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Smaradottir, Berglind & Fensli, Rune Werner
(2020).
3P-resultater fra arbeidspakke 6: Forskning på digitale løsninger.
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Smaradottir, Berglind & Fensli, Rune Werner
(2020).
The Research Project 3P: Results from the Evaluation of Digital Solutions for Patient-centred Care Teams (WP6).
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Smaradottir, Berglind & Fensli, Rune Werner
(2019).
A Case Study of Technology Use and Information Flow at a Danish E-clinic.
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Smaradottir, Berglind; Sjaavaag, Ståle; Naley Ås, Inger-Alice; Bakke, Bjørn; Alfsen, Linda & Tangene, Wenche
[Vis alle 7 forfattere av denne artikkelen]
(2019).
Why is it so Hard to Integrate Telemedicine as a Part of Municipal Health Care Services? Experiences from a Norwegian Municipality.
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Smaradottir, Berglind & Fensli, Rune Werner
(2019).
The 3P-project: Evaluation of Telemedicine Solutions in Patient-centered Care Teams.
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Smaradottir, Berglind & Fensli, Rune Werner
(2019).
Patient Experiences and Digital Involvement in Patient-centred Care Models.
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Smaradottir, Berglind & Fensli, Rune Werner
(2019).
User Experiences and Satisfaction with an Electronic Health Record System.
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Gerdes, Martin; Smaradottir, Berglind; Martinez, Santiago; Jortveit, Jarle & Fensli, Rune Werner
(2019).
A Decision-support Algorithm for Self-management of Anticoagulation Therapy Used in a Smartphone Application.
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Smaradottir, Berglind & Fensli, Rune Werner
(2019).
Evaluation of Technology Use in an Inter-disciplinary Patient-centered Health Care Team.
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Smaradottir, Berglind & Fensli, Rune Werner
(2018).
Teknologistøtte og informasjonsflyt på innovasjonsarenaene-oppsummering fra feltbesøk i WP6.
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Bahus, Marianne & Fensli, Rune Werner
(2018).
Helseteknologi, juss og etikk .
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Holen-Rabbersvik, Elisabeth; Prinz, Andreas; Gerdes, Martin; Martinez, Santiago; Thygesen, Elin & Fensli, Rune Werner
[Vis alle 7 forfattere av denne artikkelen]
(2018).
Teaching High School Students eHealth through Roleplay
and Laboratory Simulation.
Vis sammendrag
The transformation and digitalisation of health and care services foresees a need for recruitment of young
individuals having a combination of health- and computer science knowledge to contribute in the workforces
of the future. At the University of Agder in Norway there has been an eHealth Centre since year 2010 [1],
where both already implemented and proposed eHealth services can be simulated and tested. In the project
High School Students as Co-researchers in eHealth, experienced researchers allowed high school students to
be enrolled in a project course to actively play and test an eHealth scenario. This paper aims at sharing the
experiences on how the pilot of a class consisting of 10 high school students at the age of 17-19 years, were
taught eHealth through role-play and simulation in the eHealth Centre. The research question stated was:
How to introduce high school students to eHealth research and services in a life-long learning perspective?
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Smaradottir, Berglind; Eikeland, Randi; Reiso, Harald & Fensli, Rune Werner
(2018).
User-Centered Design of a National Medical Registry for Tick-Borne Diseases.
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Smaradottir, Berglind; Fensli, Rune Werner & Moe, Carl Erik
(2018).
Recommendations of a Laboratory Infrastructure for Simulation of Telemedicine Services.
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Smaradottir, Berglind & Fensli, Rune Werner
(2018).
Evaluation of a Telemedicine Service Run with a Patient-centred Care Model.
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Smaradottir, Berglind & Fensli, Rune Werner
(2018).
The Technology Use and Information Flow at a Municipal Telemedicine Service.
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Smaradottir, Berglind & Fensli, Rune Werner
(2018).
Point of Care Solutions: Implementation of Sustainable Service Models.
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Smaradottir, Berglind & Fensli, Rune Werner
(2018).
Integrasjon av en telemedisinsk sentral med kommunale helsetjenester, Erfaringer fra 3P-prosjektet.
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Smaradottir, Berglind; Martinez, Santiago; Thygesen, Elin; Vatnøy, Torunn Kitty; Holen-Rabbersvik, Elisabeth & Fensli, Rune Werner
(2018).
