Anna Kharko

Anna Kharko
Uppsala University | UU

PhD

About

48
Publications
0
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253
Citations
Additional affiliations
October 2016 - October 2020
University of Plymouth
Position
  • PhD Student
September 2015 - April 2016
University of Plymouth
Position
  • Research Assistant
Description
  • Volunteered as a research assistant for Professor Stephen D. Hall and Dr. Eddy Rhodes in NeMo Lab, University of Plymouth. Primarily responsible for the conduct of studies on neural modulation of small hand movement. This included carrying out EEG studies with Parkinson's Disease patients and healthy controls, as well as neuromodulatory studies using rTMS and tDCS.
August 2014 - June 2015
University of Plymouth
Position
  • Research Assistant
Description
  • Volunteered as a research assistant for Dr. Matt Roser in NeMo Lab, University of Plymouth. Responsible for the conduct of several projects. Primary responsibilities included creating experiments, collecting data and analysing it. Worked with several target populations, from normotypical to neuroatypical adults. Research topics included multimodal neuroimaging and neuromodulation of logical reasoning, motor affordances in a 3D environment, and implicit spatial pattern recognition.
Education
September 2016 - January 2021
University of Plymouth
Field of study
  • Psychology
September 2013 - April 2014
The University of Western Ontario
Field of study
  • Psychology
September 2012 - June 2016
University of Plymouth
Field of study
  • Psychology

