title: Advanced recommendations in a mobile tourist information system

authors: Junmanee, Saijai

subjects: computer science

abstract: An advanced tourist information provider system delivers information regarding sights and events on their users' travel route. In order to give sophisticated personalized information about tourist attractions to their users, the system is required to consider base data which are user preferences defined in their user profiles, user context, sights context, user travel history as well as their feedback given to the sighs they have visited. In 
addition to sights information, recommendation on sights to the user could also be provided. This project concentrates on combinations of knowledge on recommendation systems and base information given by the users to build a recommendation component in the Tourist Information Provider or TIP system. To accomplish our goal, we not only examine several tourist information systems but also conduct the investigation on recommendation systems. We propose a number of approaches for advanced recommendation models in a tourist information system and select a subset of these for implementation to prove the concept.

text: Advanced recommendations in a mobile tourist information system An advanced tourist information provider system delivers information regarding sights and events on their users' travel route. In order to give sophisticated personalized information about tourist attractions to their users, the system is required to consider base data which are user preferences defined in their user profiles, user context, sights context, user travel history as well as their feedback given to the sighs they have visited. In 
addition to sights information, recommendation on sights to the user could also be provided. This project concentrates on combinations of knowledge on recommendation systems and base information given by the users to build a recommendation component in the Tourist Information Provider or TIP system. To accomplish our goal, we not only examine several tourist information systems but also conduct the investigation on recommendation systems. We propose a number of approaches for advanced recommendation models in a tourist information system and select a subset of these for implementation to prove the concept.

year: 2005-01-01

title: Career Progression in Medical Physics

authors: Round, W. Howell

subjects: Career pathway

abstract: In several western countries there is a formal medical physicists’ training scheme after which a lot of graduates are employed in government hospitals where there is a formal, national salary scale and levels of responsibility through which physicists can expect to move. Those who are employed in private institutions are usually employed on contacts that are somewhat similar to those in the government institutions, but with perhaps a higher salary level but with an expectation that they will have a higher output. This is often not the case in AFOMP countries, especially in developing countries where there may be very few medical physicists. There may not be a “recognised” path that a clinical medical physicist would expect to follow from being a trainee/registrar/resident to a chief physicist in charge of the physics in an imaging or radiation oncology or medical physics department. There is often no official salary scale, limited access to continuing professional development, and little concept of how their careers might be expected to progress, especially amongst administrators. Those countries that do define a career path for medical physicists usually do so through a nation- or state-wide employment contract (or award) negotiated between the profession and the government. These can be used as a model for career planning elsewhere. A survey done of the career pathways in other countries showed that where awards exist, often they are constructed as a multilevel system consisting of, for example, four levels: physicist, senior physicist, principal physicist and chief physicist. Minimum education qualifications and experience are often needed to enter each level, along with a compilation of achievements and an expectation that the physicist will be able to fulfil the requirements of the level. If possible, such systems should be set up in all AFOMP countries where this is possible so that medical physicists will be able to see where their career will lead and how far they have progressed. Sometimes this can be difficult to set up because being a medical physicist is not a government-recognised profession in some countries, even though it is recognised by the International Labour Organization. To ensure that physicists’ careers will develop in a way that will fully develop their potential, it is important that issues such as have proper education and training, sufficient access to continuing professional development, interaction with physicists within and outside their own institution. Also, for those who temporarily leave the profession, a pathway for them to re-enter must be available. Career progression is something that all AFOMP National Member Organizations must address if the potential of their members is to be properly developed and their skills to be fully utilized.

