not provide an understanding of why they felt that way or the social and informational influences that factored into vaccine confidence and uptake. It was essential for us to better understand how information ecosystems were affecting the confidence in and demand for COVID-19 vaccines in the United States. The US Centers for Disease Control and Prevention (CDC) established an Insights Unit within the COVID-19 Response's Vaccine Task Force in January 2021 to assist the agency in acting more swiftly to address the questions, concerns, perceptions, and misinformation that appeared to be affecting uptake of COVID-19 vaccines. We established a novel methodology to rapidly detect and report on trends in vaccine confidence and demand to guide communication efforts and improve programmatic quality in near real time. We identified and assessed data sources for inclusion through an informal landscape analysis using a snowball method. Selected data sources provided an expansive look at the information ecosystem of the United States regarding COVID-19 vaccines. The CDC's Vaccinate with Confidence framework and the World Health Organization's behavioral and social drivers for vaccine decision-making framework were selected as guiding principles for interpreting generated insights and their impact. We used qualitative thematic analysis methods and a consensus-building approach to identify prevailing and emerging themes, assess their potential threat to vaccine confidence, and propose actions to increase confidence and demand. As of August 2022, we have produced and distributed 34 reports to >950 recipients within the CDC and externally. State and local health departments, nonprofit organizations, professional associations, and congressional committees have referenced and used the reports for learning about COVID-19 vaccine confidence and demand, developing communication strategies, and demonstrating how the CDC monitored and responded to misinformation. A survey of the reports' end users found that nearly 75% (40/53) of respondents found them "very" or "extremely" relevant and 52% (32/61) used the reports to inform communication strategies. In addition, our methodology underwent continuous process improvement to increase the rigor of the research process, the validity of the findings, and the usability of the reports. This methodology can serve as a diagnostic technique for rapidly identifying opportunities for public health interventions and prevention. As the methodology itself is adaptable, it could be leveraged and scaled for use in a variety of public health settings. Furthermore, it could be considered beyond acute public health crises to support adherence to guidance and recommendations and could be considered within routine monitoring and surveillance systems.

The effectiveness of custom hard-shell 3D-printed foot orthoses in a cohort of patients who did not respond to treatment with custom ethylene-vinyl-acetate (EVA) foot orthoses

BackgroundPatients who do not achieve positive outcomes with custom ethylene-vinyl-acetate (EVA) foot orthoses will often be escalated to other services for treatment, which may include surgery. ObjectiveThis study aimed to explore the effectiveness of custom hard-shell 3D-printed foot orthoses for patients who did not respond to treatment with custom EVA foot orthoses and were being considered for treatment escalation. DesignAn eight-week clinical evaluation and a two-year review of relevant medical records. MethodThirty-six consecutive patients with a range of musculoskeletal lower limb pathology who remained symptomatic after 12-weeks use of custom EVA foot orthoses were fitted with custom hard-shell 3D-printed foot orthoses. The Foot Health Status Questionnaire was used to assess patients at baseline and eight-week follow-up in conjunction with the Client Satisfaction with Device module of the Orthotics and Prosthetics User Survey. Patients were categorised as responders or non-responders based on their change in pain scores. A review of relevant medical records two years after receiving their orthoses determined if patients required further treatment for their initial condition. ResultsAcross the full cohort there were significant improvements in pain, function and foot health. At follow-up, responders reported significantly improved pain, function and foot health compared with non-responders. Twenty-six patients (12 responders, 14 non-responders) required no further treatment for their original condition after two years. ConclusionsCustom hard-shell 3D-printed foot orthoses have the potential to improve pain, function, foot health, and provide satisfaction in patients with lower limb musculoskeletal conditions which do not improve with custom EVA foot orthoses.

Evaluating User Experiences and Preferred Features of a Web-Based 24-Hour Dietary Assessment Tool: Usability Study.

