Web-based Design Research Articles

Animated Web Application

This project will attempt to develop animated web applications using both HTML, CSS, JavaScript, Three.js, and React at the same time as approaches that make user experiences immersive and interactive using the capabilities of the technologies in question. Thus, HTML provides the structural backbone, while CSS adds the visuals and makes it more responsive. The JavaScript core programming language enables dynamic behavior and interactivity. The library Three.js was used in order to include 3D graphics to create stunning visualizations and animations that appeal to a user on a deeper level. React will be used to handle the state and the structure of an application, hence the effective rendering to and smooth experience for the user. The use of animations and 3D elements used in this project brings into view the further possibilities modern web technologies can produce in creating applications that break the limits set by conventional web-based design. Therefore, this final product is to exemplify the best practices of optimization in terms of performance, user engagement, and responsive design.

DESIGN OF WEB-BASED ACADEMIC SERVICE SATISFACTION INFORMATION SYSTEM OF WEST SUMATERA SHIPPING POLYTECHNIC

The design of a web-based information system for academic service satisfaction at the West Sumatra Shipping Polytechnic aims to overcome the problems of the survey system which is still manual. This can slow down the process of information at the West Sumatra Shipping Polytechnic. The system design in this Final Project (TA) was built using a website platform and run online. The research method uses the System Development Life Cycle (SDLC) with the Waterfall model approach which consists of 5 stages, namely, a) Analysis b) Design c) Implementation d) Maintenance e) Planing. The programming language used is PHP, and the database application uses the MySql data processor as the database. The system design tool uses the unified Modeling Language (UML) method using 5 (five) diagrams according to design needs, namely Usecase Diagrams, Activity Diagrams, Sequence Diagrams, Class Diagram and database design. This final project produces an effective and efficient Web-based design of an information system for academic service satisfaction at the West Sumatra Shipping Polytechnic that produces accurate and timely survey resultss

A Comparative Study of Cognitive and Motor Performance in Liver Recipients.

Introduction: Neurocognitive and motor impairments are often observed both before and after liver transplantation, resulting in inefficiencies in dual-task performance. Specific aim: The aim of this study was to evaluate the motor-cognitive dual-task performance in liver recipients, with a particular emphasis on cognition, performance status, and the impact of the COVID-19 pandemic. Design: A prospective, cross-sectional, web-based design with a control group was used. The study included 22 liver transplant recipients and 23 controls. Participants completed a motor-cognitive dual-task test (timed up and go test, TUG), a cognitive assessment (mini mental state examination), and a physical performance test (5-repetition sit-to-stand test). The study also used a functional performance status scale (The Karnofsky performance status) and assessed fear of coronavirus disease (fear of COVID-19 scale). Dual-task interference was assessed and the rate of correct responses per second was calculated to assess cognitive performance. Results: The results indicated no statistically significant difference in TUG time and TUG correct responses per second between the groups (group × condition interactions; P > 0.05). There was no significant difference in cognitive and motor dual-task interference during the TUG test between the two groups (P > 0.05). The Karnofsky Performance Status score was significantly correlated with TUG motor dual-task interference (r = -0.424 and P = 0.049). Conclusion: This study suggests that dual-task performance does not differ in cognitive or motor performance between liver recipients and healthy controls under the same dual-task condition. However, further controlled studies are needed to improve the generalizability of these findings.

Psychometric Properties of the Chinese Version of the Gratitude at Work Scale in Employed Nurses: A Cross-Sectional Study.