Publications

Publications (48)
Preprint
Full-text available
Background Early research on the impact of the COVID-19 pandemic found persistent related anxiety in the general population. We hypothesised that this anxiety will be associated with increased pain in chronic pain patients diagnosed with fibromyalgia (FM). Methods To study this, we carried out a 10-day online survey with 58 female participants, di...
Article
Full-text available
Background Although many surveys have been conducted on patients accessing their own health records in recent years, there is a limited amount of nationwide cross-country data available on patients’ views and preferences. To address this gap, an international survey of patient users was conducted in the Nordic eHealth project, NORDeHEALTH. Objecti...
Article
Full-text available
The National Institute for Health and Care Excellence should revise their recent guideline to take into account all the available evidence on the treatment of chronic primary pain.
Article
Full-text available
Background Worldwide, patients are increasingly being offered access to their full online clinical records including the narrative reports written by clinicians (so-called “open notes”). Against these developments, there is growing interest in the use of generative artificial intelligence (AI) such as OpenAI's ChatGPT to co-assist clinicians with p...
Article
Full-text available
Objective The current understanding of the breadth of individual differences in how eHealth technologies are perceived as useful for different purposes is incomprehensive. The aim/purpose of the study is to improve the understanding of diverse perceptions of the usefulness of technologies by exploring older adults’ use of their patient-accessible e...
Article
Full-text available
Electronic health records (EHR) are continuously evolving to better meet user needs, but the process is complicated by healthcare professionals and patients often disagreeing on priority areas of development. While this may be due to differences between professional and personal experiences, little is known whether specialist healthcare knowledge a...
Article
Full-text available
Patient-generated health data (PGHD) is the person’s health-related data collected outside the clinical environment. Integrating this data into the electronic health record (EHR) supports better patient-provider communication and shared decision-making, empowering patients to actively manage their health conditions. In this study, we investigated t...
Preprint
Full-text available
Digital health interventions have become increasingly popular in recent years, expanding the possibilities for treatment for various patient groups. In clinical research, the development of the intervention continues, but there are still obstacles to overcome regarding participant engagement and retention. This may be partially due to the digital h...
Preprint
Full-text available
BACKGROUND: Online record access (ORA) is being increasingly implemented internationally. Despite reported benefits for patients, health care professionals (HCPs) have raised concerns about potential disadvantages. To date, no review has examined the empirical evidence on whether and how documentation changes following the introduction of patients’...
Article
Full-text available
Background Patients’ online record access (ORA) enables patients to read and use their health data through online digital solutions. One such solution, patient-accessible electronic health records (PAEHRs) have been implemented in Estonia, Finland, Norway, and Sweden. While accumulated research has pointed to many potential benefits of ORA, its app...
Article
Full-text available
Background In a growing number of countries, patients are offered access to their full online clinical records, including the narrative reports written by clinicians (the latter, referred to as “open notes”). Even in countries with mature patient online record access, access to psychotherapy notes is not mandatory. To date, no research has explored...
Article
Full-text available
While research on the effects of patient access to health records is increasing, a basic understanding of the spread of patient-accessible electronic health records worldwide is lacking. In this survey of healthcare experts with professional and personal experience from 29 countries, we explored the state of patient online record access (ORA). We a...
Article
Full-text available
Patient-Accessible Electronic Health Records (PAEHR) is particularly controversial in mental healthcare. We aim to explore if there is any association between patients with mental health conditions and the experience of someone demanding access to their PAEHR. A chi-square test showed a significant association between group belonging and experience...
Article
Full-text available
Objective To describe the experiences and opinions of general practitioners (GPs) in England regarding patients having access to their full online GP health records. Design Convenience sample, online survey. Participants 400 registered GPs in England. Main outcome measures Investigators measured GPs’ experiences and opinions about online record...
Article
Full-text available
Background: Patient-accessible electronic health records (PAEHRs) hold promise for empowering patients, but their impact may vary between mental and somatic health care. Medical professionals and ethicists have expressed concerns about the potential challenges of PAEHRs for patients, especially those receiving mental health care. Objective: This s...
Article
Full-text available
Background: Previous research reports that patients with mental health conditions experience benefits, for example, increased empowerment and validation, from reading their patient-accessible electronic health records (PAEHRs). In mental health care (MHC), PAEHRs remain controversial, as health care professionals are concerned that patients may fee...
Article
Full-text available
Background Internationally, patient-accessible electronic health records (PAEHRs) are increasingly being implemented. Despite reported benefits to patients, the innovation has prompted concerns among health care professionals (HCPs), including the possibility that access incurs a “dumbing down” of clinical records. Currently, no review has investig...
Preprint
Full-text available
Objective: To describe the experiences and opinions of general practitioners (GPs) in England regarding patients having access to their full online GP health record. Design: Convenience sample, online survey. Participants: 400 registered GPs in England. Main outcome measures: Investigators measured GPs' experiences and opinions about online record...
Article
Full-text available
Patient accessible electronic health records (PAEHRs) have been proposed as a means to improve patient safety and documentation quality, as patients become an additional source to detect mistakes in the records. In pediatric care, healthcare professionals (HCP) have noted a benefit of parent proxy users correcting errors in their child's records. H...
Article
Full-text available
Patient-Accessible Electronic Health Records (PAEHR) are particularly disputed in mental healthcare. We aim to explore if there is any association between patients having a mental health condition and someone unwanted seeing their PAEHR. A chi-square test showed a statistically significant association between group belonging and experiences of some...
Preprint
UNSTRUCTURED The Nordic countries are forerunners in online record access (ORA) which has now become widespread. The importance of accessible and structured health data has also been highlighted by policymakers internationally. To ensure the full realization of ORA’spotential in the short and long term, there is a pressing need to study ORA from a...
Preprint
BACKGROUND Previous research report that patients with mental health conditions report benefits, e.g. increased empowerment and validation, from reading their patient-accessible electronic health records (PAEHRs). Still, in mental healthcare, PAEHRs remain controversial as healthcare professionals are concerned that patients feel worried or offende...