text: Career Progression in Medical Physics In several western countries there is a formal medical physicists’ training scheme after which a lot of graduates are employed in government hospitals where there is a formal, national salary scale and levels of responsibility through which physicists can expect to move. Those who are employed in private institutions are usually employed on contacts that are somewhat similar to those in the government institutions, but with perhaps a higher salary level but with an expectation that they will have a higher output. This is often not the case in AFOMP countries, especially in developing countries where there may be very few medical physicists. There may not be a “recognised” path that a clinical medical physicist would expect to follow from being a trainee/registrar/resident to a chief physicist in charge of the physics in an imaging or radiation oncology or medical physics department. There is often no official salary scale, limited access to continuing professional development, and little concept of how their careers might be expected to progress, especially amongst administrators. Those countries that do define a career path for medical physicists usually do so through a nation- or state-wide employment contract (or award) negotiated between the profession and the government. These can be used as a model for career planning elsewhere. A survey done of the career pathways in other countries showed that where awards exist, often they are constructed as a multilevel system consisting of, for example, four levels: physicist, senior physicist, principal physicist and chief physicist. Minimum education qualifications and experience are often needed to enter each level, along with a compilation of achievements and an expectation that the physicist will be able to fulfil the requirements of the level. If possible, such systems should be set up in all AFOMP countries where this is possible so that medical physicists will be able to see where their career will lead and how far they have progressed. Sometimes this can be difficult to set up because being a medical physicist is not a government-recognised profession in some countries, even though it is recognised by the International Labour Organization. To ensure that physicists’ careers will develop in a way that will fully develop their potential, it is important that issues such as have proper education and training, sufficient access to continuing professional development, interaction with physicists within and outside their own institution. Also, for those who temporarily leave the profession, a pathway for them to re-enter must be available. Career progression is something that all AFOMP National Member Organizations must address if the potential of their members is to be properly developed and their skills to be fully utilized.

year: 2014

title: Effective implementation science processes for Māori and Indigenous health interventions

