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1
Stroyko, Iryna. "Novels of legal regulation of the video-sharing platforms in the context of the related rights in the programme." Law Review of Kyiv University of Law, no. 2 (August 10, 2020): 330–36. http://dx.doi.org/10.36695/2219-5521.2.2020.62.
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In thisArticle the author reveals the interrelation of the term of the online content-sharing service provider under the EU Directiveon copyright and related rights in the Digital Single Market and term of video-sharing platform provider under the revised AudiovisualMedia Services Directive (AVMSD).Section (62) of the recitals of the Directive on copyright and related rights in the Digital Single Market highlights that the definitionof the online content sharing service provider should target only online services that play an important role on the online contentmarket by competing with other online content services, such as online audio and video streaming services, for the same audiences.The author emphasizes that the distinctive feature of the activities of the online content-sharing service provider should be theintent to make direct or indirect profitGuidelines on video-sharing platforms under the revised AVMSD as issued by the European Commission on the 2nd of July 2020stipulate for four (4) categories of indicators to be considered by the EU member states while assessing specific service as a video-sha -ring platform service:1) the relationship between the audiovisual content and the main economic activity or activities of the service;2) quantitative and qualitative relevance of the audiovisual content available on the service;3) monetisation of the audiovisual content or revenue generation from such content;4) the availability of tools aimed at enhancing the visibility or attractiveness of the audiovisual content.In the author’s opinion, the above mentioned indicators may be also taken into account for the purpose of qualification of theonline content-sharing service provider under Directive on copyright and related rights in the Digital Single Market.The revisedAVMSD provides for the new definition of the term “programme”, according to which a set of objects of copyright andrelated rights may be chosen by a media service provider not only within a schedule (being characteristic for the traditional linear TV), butwithin a specific catalogue established by such provider (being an element of the non-linear TV, i.e. video-on-demand services).The author discovers the peculiarities of realization of the act of communication to the public by the online content-sharing ser -vice provider under the legislation of the European Union.She analyzes the judgments of the Court of Justice of the European Union (CJEU) with respect to the definition of right of communicationto public in cases of sale of a multimedia player with pre-installed add-ons containing hyperlinks to illegal streaming websitesand activities of peer-to-peer networks.The author makes a comparison of the definition of video-sharing platform given under the draft Law of Ukraine “On Media”with the terminology used in the EU Directives. She highlights the necessity of harmonization of the current legislation of Ukraine tothe requirements of the EU legislation regulating the activities of video-sharing platform providers.
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Shimoga, Sandhya V., and Yang Z. Lu. "Role of provider encouragement on patient engagement via online portals." Journal of the American Medical Informatics Association 26, no. 10 (March 29, 2019): 968–76. http://dx.doi.org/10.1093/jamia/ocz026.
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Abstract Objective The study sought to examine whether provider encouragement is associated with improvements in engaging patients with their healthcare processes using online portals. Materials and Methods Using the Health Information National Trends Survey 2017 (N = 2, 670), we conducted an exploratory factor analysis with varimax orthogonal rotation and derived 3 outcome variables on patient engagement: (1) information access score, (2) care convenience score, and (3) patient engagement score. Multivariable linear regression on each outcome variable was conducted with provider encouragement as the main predictor, controlling for patient demographics. Results Women (60%), white participants (69%), and those with a college degree (49%) were more likely to report receiving provider encouragement. Those who were encouraged to use patient portals scored higher on all 3 outcome measures compared with those who were not encouraged (B = 0 .80 vs B = 0.11 for information access, B = 1.13 vs B = 0.13 for care convenience, and B = 0.44 vs B = 0.05 for patient engagement; all P < .001). For every additional 100 patients receiving encouragement, 65 more information access tasks, 94 more care convenience tasks, and 40 more patient engagement tasks would be performed. Discussion Provider encouragement was most influential concerning care convenience tasks and least influential on complex decision-making tasks. This may be due to portal design and the content available to patients, which merit consideration in future studies. Conclusions Provider encouragement is associated with more patient engagement, as indicated by significantly higher utilization of patient portals for accessing information, participating in routine care processes, and making complex healthcare decisions.
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Fulford, Casey, and Virginie Cobigo. "Service Provider Perspectives Regarding Knowledge Sharing Activities in Community-Based Services." Canadian Journal of Community Mental Health 39, no. 2 (July 1, 2020): 25–39. http://dx.doi.org/10.7870/cjcmh-2020-012.
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Evaluation of knowledge mobilization (KM) activities in community-based mental health and social service organizations is needed. Our objective was to understand how service providers want to access and share knowledge, in order to improve KM practices to better support adults with intellectual disabilities. We distributed information about five strategies for supporting friendships; this included strategy descriptions, outcomes of strategy evaluations, and practical implementation considerations. We distributed information through a conference presentation, online presentations, and online modules. Service providers completed questionnaires and phone interviews. We present findings on their perspectives regarding the format and content of the material, which can inform future KM efforts.
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Goodman, J. Robyn. "Let the buyer beware: Content analysis of cosmetic surgery websites’ provider information." Public Understanding of Science 28, no. 6 (June 4, 2019): 713–29. http://dx.doi.org/10.1177/0963662519848596.
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Given that many consumers do not understand any licensed physician can perform cosmetic surgery, cosmetic procedure advertising regulation is lacking and differs by state; and consumers often search for providers online and rely on the site’s information. Cosmetic surgery websites have the potential to be a threat to consumers’ safety and health. This study asked what types of physician information do cosmetic surgery websites supply. A content analysis was conducted with 873 physicians’ information provided on cosmetic surgery websites in the top 10 cosmetic surgery cities, finding members of plastic surgery associations and core providers were more likely to list medical qualifications. All physicians were unlikely to list experience. Two-thirds stated their specific board certification, and 15% to 30% in each city failed to follow their state’s regulations for disclosing board certification. The study concludes by suggesting national ethical guidelines.
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Shanapinda, Stanley. "Retention and disclosure of location information and location identifiers OTT content and communication services." Australian Journal of Telecommunications and the Digital Economy 4, no. 4 (January 11, 2017): 251. http://dx.doi.org/10.18080/ajtde.v4n4.68.
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This article describes how Australia’s metadata retention and disclosure regime addresses the retention and disclosure of location information and location identifiers by locally licensed telecommunications service providers and those that do not require a licence to operate in Australia. The article specifically looks at over the-top-content and communication services. The retention and disclosure duties are described in contrast to the powers of the law enforcement agencies to access and use location information from free online social networking services, whereas the law seeks to restrict the retention and thereby the disclosure of location information in respect of over the-top-content and communication services that are not provided by the licensed or unlicensed telecommunications service provider. The paper argues the retention limitations in respect of over the-top-content and communication services are undermined by the actions of the agencies to harvest location information and conduct big data analytics. Similarly, so does the discretion granted to the telecommunications service provider to retain location information in respect of over the-top-content and communication services, provided by a third party content service provider and then be required to disclose it, without any additional safeguards. The actions of the agencies and the discretion granted to the telecommunications companies undermine privacy protections.
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Shanapinda, Stanley. "Retention and disclosure of location information and location identifiers OTT content and communication services." Journal of Telecommunications and the Digital Economy 4, no. 4 (January 11, 2017): 251–79. http://dx.doi.org/10.18080/jtde.v4n4.68.
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This article describes how Australia’s metadata retention and disclosure regime addresses the retention and disclosure of location information and location identifiers by locally licensed telecommunications service providers and those that do not require a licence to operate in Australia. The article specifically looks at over the-top-content and communication services. The retention and disclosure duties are described in contrast to the powers of the law enforcement agencies to access and use location information from free online social networking services, whereas the law seeks to restrict the retention and thereby the disclosure of location information in respect of over the-top-content and communication services that are not provided by the licensed or unlicensed telecommunications service provider. The paper argues the retention limitations in respect of over the-top-content and communication services are undermined by the actions of the agencies to harvest location information and conduct big data analytics. Similarly, so does the discretion granted to the telecommunications service provider to retain location information in respect of over the-top-content and communication services, provided by a third party content service provider and then be required to disclose it, without any additional safeguards. The actions of the agencies and the discretion granted to the telecommunications companies undermine privacy protections.
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Espín Alba, Isabel. "Online content sharing service providers’ liability in the directive on copyright in the Digital Single Market." UNIO – EU Law Journal 6, no. 1 (July 5, 2020): 100–114. http://dx.doi.org/10.21814/unio.6.1.2705.
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Digital technologies have transformed the way creative content protected by copyright is created, produced, distributed and accessed. The Directive on Copyright in the Digital Single Market aims to update copyright rules, taking into account changes in these paradigms. Of all the aspects of the reform, this paper critically analyses the content of Article 17, in order to deal with the so-called value gap that forced a change in the liability regime of the online content sharing service provider.
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Kramarenko, I. V. "TRENDS IN THE DEVELOPMENT OF THE MARKET FOR NEW EDUCATIONAL TECHNOLOGIES." Vestnik Universiteta, no. 2 (April 23, 2020): 49–57. http://dx.doi.org/10.26425/1816-4277-2020-2-49-57.
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Questions related to education and its quality are always relevant. The growing momentum of online education raises many questions for participants in the educational process, in particular, the choice of a platform provider of online services, the development of educational content, the placement and updating of online resources, the promotion of educational content among users, etc. The typology and characteristics of the market of online educational technologies have been presented in the article, trends of its further development have been defined. The classification and brief description of Russian and foreign platform providers implementing online training have been given. The forms of education, where the special place is given to adaptive education and development of self-education possibility have been considered. The tendencies of the Internet development as a necessary element of the online learning system have been revealed.
