Academic literature on the topic 'Broadband telehealth, evaluation, case study approach'

Background Telehealth has been shown to improve access to health care and to reduce costs to the patient and health care system, especially for patients living in rural settings. However, unique challenges arise when implementing telehealth in remote communities. Objective The study aimed to explore the current use, challenges, and opportunities of the Yukon Telehealth System. The lessons learned from this study were used to determine important factors to consider when attempting to advance and expand telehealth programs in remote communities. Methods A mixed methods approach was used to evaluate the Yukon Telehealth System and to determine possible future advances. Quantitative data were obtained through usage logs. Web-based questionnaires were administered to nurses in each of the 14 Yukon community health centers outside of Whitehorse and patients who had used telehealth. Qualitative data included focus groups and semistructured interviews with 36 telehealth stakeholders. Results Since 2008, there has been a consistent number of telehealth sessions of about 1000 per year, with clinical care as the main use (69.06% [759/1099] of all sessions in 2015). From the questionnaire (11 community nurses and 10 patients) and the interview data, there was a consensus among the clinicians and patients that the system provided timely access and cost savings from reduced travel. However, they believed that it was underutilized, and the equipment was outdated. The following 4 factors were identified, which should be considered when trying to advance and expand a telehealth program: (1) patient and clinician buy-in: past telehealth experiences (eg, negative clinician experiences with outdated technology) should be considered when advancing the system. Expansion of services in orthopedics, dermatology, and psychiatry were found to be particularly feasible and beneficial in Yukon; (2) workflow: the use and scheduling of telehealth should be streamlined and automated as much as possible to reduce dependencies on the single Yukon telehealth coordinator; (3) access to telehealth technology: clinicians and patients should have easy access to up-to-date telehealth technology. The use of consumer products, such as mobile technology, should be leveraged as appropriate; and (4) infrastructure: the required human resources and technology need to be established when expanding and advancing telehealth. Conclusions While clinicians and patients had generally positive perceptions of the Yukon Telehealth System, there was consensus that it was underutilized. Many opportunities exist to expand the types of telehealth services and the number of telehealth sessions, including the expansion of services in several new specialty areas, updating telehealth equipment to streamline workflows and increase convenience and uptake, and integrating novel technologies. The identified barriers and recommendations from this evaluation can be applied to the development and expansion of telehealth in other remote communities to realize telehealth’s potential for providing efficient, safe, convenient, and cost-effective care delivery.

Monitoring COVID-19 patients with COPD has become one of the major tasks in preventing transmission and delivering emergency healthcare services after vaccination in case of any issues. Most COVID-19-affected patients are suggested to self-quarantine at home or in institutionalized quarantine centers. In such cases, it is essential to provide remote healthcare services. For remote healthcare monitoring, two approaches are being considered in this study, which include mHealth and Telehealth. A mixed-methods approach is adopted, where survey questionnaires are used for collecting information from 108 patients and semi-structured interviews are used with seven physicians regarding mHealth and Telehealth approaches. Survey results indicated that mHealth is rated to be slightly more effective than Telehealth, and interview results indicated that Telehealth is identified to be slightly more effective than mHealth in relation to parameters including usefulness, ease of use and learnability, interface and interaction quality, reliability, and satisfaction. However, both physicians and patients opined that both mHealth and Telehealth have a promising future with increasing adoption. Based on the findings, it can be concluded that both mHealth and Telehealth are considered to be effective in delivering remote care for COPD patients infected with COVID-19 at home. Implications of the study findings are discussed.