authors: Harding, Truely Janine

subjects: Implementation science

abstract: Background
This thesis considers the implications implementation science has for Indigenous communities, specifically in reducing health inequities for the Māori community of New Zealand. Implementation science has been discussed among many Western health interventions and this thesis adds to that body of literature while highlighting the impact implementation has for Indigenous communities. 
Implementation science is a growing body of literature that can identify the most effective processes for health organisations and governments to best engage with Indigenous communities facing health inequities. An important aspect of that is ensuring the Indigenous voices and perspectives are represented just as much as the academics and scholars in those fields. The purpose of this thesis is to highlight the facilitators and barriers of implementing health interventions with Māori communities in Aotearoa New Zealand. This thesis aims to contribute to the conversation about reducing health inequities Māori communities’ face in New Zealand by enhancing implementation effectiveness. Therefore, it is an effort to illuminate the importance of the inclusion of community voice and perspectives when implementing health interventions with Indigenous communities. The thesis is with publications and includes four distinct studies.
Methodology & Methods
The key methodologies used in this study were Kaupapa Māori methodology and the He Pikinga Waiora (HPW) Implementation framework. Kaupapa Māori has been used as both a form of resistance and a methodological strategy, where research is created, developed, and carried within a Māori worldview with the aim to have positive outcomes that are beneficial for Māori. The HPW framework provided a holistic approach to guide this research through its key elements of: culture-centered approach, community engagement, systems thinking, and integrated knowledge translation. It is a forward-thinking approach as it is flexible in its design, which allows the framework to be tailored to a variety of implementation situations. The framework is centred in Kaupapa Māori methodology. Each principle of Kaupapa Māori and each element of HPW provide a holistic approach to implementation science.
Given this thesis includes four publications, a range of methods were employed for data collection. The first study was a systematic review of studies that was completed using preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. This involved a stringent search strategy and inclusion criteria where studies included went through data extraction and methodological appraisal followed by an analysis through a qualitative synthesis of findings. Studies two and three employed semi-structured interviews that were analysed through thematic analysis. Study two included 19 participants who were either health professionals or researchers, and study three included 17 participants who were health professionals. The fourth study included an online cross-sectional survey of 200 health professionals and used statistical modelling to identify factors important for implementation effectiveness.
Results 
The first study included a systematic literature review to examine the implementation of a non-communicable disease health intervention for Indigenous communities using HPW as an evaluation tool. Twenty-one studies were included. Two thirds of these studies demonstrated high levels of community engagement and community voice/ agency, while 40% had individual-level outcomes with some systems thinking, and 33% included individual-level outcomes and limited systems thinking. Finally, almost 40% of studies included high levels of end-user engagement reflective of integrated knowledge translation, but nearly half had limited end-user engagement with the remaining neither high or low. This study found that the HPW Implementation Framework is a comprehensive model for understanding implementation effectiveness in Indigenous communities and highlighted the high levels of community engagement and community voice. It also brings to light that the long-term sustainability and translation of evidence to practice may be inhibited because of lower levels of systems thinking and integrated knowledge translation. 
The second study researched the perceptions health professionals have on co-designing health-promotion interventions with Indigenous communities in New Zealand. Co-designing health-promotion interventions with Indigenous communities presents many benefits and challenges. This study identified that the facilitators for co-designing health-promotion interventions with Māori communities were collaboration and community voice. Furthermore, the two key barriers identified were mismanaged expectations between the researcher and community and the research constraints placed by funding agencies. The findings support the development of more effective co-design health-promotion interventions within Māori communities which may address health inequities. 
The third study endeavoured to identify the facilitators and barriers in disseminating and adopting a health intervention developed by a community-academic partnership. This study explored general perceptions of the implementation process and also included a case study of an innovative intervention. The facilitators included community engagement, programme structure, programme adaptability and creators’ experience. The barriers consisted of funding access, funding constraints and organisational constraints. This study also highlights the importance of community engagement and adaptability suggesting a need for translation as well as diffusion. Additionally, this study identified nuanced aspects of funding and resources for organisations that constrain organisations in employing health interventions designed by others.
The final study identified factors that New Zealand health professionals rate as important for implementation effectiveness for health interventions with Māori communities. This study provided a unique perspective of health professionals on implementation effectiveness when working with Māori/Indigenous communities. Paired sample t-tests revealed four levels of importance for implementation effectiveness with organisational teamwork and community autonomy as most important. Only 24% of participants had prior experience with a previous health intervention with Māori communities. The two key overall factors that were associated with participants’ rating of implementation effectiveness in these previous interventions were process and community. This study identified the key areas of implementation effectiveness as community engagement and participatory process. Furthermore, the final study contributes to the body of literature that challenges traditional top-down approaches of implementation.
Conclusion
This research aimed to identify the facilitators and barriers to disseminating and implementing health interventions with Māori communities in New Zealand. A synthesis of the four studies provided four key themes for this thesis. This thesis reinforces the position that Indigenous and Māori implementation science should be focused on the process and community engagement. In doing so, community engagement ensures a cultural-centred approach that prioritises Indigenous knowledge and autonomy in the process of implementation. Furthermore, the barriers identified in this thesis recognise the challenges that remain in limited funding for translating research into implementation practice and managing expectations amongst the implementation team. This thesis has implications for New Zealand district health boards and health organisations who are wanting to increase the effectiveness of the health interventions they are implementing with Māori communities, particularly when trying to address health inequities. Overall, this study is an attempt to bridge the gap between translating research and the processes of putting it into practice.