Intake24, a web-based 24-hour dietary recall tool developed in the United Kingdom, was adapted for use in New Zealand (Intake24-NZ) through the addition of a New Zealand food list, portion size images, and food composition database. Owing to the customizations made, a thorough evaluation of the tool's usability was required. Detailed qualitative usability studies are well suited to investigate any challenges encountered while completing a web-based 24-hour recall and provide meaningful data to inform enhancements to the tool. This study aims to evaluate the usability of Intake24-NZ and identify improvements to enhance both the user experience and the quality of dietary intake data collected. We used a mixed methods approach comprising two components: (1) completion of a single 24-hour dietary recall using Intake24-NZ with both screen observation recordings and collation of verbal participant feedback on their experience and (2) a survey. A total of 37 participants aged ≥11 years self-completed the dietary recall and usability survey (men and boys: 14/37, 38% and women and girls: 23/37, 62%; Māori: 10/37, 27% and non-Māori: 27/37, 73%). Although most (31/37, 84%) reported that Intake24-NZ was easy to use and navigate, data from the recorded observations and usability survey revealed challenges related to the correct use of search terms, search results obtained (eg, type and order of foods displayed), portion size estimation, and associated food prompts (eg, did you add milk to your tea?). This comprehensive usability study identified challenges experienced by users in completing a dietary recall in Intake24-NZ. The results informed a series of improvements to enhance user experience and the quality of dietary data collected with Intake24-NZ, including adding new foods to the food list, optimizing the search function and ordering of search results, creating new portion size images, and providing clearer instructions to the users.

Relationships between working from home, sitting postures and low back pain during COVID-19: A survey of frequent computer users.

To investigate the effects of working from home on musculoskeletal pain. An e-survey of computer workers was conducted. Multinomial logistic regression modelling examined relationships between work location (work or home office desk, dining table, other), sitting posture (diagrams with descriptors), depressive symptoms (CESD -10), sleep quality (good/average vs poor) and pain (low back pain [LBP]), other pain without LBP, asymptomatic). Of 634 respondents, most (91%, n = 578) worked partially at home and had pain (91%, n = 576; 342 LBP, 234 other pain, 58 asymptomatic). Sitting posture ("trunk a little bent forward" vs "straight up, back against back rest": OR = 2.9; 95% CI 1.3-6.5, p = .008), being female (2.2; 1.2-4.1, p = .008), and depressive symptoms (3.4; 1.7-6.6; p < .001) were associated with LBP. Poor sleep quality related to LBP but correlated with depressive symptoms. Working from home and location were not associated with pain. Sitting postures, but not working from home, are associated with LBP.

ARCHIVES COMMUNICATION: MUTATIONS OF A FUNCTION

Objective: The objective of this article is to examine the evolving communication function of archives in the context of new information and communication technologies. It aims to identify the impact of digitalization on archival practices, focusing on how these changes enhance the accessibility and usability of archival materials for the public and researchers. By exploring the emerging practices of archivists and their role in facilitating effective communication, this article seeks to highlight the significance of communication in the archival profession and to provide insights into the best practices for ensuring a positive user experience in the consultation of archival documents. Theoretical Framework: This article explores the communication of archives in the digital age, focusing on communication theory, digital archive science, user-centered design, social constructivism, and information behavior. It emphasizes the importance of understanding historical and cultural contexts, user needs, and information behavior to design effective communication strategies. Method: This article uses a qualitative research approach to examine the evolving communication function of archives in the context of digital technologies. It uses literature review, case studies, interviews with archivists, user surveys, and content analysis to understand the impact of digitalization on archives and identify best practices for archivists. Results and Discussion: The literature review, case studies, interviews, user surveys, and content analysis reveal a significant shift in archival practices towards digital communication. Key themes include accessibility, user engagement, and the role of digital technologies in transforming traditional functions. Successful examples include digitization of collections, innovative outreach strategies, and collaborations between archivists and technology experts. Key themes include a user-centered approach, balancing digital and traditional practices, ongoing training, and collaboration between archivists, technology professionals, and user communities. Research Implications: This study highlights the need for further research in archival science and communication to explore digital practices, user experience, collaboration models, social media's impact, training for archivists, ethical considerations, and long-term impact on research outcomes. It emphasizes the need for in-depth studies on user experience, collaboration models, social media's role, and the impact of training on professional development and broader societal impact. Originality/Value: This article explores the evolving communication function of archives in response to digital advancements. It integrates theoretical frameworks with practical insights from case studies, interviews, and user surveys. The research emphasizes user-centered approaches, empirical evidence, and best practices for archivists. It contributes to ongoing discourse on the future of archives and raises ethical considerations, addressing challenges faced by archivists.

