PART 1: 4/14/19 SUBMISSION OF RESEARCH ARTICLE CRITIQUES   write three research critiques from articles below on research in healthcare informatics . The student should complete each critique utilizing the  . The critiques do not have to be written in narrative form. All critiques should be submitted as one  document. Requirements Title: Author(s): Purpose: Theoretical Framework: Population/Sample: Setting: Instrumentation (including validity and reliability): Research Design: Statistical Methods and Findings: (quantitative studies) Implications of the findings: Generalizability of the findings: (quantitative studies) Limitations:  Study recommendations:  Relevance of article research to your study: Bias:     

PART 2: 4/19/19 SYNTHESIS OF RESEARCH ARTICLE CRITIQUES  –  The student will synthesize the information  contained in the three articles below completed  for Part 1 of the assignment. The synthesis should be in written format utilizing APA style and conventions. The document should contain a title page, body (2-page minimum, 3 pages maximum), and reference page.

Psychological Services
Customizing a Clinical App to Reduce Hazardous
Drinking Among Veterans in Primary Care
Daniel M. Blonigen, Brooke Harris-Olenak, Jon Randolph Haber, Eric Kuhn, Christine Timko, Keith
Humphreys, and Patrick L. Dulin
Online First Publication, November 8, 2018. http://dx.doi.org/10.1037/ser0000300

CITATION
Blonigen, D. M., Harris-Olenak, B., Haber, J. R., Kuhn, E., Timko, C., Humphreys, K., & Dulin, P. L.
(2018, November 8). Customizing a Clinical App to Reduce Hazardous Drinking Among Veterans
in Primary Care. Psychological Services. Advance online publication.
http://dx.doi.org/10.1037/ser0000300

Customizing a Clinical App to Reduce Hazardous Drinking Among
Veterans in Primary Care

Daniel M. Blonigen
Department of Veterans Affairs Palo Alto Health Care System,

Menlo Park, California, and Stanford University School of
Medicine

Brooke Harris-Olenak and Jon Randolph Haber
Department of Veterans Affairs Palo Alto Health Care System,

Menlo Park, California

Eric Kuhn, Christine Timko, and Keith Humphreys
Department of Veterans Affairs Palo Alto Health Care System,

Menlo Park, California, and Stanford University School of
Medicine

Patrick L. Dulin
University of Alaska–Anchorage

Within the Veterans Health Administration (VHA), 15–30% of patients seen in primary care are identified as
hazardous drinkers, yet the vast majority of these patients receive no intervention. Time constraints on
providers and patient-level barriers to in-person treatment contribute to this problem. The scientific literature
provides a compelling case that mobile-based interventions can reduce hazardous drinking and underscores
the role of peer support in behavioral change. Here, we describe the benefits of using a clinical app–Step
Away–to treat hazardous drinking among VHA primary care patients as well as an approach to customizing
the app to maximize its engagement and effectiveness with this population. We highlight the value of
integrating use of Step Away with telephone support from a trained VHA peer support specialist. This type
of integrated approach may provide the key therapeutic components necessary to generate an effective and
easily implemented alcohol use intervention that can be made available to VHA primary care patients who
screen positive for hazardous drinking but are unwilling or unable to attend in-person treatment.

Keywords: Veterans Health Administration, primary care, hazardous drinking, smartphone application,
peer support

Hazardous drinking is defined as a pattern of alcohol consumption
that places an individual at risk for adverse health consequences, even
though the individual may not meet criteria for a diagnosis of alcohol
use disorder. Globally, hazardous drinking negatively impacts medi-
cal treatment, increases the likelihood of chronic medical conditions,
a

ORIGINAL PAPER

Comparison of a Self-Directed and Therapist-Assisted Telehealth
Parent-Mediated Intervention for Children with ASD: A Pilot
RCT

Brooke Ingersoll1 • Allison L. Wainer1,2 • Natalie I. Berger1 • Katherine E. Pickard1 •

Nicole Bonter1

Published online: 27 February 2016

� Springer Science+Business Media New York 2016

Abstract This pilot RCT compared the effect of a self-

directed and therapist-assisted telehealth-based parent-

mediated intervention for young children with ASD.