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Andrianova, Maria A., and Ellina V. Vlasenko. "Provider risks connected with uncertainty in the legal nature of online games’ terms of use." Digital Law Journal 1, no. 3 (November 3, 2020): 21–39. http://dx.doi.org/10.38044/2686-9136-2020-1-3-21-39.
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In the practice of the Russian courts, when creating an account in an online multiplayer game, any agreement concluded between the provider and the user seems to be covered by article 1062 of the Civil Code of the Russian Federation, which is why this topic is not subject to judicial examination. However, this approach is unlikely to be applied for much longer, as it does not stand up to criticism. It can only be interpreted as a court attempt to insulate itself from the issue of virtual property. This article is devoted to the consideration the key risks to a provider related to the uncertain legal status of an online games’ terms of use, particularly the prohibition to share a user’s account or login credentials with anyone and a user’s actual rights to virtual content associated with his account. To achieve the research goal, the authors review the legal literature and perform a case study in this area, use a comparative method to identify legislative approaches in different legal systems regarding a user’s rights to their account and the virtual content connected with it, and determine the aspects of the user agreement that obviously contain risks for the provider. As a result of the research, the authors conclude that online multiplayer games are a sphere that tends to self-regulate. Therefore, to the extent possible, the risk of imbalance between self-regulation capabilities and the need to avoid abuse of the current situation, both by providers and users, should be minimized. The main source of regulation for relations between providers and players remains an agreement between them, which can be qualified as a mixed contract. However, such a qualification carries a risk for the provider, due to the complexity of determining the consequences of using the agreement as a single document, which combines various goals, ranging from determining the amount of processing of a player’s data and to fixing the legal regime of a user’s account. Regarding prohibition to share a user’s account, the authors assume that, according to Russian legislation, the most appropriate path is to determine it as a prohibition of assignment to secure providers from the liability for protection of users’ data. The lack of special regulation in this area allows the provider, through the terms of use, to sidestep the potential risk of protecting the player’s copyright on virtual content associated with his account. The authors, however, suggest that using an analogue of the American “sweat of the brow” doctrine in user agreements can to a certain extent remove the provider’s risks associated with the players’ real rights to their in-game property.
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Nielsen, Mandy, Gwendolen Jull, and Paul W. Hodges. "Designing an online resource for people with low back pain: health-care provider perspectives." Australian Journal of Primary Health 22, no. 2 (2016): 159. http://dx.doi.org/10.1071/py14131.
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People with low back pain (LBP) seek education and information from the Internet. Existing LBP websites are often of poor quality, and disparities have been identified between patient and health-care provider evaluations of LBP websites. This study aimed to identify health-care provider perspectives on desirable content for a proposed LBP website and how this information should be presented. It complements an earlier study of LBP patient (consumer) perspectives. A qualitative descriptive study, encompassing focus groups and telephone interviews, was conducted with 42 health-care professionals practising in the LBP field. Four categories of information were identified: explaining LBP; treatment and management options; myth-busting information; and communication with health-care professionals. Presentation preferences included: use of visual media; interactivity; and useability and readability. Comparison with the consumer study identified differences with regard to: depth and breadth of diagnostic and treatment information; provision of lay person experiences and stories; and capacity for consumer-to-consumer interaction online. Views of both consumers and health-care providers are critical when developing an online LBP resource. Failure to address the needs of both stakeholder groups diminishes the potential of the resource to improve consumer outcomes.
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Jung, Eun Ji, and Seongcheol Kim. "Suicide on YouTube:Factors engaging viewers to a selection of suicide-themed videos." PLOS ONE 16, no. 6 (June 10, 2021): e0252796. http://dx.doi.org/10.1371/journal.pone.0252796.
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Visual social media platforms can function as both facilitators and intervenors of concerning behaviors. This study focused on one of the health concerns worldwide, a leading cause of death related to mental health—suicide—in the context of a dominant visual social media platform, YouTube. This study employed content analysis method to identify the factors predicting viewer responses to suicide-themed content from the perspectives of who’s, what’s, and how’s of suicide-themed videos. The results of the hierarchical multiple regression showed that the characteristics of content provider and content expression were more significant predictors of viewer engagement than were the characteristics of the message. These findings have implications for not only platform service providers but also diverse groups of individuals who participate in online discussions on suicide. YouTube has the potential to function as a locus for open discussion, education, collective coping, and even the diagnosis of suicidal ideation.
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Maestre, Juan, Susan Herring, Aehong Min, Ciabhan Connelly, and Patrick Shih. "Where and How to Look for Help Matters: Analysis of Support Exchange in Online Health Communities for People Living with HIV." Information 9, no. 10 (October 20, 2018): 259. http://dx.doi.org/10.3390/info9100259.
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Research is scarce on how direct and indirect support seeking strategies affect support exchange in online health communities. Moreover, prior research has relied mostly on content analysis of forum posts at the post level. In order to generate a more fine-grained analysis of support exchange, we conducted content analysis at the utterance level, taking directness of support seeking, quality of provision, forum type, and seeker gender into account. Our analysis of four popular online support forums for people living with human immunodeficiency virus found that type of support sought and provided, support seeking strategy, and quality of emotional support provision differed in care provider/formal forums versus social/informal forums. Interestingly, indirect support seeking tended to elicit more supportive emotional responses than direct support seeking strategies in all forums; we account for this in terms of type of support sought. Practical implications for online support communities are discussed.
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Ramar, Priya, Daniel L. Roellinger, Roma F. Merrick, Jon O. Ebbert, and Lindsey M. Philpot. "Helpfulness of Clinical Visit Summary Content From Multi-Specialty Care: A Mixed-Methods Assessment." Health Services Research and Managerial Epidemiology 7 (January 1, 2020): 233339282095090. http://dx.doi.org/10.1177/2333392820950909.
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Objective: We surveyed patients who visited multiple outpatient specialty practices to understand what summary content was most helpful with the goal of optimizing meaningful outpatient clinical visit summary content. Materials and Methods: We constructed a survey instrument to measure delivery, use, and contents of clinical visit summaries. We surveyed patients who visited with at least 2 different outpatient medical specialties to understand preferences. Results: Most patients in our sample valued the summary information they received, and retained it as healthcare documentation (84%) and/or quick reference in supporting self-care (70%). Patients most commonly reported that information on results of completed tests (91%) and treatment plan instructions (89%) were very helpful. Additionally, patients expressed the importance of online access to clinical visit summary information. Discussion: Most patients used the clinical visit summary as healthcare documentation, and valued online availability of their summary information. Patients most often reported that information on results of recently completed tests and specific instructions on treatment plan were very helpful. Patients who sought further information after their visit most often looked to a provider and/or online. Conclusions: Patients valued clinical visit summary accessibility and as a reference tool to summarize care and provide next steps. Optimal clinical visit summaries might collate and integrate assessments and recommendations from multiple specialties into coherent care plans for patients.
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Stacey, Fiona, Tessa Delaney, Kylie Ball, Rachel Zoetemeyer, Christophe Lecathelinais, Luke Wolfenden, Kirsty Seward, and Rebecca Wyse. "A Cluster Randomized Controlled Trial Evaluating the Impact of Tailored Feedback on the Purchase of Healthier Foods from Primary School Online Canteens." Nutrients 13, no. 7 (July 14, 2021): 2405. http://dx.doi.org/10.3390/nu13072405.
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Few online food ordering systems provide tailored dietary feedback to consumers, despite suggested benefits. The study aim was to determine the effect of providing tailored feedback on the healthiness of students’ lunch orders from a school canteen online ordering system. A cluster randomized controlled trial with ten government primary schools in New South Wales, Australia was conducted. Consenting schools that used an online canteen provider (‘Flexischools’) were randomized to either: a graph and prompt showing the proportion of ‘everyday’ foods selected or a standard online ordering system. Students with an online lunch order during baseline data collection were included (n = 2200 students; n = 7604 orders). Primary outcomes were the proportion of foods classified as ‘everyday’ or ‘caution’. Secondary outcomes included: mean energy, saturated fat, sugar, and sodium content. There was no difference over time between groups on the proportion of ‘everyday’ (OR 0.99; p = 0.88) or ‘caution’ items purchased (OR 1.17; p = 0.45). There was a significant difference between groups for average energy content (mean difference 51 kJ; p−0.02), with both groups decreasing. There was no difference in the saturated fat, sugar, or sodium content. Tailored feedback did not impact the proportion of ‘everyday’ or ‘caution’ foods or the nutritional quality of online canteen orders. Future research should explore whether additional strategies and specific feedback formats can promote healthy purchasing decisions.
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Sotiriadis, Marios D. "Sharing tourism experiences in social media." International Journal of Contemporary Hospitality Management 29, no. 1 (January 9, 2017): 179–225. http://dx.doi.org/10.1108/ijchm-05-2016-0300.
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Purpose The purpose of this paper is twofold: to perform a synthesis of academic research published between 2009 and 2016 regarding the changes in tourism consumer behavior brought about by the use of social media (SM); and to suggest a set of strategies for tourism businesses to seize opportunities and deal with resulting challenges. Design/methodology/approach A volume of 146 peer-reviewed journal articles were retrieved from two major databases. Content analysis of this academic research has been performed, exploring the effects of online reviews on tourism consumers and providers. Findings The content analysis identified three main research themes that were investigated by scholars and classified into two major categories, namely, consumer perspective and provider perspective: the antecedents (factors motivating and influencing tourists); the influence of online reviews on consumer behaviour; and the impact of these reviews on tourism businesses (providers’ perspective). Research limitations/implications This study is based on a literature review and outcomes reported by previous studies; hence, the suggestions are indicative rather than conclusive. Some publication sources were not included. Practical implications This paper suggests a range of adequate strategies, along with operational actions, formulated for industry practitioners in the fields of management and marketing. Originality/value It provides an update of the state of published academic research into SM and an integrated set of management and marketing strategies for tourism providers in seizing the opportunities and dealing with the challenges raised in a digital context.
