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Management and Marketing

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    Mutual Shaping of Telehealthcare in Northern Saskatchewan Community Experiences of the Socio-Technical and Spatial Dimensions of Care
    (Common Ground Research Networks, 2022-06-29) Leader, Joelena
    : Telehealth is offered as a technological solution for challenges with accessing care across Canada’s more remote communities. Telehealth technologies can bridge healthcare access gaps by connecting patients and providers; however, there are notable utilization and structural constraints that potentially challenge long-term sustainability. This article contributes a snapshot of community perspectives and experiences from Northern Saskatchewan on the use of telehealth technologies. Specifically, this article locates the strengths and barriers for telehealth use within northern and remote Indigenous community contexts and draws attention to the importance of community collaborations and place-based considerations. Drawing on theoretical insights from science and technology studies (STS), it is argued that understanding the social and spatial contexts in which telehealth is experienced is critical, especially as technologies continue to play an important role in delivering healthcare. The analysis reveals how users and technologies, along with their mediated environments and situated contexts, mutually shape telehealthcare practice and experiences. In the context of this study, a mutual shaping approach provides insight into the factors shaping technology use—it uncovers how socio-spatial and human factors (users) shape technology design, implementation, and utilization, and simultaneously, how technologies shape healthcare practices and experiences associated with telehealth and the socio-technical space of the clinic.
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    Did online publishers “get it right”? Using a naturalistic search strategy to review cognitive health promotion content on internet webpages
    (BMC Geriatrics, 2017-06-15) Delbaere, Marjorie; Hunter, P.; O'Connel, M.; Cammer, A.; Seaton, J.; Friedrich, T.; Fick, F.
    Background One of the most common uses of the Internet is to search for health-related information. Although scientific evidence pertaining to cognitive health promotion has expanded rapidly in recent years, it is unclear how much of this information has been made available to Internet users. Thus, the purpose of our study was to assess the reliability and quality of information about cognitive health promotion encountered by typical Internet users. Methods To generate a list of relevant search terms employed by Internet users, we entered seed search terms in Google Trends and recorded any terms consistently used in the prior 2 years. To further approximate the behaviour of typical Internet users, we entered each term in Google and sampled the first two relevant results. This search, completed in October 2014, resulted in a sample of 86 webpages, 48 of which had content related to cognitive health promotion. An interdisciplinary team rated the information reliability and quality of these webpages using a standardized measure. Results We found that information reliability and quality were moderate, on average. Just one retrieved page mentioned best practice, national recommendations, or consensus guidelines by name. Commercial content (i.e., product promotion, advertising content, or non-commercial) was associated with differences in reliability and quality, with product promoter webpages having the lowest mean reliability and quality ratings. Conclusions As efforts to communicate the association between lifestyle and cognitive health continue to expand, we offer these results as a baseline assessment of the reliability and quality of cognitive health promotion on the Internet.