<h3>Abstract</h3> <b>Objective</b> To describe the experiences of patients with type 2 diabetes in a web based disease management programme on an interactive electronic medical record. <b>Design</b> Qualitative analysis semistructured interviews enrolled care module that included access to their record, secure email, ability upload blood glucose readings, education site endorsed content, and online diary for entering exercise, diet, medication. <b>Setting</b> Patients9 homes Washington...

Health care providers play a significant role in large scale health emergency planning, detection, response, recovery and communication with the public. The effectiveness of preparedness response roles depends, part, on public agencies communicating information way that maximizes likelihood message is delivered, received, deemed credible and, when appropriate, acted on. However, during an emergency, can become inundated alerts advisories through numerous national, state, local professional...

Failure to adhere complex antiretroviral regimens can lead resistance and treatment failure among HIV-positive persons. In this study of the feasibility an automated two-way messaging system improve adherence, participants received multiple short daily messages designed remind, educate, encourage solicit responses concerning side effects self-reported adherence. Twenty-five remained in for a median 208 days, receiving 17,440 replying 14,677 (84%). Participants reported missing one or more...

Objectives: The research identified and assessed information needs resources of public health nurses in a local department.Methods: Semi-structured in-depth interviews were conducted with seventeen at department rural Oregon.Interview transcripts analyzed using constant comparative method to assess the sought used their work.Results: Public performed wide variety roles associated tasks.Major themes that emerged from analyses interview included: (1) differences depending on position role; (2)...

Prescription opioids have been linked to over half of the 28,000 opioid overdose deaths in 2014. High rates prescription non-medical use continued despite nearly all states implementing large-scale drug monitoring programs (PDMP), which points need examine impact state PDMP's on curbing inappropriate prescribing. In short-term, PDMPs associated with short-term prescribing declines. Yet little is known about how such policies differentially patient subgroups or are interpreted by providers....

Cancer survivors living in rural areas experience unique challenges due to additional burdens, such as travel and limited access specialists. Rural of breast cancer have reported poorer outcomes, mental health physical functioning, lower-than-average quality life compared urban survivors.To explore the feasibility acceptability developing a mobile survivorship care app facilitate coordination; support medical, psychosocial, practical needs; improve survivors' long-term outcomes.An...

Objectives Emergency medical dispatchers (EMDs) experience significant stress in the workplace. Yet, interventions aimed at reducing work-related are difficult to implement due logistic challenges associated with relatively unique EMD work environment. This investigation tested efficacy of a 7-week online mindfulness-based intervention (MBI) tailored workforce. Methods Active-duty EMDs from USA and Canada (n=323) were randomly assigned an or wait list control condition. Participants...

Most public health agencies expect reporting of diseases to be initiated by hospital, laboratory or clinic staff even though so-called passive approaches are known burdensome for reporters and produce incomplete as well delayed reports, which can hinder assessment disease delay recognition outbreaks. In this study, we analyze patterns data completeness timeliness traditional, notifiable two distinct sources information: hospital versus clinical staff. Reports were submitted via fax machine...

Background: While health literacy is important for people to maintain good and manage diseases, medical educational texts are often written beyond the reading level of average individual. To mitigate this disconnect, text simplification research provides methods increase readability and, therefore, comprehension. One method isolate particularly difficult terms within a document replace them with easier synonyms (lexical simplification) or an explanation in plain language (semantic...

Objective Lung cancer is increasingly recognised as a heterogeneous disease. Recent advances with targeted therapies for lung oncogenic mutations have greatly improved the prognosis this subset of patients, yet little known about their experiences. This study aimed to identify needs and explore healthcare experiences these advanced patients mutation driven cancer. Design Qualitative interviews or metastatic non-small cell alterations in anaplastic lymphoma kinase, epidermal growth factor...