The Gratitude at Work Scale, originally developed by American scholars, has been widely administered to mental health professionals and human service workers to explore gratitude in the workplace. No Chinese-language instrument is currently available for assessing workplace gratitude. The aims of this study were to (a) translate the original English version of the Gratitude at Work Scale into a traditional Chinese version (TC-GAWS), confirm its factor structure, and analyze its psychometric properties among newly employed nurses and (b) develop and evaluate the psychometric properties of the TC-GAWS short form. A psychometric study using a cross-sectional web-based design was conducted in Taiwan. Three hundred twenty-two employed nurses completed a battery of self-administered online questionnaires that included a demographic datasheet, the Gratitude Questionnaire-Six-Item Form, the Connor-Davidson Resilience Scale-10, and the Thoughts of Quitting Scale. IBM SPSS 24.0 and AMOS 28.0 were used for data analysis, and Cronbach's alpha and Pearson's correlation were used to assess reliability and concurrent validity. Exploratory factor analysis and confirmatory factor analysis (CFA) were conducted. The internal consistency and stability of the TC-GAWS total scale were .88 and .91, respectively. The exploratory factor analysis showed a satisfactory Kaiser-Meyer-Olkin value of .88 and a Bartlett's test value of 654.01 ( p < .001), suggesting that 64.55% of the total variance was explained by the two-factor TC-GAWS. After item reduction, the CFA of the six remaining items of the TC-GAWS short form revealed adequate fit statistics for a two-factor structure and a second-order factor. Strong correlations were found between the 10-item and six-item TC-GAWS ( r > .94) in the two samples, suggesting good concurrent validity. The overall scores for the 10-item and six-item TC-GAWS had similar convergent validity, with moderate-to-strong correlations for the Gratitude Questionnaire-Six-Item Form ( r = .45 and .540), Connor-Davidson Resilience Scale-10 ( r = .49 and .51), and Thoughts of Quitting Scale ( r = -.57 and -.53). The CFA yielded a two-factor, six-item model that exhibited good fit with the latent constructs of χ 2 / df = 11.06/8 = 1.38, p = .198, comparative fit index = .996, goodness-of-fit index = .979, root mean square error of approximation = .045, root mean square residual = .030, and standardized root mean squared residual = .023. Both the 10- and six-item TC-GAWS instruments demonstrated good reliability and validity in nurse participants. The TC-GAWS may be used to measure gratitude in nurses in the workplace. This instrument has the potential to facilitate a better understanding of gratitude in nurses, which may be applied to the improvement of nursing management, research, and education.

Web-based design and development of an e-Research Information System for the Muhammadiyah Cileungsi College of Technology using the Agile method

Web-based design and development of an e-Research Information System for the Muhammadiyah Cileungsi College of Technology using the Agile method

Web-Based Design of Vehicle Management Information System of Widyatama University

Vehicle inventory management and data collection information system is a system based on a Management Information System so that it has complete implementation functions that aim to record all vehicles. The main objective of developing this information system is to provide services that are faster, transparent and accurate on the service side of borrowing official vehicles within the Widyatama University environment. In the current vehicle inventory information system, it is not yet computerized and is done manually. The new data collection system will later be connected to a coordinated and structured computer network, including to test motorized vehicles to determine eligibility standards according to their type so that the vehicles are ready for use and when they return. In terms of the business process, the applicant fills in vehicle data via computer, the officer tests the vehicle according to the request data and specifications of the vehicle to be tested so that the vehicle is included in the loan inventory data and is roadworthy. The inventory registration information system is expected to be useful for minimizing errors that have occurred so far such as the unclear condition of the vehicle and when the vehicle will return, the design of the inventory information system is expected to produce an inventory information system that can work optimally and efficiently can perform testing services, readiness of drivers and management of motorized vehicles that operate according to the provisions that have been regulated, where the type of service can be adjusted to vehicle test data that is periodic, mutations in (Arrive) / out (booking) can be seen clearly by officers or users, other functions are there are changes to the function and status of the vehicle so that the vehicle will always be available and ready to be used.)

Evaluating a web-based guide for designing digital patient experiences: preliminary results of a user test with design students

AbstractWe created a web-based design guide to transfer our previous research findings to better support design education in the digital health design area for improving patient experience. To seek insights to iteratively improve the design guide, we conducted a workshop with 19 MSc students who specialized in design for healthcare. The guide was perceived as having the potential to improve their understanding of digital PEx improvements, but the content clarity and information presentation need to be improved.

Rancang Bangun Sistem Informasi Pengolahan Data Penerimaan dan Pengeluaran Kas Pada Organisasi Pimpinan Cabang Muhammadiyah SU.I Palembang Berbasis Web

Introduction: The Muhammadiyah SU.I Branch Leadership Organization is a structural level of Muhammadiyah at sub-district level in the Seberang Ulu I sub-district area. The Muhammadiyah Branch Leadership has a coordinating function for all Muhammadiyah Leadership in the sub-district area, as well as coordinating the Islamic da'wah movement throughout the sub-district area. through various forms, such as religious activities, education, social welfare, health, and so on. Management of cash receipts and disbursements data at the Muhammadiyah SU.I Branch Leadership Organization currently still uses spreadsheets. Disadvantages of using this spreadsheet include the possibility of high data redundancy, difficulty checking inputted data for errors, difficulty in searching for data and low file security. This causes the process of making reports by employees to be slow and the leadership not making decisions quickly. Purpose: The aim of the research is expected to make it easier for employees to manage data on cash receipts and disbursements quickly and accurately, so that it can help leaders in making decisions. Research Method: This research uses data collection techniques using qualitative methods. Namely by interviews and observations as well as a waterfall design. Results: The results of the research were to create a "Web-Based Design and Development of an Information System for Data Processing Cash Receipts and Disbursements at the Muhammadiyah SU.I Palembang Branch Leadership Organization". Conclusion: The conclusion of this research is that the Muhammadiyah SU.I Palembang Branch Leadership Organization needs an information system to manage web-based cash receipts and disbursements data quickly and precisely.

