
Marike HettingaWindesheim Flevoland | windesheim · Research Group for ICT Innovations in Health Care
Marike Hettinga
Doctor of Philosophy
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61
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Introduction
Skills and Expertise
Publications
Publications (61)
People with dementia can benefit from listening to music in their daily lives, but may have limited access to music due to difficulties in product use and loss of initiative. Addressing these challenges is therefore critical in design for people with dementia. Previous work introduced inviting as a design principle to address the loss of initiative...
Music can have a positive effect on the quality of life of people with dementia (PwD). Unfortunately, PwD have limited access to music due to difficulties in product use and loss of initiative. Most studies on designing for PwD focus on improving the interaction design and do not consider the loss of initiative PwD experience. We propose that produ...
Background:
Extended reality (XR) seems promising for rehabilitation for people with acquired brain injury in terms of reducing professional supervision, faster recovery, shorter hospital stays, and reduced expenses. Since there is no overview this scoping review describes how XR can be utilized in rehabilitation, particularly for people with acqu...
Paramedics are often the first to provide medical aid at mass-casualty incidents. These are complex stressful situations where the first paramedics’ role is to provide rapid response and perform a triage to classify the urgency of victims needing to go to hospital. As these situations do not occur frequently, Virtual Reality provides a cost-effecti...
Designing for people with dementia requires a tailored approach that addresses the specific complexities related to dementia. Design principles can provide guidance for designing in this complex context. Work in this field discusses recommendations, guidelines, or principles to design for dementia. However, this information is scattered and a clear...
[Background] Digital health is considered a promising solution in keeping health care accessible and affordable. However, implementation is often complex and sustainable funding schemes are lacking. Despite supporting policy, scaling up innovative forms of health care progresses much slower than intended in Dutch national framework agreements. The...
The assessment of care in homecare today is complex. Nurses have to decide on care for clients with multiple health problems. Technological innovations promise solutions for support of self-management of older people. We do not know, however, how and when nurses assess eHealth. A qualitative study design was used, in which 43 homecare nurses partic...
Introduction:
Integrated care has been suggested as a promising solution to the disparities in access and sustained high quality long-term care emerging in Europe's ageing population. We aim to gain a better understanding of context-specific barriers to and facilitators of implementation of integrated care by doing a retrospective assessment of se...
People with dementia (PwD) risk a deterioration in quality of life (QoL) as the dementia progresses. A growing number of studies show that music can increase QoL. Unfortunately, loss of initiative and problems during product-use hinder access to music. In this paper we first depict a gap in knowledge on the needs of PwD in relation to listening to...
A large literature evaluates how virtual agents impact the lives of people with dementia using perceptions of technology. We assess how a home virtual agent from "Living Well with Anne" impacts the quality of life of elderly with de-mentia rather than only their perceptions of the technology. Assessing impact on life alongside technology perception...
Successful implementation of eHealth-solutions is difficult. Early participation of key-stakeholders (clients, care-professionals) is advocated, to avoid neglecting needs and conditions in the specific work-context. This is why insights from the discipline of service-design can be useful for implementation processes: Service designers avoid a focus...
Why expectations of telecare are often wrong
An ethnographic study of a telecare device used by nurses in palliative care
Telecare is increasingly applied in nursing care with the expectation that it will lead to valuable improvements in measurements, data collection, efficiency and communication options. However, science and technology studies ha...
Involvement of people with dementia is not self-evident. The aim of this study was to gain insight into the ways in which people with dementia participated in developing the DecideGuide, an interactive web tool facilitating shared decision-making in their care networks.
An explanatory case study design was used when developing the DecideGuide. A se...
Purpose: The aim of this study was at gaining insight into the participatory design approach of involving people with dementia in the development of the DecideGuide, an interactive web tool facilitating shared decision-making in their care networks.
Method: An explanatory case study design was used when developing the DecideGuide. A secondary analy...
Mental health care is increasingly given at a distance, supported by technology. In this article, we focus on whether care, when technology comes in, still counts as good care. Therefore, we looked into a mental health nursing telecare practice for patients that live at home. The telecare team offers 24/7 unplanned webcam contact. We observed and i...
Health care insurers play a vital role in the implementation of eHealth and other care innovations within the health care sector. Yet, very little is said in the literature about how innovations are being evaluated by insurers, and what criteria are being used to do so. This paper describes the results of a case study into the evaluation process an...
Telecare is increasingly becoming a part of nursing care, and also in mental health care. In this paper, we study the effects telecare has on nursing care, by showing the first results of research on care by webcam for SMI (severely mentally ill) patients who live at home. Based on ethnographic fieldwork, we show how the nursing practice is altered...