The Balance Between Gatekeeper Rules and Free Speech in the EU under the Digital Markets Act and Digital Services Act

Purpose: This article investigates the intricate balance between free speech and content restrictions within the frameworks of the EU Digital Services Act (DSA) and the Digital Markets Act (DMA). It delves into the duties of 'gatekeepers' under the DMA, the challenges of content moderation, and the delicate equilibrium between fostering open communication and curbing harmful material. The primary aim is to contribute to the ongoing debate on digital platform regulation, particularly focusing on the gatekeeper designation under the DMA and its potential to enhance freedom of speech while mitigating excessive compliance and censorship. Methodology: The study employs a mixed-methods approach to provide a comprehensive analysis of the regulatory landscape and its implications. It includes a literature review of academic journals, legal documents, and policy papers; in-depth document analysis of the DMA and DSA; case studies of landmark decisions such as GS Media and Delfi AS v. Estonia; interviews with key stakeholders; a survey of platform users; comparative analysis with other jurisdictions; policy impact assessment; and content analysis of platform policies. The research adheres to ethical guidelines, ensuring informed consent and data protection. Findings: The findings reveal that the DMA's gatekeeper rules have the potential to significantly enhance freedom of speech by curbing platform dominance, promoting content diversity, and encouraging transparent content moderation. However, the risk of over-compliance leading to the suppression of free speech is also identified. The study highlights the importance of independent oversight, clear platform guidelines, and continuous dialogue among stakeholders to maintain a balance between open markets and free speech. Unique Contribution to Theory, Policy and Practice: This article offers a novel perspective on how the DMA's gatekeeper designation improves freedom of speech while avoiding excessive censorship. It provides valuable insights for policymakers, digital platforms, and civil society organizations, emphasizing the need for a nuanced approach to content moderation that respects users' rights. The article also underscores the importance of ongoing review and adaptation of regulations to address the evolving digital landscape, thereby contributing to the development of a safer, more competitive, and fairer online environment.

Development of a Building Evaluation Framework for Biophilic Design in Architecture

Biophilic design has gained prominence in architecture as a strategy to integrate natural elements into built environments, aiming to improve human comfort, well-being, and environmental sustainability. This paper critically reviews existing biophilic design frameworks, identifying gaps in their integration of health outcomes and the relationship between indoor and outdoor environments, with a primary focus on indoor environmental quality (IEQ) factors such as air quality, natural light, thermal comfort, and acoustics. The review was conducted systematically, comparing frameworks using criteria such as health benefits, human–nature connections, and user satisfaction. Key findings highlight a lack of comprehensive frameworks that explicitly link biophilic design to measurable improvements in human health, comfort, and satisfaction. To address this gap, the study proposes an enhanced biophilic design framework that bridges IEQ-focused indoor environments with urban outdoor elements, prioritizing human comfort alongside environmental sustainability. The framework also emphasizes the role of post-occupancy evaluation (POE) in assessing the real-world performance of biophilic interventions, particularly in achieving user satisfaction and ensuring long-term effectiveness. This research contributes to the advancement of biophilic design by offering actionable strategies for architects, urban planners, and policymakers to adopt biophilic principles that create resilient, healthy, and sustainable spaces. Additionally, the study emphasizes the need for empirical testing and validation of the proposed framework, including POE and user surveys, to assess its real-world impact on human well-being and satisfaction, thus setting the stage for future research.

Revitalising a fading oral culture through innovative animation production: an experiment with Bodo oral narratives