Reporting on the Development of a Web-Based Prototype Dashboard for Construction Design Managers, Achieved through Design Science Research Methodology (DSRM)

Construction Design Management (DM) involves the coordination of design processes and activities to ensure quality project design, yet it involves many challenges. This study reports on a collaborative Knowledge Transfer Partnership (KTP) project with a Case Study Organization (CSO) that tackled several issues faced by construction design managers. Employing a design science research methodology (DSRM), qualitative analysis of semi-structured interviews with purposefully identified design managers uncovered real-world concerns around design co-ordination and performance monitoring. To address these concerns, a web-based design management prototype dashboard was developed using typical project data to aid in the management of design coordination, task prioritization, and reporting functionalities. The web-based Design Management prototype dashboard enhances design management productivity in construction firms by monitoring design production, assessing designer performance trends, and focusing on Technical Queries (TQs) and Requests for Information (RFIs). Digitalizing selected design management processes improves efficiency and productivity. The visual reporting of the dashboard enables design production monitoring at project and portfolio levels, assesses trends in designer performance, and maintains focus on TQs and RFIs. Demonstrating how web-based Design Management dashboards can enhance productivity, this study emphasizes practical solutions derived from employing a design science research methodology. The development and application of the web-based dashboard contribute to the growing evidence that employing design science research methodology in construction can yield tangible solutions to address real-world construction concerns.

GRNA Design: How Its Evolution Impacted on CRISPR/Cas9 Systems Refinement.

Over the past decade, genetic engineering has witnessed a revolution with the emergence of a relatively new genetic editing tool based on RNA-guided nucleases: the CRISPR/Cas9 system. Since the first report in 1987 and characterization in 2007 as a bacterial defense mechanism, this system has garnered immense interest and research attention. CRISPR systems provide immunity to bacteria against invading genetic material; however, with specific modifications in sequence and structure, it becomes a precise editing system capable of modifying the genomes of a wide range of organisms. The refinement of these modifications encompasses diverse approaches, including the development of more accurate nucleases, understanding of the cellular context and epigenetic conditions, and the re-designing guide RNAs (gRNAs). Considering the critical importance of the correct performance of CRISPR/Cas9 systems, our scope will emphasize the latter approach. Hence, we present an overview of the past and the most recent guide RNA web-based design tools, highlighting the evolution of their computational architecture and gRNA characteristics over the years. Our study explains computational approaches that use machine learning techniques, neural networks, and gRNA/target interactions data to enable predictions and classifications. This review could open the door to a dynamic community that uses up-to-date algorithms to optimize and create promising gRNAs, suitable for modern CRISPR/Cas9 engineering.

PERANCANGAN APLIKASI PEMBELAJARAN BENCANA TSUNAMI DI INDONESIA BERBASIS WEB

The Web-Based Design of a Tsunami Disaster Monitoring Application in Indonesia aims to make it easier for users to obtain information related to Tsunami Disasters in every province in Indonesia. This application aims to provide information ranging from total cases, active cases, dead victims, survivors, missing victims and information related to the Tsunami in Indonesia. Users can see data visualization in the form of a map of Tsunami cases and the total number of survivors in Indonesia. The design of this application uses the Waterfall model System Development Life Cycle (SDLC) development methodology. The database used in this application is MySQL.&#x0D; Mapping in this application uses the Leaflet system&#x0D; which can display data and map visualization of Indonesia. The programming languages used are HTML and PHP. The test results show that this application can be understood and used to find information from the Tsunami Disaster in Indonesia.