Background Telehealth can improve access to high-quality healthcare for rural populations in India. However, rural communities often have other needs, such as sanitation or employment, to benefit fully from telehealth offerings, highlighting a need for systems-level solutions. A Business of Humanity approach argues that innovative solutions to wicked problems like these require strategic decision-making that attends to a) humaneness, e.g., equity and safety and b) humankind, or the needs and potential of large and growing markets comprised of marginalized and low-income individuals. The approach is expected to improve economic performance and long-term value creation for partners, thus supporting sustainability. Methods A demonstration project was conducted in Tuver, a rural and tribal village in Gujarat, India. The project included seven components: a partnership that emphasized power-sharing and complementary contributions; telehealth services; health promotion; digital services; power infrastructure; water and sanitation; and agribusiness. Core partners included the academic partner, local village leadership, a local development foundation, a telehealth provider, and a design-build contractor. This early process evaluation relies on administrative data, field notes, and project documentation and was analyzed using a case study approach. Results Findings highlight the importance of taking a systems perspective and engaging inter-sectoral partners through alignment of values and goals. Additionally, the creation of a synergistic, health-promoting ecosystem offers potential to support telehealth services in the long-term. At the same time, engaging rural, tribal communities in the use of technological advances posed a challenge, though local staff and intermediaries were effective in bridging disconnects. Conclusion Overall, this early process evaluation highlights the promise and challenges of using a Business of Humanity approach for coordinated, sustainable community-level action to improve the health and well-being of marginalized communities.

The evidence base for internet therapies is building but little is known yet about the acceptability and effectiveness of providing telehealth online in a group format for the treatment of gambling disorders. Therefore, this uncontrolled, real-world study aimed to evaluate the feasibility and effectiveness of providing evidence-based treatment in a group format using an online platform. This innovative approach to treatment of people experiencing gambling harm was developed during the COVID pandemic so that gamblers could access evidence-based treatment from their homes. A closed group treatment program was developed using telehealth, enabling gamblers to come together weekly to engage in a treatment program based on behavioral therapy using cue exposure. Four online gamblers who met the criteria for Gambling Disorder were recruited from a gambling help service. A case report evaluation methodology was used to gain an in-depth understanding of the effectiveness of this approach to treatment. Treatment was conducted weekly over 12 months. All participants engaged with the program and after completing treatment participants no longer met the criteria for a Gambling Disorder, were abstinent for 12 months post treatment and achieved improved life functioning. This program provides preliminary evidence that providing treatment online in a group setting can be an acceptable and effective model in the delivery of treatment for clients unable to attend face-to-face clinics or preferring telemedicine as an option for treatment delivery. These findings warrant further exploration through a larger randomized controlled study.

IntroductionThe Western Australia (WA) Acute TeleStroke Programme commenced incrementally across regional WA during 2016–2017. Since the introduction of the TeleStroke Programme, there has been monitoring of service outputs, including regional patient access to tertiary stroke specialist advice and reperfusion treatment; however, the impact of consultation with a stroke specialist via telehealth (videoconferencing or telephone) on the effectiveness and cost-effectiveness of stroke care and the drivers of cost-effectiveness has not been systematically evaluated.Methods and analysisThe aim of the case study was to examine the impact of consultation with a stroke specialist via telehealth on the effectiveness and cost-effectiveness of stroke and transient ischaemic attack care using a mixed methods approach. A categorical decision tree model will be constructed in collaboration with clinicians and programme managers. A before and after comparison using state-wide administrative datasets will be used to run the base model. If sample size and statistical power permits, the cases and comparators will be matched by stroke type and presence of CT scan at the initial site of presentation, age category and presenting hospital. The drivers of cost-effectiveness will be explored through stakeholder interviews. Data from the qualitative analysis will be cross-referenced with trends emerging from the quantitative dataset and used to guide the factors to be involved in subgroup and sensitivity analysis.Ethics and disseminationEthics approval for this case study has been granted from the Western Australian Country Health Service Human Research and Ethics Committee (RGS3076). Reciprocal approval has been granted from Curtin University Human Research Ethics Office (HRE2019-0740). Findings will be disseminated publicly through conference presentation and peer-review publications. Interim findings will be released as internal reports to inform the service development.