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Bosman, Michiel, and Joan Swart. "Which Drivers of User Engagement Support the Cost-Effectiveness of Online Self-Help Programs? Amazon Turkers Tell Web Managers What Matters." Muma Business Review 1 (2017): 115–24. http://dx.doi.org/10.28945/3846.
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Open Forest is a provider of online mental health self-help programs and, in this context, it is crucial to understand the needs of potential users. With a high prevalence of ADHD, user needs to establish commitment and loyalty centered on the ability to engage with others online. Access of care, purported cost savings and convenience for both clients and healthcare professionals are but some of the reasons why there is a lot of interest in the development of effective, evidence-based telemental health services. Even more than in “classical” face-to-face therapy, online mental health programs (“telemental health” and/or online self-help programs) must focus on client retention. The online self-help mental health programs have huge efficiency and scalability potentials, but to be effective, clients will have to actively participate in these programs. To address the client retention issue, this study aims to replicate previous research in user commitment to User Generated Content (UGC) websites, and create a framework for enhancing user engagement in online mental health self-help websites.
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Daly, Nicola, and Dianne Forbes. "Teaching children’s literature online: Co-constructing stories in a Massive Open Online Course (MOOC)." Journal of Literary Education, no. 4 (July 31, 2021): 25. http://dx.doi.org/10.7203/jle.4.21020.
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Most of the scholarship on teaching children’s literature has focused on teaching fiction in university literature courses (Bedford & Albright, 2011; Butler, 2006). While there is a vast literature associated with online teaching dating back more than 20 years (e.g., Palloff & Pratt, 2005), and there is increasing use of online teaching in university contexts (Rapanta et al., 2020), there are very few published descriptions or analyses of the online teaching of children’s literature. In this article we document and discuss the development of a Massive Open Online Course (MOOC) to be delivered in mid-2021 focusing on picturebooks developed at a university, in partnership with a popular MOOC provider. The development of the MOOC is analysed with respect to supporting the presence of the educators, creating clarity in the delivery of the content, providing spaces for reflection and interaction, and generating human connections in an online environment. These features are linked to the notion of storytelling (Bietti, Tilston & Bangerter, 2019). The contribution of picturebooks to supporting these aspects of effective online teaching is also discussed.
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Svensson, Jonas. "Computing Swedish Salafism: An Example of a Digital Humanities Approach to Collecting, Organizing, and Analyzing Data on Web-based Salafi Missionary Activity in Sweden." Journal of Religion in Europe 13, no. 1-2 (May 9, 2020): 1–22. http://dx.doi.org/10.1163/18748929-20201472.
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Abstract The aim of this article is to exemplify how computer-aided methods can assist researchers in the study of religions to collect, organize, and perform rudimentary analysis on web-based material. For this, the article uses the case of the Swedish Salafi website darulhadith.com, perhaps the largest provider of Islamic texts in Swedish online. The results show how the computer-aided methods can greatly facilitate the gathering of information on publication patterns and affiliations that can serve as a basis for further, in-depth studies of content and context. The article discusses possible avenues for assessing levels of impact and suggests further ways in which the content of the material gathered can be explored using computer-aided methods.
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Yu, Liying, Zixuan Chen, Pinbo Yao, and Hongda Liu. "A Study on the Factors Influencing Users’ Online Knowledge Paying-Behavior Based on the UTAUT Model." Journal of Theoretical and Applied Electronic Commerce Research 16, no. 5 (June 3, 2021): 1768–90. http://dx.doi.org/10.3390/jtaer16050099.
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With the explosive growth of information and the increase of people’s fragmented time, the knowledge payment industry’s market size is growing. However, the heterogeneity between online knowledge payment behavior and traditional consumption gradually comes to the fore. It is of great practical significance to analyze the factors influencing users’ online knowledge payment behavior and clarify users’ online knowledge payment mechanism. Based on UTAUT theory, this study uses statistics, structural equation modeling, and mediating effect analysis to construct a theoretical model of the influencing factors of users’ payment behavior of knowledge payment platform from the user level, knowledge-provider level, and platform level. The findings show that content quality, peer influence, KOL influence, perceived interaction, effort expectation, and perceived trust significantly affect users’ willingness-to-pay and have an indirect effect on users’ paying behavior through their willingness-to-pay. Perceived cost, perceived interaction, content quality, peer influence, performance expectation, and effort expectation directly and significantly affect user paying behavior. By regulating the above elements, the improvement of customer attraction ability of online knowledge platforms can be realized.
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BALSA, ERO, CARMELA TRONCOSO, and CLAUDIA DIAZ. "A METRIC TO EVALUATE INTERACTION OBFUSCATION IN ONLINE SOCIAL NETWORKS." International Journal of Uncertainty, Fuzziness and Knowledge-Based Systems 20, no. 06 (December 2012): 877–92. http://dx.doi.org/10.1142/s0218488512400284.
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Online social networks (OSNs) have become one of the main communication channels in today's information society, and their emergence has raised new privacy concerns. The content uploaded to OSNs (such as pictures, status updates, comments) is by default available to the OSN provider, and often to other people to whom the user who uploaded the content did not intend to give access. A different class of concerns relates to sensitive information that can be inferred from the behavior of users. For example, the analysis of user interactions augments social network graphs with potentially privacy-sensitive details on the nature of social relations, such as the strength of user relationships. A solution to prevent such inferences is to automatically generate dummy interactions that obfuscate the real interactions between OSN users. Given an adversary that observes the obfuscated interactions, the goal is to prevent the adversary from recovering parameters of interest (e.g., relationships strength) that accurately describe the real user interactions. The design and evaluation of obfuscation strategies requires metrics that express the level of protection they would offer when deployed in a particular OSN with its underlying user interaction patterns. In this paper we propose mutual information as obfuscation metric. It measures the amount of information leaked by the (observable) obfuscated interactions in the system on the (concealed) real interactions between users. We show that the metric is suitable for comparing different obfuscation strategies, and flexible to accommodate different network topologies and user communication patterns. Obfuscation comes at the cost of network overhead, and the proposed metric contributes to enabling the optimization of strategies to achieve good levels of privacy protection at minimum overhead. We provide a detailed methodology to compute the metric and perform experiments that illustrate its suitability.
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Killian, Chad M., Amelia Mays Woods, Kim C. Graber, and Thomas J. Templin. "Factors Associated With High School Physical Education Teachers’ Adoption of a Supplemental Online Instructional System (iPE)." Journal of Teaching in Physical Education 40, no. 1 (January 1, 2021): 136–45. http://dx.doi.org/10.1123/jtpe.2019-0188.
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Purpose: The purpose of this study was to investigate factors associated with high school physical education (PE) teachers’ adoption of a supplemental online instructional system. Method: Semistructured, open-ended phone interviews with 28 high school PE teachers were used as the primary data collection method. All teachers were using or had used a supplemental online instructional system at the time of the study. The Unified Theory of Acceptance and Use of Technology (UTAUT) guided the directed content analysis. Results: Four main categories were generated, including perceived programmatic, instructional, and inclusivity improvements; minimal personal and student usage effort; school and curriculum provider support facilitated use; and administrators’ dictated long-term use. Discussion/Conclusion: The results aligned well with the UTAUT and served to situate the theory within the secondary PE context. The participants’ perceptions and experiences were also contradictory to much of the current research on teachers’ technology adoption in PE and K–12 education, more generally.
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Rahimian, Maryam, Jeremy L. Warner, Sandeep K. Jain, Roger B. Davis, Jessica A. Zerillo, and Robin M. Joyce. "Significant and Distinctive n-Grams in Oncology Notes: A Text-Mining Method to Analyze the Effect of OpenNotes on Clinical Documentation." JCO Clinical Cancer Informatics, no. 3 (December 2019): 1–9. http://dx.doi.org/10.1200/cci.19.00012.
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PURPOSE OpenNotes is a national movement established in 2010 that gives patients access to their visit notes through online patient portals, and its goal is to improve transparency and communication. To determine whether granting patients access to their medical notes will have a measurable effect on provider behavior, we developed novel methods to quantify changes in the length and frequency of use of n-grams (sets of words used in exact sequence) in the notes. METHODS We analyzed 102,135 notes of 36 hematology/oncology clinicians before and after the OpenNotes debut at Beth Israel Deaconess Medical Center. We applied methods to quantify changes in the length and frequency of use of sequential co-occurrence of words ( n-grams) in the unstructured content of the notes by unsupervised hierarchical clustering and proportional analysis of n-grams. RESULTS The number of significant n-grams averaged over all providers did not change, but for individual providers, there were significant changes. That is, all significant observed changes were provider specific. We identified eight providers who were late note signers. This group significantly reduced its late signing behavior after OpenNotes implementation. CONCLUSION Although the number of significant n-grams averaged over all providers did not change, our text-mining method detected major content changes in specific providers’ documentation at the n-gram level. The method successfully identified a group of providers who decreased their late note signing behavior.
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Taylor, D., B. Bunnell, C. Calhoun, K. Pruiksma, J. Dietch, S. Wardle-Pinkston, M. Milanak, et al. "1186 Developing And Testing A Web-based Provider Training For Cognitive Behavioral Therapy Of Insomnia." Sleep 43, Supplement_1 (April 2020): A453. http://dx.doi.org/10.1093/sleep/zsaa056.1180.