text: Effective implementation science processes for Māori and Indigenous health interventions Background
This thesis considers the implications implementation science has for Indigenous communities, specifically in reducing health inequities for the Māori community of New Zealand. Implementation science has been discussed among many Western health interventions and this thesis adds to that body of literature while highlighting the impact implementation has for Indigenous communities. 
Implementation science is a growing body of literature that can identify the most effective processes for health organisations and governments to best engage with Indigenous communities facing health inequities. An important aspect of that is ensuring the Indigenous voices and perspectives are represented just as much as the academics and scholars in those fields. The purpose of this thesis is to highlight the facilitators and barriers of implementing health interventions with Māori communities in Aotearoa New Zealand. This thesis aims to contribute to the conversation about reducing health inequities Māori communities’ face in New Zealand by enhancing implementation effectiveness. Therefore, it is an effort to illuminate the importance of the inclusion of community voice and perspectives when implementing health interventions with Indigenous communities. The thesis is with publications and includes four distinct studies.
Methodology & Methods
The key methodologies used in this study were Kaupapa Māori methodology and the He Pikinga Waiora (HPW) Implementation framework. Kaupapa Māori has been used as both a form of resistance and a methodological strategy, where research is created, developed, and carried within a Māori worldview with the aim to have positive outcomes that are beneficial for Māori. The HPW framework provided a holistic approach to guide this research through its key elements of: culture-centered approach, community engagement, systems thinking, and integrated knowledge translation. It is a forward-thinking approach as it is flexible in its design, which allows the framework to be tailored to a variety of implementation situations. The framework is centred in Kaupapa Māori methodology. Each principle of Kaupapa Māori and each element of HPW provide a holistic approach to implementation science.
Given this thesis includes four publications, a range of methods were employed for data collection. The first study was a systematic review of studies that was completed using preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. This involved a stringent search strategy and inclusion criteria where studies included went through data extraction and methodological appraisal followed by an analysis through a qualitative synthesis of findings. Studies two and three employed semi-structured interviews that were analysed through thematic analysis. Study two included 19 participants who were either health professionals or researchers, and study three included 17 participants who were health professionals. The fourth study included an online cross-sectional survey of 200 health professionals and used statistical modelling to identify factors important for implementation effectiveness.
Results 
The first study included a systematic literature review to examine the implementation of a non-communicable disease health intervention for Indigenous communities using HPW as an evaluation tool. Twenty-one studies were included. Two thirds of these studies demonstrated high levels of community engagement and community voice/ agency, while 40% had individual-level outcomes with some systems thinking, and 33% included individual-level outcomes and limited systems thinking. Finally, almost 40% of studies included high levels of end-user engagement reflective of integrated knowledge translation, but nearly half had limited end-user engagement with the remaining neither high or low. This study found that the HPW Implementation Framework is a comprehensive model for understanding implementation effectiveness in Indigenous communities and highlighted the high levels of community engagement and community voice. It also brings to light that the long-term sustainability and translation of evidence to practice may be inhibited because of lower levels of systems thinking and integrated knowledge translation. 
The second study researched the perceptions health professionals have on co-designing health-promotion interventions with Indigenous communities in New Zealand. Co-designing health-promotion interventions with Indigenous communities presents many benefits and challenges. This study identified that the facilitators for co-designing health-promotion interventions with Māori communities were collaboration and community voice. Furthermore, the two key barriers identified were mismanaged expectations between the researcher and community and the research constraints placed by funding agencies. The findings support the development of more effective co-design health-promotion interventions within Māori communities which may address health inequities. 
The third study endeavoured to identify the facilitators and barriers in disseminating and adopting a health intervention developed by a community-academic partnership. This study explored general perceptions of the implementation process and also included a case study of an innovative intervention. The facilitators included community engagement, programme structure, programme adaptability and creators’ experience. The barriers consisted of funding access, funding constraints and organisational constraints. This study also highlights the importance of community engagement and adaptability suggesting a need for translation as well as diffusion. Additionally, this study identified nuanced aspects of funding and resources for organisations that constrain organisations in employing health interventions designed by others.
The final study identified factors that New Zealand health professionals rate as important for implementation effectiveness for health interventions with Māori communities. This study provided a unique perspective of health professionals on implementation effectiveness when working with Māori/Indigenous communities. Paired sample t-tests revealed four levels of importance for implementation effectiveness with organisational teamwork and community autonomy as most important. Only 24% of participants had prior experience with a previous health intervention with Māori communities. The two key overall factors that were associated with participants’ rating of implementation effectiveness in these previous interventions were process and community. This study identified the key areas of implementation effectiveness as community engagement and participatory process. Furthermore, the final study contributes to the body of literature that challenges traditional top-down approaches of implementation.
Conclusion
This research aimed to identify the facilitators and barriers to disseminating and implementing health interventions with Māori communities in New Zealand. A synthesis of the four studies provided four key themes for this thesis. This thesis reinforces the position that Indigenous and Māori implementation science should be focused on the process and community engagement. In doing so, community engagement ensures a cultural-centred approach that prioritises Indigenous knowledge and autonomy in the process of implementation. Furthermore, the barriers identified in this thesis recognise the challenges that remain in limited funding for translating research into implementation practice and managing expectations amongst the implementation team. This thesis has implications for New Zealand district health boards and health organisations who are wanting to increase the effectiveness of the health interventions they are implementing with Māori communities, particularly when trying to address health inequities. Overall, this study is an attempt to bridge the gap between translating research and the processes of putting it into practice.

year: 2021