439 Background: Clinician emotion regulation (ER), self and the patient’s, likely moderates successful prognostic discussions with patients, yet challenges around its evaluation limit its investigation. We performed a pilot study to develop and assess an experimental framework that uses multimodal assessment (self-report, observer, and biometric data) to measure clinician ER during a simulated, serious illness conversation (SIC). Methods: We developed our experimental framework in four steps: 1) drafted a patient case and assessment framework; 2) refined the data collection strategy using a multidisciplinary research team; 3) trained our actor; and 4) iteratively piloted the case to optimize data collection. For the assessment, we conducted a cross-sectional, case series pilot study with physicians trained in SIC to assess its feasibility and acceptability, defined a priori as an enrollment rate >60% of approached clinicians, > 90% completion rate of survey items, < 20% missing data from wearable heart rate variability (HRV) sensors. To characterize clinician ER strategies, we analyzed the visit dialogue, physician interviews performed while watching the visit back, and physician SIC documentation generated post visit. We used a hybrid approach of inductive and deductive coding and theme development based on preexisting ER theory. Results: The development phase yielded two major modifications: 1) abandoned use of AppleWatch since it did not provide continuous HRV measurement; and 2) used telehealth with video given context of COVID-19 pandemic. We approached 12 physicians and 11 enrolled, of which 5 were female and 10 white, 5 were medical oncologists, and 6 specialty palliative care physicians. All participants completed all study survey items. The results of our three HRV sensors were as follows: Empatica E4 and Polar H10 met our pre-specified HRV collection in all 11 resting tasks and SIC encounters, and the Scoche R24 the benchmark in 7/11 resting tasks and 4/11 of simulated encounters. Preliminary qualitative analysis suggests investigators can characterize clinician use of intrapersonal and interpersonal ER strategies. Conclusions: The use of multimodal assessment of clinician ER in a simulated, telehealth SIC visit was acceptable and feasible.

With the world facing the urgency of energy transition, the development of efficient and quiet electrical infrastructures is of topical importance in the construction of the environment of the future. The problem of noise from power distribution systems is often underestimated, although several works in the literature underline the effect of disturbance on the population, especially concerning the low frequency range. This paper overviews the issue of the low-frequency noise generated by electrical substations, from the experimental characterization of the source to the possible mitigation measures at the source, along the propagation path and at the receiver. Alongside the general presentation, a case study serves as a practical demonstration of the proposed methodological approach. It was found that in the investigated situation the main disturbance comes from the transformer at two low-frequency harmonics of twice the networking frequency. A traditional noise barrier is designed taking into account the strict size constraints imposed by technical compatibility with the electrical infrastructure, which limits its efficacy at low frequency. Noise masking with broadband signals can be a complementary solution to further reduce noise disturbance and contain it within prescribed limits. The evaluation of subjective response of the receivers to different mitigation solutions is made possible by the availability of the impulse response.

The paper argues that reward systems provide incentives and reinforce workforce behaviors and facilitate the implementation of strategies, while development systems provide the workforce skills required to implement them. Emphasis is placed on the need to consider the performance measurement systems they use to gather the information needed to share rewards and identify development needs. The purpose of the work is to investigate the peculiarities of implementing a strategic human resource management based on the organization of an effective remuneration system. The object of the study is the strategic management of human resources. There are different approaches to measuring performance that help assess the extent to which employee behavior at all organizational levels contributes to the implementation of strategies. Measures for the effectiveness of such work are implemented by remuneration systems. All methods of measuring and evaluating performance are potentially useful tools for providing feedback on the extent to which behavior is consistent with organizational strategies. In addition, they are all potentially useful tools for informing the remuneration system about how much employees deserve higher compensation, recognition, and more. It should be emphasized that they are all potentially significant sources of guidance for future development efforts. The study uses system-structural analysis; systematic approach, systematization, abstract-logical approach – at generalization of results of research and formulation of conclusions. The role of reward and development systems in strategy implementation is substantiated. The article points out that a number of assessment approaches have traditionally been used to measure performance. One of the most common is goal management, graphical rating scales, and stories. The most up-to-date performance appraisal systems are those that use the behavioral rating scale. The article discusses the goal-management approach that is widely applied to performance appraisal. In the case of goal management, it is easy to set strategy implementation, as goals can be defined as outcomes or milestones in the strategy implementation process. It is emphasized that goal management usually begins with the initial phase, in which the subordinate forms the goals or objectives to be achieved within the next period of time. As part of this process, the subordinate identifies the measures that will determine the achievement of such goals and outlines the plans of action he or she will use to achieve them. It is emphasized that, as with all approaches to performance evaluation, goal management has drawbacks. Goals for some jobs are harder to write, such as for staffing, and problems arise when goals are not well thought out. In addition, this process may be perceived with cynicism if senior executives are not evaluated by goal management. The article describes the reward systems that are used by leading businesses: goal management, graphical rating scales, performance descriptions, behavioral ratings, behavioral observation scales, and 360-degree feedback systems. The lack of performance evaluation at the executive level is emphasized. Suggestions are made for the wider application of management evaluation. After discussing measuring the effectiveness of the system, rewards were considered in terms of compensation. Traditional work-based pay systems are described and their inability to provide the flexibility needed in today’s competitive environment is discussed. The importance of an appropriate system of rewards in the implementation of the human resources management strategy has been proved. Because of the critical role of compensation in several work systems, organizational processes, and organizational structures, several innovative approaches to compensation have been discussed. Because highly competitive human resources will be required to gain future competitive advantage, reconciling rewards with skills can be critical to successful strategy implementation. A new broadband compensation approach was also explored. They also discussed team remuneration, which rewards joint efforts, and discussed variable compensation. Variable compensation is becoming more widespread as it helps to create a sense of common purpose among all employees. Variable compensation can also help to secure employment. The role and current status of compensation to performers were also examined.