Innovative Simulation of Telecare Alarm Services in Usability Laboratory Environment, Scientific Workshop.
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Smaradottir, Berglind; Martinez, Santiago; Borycki, E.; Loudon, Gareth; Kushniruk, A.W. & Jortveit, Jarle
[Vis alle 7 forfattere av denne artikkelen]
(2018).
User Evaluation of a Smartphone Application for Anticoagulation Therapy.
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Smaradottir, Berglind; Fensli, Rune Werner; Naley Ås, Inger-Alice & Gallefoss, Frode
(2017).
Telemedicine follow up of Chronic Obstructive Pulmonary Disease Integrated into a Patient-centered Health Care Team Setting.
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Gerdes, Martin; Martinez, Santiago; Smaradottir, Berglind; Fensli, Rune Werner & Jortveit, Jarle
(2017).
Warfarin Guide: Co-design of a Mobile Computer-Assisted Anticoagulant Therapy.
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Smaradottir, Berglind; Martinez, Santiago; Thygesen, Elin; Holen-Rabbersvik, Elisabeth; Vatnøy, Torunn Kitty & Fensli, Rune Werner
(2017).
Innovative Simulation of Health Care Services in the Usability Laboratory: Experiences from the Model for Telecare Alarm Services-project
.
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Smaradottir, Berglind & Fensli, Rune Werner
(2017).
Integrating Care Through Patient-Centred Health Team Working Across Organisational Borders.
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Smaradottir, Berglind & Fensli, Rune Werner
(2017).
A Case Study of the Technology Use and Information Flow at a Hospital-driven Telemedicine Service.
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Karlsen, Tor-Ivar; Tveide, Marit Bolstad & Fensli, Rune Werner
(2017).
Factors affecting seniors' attitudes on the use of information technology.
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Smaradottir, Berglind; Fensli, Rune Werner; Boysen, Elin Sundby & Martinez, Santiago
(2017).
Infrastructure for Health Care Simulation: Recommendations from the Model for Telecare Alarm Services Project.
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Smaradottir, Berglind; Martinez, Santiago & Fensli, Rune Werner
(2017).
User-centred Design of E-health Technology for
Patients and Professionals in Productive Teams-Multidisciplinary Work across Organisational Borders
.
Journal of Innovation in Health Informatics.
ISSN 2058-4555.
24(1),
s. 134–134.
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Smaradottir, Berglind; Martinez, Santiago & Fensli, Rune Werner
(2017).
User-centred Design of E-health Technology for
Patients and Professionals in Productive Teams-Multidisciplinary Work across Organisational Borders
.
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Fensli, Rune Werner
(2016).
Innføringskurs i forskningsmetodikk innen eHelse.
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Fensli, Rune Werner
(2016).
Agders satsing på European Innovation Partnership, EIP-AHA.
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Fensli, Rune Werner
(2016).
Senter for eHelse og arbeidet med European Innovation Partnership (EIP-AHA).
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Fensli, Rune Werner
(2016).
eHealth in Disaster e-health Telehealth and User-centered Design Standardization and challenges.
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Fensli, Rune Werner; Boysen, Elin Sundby & Svagård, Ingrid Storruste
(2016).
Evaluation of Organizational Models for Response Centres for Telecare Services of the Future.
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Smaradottir, Berglind & Fensli, Rune Werner
(2016).
User-centred Design of Health Information Technology.
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Smaradottir, Berglind; Martinez, Santiago; Holen-Rabbersvik, Elisabeth; Vatnøy, Torunn Kitty & Fensli, Rune Werner
(2016).
Usability Evaluation of a Collaborative Health Information System- Lessons from a User-centred Design Process
.
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Leifson, Ragni MacQueen & Fensli, Rune Werner
(2016).
Telemedisinsk oppfølging av KOLS-pasienter.
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Smaradottir, Berglind; Gerdes, Martin; Martinez, Santiago & Fensli, Rune Werner
(2015).
The EU-project United4Health: User-Centred Design and Evaluation of a Collaborative Information System for a Norwegian Telehealth Service.
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Smaradottir, Berglind; Martinez, Santiago; Holen-Rabbersvik, Elisabeth & Fensli, Rune Werner
(2015).
eHealth-extended Care Coordination: Development of a Collaborative System for Inter-municipal Dementia Teams-
A research project with a user-centered design approac
.