Comparative study on the performance of different machine learning techniques to predict the shear strength of RC deep beams: Model selection and industry implications

This study presents a comprehensive and rigorous process to develop the most appropriate machine learning (ML) model for predicting the shear strength of RC deep beams (RCDBs). The process consists of the crucial stages and state-of-the-art techniques of ML, including the development of ML models, selection of input features using Shapley Additive explanations, optimisation of the training process, assessment of data randomness, comparisons to the conventional practice codes, and development of novel web-based design platform based on the proposed ML model. For this purpose, seven machine learning models, i.e., linear regression, artificial neural networks (ANN), support vector machines, decision trees, ensemble of trees (EoT), extreme gradient boosting (XGBoost), and Gaussian process regression (GPR) were developed to predict the shear strength of RC deep beams based on a database of 518 samples with 15 input features. The four best models (i.e., ANN, EoT, XGBoost, and GPR) were then considered to assess the influence of varying the number of input features on the prediction performance. The results proved that GPR is the most reliable and accurate ML model. In addition, a set of nine optimal input features is proposed for predicting the shear strength of RCDBs. It was observed that randomly dividing the dataset into training and testing sets can significantly impact the predicted results. In some cases, the R2 value dropped to under 0.78, highlighting the importance of carefully considering the methodology for dividing the dataset when conducting machine learning experiments. The shear strength predicted by ML models was then compared with the three most prominent practice codes (i.e., ACI318, EC2, CSA 23.3-04), which indicated ML approach is highly reliable and accurate over conventional methods. In addition, the study used the Monte Carlo method to evaluate the robustness of the machine learning models and developed a user-interface platform to facilitate the practical application of the proposed machine learning model.

User Experience Design of Web-Based BPKAD Asset Mapping using Kansei Engineering

User Experience (UX) is an integral part of software development, one of which is web-based mapping. Several factors that affect that UX is acceptable to users include visual aesthetics, ease of menu hierarchy, component layout and display coloring. There are several things that are not implied in UX development, namely the psychological factor of the user in which there is emotion and feeling. This research is located at BPKAD Palembang City which has purposing to 1) Analyzing user psychological factors in terms of feelings and emotions in designing web-based UX for the Palembang City BPKAD Regional Asset Mapping, 2) Interpreting user psychological factors into web-based design elements of the Palembang City BPKAD Regional Asset Mapping. The research stages include determining Kansei Word; Structuring SD Scale; Collecting and Validating Web-Based Mapping Specimen; Category and Item Design Classification; Participant Data Evaluation; Data Analysis and Defining Design Elements. The final result is 5 emotion concepts, these are dynamic &amp; well-organized concept, refreshing concept, spacious concept, professional concept and nautical-look concept. The DEs generated from PLS analysis for dynamic &amp; well-organized concepts are 27 DEs, refreshing concept is 15 DEs, spacious concept is 17 DEs, professional concept is 18 DEs and nautical-look concept is 18 DEs.

Web-Based Design of BIPA Placement Test Instrument for Foreign Speakers

This study aimed to develop a web-based Indonesian-language placement test instrument for foreign speakers, commonly called BIPA (Bahasa Indonesia bagi Penutur Asing). The research method involved design-based research (DBR) with test instrument development procedures developed by the Association of Language Testers in Europe. The results show that 89% of respondents strongly agreed that the development of a BIPA placement test instrument was very much needed in BIPA learning. To triangulate the data from the interviews and questionnaire, a bibliometric analysis was performed. From the results of the bibliometric analysis, 117 studies were found on foreign-language placement tests in the 2012–2022 range and there was no research on the development of BIPA placement test instruments. The BIPA placement test is designed to measure the level of Indonesian-language skills of foreign speakers, which include listening, reading, writing, and speaking skills. This test can be used by teachers/institutions to determine the level of Indonesian-language skills of foreign speakers, starting from levels A 1, A-2, and B-1. This test is also useful for authorized institutions to provide Indonesian-language certification to foreign speakers who need it. Further research can be done with the development of BIPA test instruments for intermediate and advanced levels.

Web-Based Design and Implementation of Service Systems for Public Health Centers

Information technology is now a necessity for society, including in the health sector at the Community Health Center (Puskesmas) information technology can be used to manage medical record data such as creating a web-based service information system. However, most of the management of puskesmas medical record units in Indonesia is still carried out using spreadsheet applications or still using paper records. The spreadsheet application also has drawbacks because the officers from the puskesmas also have to understand the formulas to use it even though they are not programmers. As in the Mardira Health Center, medical records are written on paper and recorded for archives, this is less efficient because data can be lost or damaged. Therefore this study aims to facilitate the process of managing medical record data such as storing and accessing data and reducing the risk of data damage due to disasters. This application is designed to be web based using the PHP (Pear Hypertext Preprocessor) programming language and MySQL as its database. In its manufacture, this application is tailored to the needs. The result of this application is a web-based health center service system that can search data quickly, modify data and generate reports easily. It is hoped that this application can facilitate the implementation of activities at the puskesmas and improve services to the community.