Sharenting is a habit of using social media to share content that disseminates pictures, videos, information, and parenting styles for their children. The purpose of this article is to describe the sharenting phenomenon that occurs among young parents, and the importance of parenting programs, rather than protecting children's privacy. Writing articles use a qualitative approach as a literature review method that utilizes various scientific articles describing the sharenting phenomenon in various countries. The findings show that sharenting behaviour can create the spread of children's identity openly on social media and tends not to protect children's privacy and even seems to exploit children. Apart from that, sharenting can also create pressure on the children themselves and can even have an impact on online crime. This article is expected to provide benefits to parents regarding the importance of maintaining attitudes and behaviour when sharing and maintaining children's privacy and rights on social media. Keywords: Sharenting on social media, Children's Privacy, Parenting Program References: Åberg, E., & Huvila, J. (2019). Hip children, good mothers – children’s clothing as capital investment? Young Consumers, 20(3), 153–166. https://doi.org/10.1108/YC-06-2018-00816 Altafim, E. R. P., & Linhares, M. B. M. (2016). Universal violence and child maltreatment prevention programs for parents: A systematic review. Psychosocial Intervention, 25(1), 27–38. https://doi.org/10.1016/j.psi.2015.10.003 Archer, C., & Kao, K.-T. (2018). Mother, baby, and Facebook makes three: Does social media provide social support for new mothers? Media International Australia, 168(1), 122–139. https://doi.org/10.1177/1329878X18783016 Bartholomew, M. K., Schoppe-Sullivan, S. J., Glassman, M., Kamp Dush, C. M., & Sullivan, J. M. (2012). New Parents’ Facebook Use at the Transition to Parenthood. Family Relations, 61(3), 455–469. https://doi.org/10.1111/j.1741-3729.2012.00708.x Belk, R. W. (1988). Possessions and the Extended Self. Journal of Consumer Research, 15(2), 139. https://doi.org/10.1086/209154 Belk, R. W. (2013). Extended Self in a Digital World: Table 1. Journal of Consumer Research, 40(3), 477–500. https://doi.org/10.1086/671052 Benedetto, L., & Ingrassia, M. (2021). Digital Parenting: Raising and Protecting Children in Media World. In L. Benedetto & M. Ingrassia (Eds.), Parenting. IntechOpen. https://doi.org/10.5772/intechopen.92579 Berns, R. (2016). Child, family, school, community. Socialization and support. Stanford. United States of America, 5(64), 93–98. Bessant, C. (2017). Parental sharenting and the privacy of children. Northumbria University Faculty of Business and Law, Faculty and Doctoral Conference, 28th - 29th June 2017, Newcastle, UK. Bessant, C. (2018). Sharenting: Balancing the Conflicting Rights of Parents and Children. Communications Law, 23(1), 7–24. Bessant, C., & Nottingham, E. (2020). Sharenting in a socially distanced world. Parenting for a Digital Future., 1–2. Biglan, A., Flay, B. R., Embry, D. D., & Sandier, I. N. (2012). The Critical Role of Nurturing Environments for Promoting Human Weil-Being. American Psychologist, 16. Blum-Ross, A., & Livingstone, S. (2017). “Sharenting,” parent blogging, and the boundaries of the digital self. Popular Communication, 15(2), 110–125. https://doi.org/10.1080/15405702.2016.1223300 Brooks, J. (2008). The Process of Parenting. In The Process of Parenting (pp. 116–117). Pustaka