PurposeThe paper aims to explore animation as a medium to revive the oral narrative of the Bodo community. The Bodo oral narratives are crucial for preserving the tribe's traditional values, but modernization is endangering their oral tradition. Transmitting folk culture to youth is crucial for its continuity and knowledge retention. The objective of the study was to examine the use of animation design approach for the transmission of oral narratives to the young generation.Design/methodology/approachThis design exploration involves a case study, field visit, user study, expert interaction for authentication and questionnaire-based survey. The approach integrates the animation design process with a popular myth of the Bodo tribe's musical instrument, Serja. This exploration seeks to visually present a reliable version of the story based on expert advice and published articles using instructional animation technique.FindingsThe positive response in the user survey suggests that the animation design exploration effectively represented the traditional and cultural aspects of the Bodo community. Feedback and comments from the participants have confirmed that animation can enhance the storytelling experience by effectively communicating oral stories.Research limitations/implicationsThe exploration in this research tries to establish a visual representation of the oral narratives of the Bodo community for the younger generation.Practical implicationsThe exploration in this research tries to establish a visual representation of the oral narratives of the Bodo community for the younger generation.Social implicationsBy using the digital medium, indigenous communities can sustain a long-lasting legacy of their oral stories.Originality/valueThe paper acknowledges the authentic essence of Bodo culture, rooted in their oral stories. Furthermore, it effectively captured and conveyed this essence using an animation design approach.

A-357 Evaluation of a home kit for lay user collection, centrifugation, and refrigeration of capillary blood specimens

Abstract Background While solutions enabling at-home self-collection of capillary blood samples are maturing, many analytes require blood separation and controlled shipping temperatures for stable analysis in centralized laboratories. Here we present results of a pilot lay user study evaluating usability and specimen quality of at-home blood collection with centrifugation and refrigerated shipping of capillary serum specimens. Methods N=45 consented subjects were mailed kits including supplies for a capillary blood self-collection using a Tasso+™ device, a Labcorp TrueTherm™ reusable shipper containing a temperature tracker, a Labcorp TrueSpin™ battery-powered centrifuge, written instructions, and a usability survey. Subjects independently followed the instructions for blood collection, separation, and thermal protection and returned the kits to Labcorp via overnight shipping. Received kits were evaluated for correct return, volume of blood collected, volume of serum, visual hemolysis, and temperature throughout shipment. Results Of the n=45 consented subjects, 39 subjects returned the kits, one subject unsuccessfully attempted to collect blood two times, and the remaining five subjects did not return the kits. Primary analysis parameters are outlined in Table 1. Conclusions Untrained subjects were able to collect their own capillary blood samples, process them, and ship them using the investigational home collection kits. While kit return can be a challenge with home collection, the vast majority of subjects were able to return a testable sample. Combining blood separation prior to shipment using the Labcorp TrueSpin centrifuge and temperature control with the reusable Labcorp TrueTherm device successfully protected samples from hemolysis. These results indicate that such kits are a promising at-home blood collection method and may increase test accuracy and menu availability for sensitive analytes.

Understanding privacy concerns in ChatGPT: A data-driven approach with LDA topic modeling

This study investigates privacy concerns associated with ChatGPT, a prominent generative AI model, through a data-driven approach combining Twitter data analysis and a user survey. Leveraging Latent Dirichlet Allocation (LDA) topic modeling and data categorization techniques, the research identifies key areas of concern: 1) Privacy Leakage Due to Public Data Exploitation, 2) Privacy Leakage Due to Personal Input Exploitation, and 3) Privacy Leakage Due to Unauthorized Access. Twitter data analysis of over 500k tweets, supplemented by a survey of 67 ChatGPT users, reveals nuanced user perceptions and experiences regarding privacy risks. A Python program was used to improve a dataset of 500k tweets referencing “ChatGPT” during the data preparation stage. To get a refined collection of terms, steps included converting text to lowercase, eliminating mentions and hyperlinks, tokenizing, eliminating stopwords, and keyword matching to extract tweets about ChatGPT's privacy features. Once preprocessing was completed, there were 11k refined tweets. Results highlight significant apprehensions, particularly regarding unauthorized access, underscoring the importance of robust privacy measures in AI systems. The study contributes to understanding user concerns, informing policy decisions, and guiding future research on privacy in generative AI. These studies might improve ChatGPT and other AI systems' security and privacy. The public, corporations, researchers, lawmakers, and AI developers may all benefit from the useful information it provides in better understanding and managing privacy threats.

