ペチャクチャ20/20
Behaviour change & technology:inevitable and/or designable?
Dr Henry W W PottsSenior Lecturer, Centre for Health Informatics
& Multiprofessional Education (CHIME)[email protected]
From Thinkers of the Jungle by Schuster, Smits & Ullal
Photo by Pedro Alonso, 2011
Good morning. Remember you have an appointment at the clinic this afternoon. To cancel or change the appointment, ring 020 7288 3383.
appointment reminders
smoking cessation
iStethoscope
TB intervention
improved diabetes controlvaccine booster
reminders
appointment reminders
STD awareness
anxiety reduction
sexual health advice
weight loss
supporting community health workers
appointment reminders
smoking cessation;
medication reminders; conception
support
AIDS treatment monitoring
smoking cessation
supporting community health workers
free condoms;
conception support
Thanks to Galit Zadok
m-health systems around the world
Effect size -1.8039 0 1.80397
Study
Effect size
(95% CI) % Weight
Maddison -0.26 (-0.48,-0.04) 71.9
Murphy -0.90 (-1.63,-0.17) 6.5
Maloney 0.00 (-0.54, 0.54) 12.0
Warburton 0.00 (-1.05, 1.05) 3.2
Daniel -0.62 (-1.80, 0.56) 2.5
Mhurchu -0.07 (-1.01, 0.87) 3.9
Overall -0.26 (-0.45,-0.07) 100.0
Overall, there was a significant reduction in BMI: z = 2.75, p = 0.006.Test of heterogeneity not significant: χ2(5) = 4.6, p = 0.5, I2 = 0%.
BMI
From Han et al. (2005), Pediatrics, 116:1506-12
From: tinywizard on Reddit.com
From http://rnuuja.tumblr.com/
From: Rose (1999), in: Pries-Heje et al. (eds.) Proc 7th European Conference on Information Systems.
Anthony Giddens
From: Greenhalgh & Stones (2010), “Theorising big IT programmes in healthcare: Strong structuration theory meets actor-network theory”, Soc Sci Med, 70: 1285-94
http://blog.laptop.org/tag/ethiopia/#.UYE4ziSQB8F
http://www.technologyreview.com/view/429206/emtech-preview-another-way-to-think-about-learning/
The endThanks to Ann Blandford, Alexandra Douglass-Bonner, Trish Greenhalgh & Emily Unwin
References/further reading:Ash J, Berg M, Coiera E (2004). Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. J Am Med Inform Assoc, 11: 104-12.De Vaujany F-X (2005). Information technology conceptualization: Respective contributions of sociology and information systems. J Information Tech Impacts, 5(1): 39-58.Greenhalgh T, Potts HWW, Wong G, Bark P, Swinglehurst D (2009). Tensions and paradoxes in electronic patient record research: A systematic literature review using the meta-narrative method. Milbank Q, 87(4): 729-88.Greenhalgh T, Stones R (2010). Theorising big IT programmes in healthcare: Strong structuration theory meets actor-network theory. Soc Sci Med, 70: 1285-94.Han YY, Carcillo JA, Venkataraman ST, Clark RSB, Watson RS, Nguyen TC, Bayir H, Orr RA (2005). Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics, 116(6): 1506-12.Taylor P, Potts HWW (2008). Computer aids and human second reading as interventions in screening mammography: Two systematic reviews to compare effects on cancer detection and recall rate. Eur J Cancer, 44(6): 798-807.