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Abstract Introduction Chronic insomnia is a common, debilitating disorder and a risk factor for significant medical morbidity, mental health problems, and workplace difficulties. Cognitive behavioral therapy for insomnia (CBT-I) is the gold standard treatment for insomnia. However, few providers are trained in CBT-I, in part due to a bottleneck in training availability and the time and cost associated with current training platforms. To address this training deficit, our team developed and evaluated CBTIweb.org, a web-based provider training course for CBT-I. Methods Feedback from alpha- and beta-testing of CBTIweb.org was collected and used to optimize course content and functionality. Then, a comparison study was conducted in which licensed providers were randomized to complete either the online CBTIweb.org course (n=21) or an in-person CBT-I training (n=23). During all phases of development, providers completed a Computer System Usability Questionnaire (CSUQ), investigator-developed website usability and content questionnaires, and pre/post-training competency assessments. Results Independent samples t-tests indicated significant improvements in CSUQ, and website usability and content questionnaires responses from alpha- to beta-testing (all ps < .05). Linear mixed-effects modeling revealed significant within-subject increases in knowledge acquisition (F(34.7) = 65.4, p < 0.001; baseline = 69% correct, post-training = 92% correct) when collapsed across in-person and web-based groups. The interaction group by time interaction was non-significant (F(34.7) = 1.7, p = 0.204), indicating similar gains in knowledge (i.e., equivalence) between the in-person and the CBTIweb.org training formats. Conclusion Alpha and beta testers of CBTIweb.org reported high levels of satisfaction while also noting areas for improvement, which were used to update the site. Findings suggest the final CBTIweb.org product successfully trained clinicians compared to an in-person workshop, given knowledge acquisition improvements. CBTIweb.org is an efficient and effective training platform for clinicians to gain knowledge and competence in the most effective treatment for insomnia. Support W81XWH-17-1-0165
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Pullen, Darren L. "Online Continuing Professional Education: An Evaluative Case Study." Journal of Adult and Continuing Education 11, no. 2 (November 2005): 129–41. http://dx.doi.org/10.7227/jace.11.2.2.
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An evaluation study, assessing the pedagogical and instructional design (e-pedagogy) effectiveness of online continuing professional education (CPE) courses offered by a large Australasian CPE provider to health care professionals (HCPs). The study used a naturalistic theory approach in conjunction with a multilevel evaluation to examine the impact of Web-based learning on over 300 HCPs. Several evaluative criteria (participant satisfaction, learning achievement, self-reported practice performance change and e-pedagogical courseware characteristics) were assessed by various qualitative and quantitative data collection methods. The evaluation revealed that learning online was an effective means for increasing CPE knowledge (p < 0.05) and improving self-reported practice performance change (p < 0.05). Additionally the study revealed that of the 42 courses examined, those which included a pedagogically scaffolded clinical or diagnostic learning support tool (57 per cent) resulted in an increased self-reported practice performance change compared with those courses which did not include the scaffolded support tool (Zobs 3.757). Participants were very satisfied with the self-paced instruction, timing of both the facilitator and server-generated course comments and the amount of learning content which could be undertaken in a learning sitting.
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Jorge, Thiago William Carnier, César Filho, Melina Campagnaro, Lorenzo Cartolano, Jean Singh, Kamila Sena, Luiz Felipe dos Prazeres, Juliana Guerrero, and Simone Ansarah. "Electronic patient reported outcome in Brazil: Insurance provider impact on adherence." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e13590-e13590. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e13590.
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e13590 Background: Routine monitoring of cancer patients' symptoms during their journey can improve symptom management, quality of life, and survival. Wecancer App is an electronic patient-reported outcome tool, which also provides on-demand multidisciplinary digital support by nurses, psychologists and nutritionists. It also encompasses real time remote patient monitoring, symptoms diary to patient and medical staff, symptom monitoring, medication control and a content hub with reliable information. It is free to any patient who download the app. In this study, we aim to understand if insurance provider type (private, public or out of pocket) impact on app adherence. Methods: This study examined daily symptom reporting (with electronic patient-reported outcomes [e-PROs]) patterns in breast cancer patients, according to insurance provider. The following were observed: app adherence, numbers of reports, chat interactions, specific symptoms, symptoms alerts and wellness reports. Patients could report sixteen common symptoms through a mobile application, on their smartphones and tablets, for monitoring, symptom management and follow-up with a specialized nurse, determining care based on digital support clinical protocols through online chat. The nursing team action started at the moment of patient inclusion with the tutorial to download the App and training it with the patient/caregiver. The alerts made through the chat system guided the clinical actions of the nursing team in relation to online clinical management that can stratify the risk by crossing the intensity of symptoms by the CTCAE grading scale and PRO-CTCAE Measurement System and promote preventive educational conduct of vigilance and risk mitigation. Results: From January 2020 to January 2021, 543 female eligible patients downloaded the app. The e-PRO completion rates were superior to 90% at baseline, and 55.47% completed all on-treatment assessments. The app adherence for private insurance patients (PIP), 37.06% for public insurance patients (PIP) and 7.45% for out of pocket patients (OPP). 2,626 reports were made (46.41% IP; 28.58% OPP; 25% PHP); 1008 chat interactions (52.18% IP; 40.28% PHP; 7.54% OPP); 1144 number of symptoms reported (46,41% IP; 28.58% OPP; 25% PHP); specific symptoms most reported in all kind of service was tiredness, pain, nausea, tingling; 547 symptoms alerts (54.84% IP; 35.46% PHP; 9.7% OPP) and 451 wellness reports (55.43% IP; 35.03% PHP; 9.53% OPP). Conclusions: Private insurance patients are more adherent to ePROS than public insured or out of pocket patients. Lack of free internet access and digital literacy could be impacting on adherence and, ultimately, quality of life and survival. Further studies are warranted to understand how to improve equality for digital health tools.
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Boisvert, Stéfany. "‘Queering’ TV, one character at a time: How audiences respond to gender-diverse TV series on social media platforms." Critical Studies in Television: The International Journal of Television Studies 15, no. 2 (May 22, 2020): 183–201. http://dx.doi.org/10.1177/1749602020914479.
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This article builds further on research in gender/queer TV studies to understand how interpretive communities form around gender-diverse TV series on social media platforms, while questioning the influence a broadcaster/content provider may still have on the reception of LGBTQ characters. Since recent technological innovations have deeply upset normative definitions of television and of its ‘identity’, this article seeks to understand whether the inclusion of LGBTQ characters in TV series has a similar potential to encourage viewers to queer or challenge normative knowledges about human sexualities and identities. To this end, the article provides a qualitative analysis of discourses that have been published on the official Facebook page of two US serialised dramas: Sense8 (Netflix 2015–2018) and Billions (Showtime 2016–). This research reveals that conversations around Sense8 and Billions differ significantly, ranging from a tendency to deflect criticism and promote progressive readings of the show ( Sense8), to more aggressive debates and frequent attempts to ‘solve’ gender ambiguities ( Billions). Through a detailed analysis of comments and interactions on a popular social media platform, this article, therefore, argues that the nature of a particular content provider might still affect – though never determine – the formation of interpretive communities online, and the nature of comments published around a series featuring LGBTQ character(s).
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Binder, Alison M., and Paige Armstrong. "2561. Doxycycline Saves Lives! Educating Healthcare Providers on Tickborne Rickettsial Diseases in the United States Using an Online Toolkit." Open Forum Infectious Diseases 6, Supplement_2 (October 2019): S889—S890. http://dx.doi.org/10.1093/ofid/ofz360.2239.
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Abstract Background Tickborne rickettsial diseases (TBRDs), including Rocky Mountain spotted fever (RMSF), are major causes of illness in the United States. Doxycycline is the first-line treatment for patients of all ages; delay in treatment is the single most important predictor of fatal outcome. Recent assessments have identified a lack of knowledge in recognition and treatment of RMSF among providers. CDC developed an online toolkit to address the need for increased awareness in the medical and public health communities. Methods In August 2018, CDC released the Rocky Mountain Spotted Fever (and other tickborne diseases) Toolkit for Healthcare Providers, an online platform including: (1) Narrated video discussing RMSF clinical presentation, diagnosis, and treatment, (2) Physician pocket card, (3) Clinical timeline with images to aid diagnosis, and (4) Tickborne Diseases of the United States Manual. Participants receive free continuing education (CE) by scoring ≥75% on a posttest and providing an evaluation. We summarized post-test scores and evaluations to assess impact on participant knowledge and satisfaction with the format. Results As of April 30, 2019, there have been 14,103 visits to the toolkit website. In total, 247 participants registered for CE and completed the posttest; 245 (99%) passed. The majority of participants self-reported as nurses (121, 49%), followed by other professionals (32, 13%) and physicians (31, 13%). All posttest questions except one indicated correct responses were selected by ≥80%. In all, 245 provided a course evaluation; 94% agreed the content and materials addressed a gap in their knowledge, and 84% agreed the knowledge gained from the activity could be applied to practice. Nearly all (96%) agreed the delivery methods used was appropriate and aided in learning the content. Suggested improvements included integration of case-based scenarios, Spanish-language materials, and more information on epidemiology and information on TBRDs in vulnerable populations. Conclusion Participation in this online toolkit led to improved knowledge and confidence among providers regarding timely diagnosis and treatment of TBRDs, highlighting the utility of online education in addressing gaps in provider awareness of TBRDs in the United States. Disclosures All authors: No reported disclosures.
