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    The co-design of a chat telepsychotherapy manual for Indonesians with minor depression : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Psychology at Massey University, Auckland, New Zealand
    (Massey University, 2024-04-08) Endro, Wisnu Tri Widodo
    The primary aim of this study was to address a gap found in the discipline of Psychology and mental health treatment in the Indonesian setting. Advances in technology and the changing lifestyle of Indonesians made distance mental health treatment a common practice. This study focuses on one of the few options for distance mental health treatment, Chat Telepsychotherapy, which has gained popularity among Indonesians, especially the Millennials and Gen Z in Indonesia. The main issue with the phenomenon was the unavailability of comprehensive, evidence-based guidelines on how to best execute such a therapy. Thus, this study aimed to create a manual that could help the community of Indonesian Clinical Psychologists to deliver Chat Telepsychotherapy to Indonesians. The study limits the scope to Indonesian Millennials and Gen Z who suffer from Minor Depression. This is because these generations are the primary users of such a service, and depression itself is found to be one of the most common mental health issues in Indonesia. To achieve the goal of this study, I used a qualitative method that used Collaborative Design with the help of online-focused group discussion. I collaborated with Indonesian clinical psychologists, Indonesian millennials, and Gen Z with minor depression to design the manual. Thematic analysis was used to analyse the participants' answers. The result of the study is a comprehensive manual that consists of nine chapters: 1) Introduction; 2) The Concept of Chat Telepsychotherapy; 3) Starting CT Practice; 4) General Guidelines for Conducting CT; 5) Specific Guidelines for Conducting CT; 6) Characteristics of Indonesian Millennials and Gen Z; 7) Minor Depressive Disorder; 8) Self-Harm; 9) CT Stages for Indonesian Millennial and Gen Z with Minor Depression. The main suggestion for future studies is to test the manual to assess its usability and effectiveness.
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    Exploring the impact of telehealth videoconferencing services on work systems for key stakeholders in New Zealand : a sociotechnical systems approach : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Management at Massey University, Albany, New Zealand
    (Massey University, 2020) Green, Nicola Jane
    This thesis explores how the impacts of telehealth videoconferencing services (THVCS) on work systems are perceived by key stakeholders in New Zealand. Telehealth - the use of information and communications technologies to deliver healthcare when patients and providers are not in the same physical location - exemplifies how technological developments are changing the ways in which healthcare is provided and experienced. With the objectives of improving access, quality, and efficiencies of financial and human resources, THVCS use real time videoconferencing to provide healthcare services to replace travel to a common location. Despite the benefits of telehealth reported in the extant literature, there continues to be difficulties with developing and sustaining services. The aim of this inquiry is to understand how THVCS impact key stakeholders in the work system. Specifically, it seeks to examine the characteristics of THVCS in the New Zealand context, identify the facilitators and barriers to THVCS, and understand how the work system can adapt for THVCS to be sustained practice. The research design is framed by a post-positivist approach and underpinned by sociotechnical systems (STS) theory. STS theory and a human factors/ergonomics design approach inform the methodology, including the use of the SEIPS 2.0 model. Forty semi-structured qualitative interviews and contextual observations in a two-phase methodology explore the perceptions of an expert telehealth group, and providers, receivers, and decliners of THVCS. These data are analysed using the framework method of thematic analysis. The key findings suggest that to enable sustained THVCS in New Zealand, factors such as new ways of working; change; human connection; what is best for patient; and equity need to be recognised and managed in a way that balances costs and consequence and ensures fit across the work system. Theoretical contributions to knowledge are made through the development of a conceptual model from the literature, exploring THVCS with an STS theory lens and developing SEIPS 2.0. Methodologically, this inquiry contributes a theory-based, qualitative approach to THVCS research and draws on the perceptions of unique groups of participants. Significantly, the findings make practical contributions to the design of the THVCS in the New Zealand context.