Preprint
BACKGROUND Patient-accessible electronic health records (PAEHR) hold promises in empowering patients, but their impact may vary between mental healthcare and somatic care. Medical professionals and ethicists have expressed concerns about the potential challenges of PAEHR on patients, especially those receiving mental healthcare. OBJECTIVE This stu...
Preprint
Background Previous research reports that patients with mental health conditions experience benefits, for example, increased empowerment and validation, from reading their patient-accessible electronic health records (PAEHRs). In mental health care (MHC), PAEHRs remain controversial, as health care professionals are concerned that patients may feel...
Preprint
Full-text available
BACKGROUND While a large number of surveys have been conducted on patients accessing their own health records in recent years, there is a limited number of nationwide cross-country data available on patients’ views and preferences. To address this gap, an international survey of patient users was conducted in the Nordic eHealth project NORDeHEALTH....
Preprint
Full-text available
BACKGROUND Internationally, patient-accessible electronic health records (PAEHRs) are increasingly being implemented. Beyond reported benefits to patients, the innovation has prompted concerns among health care professionals (HCPs), including the possibility that access incurs a ‘dumbing down’ of clinical records. Currently no review has investigat...
Preprint
Full-text available
BACKGROUND Patient portals provide patients not only with access to electronic health records (EHRs), but also other functionalities, such as prescription renewals. Patient portals can improve patients’ self-management, engagement with health care professionals (HCPs), and care processes. These benefits, however, depend on patients’ willingness to...
Preprint
BACKGROUND From 1st November 2022, patients accessing their care from NHS England will have full online access to new data added to their general practitioner (GP) record, by default. Since April 2019, the GP contract in England already commits practices to offering patients full online record access, on a prospective basis and on request. However,...
Article
Background In 2022, NHS England announced plans to ensure that all adult primary care patients in England would have full online access to new data added to their general practitioner (GP) record. However, this plan has not yet been fully implemented. Since April 2020, the GP contract in England has already committed to offering patients full onlin...
Preprint
BACKGROUND The potential for digital health technologies, including machine learning-enabled tools, to disrupt the medical profession is the subject of ongoing debate within biomedical informatics. OBJECTIVE To describe the opinions of final year medical students in Ireland regarding the potential of future technology to replace, and work alongsid...
Article
Full-text available
Background: The potential for digital health technologies, including machine learning (ML)-enabled tools, to disrupt the medical profession is the subject of ongoing debate within biomedical informatics. Objective: We aimed to describe the opinions of final-year medical students in Ireland regarding the potential of future technology to replace...
Article
Full-text available
Background: Fibromyalgia (FM) is a chronic primary pain condition, associated with widespread musculoskeletal pain, disturbed sleep, fatigue, cognitive dysfunction, and a range of comorbid conditions such as irritable bowel syndrome, and depression. Despite its high prevalence of 2% in the general population, FM continues to pose scientific and cli...
Article
Full-text available
Importance As of April 5, 2021, as part of the 21st Century Cures Act, new federal rules in the U.S. mandate that providers offer patients access to their online clinical records. Objective To solicit the view of an international panel of experts on the effects on mental health patients, including possible benefits and harms, of accessing their cl...
Article
Full-text available
Social difficulties in autism spectrum disorder (ASD) may originate from a reduced top-down modulation of sensory information that prevents the spontaneous attribution of intentions to observed behaviour. However, although people with autism are able to explicitly reason about others’ mental states, the effect of abstract intention information on p...
Preprint
Full-text available
Importance As of April 5, 2021, as part of the 21 st Century Cures Act, new federal rules in the U.S. mandate that providers offer patients access to their online clinical records. Objective To solicit the view of an international panel of experts on the effects on mental health patients, including possible benefits and harms, of accessing their c...
Article
Full-text available
Background In a growing number of countries worldwide, clinicians are sharing mental health notes, including psychiatry and psychotherapy notes, with patients. Objective The aim of this study is to solicit the views of experts on provider policies and patient and clinician training or guidance in relation to open notes in mental health care. Meth...
Article
Full-text available
Background: There is increasing use of psychotherapy apps in mental health care. Objective: This mixed methods pilot study aimed to explore postgraduate clinical psychology students' familiarity and formal exposure to topics related to artificial intelligence and machine learning (AI/ML) during their studies. Methods: In April-June 2020, we conduct...
Preprint
BACKGROUND A growing number of countries worldwide are sharing mental health notes, including psychiatry and psychotherapy notes, with patients. OBJECTIVE To solicit the views of experts on 1) provider policies and 2) patient and clinician training/guidance in relation to open notes in mental healthcare. METHODS In September 2020, we conducted an...
Preprint
Full-text available
Background: Enhanced temporal summation (TS), measured through self-reported pain ratings, has been interpreted as indicative of central sensitisation in fibromyalgia. Greater TS in patients, however, has not been universally observed. It is also unclear whether increased pain report maintains beyond the TS period. Methods: In this study, we measur...
Preprint
Full-text available
Background There is increasing use of for machine learning-enabled tools (e.g., psychotherapy apps) in mental health care. Objective This study aimed to explore postgraduate clinical psychology and psychotherapy students’ familiarity and formal exposure to topics related to artificial intelligence and machine learning (AI/ML) during their studies....
Preprint
Full-text available
Background Anxiety, evoked by continuous inspiration of a 5 – 8% CO 2 mixture, has been found to have an analgesic eLect on self-reported pain. The precise mechanism whereby this effect obtains remains unknown. Methods The present study tested whether temporal summation, the psychological counterpart of wind-up, is involved in hypercapnic analgesi...
Article
Full-text available
Objective To solicit leading health informaticians’ predictions about the impact of AI/ML on primary care in the US in 2029. Design A three-round online modified Delphi poll. Participants Twenty-nine leading health informaticians. Methods In September 2019, health informatics experts were selected by the research team, and invited to participate...
Preprint
Full-text available
Objective: To solicit leading health informaticians predictions about the impact of AI/ML on primary care in the US in 2029. Design: A three-round online modified Delphi poll. Participants: Twenty-nine leading health informaticians. Methods: In September 2019, health informatics experts were selected by the research team, and invited to participate...
Poster
Preliminary results of our study that used motor-evoked potentials to demonstrate the inhibitory affect of post-movement beta rebound on the primary motor cortex.

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