Older people as users and non-users of a video conferencing service for promoting social connectedness and well-being – a case study from Finnish Lapland

ABSTRACT

There is a need to better understand older people’s use, non-use, and learning of eHealth services in their everyday lives. This paper reports a case study of a phone and video conferencing service aimed at promoting the social connectedness and well-being of older people in the sparsely populated area of Finnish Lapland. The data were derived from qualitative semi-structured interviews of a service coordinator (n = 1), volunteers (n = 2), and service users (n = 2). The volunteers were 69 and 71 years old, and the service users were 88 and 89 years old. Service coordinator and volunteers described the service as a new and needed service for sparsely populated areas. It supports social interaction and well-being of older people. However, some users experienced inconvenience of the service and concern, such as negative feelings due to technical problems. Reported barriers relating to the learning and use of the service included negative perception of oneself as a technology user and cognitive and physical difficulties. Reported enablers included technical support and older people’s willingness and ability to practice and learn. eHealth services can be experienced as useful, especially by older people living in sparsely populated areas. However, inconvenience, concerns, and barriers were recognized as influencing older people’s willingness to use the service. Older people’s digital competence and distributed digital competencies within their network play important roles in learning to use and using an eHealth service. Digital competence also influences domestication of the technology.     

Information seeking in pre-trial investigation with particular reference to records management

Information seeking is part of information science, and its aim is to study how people seek and use information in their work, for what purpose the information is sought, how this information influences the effectiveness of the work and what barriers people perceive in their search for, and use of, necessary information. This study examines information seeking in pre-trial police investigation. There has been no previous attempt to examine information seeking in pre-trial police investigation, of the earlier studies in information seeking only those concerning lawyers represent a somewhat similar field. In both fields the work is subject to confidentiality, which is strictly regulated by law. This study was carried out partly in cooperation with another study, which examines documentation in pre-trial investigation. During the research project it became obvious that information seeking with its different components is something also to be taken into account in documentation and records management.     

Accuracy of a screening instrument to identify potential child abuse in emergency departments

Although screening for child abuse at emergency departments (EDs) increases the detection rate of potential child abuse, an accurate instrument is lacking. This study was designed to measure the accuracy of a screening instrument for detection of potential child abuse used in EDs. In a prospective cohort study at three Dutch EDs, a 6-item screening instrument for child abuse, Escape, was completed for each child visiting the ED. The data from the completed Escape instrument was used to calculate sensitivity, specificity, and the positive/negative predictive value per item. The clinical notes and conclusions of the screen instruments of all potentially abused children reported to the hospitals’ Child Abuse Teams were collected and reviewed by an expert panel. A logistic regression model was used to evaluate the predictors of potential abuse. Completed Escape instruments were available for 18,275 ED visits. Forty-four of the 420 children with a positive screening result, and 11 of the 17,855 children with a negative result were identified as potentially abused. Sensitivity of the Escape instrument was 0.80 and specificity was 0.98. Univariate logistic regression showed that potentially abused children were significantly more likely to have had an aberrant answer to at least one of the items, OR = 189.8, 95% CI [97.3, 370.4]. Most of the children at high risk for child abuse were detected through screening. The Escape instrument is a useful tool for ED staff to support the identification of those at high risk for child abuse.     

Participatory design in secondary education: is it a good idea? Students’ and teachers’ opinions on its desirability and feasibility

Research has shown the importance of students’ perceptions of a learning environment and the existence of discrepancies between students’ and teachers’ perceptions. Participatory design could be a helpful strategy to reduce such discrepancies and eventually improve the design of learning environments, as it has proven to be effective to optimize design in other domains. The current study investigated the desirability and feasibility of possible use of participatory design in education. Students and teachers in secondary education were interviewed about their opinions on the idea of participatory design of a learning environment. Both students and teachers displayed predominantly positive opinions towards possibly engaging in participatory design, supporting its desirability and feasibility. Practical suggestions for implementation are included.