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Shanks, Sarah, Alessandra Morelli, Elena Ardines, Gillian Holdsworth, and Paula Baraitser. "Two-Way Text Messaging to Support Self-Care and Delivery of an Online Sexual Health Service: Mixed Methods Evaluation." JMIR mHealth and uHealth 8, no. 8 (August 20, 2020): e17191. http://dx.doi.org/10.2196/17191.
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Background Digital health care is increasingly used to improve health service accessibility and reduce costs. Remote health care requires a significant self-management role for service users, and this generates information provision and support needs that should be reflected in service planning. SMS text messaging offers a convenient and low-cost method of communication and is increasingly used across digital health care services to provide remote support. Objective The aim of this study was to quantify the number of messages generated through user interaction with a two-way SMS text messaging support service within an online sexual health service and to thematically explore the content of the messages and type of support required to facilitate self-management. Methods The content of all SMS text messages received by an online sexual health service was analyzed from April 4, 2018, to July 5, 2018. Messages were classified as being either administrative or clinical in nature and service or user initiated. For those messages that were both clinical and user initiated, a qualitative thematic analysis was completed to fully describe the content of the interactions. Results A total of 267 actionable messages were generated per 1000 orders requested through the service. Of the 8562 messages, 5447 (63.62%) messages were administrative and 3115 (36.38%) were clinical. Overall, 4306 of the 8562 messages (50.29%) responded to service-generated queries reflecting the public health and clinical responsibilities of an online provider, and 4256 (49.71%) were user-generated queries, demonstrating a willingness by users to proactively engage with a two-way SMS text messaging support service. Of the 3115 clinical messages, 968 (31.08%) clinical messages were user initiated and shared personal and complex clinical information, including requests for help with the self-testing process and personalized clinical advice relating to symptoms and treatment. Conclusions This study demonstrates the willingness of users of an online sexual health service to engage with two-way SMS text messaging and provides insight into the quantity and nature of the support required to facilitate service delivery and self-care. Further work is required to understand the range of clinical problems that can be managed within this medium.
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Hodgson, Nancy, Ani Nencova, Laura Gitlin, and Emily Summerhayes. "Feasibility of Automating Fidelity Monitoring in a Dementia Care Intervention." Innovation in Aging 4, Supplement_1 (December 1, 2020): 493. http://dx.doi.org/10.1093/geroni/igaa057.1593.
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Abstract Careful fidelity monitoring is critical to implementing evidence-based interventions in dementia care settings to ensure that the intervention is delivered consistently and as intended. Most approaches to fidelity monitoring rely on human coding of content that has been covered during a session or of stylistic aspects of the intervention, including rapport, empathy, enthusiasm and are unrealistic to implement on a large scale in real world settings. Technological advances in automatic speech recognition and language and speech processing offers potential solutions to overcome these barriers. We compare three commercial automatic speech recognition tools on spoken content drawn from dementia care interactions to determine the accuracy of recognition and the guarantees for privacy offered by each provider. Data were obtained from recorded sessions of the Dementia Behavior Study intervention trial (NCT01892579). We find that despite their impressive performance in general applications, automatic speech recognition systems work less well for older adults and people of color. We outline a plan for automating fidelity in interaction style and content which would be integrated in an online program for training dementia care providers.
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Jenkins, J. Lee, Richard Bissell, and Lucy Wilson. "Utilization of the Multi-Pathogen Approach in an Online Program for Prehospital Responders in High Consequence Infectious Diseases." Prehospital and Disaster Medicine 34, s1 (May 2019): s177. http://dx.doi.org/10.1017/s1049023x19004060.
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Introduction:The prehospital disaster and emergency medical services community stands on the front-line in the response to events such as novel influenza, multi-drug resistant tuberculosis, and other high consequence diseases such as the Ebola Virus Disease.Aim:To address provider and community safety, we developed an online educational program utilizing a Multi-Pathogen Approach to infectious disease personal protective equipment (PPE) deployment by prehospital providers. Such vigilance starts with syndromic recognition and quickly transcends to include operational issues, clinical interventions, and public health integration.Methods:The University of Maryland, Baltimore County (Maryland, USA), Department of Emergency Health Services partnered with the Maryland State Department of Health (USA), to develop an online educational curriculum. The curriculum was developed through an expert panel consensus group including prehospital providers and is hybrid in design and includes awareness level training and procedural guidance.Results:Currently deployed online, this educational content demonstrating the use of the Multi-Pathogen Approach is accessible open-access via YouTube worldwide on computers, tablets, and smartphones. This curriculum is also accessible for continuing medical education to over 50,000 prehospital, hospital, and clinic personnel throughout Maryland and the National Capital Region of the United States. The curriculum consists of twelve modules of didactic and live videotaped demonstrations.Discussion:The development of the Multi-Pathogen Approach for the deployment of PPE and the use of online education modules has given prehospital providers an easily accessible open-access tool for high consequence disease management. The development of educational efforts such as these can help ensure better patient care and prehospital EMS system readiness.
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Dorcic, Jelena, Jelena Komsic, and Suzana Markovic. "Mobile technologies and applications towards smart tourism – state of the art." Tourism Review 74, no. 1 (February 4, 2019): 82–103. http://dx.doi.org/10.1108/tr-07-2017-0121.
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Purpose The popularity of mobile technologies and applications is constantly growing and undoubtedly changing consumers’ and providers’ behavior. The purpose of this study is to provide a comprehensive systematic literature review of academic research related to mobile technologies and applications in smart tourism published between 2012 and June 2017. Design/methodology/approach Published peer-reviewed articles were gathered from the three largest and most popular online databases and search engines – EBSCO host, Science Direct and Google Scholar and ENTER conference proceedings. Based on a keyword-driven search and content analysis, 126 articles were determined to be relevant to this study. Findings Selected publications were analyzed in accordance with the proposed research questions and thematically classified into three main categories: consumer perspective, technological perspective and provider perspective. The findings contribute to a better overall understanding of recent research into mobile technologies and applications in smart tourism by presenting the main results, methods, trends and other insights of relevant publications. Research limitations/implications Although the researchers used two databases, one search engine and ENTER conference proceedings to collect articles, there is the possibility that some studies connected to the topic were not included. The study did not include books, other conference proceedings, literature reviews, theses, business reports and other possibly relevant publications. Originality/value This study provides a systematic review of the most recent published academic research (2012-June 2017; also including “Online First” articles) on mobile technologies and applications in smart tourism. The results of this study provide an agenda for future research in tourism and hospitality industry by identifying major trends and developments in smart tourism.
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El Amrani, Mohamed, Hamid Garmani, Mohamed Baslam, and Rachid El Ayachi. "The Competition Between ISPs in Presence of the Net Neutrality." International Journal of Informatics and Communication Technology (IJ-ICT) 6, no. 3 (December 1, 2017): 166. http://dx.doi.org/10.11591/ijict.v6i3.pp166-178.
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<p>In this work, we present an economic model of computer networks that describes the in-teraction between Internet Service Providers (ISP ), customers and content provider. The competition between ISP s may be translated by the prices they require and the qualities of service (QoS) they offer. The customer demand for service from an ISP does not only de-pend on the price and quality of service (QoS) of the ISP , but it is influenced by all those offered by its competitors. This behavior has been extensively analyzed using game the-ory as a decision support tool. We interpret a non-neutral network when a content provider privileges ISP s by offering them more bandwidth to ensure proper QoS to support ap-plications that require more data transport capacity (voice over internet protocol (V OIP ) the live video streaming, online gaming). In addition, our work focuses on the price game analysis and QoS between ISP s in two cases: neutral network and non-neutral network. After showing the existence and uniqueness of equilibrium in terms of quality of service, we analyzed the impact of net neutrality on competition between ISP s. We also validated our theoretical study with numerical results, which show that the game has an equilibrium point which depends on all the parameters of the system.</p>
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Hariguna, Taqwa, Athapol Ruangkanjanases, and Sarmini. "Public Behavior as an Output of E-Government Service: The Role of New Technology Integrated in E-Government and Antecedent of Relationship Quality." Sustainability 13, no. 13 (July 4, 2021): 7464. http://dx.doi.org/10.3390/su13137464.
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Electronic government has played an essential role in citizen policy strategy, especially during the COVID-19 pandemic. As part of citizen and government interaction, companies can utilize electronic government facilities to establish direct communication and maintain service quality by integrating new technologies and facilities in electronic government which can provide service via online, embedded with social media integration, implemented with mobile service, using personalized user accounts, e-participation service integration, in combination with ongoing citizen information. Therefore, electronic government facilities must adapt and choose the right content to promote strong citizen relations, leading to citizen behavior to make long-term use of electronic government facilities. This study considered and integrated the latest technology from electronic government and associated it with connection quality. Sustainable motives and faithfulness were used to quantify the quality of citizen relations to electronic government facilities, which can influence the results of citizen behavior. The SmartPLS 2 software was used to quantify and estimate 425 online questionnaire surveys. The results showed that of the 12 hypotheses, eight hypotheses were declared to have a significant effect, consisting of H1, H2, H6–H8, and H10–H12, while the other four hypotheses were stated to have no significant effect, namely H3–H5, and H9. This study was used to guide the government as a provider of electronic government facilities to adapt and provide content following the dimensions of the latest technology to achieve goals and produce sustainable implementation.
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Harvey, Allison, Mohammad Khalaf, Aubrey Villalobos, and Mandi Chapman. "Supporting survivorship care through comprehensive cancer control technical assistance." Journal of Clinical Oncology 36, no. 7_suppl (March 1, 2018): 15. http://dx.doi.org/10.1200/jco.2018.36.7_suppl.15.