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    A feasible and effective remote diagnosis system for healthcare : a thesis presented in partial fulfilment of the requirements for the degree of Masters in Engineering, School of Engineering and Advanced Technology, Massey University
    (Massey University, 2018) Rowe, Daniel
    This master thesis documents the research and developmental process in creating a feasible and effective remote diagnosis system for healthcare. The research is within the sector of the rapidly expanding practice that is Telemedicine. Telemedicine is defined as “the remote diagnosis and treatment of patients by means of telecommunications technology” [1]. It has become a reality for delivering high quality healthcare to patients not only in remote locations but also to monitor elderly patients as well as patients living with chronic diseases. In the past decade, advancements in technologies have been fuelling the growth of telemedicine. Numerous healthcare products have appeared on the market and are moving towards smartphone applications (apps), some of which include remote consultation using video calling software. The majority of these products are stand-alone applications with limited monitoring of patient’s vital signs. A number of systems are novel, low cost and specifically designed for monitoring the patients’ vital signs, but few offer a fully integrated system for remote diagnosis. Remote healthcare diagnosis systems, especially affordable small devices that provide reliable data in real-time, still challenge researchers. This research studied the currently available telemedicine systems, cloud database and the features of smartphone apps. The research confirmed the possibility to develop a hand-held system that could obtain remote patient vital signs and transmit the data, effectively in real-time to healthcare professionals for diagnosis via a cloud database and smartphones. A proposed system was designed, and a physical prototype developed. Tests made on the prototype proved the system can capture remote patient’s vital signs and transmit them to a doctor through a cloud database and a smartphone app. The system consists of three major units: • A hand-held device that measures patient vital signs. • A smartphone application with a simple user interface to communicate with health professionals via internet and to the device via Bluetooth. • A cloud database for data transfer and the communication with the smartphone application through an internet connection. The outcome of this research confirms it is feasible to develop small, economic and portable systems for health diagnosis. Such systems could be very useful for remote patients, especially those living with chronic diseases and requiring regular medical checks, without traveling to access health services to obtain professional treatment.
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    The future of health : integrating medical health information systems and home health monitoring data into predictive health systems : [submitted in partial fulfilment of the requirements for the degree of Master of Engineering]
    (Massey University, 2008) Rehman, Faiz
    Health management systems have been around for a decade but none have offered the scalability such as the Internet. Personal patient health management has been the key issue behind deteriorating health. It has been realized that the patient can manage their condition at home while always staying in touch with a medical professional. Research shows that hypertension, if regularly monitored at home, can be improved. Users who have access to modern technology can utilize this to manage their blood pressure. This thesis discusses the development of an application that inputs user blood pressure data at home and makes intelligent and predictive decisions for the patient. A statistical model is discussed, which can predict future trends in the user's blood pressure measurements and adjust acceptable threshold based on the patient's long term health. By having the application running on a user's home PC, but with the data stored in a central location, telemedicine is made possible, as the patient's doctor or even the local health board has access to all patient data. If the system picks up any anomalies in the patient's data, a warning can be automatically issued to the patient or doctor so that intelligent decisions can be made to correct the situation. The overall goal of this research was to develop a windows based / web based software application to capture patient data in a centralized environment for the health professionals to diagnose using up-to-date blood pressure readings. The concept has been tested on a group of hypertensive users who had access to the software and their results were compared with a group who recorded their data using a conventional method. The collected data was analyzed and it was concluded that use of modern technology does help people manage their blood pressure among people with high blood pressure. The success of this research will enable patients to manage their blood pressure, predict future readings based on a patient's history and give a medical professional the exact information needed in diagnosing a patient's condition.
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    The Smart House Intelligent Management System : a thesis presented in partial fulfilment of the requirements for the degree of Master of Engineering in Information Engineering at Massey University
    (Massey University, 2004) Lomiwes, Grettle Rayn
    In October 2002, Massey University embarked on the Smart House Project. It was intended to be a test bed of different technologies that improve the safety and quality of life within the home. This thesis presents the design and current status of the Smart House Intelligent Management System, a management system for processing the commands received in the Massey University Smart House. There will be two parts to this Management System: an Expert System which will be responsible for the supervision of the house, its rules and its devices, as well as a conversation module which will converse with the occupant/s of the Smart House. The system will receive voice or text commands from the user as input and process the information through performing database queries about the received command, to ascertain whether it is valid. Validity is dependent on the command's adhering to house rules, which have been set by the user beforehand. This Management System will communicate with three other modules: the Bluetooth Smart Watch, the Speech Recognition/Generation System and the Ethernet Switching System, which enables access to the house devices.