Wireless In-Ear Communication for Total Joint Arthroplasty: A Simulated Operating Room Evaluation

BackgroundEffective surgical team communication is a key component of patient safety. However, communication failure is common and has previously been identified as one of the leading causes of error. Nonetheless, there has been a lack of innovation in this domain. Contemporary communication technology may hamper loud noises frequently encountered during total joint arthroplasty surgery to allow the surgical team to communicate safely and effectively. The objective of this study was to assess whether the use of in-ear communication devices during simulated arthroplasty surgery could improve communication compared to standard of loud voice communication. MethodsThis was a randomized simulation study designed to evaluate differences in communication. Participants were recruited to engage in simulations of total joint arthroplasty with in-ear wireless communication devices and traditional methods. Data collected included participant demographics, sound level exposure, and communication effectiveness using a created list of phrases commonly involved in arthroplasty surgery. A System Usability Scale questionnaire and survey comparing participant experiences was given. ResultsFifteen participants were recruited. The median age was 29 years (standard deviation 2.9) and 66% were women. There were significant differences in the percent of correctly identified phrases (78.6% vs 44%), mean effectiveness (7.9/10 vs 4.9/10) and mean clarity (8/10 vs 4/10) in favor for the wireless in-ear communication simulation (P < .001 for all). Out of the 10 questions in the System Usability Scale questionnaire, 4 exhibited significant differences, favoring the use of in-ear communication, while the others showed no difference. The mean level of sound recorded was 86 dB in the in-ear device and 87.6 dB in the control group (P = .680). ConclusionsWireless in-ear communication appears to be safe and effective during total joint arthroplasty surgery which may promote efficiency and patient safety. Further, in-ear communication systems can dampen the loud and potentially damaging noise in orthopaedic procedures and may protect surgeons exposed to loud noises.

Pharmacogenomic augmented machine learning in electronic health record alerts: A health system-wide usability survey of clinicians.

Pharmacogenomic (PGx) biomarkers integrated using machine learning can be embedded within the electronic health record (EHR) to provide clinicians with individualized predictions of drug treatment outcomes. Currently, however, drug alerts in the EHR are largely generic (not patient-specific) and contribute to increased clinician stress and burnout. Improving the usability of PGx alerts is an urgent need. Therefore, this work aimed to identify principles for optimal PGx alert design through a health-system-wide, mixed-methods study. Clinicians representing multiple practices and care settings (N = 1062) in urban, rural, and underserved regions were invited to complete an electronic survey comparing the usability of three drug alerts for citalopram, as a case study. Alert 1 contained a generic warning of pharmacogenomic effects on citalopram metabolism. Alerts 2 and 3 provided patient-specific predictions of citalopram efficacy with varying depth of information. Primary outcomes included the System's Usability Scale score (0-100 points) of each alert, the perceived impact of each alert on stress and decision-making, and clinicians' suggestions for alert improvement. Secondary outcomes included the assessment of alert preference by clinician age, practice type, and geographic setting. Qualitative information was captured to provide context to quantitative information. The final cohort comprised 305 geographically and clinically diverse clinicians. A simplified, individualized alert (Alert 2) was perceived as beneficial for decision-making and stress compared with a more detailed version (Alert 3) and the generic alert (Alert 1) regardless of age, practice type, or geographic setting. Findings emphasize the need for clinician-guided design of PGx alerts in the era of digital medicine.

The Role of Business Analysts in Optimizing HCM Systems: A Study of Post-Implementation Support Effectiveness

Abstract: This article investigates the effectiveness of Business Analysts (BAs) in the post-implementation phase of Human Capital Management (HCM) systems, aiming to develop a comprehensive framework for measuring BA performance and its impact on system optimization and user satisfaction. Employing a mixed-methods approach, the article combines quantitative analysis of key performance indicators (KPIs) such as response time, issue resolution rate, and system performance metrics with qualitative insights from case studies and user surveys. The article examines 150 BAs across 25 organizations, revealing that BAs who effectively balance technical expertise with strong communication skills contribute significantly to sustained HCM system success. Findings indicate that proactive BA involvement in user training and continuous system improvement correlates with a 30% increase in user satisfaction and a 25% reduction in system-related issues. The article culminates in a novel effectiveness measurement framework and recommendations for enhancing BA performance in post-implementation support, offering valuable insights for organizations seeking to optimize their HCM systems and maximize the value of their BA roles.