Belajar. Brosch, A. (2016). When the child is born into the internet: Sharenting as a growing trend among parents on Facebook. New Educational Review, 43(1), 224–235. https://doi.org/10.15804/tner.2016.43.1.19 Brosch, A. (2018). Sharenting – Why do parents violate their children’s privacy? New Educational Review, 54(4), 75–85. https://doi.org/10.15804/tner.2018.54.4.06 Byrne, S., Rodrigo, M. J., & Máiquez, M. L. (2014). Patterns of individual change in a parenting program for child maltreatment and their relation to family and professional environments. Child Abuse & Neglect, 38(3), 457–467. https://doi.org/10.1016/j.chiabu.2013.12.008 Centers for Disease Control and Prevention. (2014). Understanding Child Maltreatment 2014 (p. 2). http://www.cdc.gov/violenceprevention/pdf/cm-factsheet-a.pdf Children’s Online Privacy Protection Act (COPPA). (2002). Protecting Children’s Privacy Under COPPA: A Survey on Compliance. Federal Trade Commission. http://www.ftc.gov/ogc/coppa1.htm Choi, G. Y., & Lewallen, J. (2018). “Say Instagram, Kids!”: Examining Sharenting and Children’s Digital Representations on Instagram. Howard Journal of Communications, 29(2), 144–164. https://doi.org/10.1080/10646175.2017.1327380 Collins English Dictionary. (2014). Opinion—Definition of opinion by The Free Dictionary. 12th Edition. http://dictionary.reference.com/browse/database Comer, J. S., & Barlow, D. H. (2014). The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments. American Psychologist, 69(1), 1–18. https://doi.org/10.1037/a0033582 Durkin, K. F., & Bryant, C. D. (1999). Propagandizing pederasty: A thematic analysis of the on-line exculpatory accounts of unrepentant pedophiles. Deviant Behavior, 20(2), 103–127. https://doi.org/10.1080/016396299266524 Fitri, S. (2017). Dampak Foditif dan Negatif Sosial Media terhadap Sosial Anak. NATURALISTIC: Jurnal Kajian Penelitian Pendidikan Dan Pembelajaran, 1(2), 118–123. https://doi.org/10.35568/naturalistic.v1i2.5 Fox, A. K., & Hoy, M. G. (2019). Smart Devices, Smart Decisions? Implications of Parents’ Sharenting for Children’s Online Privacy: An Investigation of Mothers. Journal of Public Policy & Marketing, 38(4), 414–432. https://doi.org/10.1177/0743915619858290 Fridha, M., & Irawan, R. E. (2020). Eksploitasi Anak Melalui Akun Instagram (Analisis Wacana Kritis Praktek Sharenting oleh Selebgram Ashanty & Rachel Venya). Komuniti: Jurnal Komunikasi dan Teknologi Informasi, 12(1), 68–80. https://doi.org/10.23917/komuniti.v12i1.10703 Friedman, S. J. (2000). Children and the World Wide Web. University Press of America. Hammond, S. I., Müller, U., Carpendale, J. I. M., Bibok, M. B., & Liebermann-Finestone, D. P. (2012). The effects of parental scaffolding on preschoolers’ executive function. Developmental Psychology, 48(1), 271–281. https://doi.org/10.1037/a0025519 Holzer, P. J., Higgins, J., Bromfield, L., Richardson, N., & Higgins, D. (2006). The effectiveness of parent education and home visiting child maltreatment prevention programs. Australian Institute of Family Studies. Koetse, M. (2019). ‘Sharenting’ on Chinese Social Media: When Parents Are Posting Too Many Baby Pics on WeChat. What’s on Weibo Reporting Social Trends in China. Krisnawati, E. (2016). Mempertanyakan Privasi di Era Selebgram: Masih Adakah? Jurnal IIlmu Komunikasi, 13(2), 179. https://doi.org/10.24002/jik.v13i2.682 Latipah, E., Adi Kistoro, H. C., Hasanah, F. F., & Putranta, H. (2020). Elaborating motive and psychological