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Smaradottir, Berglind; Håland, Jarle Audun; Martinez, Santiago; Somdal, Åsmund Rodvig & Fensli, Rune Werner
(2015).
Recommendations of a Test Infrastructure for Evaluation of Touchscreen Assistive Technology for Visually Impaired Users
.
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Smaradottir, Berglind; Gerdes, Martin; Fensli, Rune Werner & Martinez, Santiago
(2015).
User Interface Development of a COPD Remote Monitoring Application- A User-centred Design Process.
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Smaradottir, Berglind; Gerdes, Martin; Fensli, Rune Werner & Martinez, Santiago
(2015).
Usability Evaluation of a COPD Remote Monitoring Application.
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Fensli, Rune Werner
(2015).
Fremtidens pasienter med Point-of-Care tjenester.
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Fensli, Rune Werner
(2015).
Behandlingshjelpemidler for bruk i telemedisin.
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Fensli, Rune Werner
(2015).
MTU og Cloud solutions er utfordrende løsninger, men har MTF noen rolle i disse skytjenestene når pasienten er hjemmeboende?
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Fensli, Rune Werner
(2015).
eHelse fremtidstrender og markedsmuligheter.
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Fensli, Rune Werner
(2015).
Nye forskningsprosjekt innen eHelse på Agder.
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Fensli, Rune Werner
(2015).
eHelse Innovasjon.
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Fensli, Rune Werner
(2015).
eHelse for hjemmeboende pasienter
Med teknologi-støtte fra Behandlingshjelpemidler
.
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Fensli, Rune Werner
(2015).
På hvilken måte kan pasienter/brukere ha nytte og glede av ny teknologi, og hvordan vil dette endre helsetjenestene i fremtiden?
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Fensli, Rune Werner & Gallefoss, Frode
(2015).
Erfaringer fra prosjektet United4Health.
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Fensli, Rune Werner
(2015).
UiA sitt arbeid knyttet til forskning og utdanning innen Telecare/Telehealth.
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Fensli, Rune Werner
(2015).
eHelse trender og forskningsprosjekter på Agder.
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Fensli, Rune Werner
(2015).
Home2Health Living Lab Konseptuell ide.
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Gerdes, Martin & Fensli, Rune Werner
(2019).
Holistic System Design for Distributed National eHealth Services.
Universitetet i Agder.
ISSN 978-82-7117-922-9.
Fulltekst i vitenarkiv
Vis sammendrag
The dynamic development of Information and Communication Technologies (ICT), Human-Computer-Interaction (HCI), Internet of Things (IoT) and Artificial Intelligence (AI), drive the ongoing Digital Revolution, that creates the ground for an Information Society. The Digital Age or Information Age affects all aspects of social organization, including particularly the health sector.
eHealth systems and services utilizing information and communication technologies (ICT) have the potential to increase the efficiency of professional and informal caretakers when monitoring the healthcare status and assistance needs of patients and their relatives. Patients with chronic diseases and age related medical conditions receive support through technologies that allow them to live independently and securely with a high quality of life (QoL). Independent from the public health systems, further services and applications are emerging to promote individual fitness and wellness goals to maintain a healthy life style.
This study covers the design, development and evaluation of a reference solution for integrated eHealth services and applications targeting remote monitoring and decision support in telehealth and telecare.
The design of the proposed system is based on a holistic view, providing for the definition of Reference Requirements. Furthermore, the Reference Design as well as the development of a proof-of-concept trial system have followed a User Centered Design (UCD) process, involving all user groups in the trial system’s design and testing.
The proposed solution seeks for the empowerment of citizens to carry out monitoring and self-assessment of their health and well-being over longer periods of time, and by that to contribute to their independence and self-management of health and wellness at their point-of-care. It includes an end-to-end eHealth system architecture, and outlines a solution to connect citizens’ point-of-care with formal and informal caregivers through a common, secure and reliable health information services infrastructure. The underlying reference requirements include functional, operational and socio-economic requirements, legal, ethical and regulatory policies, relevant emerging technologies, and interdependencies between the different requirement domains for its development and verification. The required logical functionalities, protocols for information exchange and graphical interfaces for user interaction have been implemented in a trial system, covering applications and services for monitored citizens, healthcare professionals, and for the health information service infrastructure. The components have been tested first in an academic test environment as part of the UCD process. Results have led to a successful deployment and integration of the system in the Norwegian Health Network for a 2-year-field trial, including more than 100 patients with Chronic Obstructive Pulmonary Disease (COPD), a municipality-operated telehealth service and medical specialists in a hospital.
