PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 17005480

A participatory program evaluation of a systems change program to improve access to information technology by people with disabilities.

Mansha Mirza·Navaraj Anandan·Frances Madnick·Joy Hammel
View original source ↗Export metadata ↓

Abstract

PURPOSE: To pilot-test and evaluate an innovative program providing information technology (IT) access to people with disabilities transitioning out of nursing homes into the community using a participatory approach. METHODS: Pre- and post-training data was collected on the 61 program participants to reflect three broad areas related to the IT training experience: performance; self-efficacy; importance, satisfaction and control. Additionally, semi-structured interviews were conducted with seven participants and five members of the program staff to explore environmental barriers to IT access for this group and the efficacy of the program in addressing these barriers. Data analyses followed a mixed methods approach incorporating both qualitative and quantitative techniques. RESULTS: Participants showed substantive changes in different spheres of IT use after completion of training. Post-training changes were significant particularly in areas related to self-efficacy, importance and satisfaction pertaining to use of IT. Qualitative findings substantiated the quantitative results and also revealed the numerous barriers to IT access that persons with disabilities continue to face within their communities. CONCLUSION: Results indicate the feasibility, effectiveness and value of IT access to people with disabilities particularly those transitioning from institutional life to community living. Further action research aimed at increasing IT access for this group within local communities and neighborhoods is needed to address this issue at a broader societal level.

Explore related subjects

Access to InformationActivities of Daily LivingAdultAttitude to ComputersComputer User TrainingFemaleHumansInformation ServicesInternetMaleMiddle AgedPilot ProjectsEvaluation StudyJournal ArticleResearch Support, U.S. Gov't, P.H.S.

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Mansha Mirza, Navaraj Anandan, Frances Madnick, Joy Hammel. 2006-10-15. A participatory program evaluation of a systems change program to improve access to information technology by people with disabilities.. https://doi.org/10.1080/09638280600551633

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

The prevalence and inaccessibility of Internet references in the biomedical literature at the time of publication.

OBJECTIVES: To determine the prevalence and inaccessibility of Internet references in the bibliography of biomedical publications when first released in PubMed. METHODS: During a one-month observational study period (Feb 21 to Mar 21, 2006) the Internet citations from a 20% random sample of all forthcoming publications released in PubMed during the previous day were identified. Attempts to access the referenced Internet citations were completed within one day and inaccessible Internet citations were recorded. RESULTS: The study included 4,699 publications from 844 different journals. Among the 141,845 references there were 840 (0.6%) Internet citations. One or more Internet references were cited in 403 (8.6%) articles. From the 840 Internet references, 11.9% were already inaccessible within two days after an article's release to the public. CONCLUSION: The prevalence of Internet citations in journals included in PubMed is small (<1%); however, the inaccessibility rate at the time of publication is considered substantial. Authors, editors, and publishers need to take responsibility for providing accurate and accessible Internet references.

Access to Information↗
PubMed2007

Securing electronic health records without impeding the flow of information.

OBJECTIVE: We present an integrated set of technologies, known as the Hippocratic Database, that enable healthcare enterprises to comply with privacy and security laws without impeding the legitimate management, sharing, and analysis of personal health information. APPROACH: The Hippocratic Database approach to securing electronic health records involves (1) active enforcement of fine-grained data disclosure policies using query modification techniques, (2) efficient auditing of past database access to verify compliance with policies and track security breaches, (3) data mining algorithms that preserve privacy by randomizing information at the individual level, (4) de-identification of personal health data using an optimal method of k-anonymization, and (5) information sharing across autonomous data sources using cryptographic protocols. CONCLUSIONS: Our research confirms that policies concerning the disclosure of electronic health records can be reliably and efficiently enforced and audited at the database level. We further demonstrate that advanced data mining and anonymization techniques can be employed to analyze aggregate health records without revealing individual patient identities. Finally, we show that web services and commutative encryption can be used to share sensitive information selectively among autonomous entities without compromising security or privacy.

Access to Information↗