impact of sharenting in millennial parents. Universal Journal of Educational Research, 8(10), 4807–4817. https://doi.org/10.13189/ujer.2020.081052 Leaver, T. (2020). Balancing privacy: Sharenting, intimate surveillance, and the right to be forgotten. In The Routledge Companion to Digital Media and Children. https://doi.org/10.33767/osf.io/fwmr2 Lee, S. J., Ward, K. P., Chang, O. D., & Downing, K. M. (2021). Parenting activities and the transition to home-based education during the COVID-19 pandemic. Children and Youth Services Review, 122, 105585. https://doi.org/10.1016/j.childyouth.2020.105585 Lundahl, B., Risser, H., & Lovejoy, M. (2006). A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review, 26(1), 86–104. https://doi.org/10.1016/j.cpr.2005.07.004 Lwin, M., Stanaland, A., & Miyazaki, A. (2008). Protecting children’s privacy online: How parental mediation strategies affect website safeguard effectiveness. Journal of Retailing, 84(2), 205–217. https://doi.org/10.1016/j.jretai.2008.04.004 Manganello, J. A., Falisi, A. L., Roberts, K. J., Smith, K. C., & McKenzie, L. B. (2016). Pediatric injury information seeking for mothers with young children: The role of health literacy and ehealth literacy. Journal of Communication in Healthcare, 9(3), 223–231. https://doi.org/10.1080/17538068.2016.1192757 Manotipya, P., & Ghazinour, K. (2020). Children’s Online Privacy from Parents’ Perspective. Procedia Computer Science, 177, 178–185. https://doi.org/10.1016/j.procs.2020.10.026 Marasli, M., Sühendan, E., Yilmazturk, N. H., & Cok, F. (2016). Parents’ shares on social networking sites about their children: Sharenting. Anthropologist, 24(2), 399–406. https://doi.org/10.1080/09720073.2016.11892031 Mikton, C., & Butchart, A. (2009). Child maltreatment prevention: A systematic review of reviews. Bulletin of the World Health Organization, 87(5), 353–361. https://doi.org/10.2471/BLT.08.057075 Miyazaki, A. D. (2008). Online Privacy and the Disclosure of Cookie Use: Effects on Consumer Trust and Anticipated Patronage. Journal of Public Policy & Marketing, 27(1), 19–33. https://doi.org/10.1509/jppm.27.1.19 Morris, A. S., Robinson, L. R., Hays-Grudo, J., Claussen, A. H., Hartwig, S. A., & Treat, A. E. (2017). Targeting Parenting in Early Childhood: A Public Health Approach to Improve Outcomes for Children Living in Poverty. Child Development, 88(2), 388–397. https://doi.org/10.1111/cdev.12743 Moser, C., Chen, T., & Schoenebeck, S. Y. (2017). Parents? And Children?s Preferences about Parents Sharing about Children on Social Media. Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems, 5221–5225. https://doi.org/10.1145/3025453.3025587 Nooraeni, R. (2017). Implementasi Program Parenting Dalam Menumbuhkan Perilaku Pengasuhan Positif Orang Tua Di PAUD Tulip Tarogong Kaler Garut. Jurnal Pendidikan Luar Sekolah, 13(2). Nottingham, E. (2013). ‘Dad! Cut that Part Out!’ Children’s Rights to Privacy in the Age of ‘Generation Tagged’: Sharenting, digital kidnapping and the child micro-celebrity. In Journal of Chemical Information and Modeling. O’Keeffe, G. S., Clarke-Pearson, K., & Council on Communications and Media. (2011). The Impact of Social Media on Children, Adolescents, and Families. PEDIATRICS, 127(4), 800–804. https://doi.org/10.1542/peds.2011-0054 Pan, X., & Yu, H. (2018). Different Effects of Cognitive Shifting and Intelligence on Creativity. The Journal of Creative Behavior, 52(3), 212–225. https://doi.org/10.1002/jocb.144 