The validation of the proposed reference design considers aspects of the design methodology, the reference requirements and their elicitation methodology, the acceptance of the proposed solution by the different user groups, and the quality of the support provided to the healthcare professionals. The UCD process has implicitly been validated, as it was utilized in the system development from the initial design to the routine operation of the trial system. The evaluation of some important performance indicators (interoperability, cooperation aspects and applicability of standards for the information exchange through communication protocols between the different system domains; security and access control technologies; the accuracy of the automatic healthcare status assessment; potential advantages and efficiency gains achievable through the evaluation of continuous remote monitoring data; usability and user acceptance) ...
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Fensli, Rune Werner; Smaradottir, Berglind & Boysen, Elin Sundby
(2017).
Inter-organisatoriske problemstillinger knyttet til etablering og drift av velferdsteknologi, telemedisin
og responssenter tjenester.
Prosjekt: Modell for Alarmmottak, M4ALMO
Delrapport 3 – 2017.
Universitetet i Agder.
ISSN 978-82-8291-009-5.
Fulltekst i vitenarkiv
Vis sammendrag
Denne rapporten er en sluttrapport fra FoU-prosjektet M4ALMO og gir en oppsummering av erfa-ringsinnhenting gjennom en serie workshops som er avholdt med representanter for brukere og tjenestene i de 10 kommunene som har deltatt in prosjektet. Det belyses viktige deler av prosedy-rer og samarbeid mellom de kommunale pleie- og omsorgstjenester og responssenter tjenester som organiseres på interkommunal basis. Det er viktig med strukturert informasjonsflyt og god sammenheng i tjenestetilbudet. Rutiner for kvalitetssikring av tjenestene må innarbeides. Det er utarbeidet forslag til prosedyrer for behovskartlegging og vedtak om teknologiske tiltak, der også involvering av pårørende og frivillige tjenester kan være viktige elementer ved praktisk bistand og oppfølging. En oppsummering av erfaringer fra prosjektet kan danne grunnlag for videre utvikling av tjenestene.
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Siqveland, Elisabeth S; Kilen, Elin; Ludvigsen, Ann-Elisabeth; Henriksen, Bjørnar; Brossamain, Thomas & Gudlaugsson, Gunnar
[Vis alle 8 forfattere av denne artikkelen]
(2016).
Integrating Telemedicine Solutions with Electronic Health Records; Evaluation of Alternatives based on the Proposed Reference Architecture for Norway
.
Universitetet i Agder.
ISSN 978-82-8291-008-8.
Fulltekst i vitenarkiv
Vis sammendrag
This report studies the way forward for how a telemedicine solution can be integrated for exchange of data with an existing Electronic Health Record (EHR) system. The solution used an example for this report is based on a telemedicine solution for COPD patients (Chronic Obstructive Pulmonary Disease) developed in the project “Collaborative Point-of-Care Services Agder: Follow-up of COPD patients as part of the United4Health EU Project», with financial support from the Research Council of Norway. In addition, the EHR solution from DIPS ASA is used as an example of an existing system for integration.
Important parameters for choosing way forward on how to are:
• urgency with regards to timeline
• level of structuring of the data.
• compliance with the reference architecture proposed by the Norwegian Directorate of eHealth (NDE)
Three alternative ways forward are discussed in this report, based on four different scenarios with their respectively defined use-cases.
Possibilities of integration exists already today which may support one of the use cases in the simplest way, but may not be a futureproof solution regarding functionality and recommended standards. Such a solution is supported by DIPS Classic as well as DIPS Arena by using HL7 V3 interface in DIPS. The journal data may be stored in an unstructured way as a PDF document in a patients EHR.
To send structured data from a Telemedicine System to an EHR will be the preferred way for the future, and will support several use cases in a more efficient way. This will require more work in total and is dependent on other parties (external storage, DIPS etc) for building infrastructure and new interfaces. Such solutions will still be of high interest in the future. This report describes two different scenarios for how such solutions can be implemented in the future using either external storage and XDS.b or using FHIR/OpenEHR. Which of these alternatives that will be the leading standard or best practice is hard to predict, since it will highly depend on how the user requirements from the health care market will request such solutions, and how the standardization requirements from National authorities evolves in the next years. In addition, it depends on how the developers/vendors of both telemedicine solutions and EHR-systems will responds to these requirements.