The future of notifiable condition reporting in the United States is undergoing a transformation with increasing development Health Information Exchanges which support electronic data-sharing and -transfer networks wider adoption laboratory reporting. Communicable disease report forms originating clinics are an important source surveillance data for public health agencies. However, problems poor quality delayed submission reports to agencies common. In addition, studies barriers facilitators...

With the rapid expansion of scientific research, ability to effectively find or integrate new domain knowledge in sciences is proving increasingly difficult. Efforts improve and speed up discovery are being explored on a number fronts. However, much this work based traditional search retrieval approaches bibliographic citation presentation format remains unchanged. Case study. The Telemakus KnowledgeBase System provides flexible tools for creating knowledgebases facilitate review research...

Health information exchange (HIE) is the electronic sharing of data and between clinical care public health entities. Previous research has shown that using HIE to electronically report laboratory results can improve surveillance practice, yet there been little utilization for improving provider-based disease reporting. This article describes a study protocol uses mixed methods evaluate an intervention pre-populate notifiable case reporting forms with clinical, patient available through...

Public health professionals engage in frequent exchange of information while pursuing the objectives protecting and improving population health. Yet, there has been little study work public workers with regard to exchange. Our objective was gain a better understanding at local jurisdiction before during early stages participation regional Health Information Exchange.We investigated engaged disease surveillance activities medium-sized by conducting semi-structured interviews thematically...

Objectives The misuse and abuse of prescription opioids (POs) is an epidemic in the USA today. Many states have implemented legislation to curb use POs resulting from inappropriate prescribing. Indiana legislated opioid prescribing rules that went into effect December 2013. changed how chronic pain managed by healthcare providers. This qualitative study aims evaluate impact Indiana’s on patient experiences around management. Setting a using interviews primary care providers obtain...

Researchers have investigated the underlying mechanisms and consequences of militarization in law enforcement agencies for decades, yet there is no agreed-upon definition this concept. Without consensus, discourse research on intersection policing community well-being are hampered. The aim study was to develop a comprehensive framework concept “militarization.” Twelve key informant interviews focused defining were conducted with subject matter experts representing expertise fields such as...

Our public health emergency response system relies on the “first of first responders”—the call center workforce that handles needs a in distress. Call centers across United States have been preparing for “Next Generation 9-1-1” initiative, which will allow citizens to place 9–1-1 calls using variety digital technologies. The impacts this initiative is already highly stressed unknown. There concern these technology changes increase stress, reduce job performance, contribute maladaptive coping...

Abstract Background Secure and anonymous smartphone-based exposure notification tools are recently developed public health interventions that aim to reduce COVID-19 transmission supplement traditional suriveillance. We assessed the impact of Washington State’s tool, WA Notify, in mitigating spread during its first four months implementation. Methods Due constraints privacy-preservation, aggregate metrics disparate data sources were utilized estimate number cases averted based on a modelling...

Objectives: Smartphone-based digital exposure notification (EN) tools were introduced during the COVID-19 pandemic to supplement strained case investigation and contact tracing efforts. We examined influence of an EN tool implemented in Washington State, WA Notify, on user engagement behaviors that protect against transmission. Methods: From January 25 through June 30, 2021, we administered 2 surveys Notify users who received a possible exposure. The initial survey, sent when notification,...

We conducted a pilot utility evaluation and information needs assessment of the Distribute Project at 2010 Washington State Public Health Association (WSPHA) Joint Conference. is distributed community-based syndromic surveillance system network for detection influenza-like illness (ILI). Using qualitative methods, we assessed perceived usefulness explored areas improvement. Nine state local public health professionals participated in focus group (n = 6) semi-structured interviews 3). Field...

Surveillance, or the systematic monitoring of disease within a population, is cornerstone function public health. Despite significant investment in information technologies (IT) to improve public's health, health care providers continue rely on manual, spontaneous reporting processes that can result incomplete and delayed surveillance activities.Participatory design principles advocate including real users stakeholders when designing an system ensure high ecological validity product,...