Co-design of the Transgender Health Information Resource: Web-Based Participatory Design.

There is an urgent and unmet need for accessible and credible health information within the transgender and gender-diverse (TGD) community. Currently, TGD individuals often seek and must find relevant resources by vetting social media posts. A resource that provides accessible and credible health-related resources and content via a mobile phone app may have a positive impact on and support the TGD population. COVID-19 stay-at-home orders forced a shift in the methods used in participatory design. In this paper, we aimed to describe the web-based participatory methods used to develop the Transgender Health Information Resource. We also described and characterized the web-based engagement that occurred during a single session of the overall design process. We planned and conducted web-based design sessions to replace the proposed in-person sessions. We used web-based collaborative tools, including Zoom (Zoom Video Communications), Mural (Mural), REDCap (Research Electronic Data Capture; Vanderbilt University), and Justinmind (Justinmind), to engage the participants in the design process. Zoom was used as an integrated platform for design activities. Mural was used to perform exercises, such as free listing, brainstorming, and grouping. REDCap allowed us to collect survey responses. Justinmind was used to create prototypes that were shared and discussed via Zoom. Recruitment was led by one of our community partners, One Colorado, who used private Facebook groups in which web-based flyers were dispersed. The design process took place in several workshops over a period of 10 months. We described and characterized engagement during a single design session by tracking the number of influential interactions among participants. We defined an influential interaction as communication, either verbal or web-based content manipulation, that advanced the design process. We presented data from a single design session that lasted 1 hour and 48 minutes and included 4 participants. During the session, there were 301 influential interactions, consisting of 79 verbal comments and 222 web-based content manipulations. Web-based participatory design can elicit input and decisions from participants to develop a health information resource, such as a mobile app user interface. Overall, participants were highly engaged. This approach maintained the benefits and fidelity of traditional in-person design sessions, mitigated deficits, and exploited the previously unconsidered benefits of web-based methods, such as enhancing the ability to participate for those who live far from academic institutions. The web-based approach to participatory design was an efficient and feasible methodological design approach.

Changes in mental health outcomes in the general population 14 months into the COVID-19 pandemic in Italy

BackgroundThe COVID-19 pandemic exerted an immediate detrimental impact on the population's psychological wellbeing worldwide. This longitudinal cohort study investigated the trajectories of depression, anxiety, and stress-related symptoms 14 months into the COVID-19 pandemic in Italy, along with the impact of sociodemographic, contextual and psychological predictor variables. MethodsA web-based survey spread throughout the internet between March and April 2020 (baseline) and between April and May 2021 (follow-up). Selected outcomes were post-traumatic stress symptoms, depression and anxiety. A general distress condition was considered as meeting the threshold score in any of the three outcomes. ResultsA total of 5501 (25.09 %) subjects responded to the follow-up assessment. Based on the presence or absence of symptoms at the two timepoints, 2691 subjects (52.03 %) were resilient to any outcome, 350 (6.77 %) subjects had an incident general distress; 1061 (20.49 %) subjects displayed remittent general distress, while 1071 (20.71 %) subjects showed persistent general distress. Persistent distress was associated with female gender, lower age, a history of mental disorder, low resilience and the lack of social meetings. LimitationsDue to the web-based design, potential biases such as self-selection bias and systematic bias in estimating mental health outcomes could not be excluded. ConclusionWe showed overall decrease of distress in the general population 14 months after the first pandemic peak in Italy. However, a significant proportion of the sample continues to experience clinically relevant symptoms over time. Factors associated with change in mental health outcomes could help in the design of strategies to mitigate the long-term impact of the pandemic.