관공서 스마트 오피스 구축에 관한 연구 : 사용자 조사 및 국내·외 사례조사 분석을 중심으로

In recent years, the social trend of emphasizing work-life balance (Work-Life Balance) and the introduction of the 52-hour workweek system have highlighted the need for smart offices focused on work efficiency. Public institutions are also actively pursuing the implementation of smart offices. This paper aims to provide guidelines for establishing smart offices in public institutions, based on field surveys and user studies of a public office currently undergoing relocation planning. Through a spatial usage survey of Public Office A, which is in the process of relocation planning, and user surveys and interviews with staff, this study identifies office space improvement needs and requirements. Furthermore, by analyzing domestic and international case studies of smart office implementations in public institutions, this paper offers practical directions for the establishment of smart offices in public institutions. Based on the surveys and interviews conducted, the study addresses the specific requirements of each department, ensures a clear understanding of and engagement with spatial needs, and incorporates insights from successful international examples. This paper highlights the importance of applying innovative spatial designs that can improve the current organizational culture, facilitating active communication and collaboration.

Exploring and Clustering the Influence of Social Media Influencers

Industry practitioners and academic researchers have accorded social media influencer marketing considerable attention. Marketing professionals must identify potential social media influencers as endorsers. A well-known social media influencer is not always a good endorser. The popularity of social media influencers does not imply their influence on their followers. In this paper, we present a survey of the influence power of social media influencers based on their followers' attitudes toward trustworthiness, expertise, likability, social attractiveness, physical attractiveness, opinion leadership, enjoyability, similarity, interactivity, identification, fitness, originality, informativeness, entertainment, and self-serving. We gathered 4,919 responses to a user survey regarding the influence of Taiwan's leading social media influencers. Based on the survey results, we categorized social media influencers into five groups: high-impact influencers, knowledge influencers, entertainers, content creators, and product promoters.

User Requirements for an Electronic Patient Recruitment System: Semistructured Interview Analysis After First Implementation in 3 German University Hospitals.

Clinical trials are essential for medical research and medical progress. Nevertheless, trials often fail to reach their recruitment goals. Patient recruitment systems aim to support clinical trials by providing an automated search for eligible patients in the databases of health care institutions like university hospitals. To integrate patient recruitment systems into existing workflows, previous works have assessed user requirements for these tools. In this study, we tested patient recruitment systems KAS+ and recruIT as part of the MIRACUM (Medical Informatics in Research and Care in University Medicine) project. Our goal was to investigate whether and to what extent the 2 different evaluated tools can meet the requirements resulting from the first requirements analysis, which was performed in 2018-2019. A user survey was conducted to determine whether the tools are usable in practice and helpful for the trial staff. Furthermore, we investigated whether the test phase revealed further requirements for recruitment tools that were not considered in the first place. We performed semistructured interviews with 10 participants in 3 German university hospitals who used the patient recruitment tools KAS+ or recruIT for at least 1 month with currently recruiting trials. Thereafter, the interviews were transcribed and analyzed by Meyring method. The identified statements of the interviewees were categorized into 5 groups of requirements and sorted by their frequency. The evaluated recruIT and KAS+ tools fulfilled 7 and 11 requirements of the 12 previously identified requirements, respectively. The interviewed participants mentioned the need for different notification schedules, integration into their workflow, different patient characteristics, and pseudonymized screening lists. This resulted in a list of new requirements for the implementation or enhancement of patient recruitment systems. Trial staff report a huge need of support for the identification of eligible trial participants. Moreover, the workflows in patient recruitment differ across trials. For better suitability of the recruitment systems in the workflow of different kinds of trials, we recommend the implementation of an adjustable notification schedule for screening lists, a detailed workflow analysis, broad patient filtering options, and the display of all information needed to identify the persons on the list. Despite criticisms, all participants confirmed to use the patient recruitment systems again.

National survey of hospital rheumatology service users to inform a statement set describing the minimum service expectations for publicly funded rheumatology secondary care in Aotearoa New Zealand.