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Smaradottir, Berglind; Fensli, Rune Werner & Oleshchuk, Vladimir
(2016).
User-centred Design and Evaluation of Health Information Technology : Doctoral Dissertation for the Degree Philosophiae Doctor (PhD) in Information and Communication Technology.
Universitetet i Agder, Fakultet for teknologi og realfag.
ISSN 978-82-7117-830-7.
Fulltekst i vitenarkiv
Vis sammendrag
Health information technologies play an important role in exchange of information and coordination of continuity of care in health care services. This thesis explores the approach of user-centred design and evaluation in the development of health information technology, with the main research focus on end-user involvement. A study on user-centred design and evaluation in the externally funded research projects United4Health and eHealth- extended Care Coordination was conducted. In addition, the internal project Visually impaired users touching the screen - A user evaluation evaluated visually impaired users using mobile technology. In the EU project United4Health, a collaborative telemedicine system for remote monitoring of chronic obstructive pulmonary disease patients was developed. The regional project eHealth- extended Care Coordination addressed the information flow within inter-municipal health care teams to build a collaborative information system that facilitated coordination between municipalities. In both projects, end-users were involved in workshops in an early design phase and participated in usability evaluations during the iterative development. A mixed methods research approach including observations, semi-structured interviews and a questionnaire was used for data collection in the user-centred design process. The data analysis was based on a qualitative content analysis from a human-computer interaction perspective. This thesis also addresses the topic of the usability evaluation of health information technology from the perspective of the technical infrastructure necessary for optimisation of data collection and retrospective analysis of data. In this regard, a usability evaluation of a mobile touchscreen together with visually impaired users was made.
The results from the user-centred design and evaluation research are presented in this dissertation through a collection of 9 scientific published papers in international peer-reviewed journals and conference proceedings. This study contributes to the knowledge of user-centred design in several ways. Firstly, this thesis provides an understanding on how to actively and efficiently involve users in design and development of health information technology by conducting empirical research. Secondly, it contributes to the knowledge on how to run usability evaluations of health information technology in high fidelity laboratory settings, health care environment and patients’ homes. Thirdly, it provides recommendations for a technical infrastructure in order to optimise the outcome of usability evaluations. The Norwegian Social Science Data Services approved the studies presented here.
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Svagård, Ingrid Storruste; Boysen, Elin Sundby; Fensli, Rune Werner & Vatnøy, Torunn Kitty
(2016).
Responssentertjenester i helse og omsorgstjenesten: behov og fremtidsbilder. Delrapport 1- 2016 fra prosjektet M4ALMO.
SINTEF.
ISSN 9788214059342.
Fulltekst i vitenarkiv
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Rapporten er en delleveranse fra RFF-prosjektet "M4ALMO - Modeller for alarmmottak". Rapporten sammenfatter funn og dokumentere kunnskap som er utviklet gjennom en serie workshops i prosjektet avholdt høsten 2015 og våren 2016. Målet har vært å kartlegge dagens utfordringer, fange ulike synspunkter og identifisere målbilder for fremtidens alarmmottak og organisering, samt diskutere nye mulige løsninger for organisering av responssentertjenester.
Bidragsytere har vært representanter fra prosjektets kommunepartnere Skien, Larvik, Drammen, Oslo, Grimstad, Kristiansand, Risør og Kvinesdal på vegne av Lister-kommunene; leverandører av responssentertjenester SOS International og Telenor Object/Aleris, teknologileverandør og prosjektpartner Imatis samt forskningspartnerne Universitetet i Agder og SINTEF.
Det er lite tilgjengelig kunnskap om hvordan trygghetsalarmtjenesten faktisk fungerer i helse- og omsorgstjenestene i dag. Omfang og resultater av alarmer dokumenteres bare i liten grad, og faktisk og praktisk gjennomføring er i all hovedsak "taus kunnskap", kjent og delt kun innenfor hvert tjenestested. Rapporten bidrar dermed med et kvalitativt kunnskaps-grunnlag for fremtidige beslutninger vedrørende responssentertjenester, både på nasjonalt og kommunalt nivå.
Oppdragsgiver: Regionale Forskningsfond