Prasetyo, Dimas., Syahnas, A. N. R., Fajriani, A., Nugraha, H. G., & Suryani, S. (2019). “Saya hanya mengunggah foto dan video anak saya ”. Intenational Conference on ECEP. Putra, A. M., & Febrina, A. (2019). Fenomena Selebgram Anak: Memahami Motif Orang tua. Jurnal ASPIKOM, 3(6), 1093–1108. https://doi.org/10.24329/aspikom.v3i6.396 Sakashita, M., & Kimura, J. (2011). Daughter as Mother’s Extended Self. In European advances in consumer research (In A. Bradshaw, C. Hackley, P. Maclaran (Eds.), Vol. 9, pp. 283–289). Association for Consumer Research. Salleh, A. S., & Noor, N. A. Mohd. (2019). Sharenting: Implikasinya dari Persepektif Perundangan Malaysia. Jurnal Undangundang Malaysia, 31(1), 121–156. Sanders, M. (2012). Development, evaluation, and multinational dissemination of the triple P-Positive Parenting Program. Annual Review of Clinical Psychology, 8, 345–379. Santini, P. M., & Williams, L. C. (2016). Parenting Programs to Prevent Corporal Punishment: A Systematic Review. Paidéia (Ribeirão Preto), 26(63), 121–129. https://doi.org/10.1590/1982-43272663201614 Sarkadi, A., Dahlberg, A., Fängström, K., & Warner, G. (2020). Children want parents to ask for permission before ‘sharenting’. Journal of Paediatrics and Child Health, 56(6), 981–983. https://doi.org/10.1111/jpc.14945 Shumaker, C., Loranger, D., & Dorie, A. (2017). Dressing for the Internet: A study of female self-presentation via dress on Instagram. Fashion, Style & Popular Culture, 4(3), 365–382. https://doi.org/10.1386/fspc.4.3.365_1 Siibak, A., & Traks, K. (2019). Viewpoints The dark sides of sharenting. Catalan Journal of Communication & Cultural Studies, 11(1), 115–121. https://doi.org/10.1386/cjcs.11.1.115 Sobur, A. (2001). Pers, Hak Privasi, dan Hak Publik. Mediator, 2(1), 81–91. http://dx.doi.org/10.24329/aspikom.v3i6.396 Steinberg, S. B. (2017). Sharenting: Children’s Privacy in the Age of social media. EMORY LAW JOURNAL, 66, 47. Traube, D. E., Hsiao, H.-Y., Rau, A., Hunt-O’Brien, D., Lu, L., & Islam, N. (2020). Advancing Home Based Parenting Programs through the Use of Telehealth Technology. Journal of Child and Family Studies, 29(1), 44–53. https://doi.org/10.1007/s10826-019-01458-w Trivette, C. M., & Dunst, C. J. (2009). Community-Based Parent Support Programs. 7. van der Velden, M., & El Emam, K. (2013). “Not all my friends need to know”: A qualitative study of teenage patients, privacy, and social media. Journal of the American Medical Informatics Association, 20(1), 16–24. https://doi.org/10.1136/amiajnl-2012-000949 Verswijvel, K., Walrave, M., Hardies, K., & Heirman, W. (2019). Sharenting, is it a good or a bad thing? Understanding how adolescents think and feel about sharenting on social network sites. Children and Youth Services Review, 104, 104401. https://doi.org/10.1016/j.childyouth.2019.104401 Wagner, A., & Gasche, L. A. (2018). Sharenting: Making decisions about other’s privacy on social networking sites. MKWI 2018 - Multikonferenz Wirtschaftsinformatik. World Health Organization (WHO). (2016). INSPIRE seven strategies for ending violence against children. World Health Organization. Wyatt Kaminski, J., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A Meta-analytic Review of Components Associated with Parent Training Program Effectiveness. Journal of Abnormal Child Psychology, 36(4), 567–589. https://doi.org/10.1007/s10802-007-9201-9 Zeeuw, A. De, Media, M. A. N., & Culture, D. (2018). Exposing Childhoods Online (Issue June).