Design of concrete-filled steel tubular columns using data-driven methods

By leveraging the merits of structural steel and concrete materials, concrete-filled steel tubular (CFST) structures have been increasingly used in the composite construction of bridges and high-rise buildings. However, their design equations are more complicated than those of steel and reinforced concrete (RC) structures, especially for circular columns under eccentric loading. Therefore, the use of emerging data-driven approaches will help structural engineers ease the design process. This paper explores the use of data-driven design methods as alternatives to conventional mechanics-based design models. Five boosting algorithms, including adaptive boosting (AdaBoost), gradient boosting machine (GBR), extreme gradient boosting (XGBoost), light gradient boosting machine (LightGBM), and categorical gradient boosting (CatBoost), are employed to develop predictive models for four different types of CFST columns (i.e., circular columns, rectangular columns, circular beam–columns, and rectangular beam–columns). These predictive models are trained using the most up-to-date and comprehensive database collected from over 3,200 test specimens. Reliability analysis is conducted to calibrate the resistance reduction factors for three different design frameworks (i.e., the US, Eurocode, and Australian frameworks) to ensure that the newly developed predictive models meet the target reliability indices required by different design frameworks. A web-based design tool is also developed to promote the practical use of data-driven methods for the design of CFST columns.

Requirements and challenges of hospital dashboards: a systematic literature review

BackgroundToday, the use of data in administrative and clinical processes is quite challenging due to the large volume of data, data collection from various sources, and lack of data structure. As a data management tool, dashboards play an important role in timely visual display of critical information on key performances.ObjectivesThis systematic review aimed to identify functional and non-functional requirements, as well as challenges of using dashboards in hospitals.MethodsIn this systematic review, four databases, including the Web of Science, PubMed, EMBASE, and Scopus, were searched to find relevant articles from 2000 until May 30, 2020. The final search was conducted on May 30, 2020. Data collection was performed using a data extraction form and reviewing the content of relevant studies on the potentials and challenges of dashboard implementation.ResultsFifty-four out of 1254 retrieved articles were selected for this study based on the inclusion and exclusion criteria. The functional requirements for dashboards included reporting, reminders, customization, tracking, alert creation, and assessment of performance indicators. On the other hand, the non-functional requirements included the dashboard speed, security, ease of use, installation on different devices (e.g., PCs and laptops), integration with other systems, web-based design, inclusion of a data warehouse, being up-to-data, and use of data visualization elements based on the user’s needs. Moreover, the identified challenges were categorized into four groups: data sources, dashboard content, dashboard design, implementation, and integration in other systems at the hospital level.ConclusionDashboards, by providing information in an appropriate manner, can lead to the proper use of information by users. In order for a dashboard to be effective in clinical and managerial processes, particular attention must be paid to its capabilities, and the challenges of its implementation need to be addressed.

Evaluation of a Health Information Exchange System for Geriatric Health Care in Rural Areas: Development and Technical Acceptance Study.

BackgroundPatients of geriatrics are often treated by several health care providers at the same time. The spatial, informational, and organizational separation of these health care providers can hinder the effective treatment of these patients.ObjectiveThis study aimed to develop a regional health information exchange (HIE) system to improve HIE in geriatric treatment. This study also evaluated the usability of the regional HIE system and sought to identify barriers to and facilitators of its implementation.MethodsThe development of the regional HIE system followed the community-based participatory research approach. The primary outcomes were the usability of the regional HIE system, expected implementation barriers and facilitators, and the quality of the developmental process. Data were collected and analyzed using a mixed methods approach.ResultsA total of 3 focus regions were identified, 22 geriatric health care providers participated in the development of the regional HIE system, and 11 workshops were conducted between October 2019 and September 2020. In total, 12 participants responded to a questionnaire. The main results were that the regional HIE system should support the exchange of assessments, diagnoses, medication, assistive device supply, and social information. The regional HIE system was expected to be able to improve the quality and continuity of care. In total, 5 adoption facilitators were identified. The main points were adaptability of the regional HIE system to local needs, availability to different patient groups and treatment documents, web-based design, trust among the users, and computer literacy. A total of 13 barriers to adoption were identified. The main expected barriers to implementation were lack of resources, interoperability issues, computer illiteracy, lack of trust, privacy concerns, and ease-of-use issues.ConclusionsParticipating health care professionals shared similar motivations for developing the regional HIE system, including improved quality of care, reduction of unnecessary examinations, and more effective health care provision. An overly complicated registration process for health care professionals and the patients’ free choice of their health care providers hinder the effectiveness of the regional HIE system, resulting in incomplete patient health information. However, the web-based design of the system bridges interoperability problems that exist owing to the different technical and organizational structures of the health care facilities involved. The regional HIE system is better accepted by health care professionals who are already engaged in an interdisciplinary, geriatric-focused network. This might indicate that pre-existing cross-organizational structures and processes are prerequisites for using HIE systems. The participatory design supports the development of technologies that are adaptable to regional needs. Health care providers are interested in participating in the development of an HIE system, but they often lack the required time, knowledge, and resources.