Families were randomly assigned to a self-directed or

therapist-assisted program. Parents in both groups

improved their intervention fidelity, self-efficacy, stress,

and positive perceptions of their child; however, the ther-

apist-assisted group had greater gains in parent fidelity and

positive perceptions of child. Children in both groups

improved on language measures, with a trend towards

greater gains during a parent–child interaction for the

therapist-assisted group. Only the children in the therapist-

assisted group improved in social skills. Both models show

promise for delivering parent-mediated intervention; how-

ever, therapist assistance provided an added benefit for

some outcomes. A full-scale comparative efficacy trial is

warranted.

Keywords Autism � Parent training � Telehealth

Introduction

Autism spectrum disorder (ASD) is characterized by per-

vasive deficits in social communication and the presence of

restricted and repetitive behaviors (American Psychiatric

Association 2013). Individuals with ASD often require

intensive and comprehensive intervention across the life

span (National Research Council 2001). There has been a

dramatic increase in the number of individuals with this

diagnosis over the last two decades (Fombonne 2009)

without a corresponding growth in the availability of evi-

dence-based intervention services, which has contributed to

high levels of unmet service needs for individuals with

ASD and their families (Bitterman et al. 2008; Kogan et al.

2008). Thus, systematic research examining strategies for

increasing access to evidence-based ASD services is a high

priority.

Parent-mediated intervention (PMI) programs are one

potentially cost-effective strategy to increase access to

evidence-based ASD intervention. Teaching parents to

provide intervention themselves can increase the number of

intervention hours a child receives and has been shown to

result in improvements in child social-communication

skills (e.g., Kasari et al. 2015; Wetherby et al. 2014) and

parent well-being (Keen et al. 2010). Yet, formal PMI

progra

Clinical Simulation as an Evaluation Method

in Health Informatics

Sanne JENSEN
a,1

a
The Capital Region of Denmark, Copenhagen, Denmark

Abstract. Safe work processes and information systems are vital in health care.

Methods for design of health IT focusing on patient safety are one of many

initiatives trying to prevent adverse events. Possible patient safety hazards need to

be investigated before health IT is integrated with local clinical work practice

including other technology and organizational structure. Clinical simulation is

ideal for proactive evaluation of new technology for clinical work practice.

Clinical simulations involve real end-users as they simulate the use of technology

in realistic environments performing realistic tasks. Clinical simulation study

assesses effects on clinical workflow and enables identification and evaluation of

patient safety hazards before implementation at a hospital. Clinical simulation also

offers an opportunity to create a space in which healthcare professionals working

in different locations or sectors can meet and exchange knowledge about work

practices and requirement needs. This contribution will discuss benefits and

challenges of using clinical simulation, and will describe how clinical simulation

fits into classical usability studies, how patient safety may benefit by use of

clinical simulation, and it will describe the different steps of how to conduct

clinical simulation. Furthermore a case study is presented.

Keywords. Ergonomics, eHealth, qualitative evaluation, clinical simulation, risk,
safety.

1. Introduction

Implementation of health IT in relation to improvement of patient safety and

optimization of work flow is a paradox [1]. Even though health IT is intended and

anticipated to have a positive impact on quality and efficiency of health care [2], the

application of new technology in healthcare may also increase patient safety hazards [3,

4]. Studies show that adverse events are indeed often related to the use of technology

[5-7].

Design of health IT focusing on protecting patient safety is one of many initiatives

trying to prevent adverse events [8, 9].
2
Patient safety does not entirely rely on

technology but is highly influenced by the interaction between users and technology in

a specific context [10], and sociotechnical issues and human factors are related to many

unintended consequences and patient safety hazards [7, 8, 11]. Possible patient safety

hazards such as design of the IT system itself; embedding of IT system into local work

1

Corresponding author: Sann