Outpatient consultations form a large part of the healthcare of patients at tertiary hospitals, both as a precursor to in-patient treatment and for the management of on-going health conditions or long-term rehabilitation and monitoring after treatment. These outpatient consultations are generally conducted at the hospitals, most often located in large cities. Patients who live outside these cities face extensive travel to attend these consultations, placing a burden on themselves and on their families or carers. An ability of a tertiary hospital to deliver outpatient consultations in a telehealth mode to regional or remote locations closer to the patients’ homes would potentially relieve much of this burden of travel. Tertiary healthcare is highly complex. It can involve multiple clinicians, can require long time periods for its completion and often includes the patients and their families in the management of the healthcare situation. Outpatient consultations typically involve high levels of interpersonal discussion supported by access to data about the patient. Telehealth methods of delivering these outpatient consultations will be very demanding on the network connection between hospital and remote telehealth nodes. The next generation of Internet or intranet, often referred to as “broadband”, will have the capacity to deliver multiple high-quality, low-latency video streams and to provide shared access to large data sets. The prospective match of the capabilities of broadband networks and the needs of tertiary-level telehealth opens the possibility of effective, tertiary-level outpatient consultations in a telehealth mode of delivery. In this thesis I use a case-study-based approach to evaluate the development and pilot trial of a broadband telehealth system in a tertiary paediatric context. I use the data from these case studies to explore the way that a human-centred approach can be used to evaluate outpatient telehealth trials at a tertiary level of healthcare. My results show that human-centred evaluation for this level of telehealth must take a broad approach; that the telehealth activities must take place in a realistic setting; that qualitative and quantitative responses from participants must be complemented by observational data; that data must be gathered from all the participants; and that their competence to give meaningful responses must be recognised and their multiple, and possibly differing, points of view must be taken into account. Finally, my results show that the researchers must take into account the wider clinical and hospital contexts and in particular the participants’ view of these contexts, when interpreting evaluation data. My overall prediction is that telehealth applications for tertiary-level outpatient consultations will have important, transient phases in their development, and that a human-centred evaluation approach is the appropriate way to evaluate telehealth applications during these phases. These transient phases are not reported in conventional telehealth literature but my analysis of my case studies suggests that they are central to this class of tertiary level telehealth delivery.

Outpatient consultations form a large part of the healthcare of patients at tertiary hospitals, both as a precursor to in-patient treatment and for the management of on-going health conditions or long-term rehabilitation and monitoring after treatment. These outpatient consultations are generally conducted at the hospitals, most often located in large cities. Patients who live outside these cities face extensive travel to attend these consultations, placing a burden on themselves and on their families or carers. An ability of a tertiary hospital to deliver outpatient consultations in a telehealth mode to regional or remote locations closer to the patients’ homes would potentially relieve much of this burden of travel. ¶ ... ¶ In this thesis I use a case-study-based approach to evaluate the development and pilot trial of a broadband telehealth system in a tertiary paediatric context. I use the data from these case studies to explore the way that a human-centred approach can be used to evaluate outpatient telehealth trials at a tertiary level of healthcare. ...

The paper presents a comparative case study in which a free-inlet, free-outlet industrial ventilating fan has been equipped with various inlet geometries. The original short-tapered entry has been replaced by a standardized bellmouth entry, resulting in remarkable noise reduction. The experimentation presented herein is adaptable to industrial onsite diagnostics. The upstream-radiated broadband noise associated with rotating sources has been mapped in a spatially resolved manner, by means of a Phased Array Microphone system and a Rotating Source Identifier beamforming algorithm. The acoustic measurements have been supplemented with aerodynamic measurements on the inlet velocity profile, and with Computational Fluid Dynamics studies. The acoustic data have been processed for enabling their evaluation in association with the aerodynamic operation of the elemental rotor cascades in a two-dimensional approach, and also for their interpretation in relationship to three-dimensional flow phenomena such as tip leakage flow. For this purpose, the acoustic data have been presented in the form of circumferentially-averaged noise profiles along the blade span, as well as noise source imaging maps. The studies reveal the following acoustic benefits of reconfiguring the original short-tapered entry to the bellmouth entry. A peripheral separation zone is characteristic for the short-tapered entry, provoking double-leakage tip clearance flow, being the dominant source of noise at higher frequencies. Such a peripheral separation zone is suppressed by the bellmouth inlet, and thus, the double-leakage flow and the related noise is eliminated. Farther away from the tip, along the dominant portion of the span, the moderation of endwall blockage due to suppressing the peripheral separation zone has led to the reduction of the rotor inlet velocity, thus moderating the noise associated with the suction side boundary layer developing on the blades.