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15 Background: In 2010, the Centers for Disease Control and Prevention (CDC) issued six priorities for Comprehensive Cancer Control (CCC) programs, including addressing needs of cancer survivors (Seeff, 2010). CCC programs identified need for technical assistance (TA), tools and resources in this area. George Washington University (GW) Cancer Center provides TA on survivorship through a 5-year agreement from CDC and contracts from 5 states. Methods: Since 2013, GW developed three online trainings for health care providers with a focus on survivorship. From 2016-2017, GW delivered four tailored in-person workshops to health care professionals (N = 137). GW also produced a survivorship report and a roadmap to implement the patient navigation standard from the Commission on Cancer: both include background information, sample metrics and implementation resources. Results: Across online trainings for oncology and primary care provider (PCP) learners, a majority of participants (N = 1,983) agreed or strongly agreed their knowledge was enhanced (94.6%) and planned to implement strategies/skills/information learned (79.6%). While content varied for workshops, patient-provider communication, survivorship care plans and patient navigation were common topics presented. The majority (n = 74) agreed or strongly agreed their knowledge was enhanced (82.4%) and planned to implement strategies/skills/information learned (86.4%). The survivorship report has been downloaded 11,000+ times in one year and the roadmap nearly 5,000 times in one month. Conclusions: Based on uptake of TA, GW is meeting a need for CCC programs. However, stakeholder feedback indicates programs continue to desire TA support to meet patient navigation and survivorship care standards. Notably, most PCPs are not familiar with survivorship care, and uptake of trainings aimed at PCPs remains low. Opportunities for further TA to troubleshoot challenges in patient navigation and survivorship care remain.
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Cardenas, Valeria, Anna N. Rahman, Mekiayla Singleton, YuJun Zhu, and Susan Enguidanos. "WHAT CONSUMERS SAY ABOUT HOSPICES IN ONLINE REVIEWS." Innovation in Aging 3, Supplement_1 (November 2019): S899—S900. http://dx.doi.org/10.1093/geroni/igz038.3287.
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Abstract Until recently, consumers have had limited resources to assess quality of hospices agencies, contributing to growing numbers of consumers turning to online review sites, such as Yelp. Yet little is known about the content of hospice Yelp reviews and how these relate to recently available Center for Medicare and Medicaid Services’ Hospice Compare site data. No study has examined Yelp hospice reviews and compared the themes identified in Yelp reviews to the topics addressed by CMS’s HC measures. To better understand how consumers perceive hospice care, we drew a purposeful sample of 67 hospices in California. Researchers used grounded theory to identify themes and categories within the hospice reviews. Each of two teams of two researchers independently coded the reviews and then met to compare coding and reconcile discrepancies until 100% consensus was reached. We coded a total of 692 consumer Yelp reviews, identifying 15 themes and grouping them under five overarching thematic categories: patient/caregiver-provider relationship; clinical care; agency competency; staff professionalism; and medical equipment and supplies. We found that overall Yelp comments were positive. The most frequently mentioned Yelp themes in hospice reviews were compassionate, caring staff; patient/family gratitude; and staff responsiveness. There was considerable overlap between the themes captured in HC caregivers survey items and Yelp. However, Yelp reviews cover a greater number and more diverse themes than those measures reported on the CMS Hospice Compare site. We recommend that consumers consider both HC and online review sites such as Yelp when evaluating a hospice.
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Todd, Patricia R., and Joanna Melancon. "Gender and live-streaming: source credibility and motivation." Journal of Research in Interactive Marketing 12, no. 1 (March 12, 2018): 79–93. http://dx.doi.org/10.1108/jrim-05-2017-0035.
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Purpose The overall purpose of this study is to investigate and gain a better understanding of perceptions of source credibility and consumer motivation to view live-stream broadcasts. Of particular interest is gender differences based on the gender of the broadcaster and viewer. Design/methodology/approach Data were collected using an online survey from 998 respondents. As the preliminary examination technique, t-tests were used. Findings There are significant differences based on whether a viewer of a live broadcast is watching a source of the same gender or a different gender in source credibility. Viewing same vs opposite sex broadcasters may indicate motivation to engage with the live-video content. There are significant gender differences outcome variables of interest to live broadcasters. Research limitations/implications The context investigated was a single live-streaming provider. Practical implications The findings provide a start to understanding the differences in perceptions and motivations for watching live-stream broadcasters. This will aid marketers and broadcasters using live-stream formats on a variety of platforms in developing better content and building a more engaged viewing community. This research represents an important step in quantifying unexplored differences in gender perceptions of the source of live broadcasts that ultimately could impact not only the success of the broadcaster but also brands endorsed by these broadcasters. Originality/value This research is among the first to explore source effects and motivation in the live video context.
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Firdaus, Muhammad Romy, Fikri Muhammad Rizki, Favian Muhammad Gaus, and Indra Kusumajati Susanto. "Analisis Sentimen Dan Topic Modelling Dalam Aplikasi Ruangguru." J-SAKTI (Jurnal Sains Komputer dan Informatika) 4, no. 1 (March 30, 2020): 66. http://dx.doi.org/10.30645/j-sakti.v4i1.188.
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This study aims to determine and analyze responses regarding customer satisfaction Ruangguru Application to the learning space features in the Ruangguru Application at every level of education. This is useful to know the strengths and weaknesses of the Ruangguru Application based on sentiment responses from Ruangguru users. Ruangguru is an online tutoring startup and a technology-based educational content service and provider no. 1 in Indonesia. So of course, customer satisfaction is an important thing that is the goal of the company. So that when customer satisfaction is met, that is where the company can realize their goals. To see how the level of customer satisfaction, sentiment analysis methods and topic modeling are used in processing the data so that responses can be seen as to what is provided by the customer so that it can be an evaluation for the Ruangguru Application.
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Kosznik-Biernacka, Sylwia. "Pupils’ access to inappropriate web content: the example of primary schools in Slupsk." Kultura Bezpieczeństwa. Nauka – Praktyka - Refleksje 34, no. 34 (June 28, 2019): 47–64. http://dx.doi.org/10.5604/01.3001.0013.5165.
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The publication is a summary of the pilot studies carried out by Comdrev.PL company, a provider of a service named PROTECTI, from February to April 2018 in four primary schools in Slupsk. The study’s objective was to monitor pupils’ online activities while at school and using the school network. The author made a hypothesis that primary school pupils, while at school, do visit inappropriate websites. The analysis of the visited pages, based on the thematic catalogue by Comdrew.PL, shown that inappropriate content has indeed been accessed. The scale of the phenomenon turned out to be worrying, thus, as early as within the study duration, school authorities decided to take countermeasures by blocking access to inappropriate content. Therefore, the analysis included both the inappropriate content that the pupils actually viewed from February to April 2018 and the content they wanted to visit at that time but access to it was blocked. The fundamental conclusion of the research is that it is necessary to filter the content available in the school network and to block access to the inappropriate content so as to ensure the proper realization of the school’s educational tasks.
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Marinescu, Valentina, and Simona Rodat. "Romanian and German Seniors in Quest of Online Health-Related Information: An Exploratory Comparative Study." Romanian Journal of Communication and Public Relations 20, no. 1 (April 1, 2018): 25. http://dx.doi.org/10.21018/rjcpr.2018.1.251.
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In the last years a shift in the practice of medical communication has occurred and it leads to a displacement from a paternalistic model of patient-provider information toward a model implying an embeddedness of the medical and human values in the medical interaction and in the decision-taking process of the informed patient. Researches show that older adults respond differently to online communication than younger adults. In this context, seniors face new challenges as regards health-related information and medical communication. The present study deals comparatively with the health-related internet use by the seniors in two European countries: Romania and Germany. Using a qualitative methodology, which involved the in-depth semi-structured interviewing of twenty persons aged 65 years or over who used the internet including for health-related search, we tried to find out which are the similarities and differences between the two samples as concerns health-related online informing and medical communication. Our research has revealed a number of interesting results and inferences. Thus, while between the two samples there are similarities as regards using the internet as a starting point for general information related to health and making informed medical decisions, there exist also a series of differences as regards various aspects, such as the health-related internet use itself – the interest and the ways of searching, the accessed content and websites, the trust in the reliability of the online information, the online feedback and activism etc., as well as the openness to discuss with the physicians about the information gained by the internet consumption.
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Gilreath, Jeffrey A., James A. Stuart, Brandon Wilds, Mimi Lo, Anthony Greenly, Haopeng Liu, and David D. Stenehjem. "Patient and caregiver experience with an online, open-access, standardized, evidence-based, cancer drug and supportive care educational platform." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e18811-e18811. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e18811.
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e18811 Background: An open-access, web-based platform was developed to provide standardized, evidence-based information, that is cancer regimen-specific and supportive care focused. Online content was provided in the English language only for more than 200 anti-neoplastic regimens. A survey was conducted to determine reasons adult patients and their caregivers seek internet-based cancer drug information, and to evaluate if there is an unmet need for improved oncology therapy education. Methods: Between February 2020 and January 2021, patients and caregivers completed an online anonymous, English language survey deployed on the website www.chemoexperts.com. Results: A total of 1,021 website users responded. The majority of users were from North America (75%). Female respondents comprised 65% of the population and users self-identified as being a patient (67%), or family member/caregiver (33%). The mean age of respondents was 60.7 years (+ 16.2). Roughly two-thirds (66.4%) had a college degree. The majority of respondents reported they were either currently receiving (59.6%), or planning to receive (27.4%) treatment, however patients of all education levels, and in all phases of treatment (before, during, and after) sought online drug information. Clinical drug information education was reportedly provided by a doctor (68.9%), nurse (40.9%), physician assistant or nurse practitioner (23.8%), or pharmacist (15%), while 23% did not receive any education from clinical staff. Modes of education received by participants included printed material (73.9%), teaching in person (52.3%), and/or other internet sites (27.5%). Reasons for visiting the website were reported as follows: seeking additional information (92%), did not know what questions to ask (12%), looking at treatment alternatives (10%), forgot to ask questions (5%), not enough information given (11%), not enough time to ask questions (5%), and afraid to ask questions (2%). Respondents could mark all reasons. Among content sections, the percentage of users reported the side effect section as being the most useful. However, section usefulness varied based upon age, phase of treatment, and baseline education level. Overall, 86% reported finding the information they were looking for on the website. Conclusions: The majority of respondents received education from a health care provider, but not all. It is possible that the current pandemic prevented some patients from receiving education when in-person teaching was not available. However, many patients and caregivers still use the internet to seek additional drug information. These data highlight a continued unmet need for patients using online sources when searching for cancer drug and supportive care information. Further work is required to determine whether supplemental online, education can improve outcomes while reducing adverse effects.