This paper describes the development and first
version of an eHealth system for sports physicians who support
employees in improving their health and fitness. Regular
physical activity improves quality of life and has various health
benefits. Companies have an interest in the health and fitness
of their employees. For employers it is important to e...
An interactive web tool has been developed for facilitating shared decision-making in dementia-care networks. The DecideGuide provides a chat function for easier communication between network members, a deciding together function for step-by-step decision-making, and an individual opinion function for eight dementia-related life domains. The aim of...
This paper presents the work in progress for the Double Medication Check project. The aim of this project is to provide an IT-supported solution for the Double Medication Check (DMC). The need for DMC is pressing. Failures are being made during the dispense of medicines, which costs lives and increases the costs of health care. The practice of DMC...
This paper presents, as part of the Hightech@home project, the development of eHealth applications applying the eHix framework. The eHix framework is presented together with comparable approaches. Then, a development method based on the Value Proposition, the User Requirements, the Technology Scan and the Design cells of the eHix framework is descr...
This work in progress paper describes the development of a eHealth system for sports physicians who support employees in improving their health and fitness. Regular physical activity improves quality of life and has various health benefits. Companies have an interest in the health and fitness of employees. Besides, sporting together can improve int...
This paper presents the findings of an exploratory study into challenges and dilemmas faced by mental health care professionals when implementing and applying videoconferencing with their clients. Focus was on two different forms of outreaching mental health care: intensive psychiatric family therapy (IPFT) and flexible assertive community treatmen...
eHealth applications hold many promises, for instance to improve the quality of health care, to increase its accessibility, or to reduce its cost. Yet, many eHealth innovations never reach the stage where they get embedded into routine health care. This is due in part to a lack of evidence that these innovations indeed deliver what they promise. Fo...
Many eHealth innovations never get beyond the project phase. Initiating a viable business model in an early stage of the development of eHealth innovations enhances the chance of structural embedding the innovations in routine health care. This paper presents the early stages of business model development for an innovative IT supported home care sy...
The aim of this study is to identify design issues (both weaknesses and strengths) that should be considered for designing a user-friendly design of an interactive web tool that facilitates shares decision making in care networks of people with dementia. Our research questions are: 1) What design issues can be identified? and 2) What is the unique...
To support shared decision making in care networks of people with dementia, an interactive web tool for people with dementia, informal caregivers, case managers and other professional caregivers is being developed. This study aims to identify user requirements for such a tool. A multiple method study with an iterative, participatory design was cond...
eHealth applications hold many promises, for instance to improve the quality of health care, to increase its accessibility, or to reduce its cost. Yet, many eHealth innovations never reach the stage where they get embedded into routine health care. This is due in part to a lack of evidence that these innovations indeed deliver what they promise. Fo...
eHealth solutions create opportunities for improving efficiency and quality in health care. Still many eHealth innovations never get beyond the project phase. A business model approach can help eHealth entrepreneurs and innovators to bridge the gap between Buzz (ICT as a promise for better care) and Business (viable eHealth services and business mo...
Maintaining a proper lifestyle is important for chronic kidney disease patients. This study investigates whether an online lifestyle diary supplementary to the support received in the outpatient clinic can help patients to get to such a lifestyle. A total of 33 participants expressed their willingness to participate in the study. However, 11 of the...
eHealth applications hold many promises, for instance to improve the quality of health care, to increase its accessibility, or to reduce the cost. Yet, many eHealth innovations never reach the stage where they get embedded into routine health care. This is due in part to a lack of evidence that these innovations indeed deliver what they promise. Fo...
Background:
Involving people with dementia in research is not self-evident. Inclusion of people with dementia in the development process of user-friendly, supportive IT applications may be especially useful to improve the quality of these applications and may be beneficial to the person with dementia. The aim of this study was to gain insight into...
Objective: People suffering from dementia run the risk of getting lost when going for a planned or unplanned walk. TalkMeHome is a new service in the making, which will be available to care professionals to guide people with mild dementia home using a GPS-enabled smartphone. The aim of the present study is to gain first insights into the effectiven...
Introduction
People suffering from mild dementia may get lost during a walk, which can be dangerous for them and may add to the anxiety felt by their informal caregivers. TalkMeHome is a new service that allows these people to get home safely in such situations using their mobile phone. With an emergency button they can call a remote care professio...
To evaluate a newly developed integrated digital prosthetic, the COGKNOW Day Navigator (CDN), to support persons with mild dementia in their daily lives, with memory, social contacts, daily activities and safety.
A user participatory method was applied in the development process, which consisted of three iterative 1-year cycles with field tests in...