The essential components of a rheumatology service for public hospital rheumatology services in Aotearoa New Zealand are not yet defined. We aimed to seek the views of users of public hospital rheumatology services on potential components of a rheumatology service. Online survey of adults in Aotearoa New Zealand who self-reported as having used district health board rheumatology services in the past 5 years. Participants indicated their level of agreement (7-point Likert scale) on whether service statements should be a component of public hospital rheumatology services and provided free-text comments. Analysis used descriptive statistics and inductive content analysis. Over 80% of participants (n=237) agreed or strongly agreed with 23 of the 26 statements about rheumatology care. The three statements that did not reach 80% agree or strongly agreed addressed infusion services for biologic disease modifying anti-rheumatic drugs, offering outpatient assessment for non-inflammatory musculoskeletal conditions and discharge back to primary care when an inflammatory disease is stable. The free-text comments were 1) expression of support of the statement, 2) reconfirming how or why particular services were valued or valuable, 3) caveats about statements, and 4) suggesting other services not mentioned in the statement. People with inflammatory rheumatic diseases who have used rheumatology services agreed with the majority of the statements of service components, with some caveats. A statement set describing the minimum service expectations for publicly funded rheumatology secondary care in Aotearoa New Zealand has been developed and endorsed by Arthritis New Zealand and the New Zealand Rheumatology Association.

Usability study of the qLabs® FIB: A new point-of-care system for functional fibrinogen testing

BackgroundIdentification of hypofibrinogenemia is particularly important in obstetrics since this predicts progression to severe Post-Partum Haemorrhage (PPH). ObjectivesTo evaluate the usability of qLabs® FIB at the bedside of patients with PPH. MethodsThe qLabs® FIB test was performed using a drop of whole blood from a citrated laboratory tube sampled from each parturient with PPH >1 L by a trained user. A usability survey was completed by each clinician performing the test. ResultsDuring the evaluation, 101 qLabs® FIB tests were performed. One hundred completed surveys and 58 free comments were collected. Satisfaction was achieved in 84 % of tests. Usability in emergency setting, timeliness of results, and the results display were considered positive. The qLabs® FIB results were obtained in <3 min for concentrations below 3 g/L whilst the median time to paired laboratory results was 60 (20–120) minutes. The lower a patient's fibrinogen level, the faster the qLabs® FIB result. ConclusionThe usability study was the first step in the validation process of the qLabs® FIB point of care device in obstetric settings.

Development of Customer Development Stages in Tourism Directory Application Services Using Design Thinking

The Development of Customer Development Stages in the Tourism Directory Application Service using Design Thinking is a development process based on the stages of a survey of user needs in defining problems and formulating solutions to these problems. This research aims to gain knowledge and insight related to user needs for a tourist directory application service, identify service features that are by the needs of tourist directory application service users, and obtain a Minimum Viable Product (MVP) on the tourist directory application service owned by the current author (https://gatewee.com). The research conducted is in the form of surveys and interviews with users through the stages of Customer Development and uses a user-based problem-solving approach through Design Thinking. Methods This research is qualitative and quantitative research that describes the user-based development strategy of the Tourism Directory Application Service. The results of the research are User Persona, identification of features, focus on feature development, prototypes, Usability Test results, MVP, targeting strategies &amp; business models and business development plans.

Lessons learned from designing an open-source automated feedback system for STEM education

AbstractAs distance learning becomes increasingly important and artificial intelligence tools continue to advance, automated systems for individual learning have attracted significant attention. However, the scarcity of open-source online tools that are capable of providing personalized feedback has restricted the widespread implementation of research-based feedback systems. In this work, we present RATsApp, an open-source automated feedback system (AFS) that incorporates research-based features such as formative feedback. The system focuses on core STEM competencies such as mathematical competence, representational competence, and data literacy. It also allows lecturers to monitor students’ progress. RATsApp can be used at different levels of STEM education or research, as it allows the creation and customization of the educational content. We present a specific case of its implementation in higher education, where we report the results of a usability survey (N=64), using the technology acceptance model 2 (TAM2), to evaluate the user experience of undergraduate students. Our findings confirm the applicability of the TAM2 framework, revealing that factors such as the relevance to the course of study, output quality, and ease of use significantly influence the perceived usefulness. We also found a linear relation between the perceived usefulness and the intention to use, which in turn is a significant predictor of the frequency of use. Moreover, the formative feedback feature of RATsApp received positive feedback, indicating its potential as an educational tool. Furthermore, as an open-source platform, RATsApp encourages public contributions to its ongoing development, fostering a collaborative approach to improve educational tools.