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White, Steven, Su White, and Kate Borthwick. "MOOCs, learning designers and the unbundling of educator roles in higher education." Australasian Journal of Educational Technology 36, no. 5 (October 26, 2020): 71–84. http://dx.doi.org/10.14742/ajet.6111.
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In university educational technology projects, collaborations with external partners pose a range of opportunities and challenges. Educational projects are often associated with unbundling of conventional higher education roles though there is limited empirical work in this area. This is particularly the case with massive open online courses (MOOCs), where further research is needed into the production of courses and the roles of those who produce them. This study investigated the extent to which conventional roles of academics are unbundled during MOOC production partnerships between universities and an external MOOC platform provider. The findings indicate that aspects of conventional educator roles are substantially unbundled to learning designers and other seemingly peripheral actors. Unbundling is partially driven by pragmatic decisions shaping course production processes which need to accommodate the massive and open properties of MOOCs, the nature of cooperation agreements with external platform providers and the reputational risk associated with such public ventures. This study adds to empirical knowledge on the unbundling of roles in online learning projects, and the findings have relevance for those involved in decision-making, planning and development of such projects in higher education.
Implications for practice or policy:
Managers of online learning projects could use these insights to inform recruitment or training of learning designers (e.g., instructional designers, educational designers).
Managers of online learning projects could use these insights to inform planning and decision making for projects involving external partners and collaborations.
Learning designers could use these insights to help plan for online learning projects which involve open content, massive numbers of participants, high-profile collaborations.
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Bogdanov, D. E. "The Impact of Additive Technologies on Determining the Tort Liability Model of an Online Platform Operator." Lex Russica, no. 7 (July 23, 2020): 76–85. http://dx.doi.org/10.17803/1729-5920.2020.164.7.076-085.
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In the paper, the author points out that humanity has moved into the era of information society, the era of digitalization, when the digitalization of all socio-economic relations becomes an inevitable global process radically changing the existence of man and even of man himself. In the sphere of Economics, the traditional borders between the producer, seller (intermediary) and consumer of goods are being erased, and the phenomenon of sharing economy is replacing traditional channels and supply chains, radically transforming socio-economic relations. New forms of collaboration between manufacturers, wholesalers, retailers and consumers are emerging, and a new technological infrastructure for such collaboration is actively developing, i.e. digital online platforms that act as one of the drivers of the fourth industrial revolution. The development of the three-dimensional printing technology allows any individual to participate in the creation of various material goods. Printing of material objects is based on a three-dimensional digital model, the digital equivalent of its physical embodiment. A serious legal challenge is the regulation of relations related to the circulation and use of three-dimensional models of objects of the material world, as well as liability for damage caused by a defect in the three-dimensional digital model.The paper contains a number of prognostic conclusions. If a defective three-dimensional digital model is purchased for a fee as a product (digital content) on the corresponding online platform, it is possible to impose tort liability on both the counterparty under the contract and the platform operator. Such liability must be strict, joint and several. A strict, joint and several liability model will serve as an incentive to ensure transparency in the field of digital turnover, as well as exert a preventive influence by deterring illegal behavior. If the identity of the seller of digital content is not established, only the platform operator will be held liable.If a defective three-dimensional digital model is placed free of charge on the hosting site, the creator of such a digital model will be held liable. The responsibility of a hosting provider that provides only a technical service for hosting content must be subject to the rules on the responsibility of the information intermediary.
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Adamski, Melissa, Helen Truby, Karen M. Klassen, Stephanie Cowan, and Simone Gibson. "Using the Internet: Nutrition Information-Seeking Behaviours of Lay People Enrolled in a Massive Online Nutrition Course." Nutrients 12, no. 3 (March 12, 2020): 750. http://dx.doi.org/10.3390/nu12030750.
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People’s accessibility to nutrition information is now near universal due to internet access, and the information available varies in its scientific integrity and provider expertise. Understanding the information-seeking behaviours of the public is paramount for providing sound nutrition advice. This research aims to identify who learners in a nutrition-focused Massive Open Online Course (MOOC) turn to for nutrition information, and how they discuss the information they find. A multi-methods approach explored the information-seeking and sharing behaviours of MOOC learners. Summative content analysis, and an exploratory, inductive, qualitative approach analysed learners’ posts in MOOC discussion forums. From 476 posts, the majority (58.6%) of nutrition information sources learners reported were from websites. Providers of nutrition information were most commonly (34%) tertiary educated individuals lacking identifiable nutrition qualifications; 19% had no identifiable author information, and only 5% were from nutrition professionals. Qualitative themes identified that learners used nutrition information to learn, teach and share nutrition information. Consistent with connectivist learning theory, learners contributed their own sources of nutrition information to discussions, using their own knowledge networks to teach and share information. Nutrition professionals need to understand the principles of connectivist learning behaviours in order to effectively engage the public.
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Wallner, Lauren P., Paul Abrahamse, Archana Radhakrishnan, Lawrence C. An, Jennifer J. Griggs, Anne F. Schott, John Ayanian, Anne Sales, Steven J. Katz, and Sarah T. Hawley. "Improving the delivery of team-based survivorship care after primary breast cancer treatment through a multi-level intervention." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): 7056. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.7056.
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7056 Background: The delivery of team-based survivorship care after primary cancer treatment remains challenging, in part due to a lack of effective interventions. We developed a multi-level intervention for breast cancer patients and their primary care and medical oncology providers to improve the delivery of team-based survivorship care called ConnectedCancerCare (CCC). CCC includes a patient-facing, personalized mobile website, and tailored feedback letters to providers. Methods: We conducted a pilot randomized controlled trial in a breast oncology clinic to establish the feasibility and acceptability of CCC. Women within one year of completing primary treatment for stages 0-II breast cancer were randomized to CCC (intervention) or a static online survivorship care plan (control). Participants completed online surveys at baseline and 3 months, ascertaining their knowledge about PCP roles in their survivorship care, their communication with their PCP about team-based care, and whether they scheduled a follow-up visit with their PCP. Multiple measures of acceptability were collected among women in the intervention arm (n = 28). Qualitative interviews were conducted at the completion of the study with 5 PCPs, 6 oncology providers, and 10 intervention patients to identify barriers and facilitators to implementing CCC. Results: Among 160 eligible women invited to participate, 66 women completed the baseline survey and were randomized (41% participation rate), and 54 completed the 3-month follow-up survey (83% response rate). Women in the intervention arm found the content of the CCC website to be highly acceptable, with 82% reporting it was easy to use, and 86% reporting they would recommend it to other patients. A greater proportion of women randomized to CCC (vs. control) reported scheduling a PCP follow-up visit (64% vs. 42%) and communicating with their PCP about provider roles (67% vs. 18%). Women in the CCC arm also reported higher mean knowledge scores regarding team-based cancer care (3.7 vs. 3.4). Providers noted challenges to implementing CCC, including integration into electronic medical records, and supporting sustained engagement with CCC over time. Conclusions: Our findings suggest deploying CCC in medical oncology practices is feasible, and the intervention content is acceptable among breast cancer patients. CCC shows promise for improving understanding and communication about provider roles in survivorship care, and facilitating patients to follow up with their PCP early in the survivorship period. Clinical trial information: NCT03618017 .
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Powers, Jacquelyn M., and Deborah I. Thompson. "The Development of Ironchild: A Web-Based Intervention to Improve Adherence in Children with Iron Deficiency Anemia." Blood 134, Supplement_1 (November 13, 2019): 2163. http://dx.doi.org/10.1182/blood-2019-124181.