Motivation -- Develop a portable, mobile information and communication device with specific applications that meet the identified needs of people with mild dementia. Research approach -- A qualitative study with a user centred design was applied: Three iterative development cycles of one year each were performed, in which around 15 persons with mil...
In this chapter the management of the process that bridges the large step between user studies and the design of the system
is described. This process consists of two substeps: the transition from user requirements to functional requirements and
from the latter to the technical specification. The chapter begins by describing the concepts of functio...
The increasing number of persons with dementia means growing demands on care and support at home, and so additional solutions are needed. In the European COGKNOW project dementia experts and technological system designers cooperate closely to develop a cognitive prosthetic device that supports persons with mild dementia in their daily functioning a...
This paper aims to provide the details of the approach adopted in the development of a cognitive prosthetic aimed to help address the unmet needs of people with mild dementia. The approach adopted is based on a waterfall style approach consisting of a series of three phases each of which contributes to the progression and improvement of a cognitive...
Community dwelling is a problem for people with dementia. Can GPS route navigation support on a mobile device provide a solution? In a small scale exploratory research with this target group we studied the effects of two different types of audio instructions and assessed the pedestrian safety while operating the device. Methodological issues that l...
In deze rede beschreef ik de kloof die er bij telezorginnovaties ligt tussen project en
praktijk. Er circuleren veel beloftes over telezorg, wat ik betitelde als de Buzz. De
vraag is hoe je van beloftes naar structurele inbedding in de zorgpraktijk komt: naar
Business. Een aanpak gebaseerd op business modellen biedt wellicht uitkomst,
betoogde ik....
Those suffering from mild dementia exhibit impairments of memory, thought and reasoning. It has been recognised that the deployment
of technological solutions to address such impairments may have a major positive impact on quality of life. In the current
paper we present results from the CogKnow Project following the evaluation of a suite of mobile...
This paper explores which (bundles of) managed content services are attractive to users. We look specifically into bundle composition with basic digital content buying, sharing and consumption as core, and mobile and remote access, gifting, peer-to-peer (p2p) trading and exchange of digital content and mediated trading as complementary services. Pr...
Those suffering from mild dementia exhibit impairments of memory, thought and reasoning. It has been recognised that deployment
of technological solutions to address such impairments may have a major positive impact on the quality of life and can be
used to help perform daily life activities hence maintaining a level of independence. In this paper...
WoundLog is a mobile application that enables district nurses to consult dermatologists, while being in the home situation of the patient. Next to communication tools for teleconferencing and multimedia messaging, it also provides a wound logbook service, and presence, location and availability information of various healthcare professionals. In th...
tive patterns of use, i.e. to design features to improve the technical flexibility of an application, such as customization, tailoring, reprogramming (e.g. Kahler et al. 2000), and build in features that support users in understanding the functionality an application offers, such as exploration environments (e.g. Wulf 2000). A research agenda that...
Ethics education can vary considerably in its instructional strategies based on differences in the theoretical positions underlying the approach to moral development being stressed. Two such approaches are the 'justice' approach as exemplified by Kohlberg's six stages of moral development, and the 'care ethic' approach as exemplified by Gilligan's...
Ethics education can vary considerably in its instructional strategies based on differences in the theoretical positions underlying the approach to moral development being stressed. Two such approaches are the ‘justice’ approach as exemplified by Kohlberg's six stages of moral development, and the ‘care ethic’ approach as exemplified by Gilligan's...
A main goal in the care of persons with dementia is enhancing their autonomy in daily life, by providing compensation for their disabilities. In the last decade another important aspect in caring for people with dementia has been recognized: enhancement of their quality of life. This has led to an increased interest in the way persons with dementia...
The EVOLVE project focuses on change processes that take place after the introduction of videoconfer-encing in medical teleconsultation sessions. After a new technology is introduced in an organisation, tasks, work processes and the use of this new technology change over time. We called this process evolution. We believe that knowledge about evolut...
After a new technology is introduced in an organization, the use of this technology changes over time: users adapt it to their own specific situation. This so-called appropriation process can be regarded as a cooperative learning process. In this workshop we want to present learning approaches and apply them to case studies. Starting point is the w...
This paper explores which complementary,mobile services are attractive to users when bundled with a core (mobile) service. As core service we consider (1) personal in-car navigation and (2) purchasing and consuming of digital content,respectively. We look specifically into bundle composition and bundle pricing as determining factors for the added v...
People suffering from mild dementia may get lost during a walk, which can be dangerous for them and adds to the anxiety felt by their informal caregivers. TalkMeHome is a new service that allows these people to get home safely in such situations using their mobile phone. They can call a remote care professional who will guide the lost person home....