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    Wireless data acquisition and monitoring for healthcare services systems : a thesis in the partial fulfillment of the requirement for the Masters of Engineering (Electronics and Computer Systems), Massey University, Palmerston North, New Zealand
    (Massey University, 2011) Kioumars, Amir Hoshang
    The aging population brings challenges to healthcare systems. To cope with the high demand on health professionals and services, the feasible solution is to engage modern technologies. Wireless communication, service robots and information technology have become the active research areas for future healthcare systems. In the field of human health, collecting and analysing the real-time data is vital. New facilities and advanced tools give health service providers and their patients more choices to readily access and use health information and collect and store real-time health data. Information technology (IT) has the potential to improve the quality, safety, and efficiency of healthcare. IT allows healthcare providers to collect, store, retrieve and transfer information electronically. Together with modern communication technologies and intelligent systems, patients are able to monitor their own vital health signs from home and communicate the results to their health providers wirelessly. This will increase the ability to address a problem before a patient requires acute care. The ability to remotely monitor vital signs of a patient in real-time using a simple, low-cost and compact device with a minimum training time is highly desirable in a society with an increasing aging population. This research outlines the design and development of a cost effective and reliable wireless sensing device for collecting real-time health vital signs such as human body temperature and heart rate. A software system is also developed to provide two-way communications with the remote sensor device in order to receive and store the collected data by the sensor device in a central database. The literature review led to the use of ATmega micro-controller, ZigBee technology for wireless communication and the development of highly adaptable, flexible and intelligent software written in Microsoft C-Sharp (C#). A unique communication data packet is also developed and implemented to overcome the micro-controller memory limitations, improving the reliability of the communication and increasing the security of data as well as saving power. The system is able to communicate with service robots and host computers via the network of XBees. The proposed hardware device is able to collect the human heart rate and body temperature in real-time. It is light-weight, low-cost, power efficient and maintainable. It can be wrapped around the wrist and carried with the person. It transmits the data when it is needed and stays on sleep mode to save power. The developed software system (T-HBR, stands for temperature-heart beat rate) is capable of receiving the data from the remote device and storing the data to a central database. T-HBR allows health professionals such as general practitioners (GPs), nurses and healthcare providers to be able to collect the real-time data, see the patient‟s history, issue a new prescription and send it to the patient, other GPs or nurses by e-mails or text messages. The software can be a component of an individual system or can be used within a network connected to a central database. The software system supports a high level of security by using ten different types of encryption algorithms and is also able to import data from other T-HBR software and merge them into the existing database. It is component-based software with a three-layer architecture, which allows each component of the system to be replaced separately. Such a design approach reduces the cost of maintenance and enables more functionality to be added easily.
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    Telehealth practice in eight countries : New Zealand, Australia, the USA, Canada, UK, Malaysia, China and India : a thesis presented in partial fulfillment of the requirements of degree of Master in Information Science at Massey University, Albany campus, Auckland, New Zealand
    (Massey University, 2012) Altharthi, Mansour Saeed
    This research examines the telehealth adoptions and developments in eight selected countries: New Zealand, Australia, the United States, Canada, UK, Malaysia, China and India. An array of methods has been employed into this research, such as PEST, SWOT, and CSF analysis. Each country has been studied individually and then all eight countries have been discussed together through comparisons from various perspectives. Thereafter, the conclusions summarize the key findings and then some recommendations are offered. The studied countries all have certain needs of telehealth; however, these needs vary due to every country’s particular conditions of demographic features, economic development, social and cultural diversity. The development of telehealth in these countries heavily depends on the countries’ healthcare system, countries’ priorities of healthcare needs, decision makers’ vision in telehealth; as well as the development of telecommunication networks and the training level of end users. It is believed that telehealth will help to improve the healthcare service in all of the eight countries. Through the comparison and discussion, the eight countries are found to share some points in common, which can be highlighted as general CSFs: standardization, legislation and regulation, business modelling and program evaluation, financial constraints, and need of more trained professionals into telehealth. While giving some recommendations to each country’s development of telehealth, this thesis also suggested that future development of telehealth may have three priorities: further and continuous improving design and research in technical perspective, re-examination of the current healthcare system thus adjust it to suit telehealth development, and staying with an international perspective. This topic is suggested for further research, with particular interest in extending to some country/region with very small territory and high population density.