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INTRODUCTION Iron deficiency anemia (IDA) affects approximately 3% of children 1 to 3 years of age and is associated with poor neurocognitive outcomes. Children of Hispanic/Latino ethnicity, from primarily Spanish-speaking homes, and/or those of low socioeconomic status, are disproportionately affected. Oral iron therapy for 3 to 6 months is considered standard care therapy and mitigates these effects. Yet non-adherence often results in treatment failure, prolonging the treatment course and negative health consequences of IDA. Limited previous work has focused on interventions to improve adherence to iron therapy. Behavior change interventions, particularly when designed within a theoretical framework, can improve rates of treatment adherence. Our objective was to design a theoretically-based behavioral intervention to improve adherence to oral iron therapy in young children with nutritional IDA. METHODS Formative research was conducted via a mixed-methods study of 20 children with nutritional IDA and their primary caretaker. Demographic information, including number of children and caregivers in the home, was obtained from the primary caregiver. Clinical aspects of patients' IDA diagnosis and iron therapy were obtained from the electronic medical record. Semi-structured interviews with caregivers were conducted to characterize barriers to and facilitators of iron therapy. A framework for a technology-based intervention, named IRONCHILD, was created to coincide with clinical visit time points over a three-month period. Results from the formative research, along with constructs from the self-determination theory of motivation (autonomy, competence, relatedness), informed message content for the intervention scripts. This theory was selected because the degree to which its three principle constructs (basic psychological needs) are met drives levels of motivation to perform a specific behavior such as medication adherence. Three scripted online intervention sessions were developed, professionally translated into Spanish, and then animated by a professional animation and web design studio. Audio recording with a professional bilingual voice actor provided the narration for online sessions. RESULTS IRONCHILD is an interactive website with specific message content designed to be delivered at three standard of care clinical visits (Figure). At the initial visit, participants are introduced to a relational agent or virtual health educator, Maria, who is a pediatric nurse and mother of a child formerly treated for IDA. Maria provides an introduction to the overall program format and content and guides each session. Participants next view a Topic Introduction animation that provides an overview of the diagnosis of IDA, its clinical consequences, and a typical treatment course with oral iron therapy. This is followed by two unique content segments that provide information on (1) dietary counseling and (2) administration of oral iron therapy. Following each of the content segment, participants view question/response options, make a selection, and receive feedback. At the end of the session, participants select goal(s) related to therapy adherence for the interval between clinical visits. The second session provides two additional content segments that focus on (1) problem-solving for difficulties related to medication administration and (2) identifying motivating factors to adhere to therapy. The third session allows users to access all previous content and provides closing information about adhering to any ongoing treatment recommendations from their child's provider. Between visits, access to the website occurs via a unique username and password caregivers can use to logon to the website and view previous sessions. All aspects of IRONCHILD are available in both English and Spanish. Finally, an administrative dashboard for IRONCHILD captures program usage information as families log onto the program and navigate the sessions (e.g., number of log-ins; responses to question prompts; goals set; goal attainment). CONCLUSIONS IRONCHILD is a theoretically-based online intervention designed to improve adherence to oral iron therapy in caregivers of young children with nutritional IDA. Further research is needed to assess the effectiveness of the intervention on adherence as well as factors that affect implementation into routine clinical care.
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Waterman, Amy D., Amanda Faye Lipsey, Omesh N. Ranasinghe, Emily H. Wood, Crystal Anderson, Carla Bozzolo, Shayna L. Henry, Bhanuja Dub, and Brian Mittman. "Recommendations for Systematizing Transplant Education Within a Care Delivery System for Patients With Chronic Kidney Disease Stages 3 to 5." Progress in Transplantation 30, no. 2 (April 2, 2020): 76–87. http://dx.doi.org/10.1177/1526924820913520.
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Context: Early tailored transplant education could help patients make informed transplant choices. Objective: We interviewed 40 patients with chronic kidney disease (CKD) stages 3 to 5, 13 support persons, and 10 providers at Kaiser Permanente Southern California to understand: (1) barriers to transplant education and (2) transplant educational preferences and recommendations based on CKD stage and primary language spoken. Design: A grounded theory analysis identified central themes related to transplant education barriers, preferences, and recommendations. Results: Barriers included confusion about diagnosis and when transplant may be necessary, concerns about transplant risks, families’ lack of transplant knowledge, financial burdens, transportation and scheduling, and the emotional overload of chronic illness. Hispanic and Spanish-speaking participants reported difficulty in understanding transplant education and medical mistrust. Recommendations included providing general education, earlier introduction to transplant, wait-listing information, transplant education for support persons, living donation education for patients and potential donors, opportunities to meet living donors and kidney recipients, information on the benefits of transplant, recovery, and available financial resources, flexible class scheduling, online and print resources, and more provider follow-up. Spanish-speaking and Hispanic participants recommended using bilingual educators, print, video, and online resources in Spanish, and culturally responsive education. Patients with CKD stages 3 to 4 wanted information on slowing disease progression and avoiding transplant. Conclusion: Increasing access to culturally responsive transplant education in multiple languages, pairing appropriate content to the disease stage, and increasing system-wide follow-up as the disease progresses might help patients make more informed choices about transplant.
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Peuch, Benjamin. "Elaborating a Crosswalk Between Data Documentation Initiative (DDI) and Encoded Archival Description (EAD) for an Emerging Data Archive Service Provider." IASSIST Quarterly 42, no. 2 (July 18, 2018): 1–24. http://dx.doi.org/10.29173/iq924.
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Belgium has recently decided to integrate the Consortium of European Social Science Data Archives (CESSDA). The Social Sciences Data Archive (SODA) project aims at tackling the different challenges entailed by the setting up of a new research infrastructure in the form of a data archive. The SODA project involves an archival institution, the State Archives of Belgium, which, like most other large archival repositories around the world, work with Encoded Archival Description (EAD) for managing their metadata. There exists at the State Archives a large pipeline of programs and procedures that processes EAD documents and channels their content through different applications, such as the online catalog of the institution. Because there is a chance that the future Belgian data archive will be part of the State Archives and because DDI is the most widespread metadata standard in the social sciences as well as a requirement for joining CESSDA, the State Archives have developed a DDI-to-EAD crosswalk in order to re-use the State Archives' infrastructure for the needs of the future Belgian service provider. Technical illustrations highlight the conceptual differences between DDI and EAD and how these can be reconciled or escaped for the purpose of a data archive for the social sciences.
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Ford, Cassandra, Martha Crowther, Keri Barron, and Mary Ann Kelley. "Utilizing a Community-Based Partnership to Increase Health Promotion Among Rural Older Adults." Innovation in Aging 4, Supplement_1 (December 1, 2020): 564. http://dx.doi.org/10.1093/geroni/igaa057.1861.
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Abstract Older adults living in rural communities often encounter health disparities related to chronic conditions and access to care. In an effort to address these disparities, a community-based program focused on health promotion and education was implemented with community dwelling, rural, African American older adults. We partnered with a local church to provide education regarding health promotion, chronic disease self-management, and support for senior group members (n=32). Program materials were accessed online in order to facilitate sustainability and potential program expansion. Key findings from a qualitative content analysis indicated the majority of participants reported improved engagement in chronic disease management and health promotion activities (i.e., following a healthy diet, monitoring blood pressure, taking medications as prescribed), incorporating health behaviors to prevent the development of co-morbid conditions, and increased client-provider communication. Implications for further research will be discussed and key elements of program implementation such as a continued partnership will be explored.
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Matthews-Trigg, Nathaniel, David Citrin, Scott Halliday, Bibhav Acharya, Sheela Maru, Stephen Bezruchka, and Duncan Maru. "Understanding perceptions of global healthcare experiences on provider values and practices in the USA: a qualitative study among global health physicians and program directors." BMJ Open 9, no. 4 (April 2019): e026020. http://dx.doi.org/10.1136/bmjopen-2018-026020.
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ObjectivesThe study aimed to qualitatively examine the perspectives of US-based physicians and academic global health programme leaders on how global health work shapes their viewpoints, values and healthcare practices back in the USA.DesignA prospective, qualitative exploratory study that employed online questionnaires and open-ended, semi-structured interviews with two participant groups: (1) global health physicians and (2) global health programme leaders affiliated with USA-based academic medical centres. Open coding procedures and thematic content analysis were used to analyse data and derive themes for discussion.Participants159 global health physicians and global health programme leaders at 25 academic medical institutions were invited via email to take a survey and participate in a follow-up interview. Twelve participants completed online questionnaires (7.5% response rate) and eight participants (four survey participants and four additionally recruited participants) participated in in-depth, in-person or phone semi-structured interviews.ResultsFive themes emerged that highlight how global health physicians and academic global health programme leaders perceive global health work abroad in shaping USA-based medical practices: (1) a sense of improved patient rapport, particularly with low-income, refugee and immigrant patients, and improved and more engaged patient care; (2) reduced spending on healthcare services; (3) greater awareness of the social determinants of health; (4) deeper understanding of the USA’s healthcare system compared with systems in other countries; and (5) a reinforcement of values that initially motivated physicians to pursue work in global health.ConclusionsA majority of participating global health physicians and programme leaders believed that international engagements improved patient care back in the USA. Participant responses relating to the five themes were contextualised by highlighting factors that simultaneously impinge on their ability to provide improved patient care, such as the social determinants of health, and the challenges of changing USA healthcare policy.
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McLean, Graeme, Kofi Osei-Frimpong, Alan Wilson, and Valentina Pitardi. "How live chat assistants drive travel consumers’ attitudes, trust and purchase intentions." International Journal of Contemporary Hospitality Management 32, no. 5 (April 16, 2020): 1795–812. http://dx.doi.org/10.1108/ijchm-07-2019-0605.
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Purpose By adopting a social presence theory perspective, this study aims investigate the influence of perceived usefulness of live chat services and of their unique human attributes on customer attitudes, beliefs and behaviours in the context of online travel shopping. Design/methodology/approach Based on a cross-sectional survey research involving 8 travel provider websites and 631 travel consumers, this work applies structural equation modelling to analyse the data. Findings The results illustrate that the perceived usefulness from the communication with a human live chat assistant positively influences customer attitudes and trust towards the website as well as increasing purchase intention. The findings further illustrate the role of the human social cues conveyed by live chat facilities, namely, human warmth, human assurance, human attentiveness and human customised content in positively moderating this effect. Research limitations/implications The study is limited to specific human attributes. Future research could investigate the role of other human characteristics as well as assess the ability of artificial intelligent powered chatbots in replicating the human elements outlined in this research. Originality/value The study provides a unique contribution to the travel literature by offering empirical insights and conceptual clarity into the usefulness of human operated live chat communication on travellers’ attitudes, trust towards the website and purchase intentions.