Health Services and Informatics Research (HSIR) at Parkview Health was founded in 2014 – bringing concrete solutions to problems that patients, healthcare providers, the community, and the health care system face through traditional research studies, pilot studies, and program evaluation.

Led by Tammy Toscos, Director of Health Services and Informatics Research, the team researches how to use technology to impact patient behaviors and engagement to improve health outcomes and workflow for providers. Projects focus on social-behavioral, cardiology, public health, data science, and health informatics that are sponsored internally by Parkview Health or externally funded through federal or private grants. The team collaborates with Parkview clinicians, patients, and community partners to conduct research and quality improvement projects ranging from focus groups and online surveys to workflow and technology evaluation, supported by their in-house User Experience lab.

The HSIR team also hosts student interns throughout the year who work directly with research scientists on private and federally funded studies. In this internship program, students gain experience in a variety of aspects of the research process, such as research ethics, the daily management of research studies, observational coding, qualitative coding, data analysis, and the presentation of research findings.

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Submissions from 2020

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Patient responses to daily cardiac resynchronization therapy device data: a pilot trial assessing a novel patient-centered digital dashboard in everyday life, Tammy Toscos PhD, Carly Daley, Shauna Wagner, Amanda Coupe, Ryan Ahmed, Richard Holden PhD, Mindy Flanagan, Rachel Pfafman, Romisa Rohani Ghahari, and Michael Mirro MD

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Medication Adherence for Atrial Fibrillation Patients: Triangulating Measures from a Smart Pill Bottle, e-prescribing Software, and Patient Communication through the Electronic Health Record, Tammy Toscos PhD, Michelle Drouin, Jessica Pater, Mindy Flanagan, Shauna Wagner, Amanda Coupe, Ryan Ahmed, and Michael Mirro MD

Submissions from 2019

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Neuroticism and Facebook Addiction: How Social Media can Affect Mood?, Irum Abbasi and Michelle Drouin

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The protective influence of relationship commitment on the effects of Facebook addiction on marital disaffection, Irum Saeed Abbasi, Michelle Drouin, Jayson L. Dibble, and Brandon T. McDaniel PhD

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Visualization of Cardiac Implantable Electronic Device Data for Older Adults Using Participatory Design., Ryan Ahmed, Tammy Toscos PhD, Romisa Rohani Ghahari, Richard J Holden, Elizabeth Martin, Shauna Wagner, Carly Daley, Amanda Coupe, and Michael Mirro MD

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Patient-centered Design Grounded in User and Clinical Realities Towards Valid Digital Health, Victor P. Cornet, Carly Daley, Davide Bolchini, Tammy Toscos PhD, Michael Mirro MD, and Richard J. Holden

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Knowledge among patients with heart failure: A narrative synthesis of qualitative research, Carly Daley, Monirah Al-Abdulmunem, and Richard J. Holden

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Uncertainty Management among Older Adults with Heart Failure, Carly Daley, Victor Cornet, Gauri Patekar, Swapnil Kosarabe, Davide Bolchini, Tammy Toscos PhD, Michael Mirro MD, Shauna Wagner, Elizabeth Martin, Romisa Rohani Ghahari, Ryan Ahmed, Amy Miller, and Richard J. Holden

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Data Integration and Interoperability for Patient-Centered Remote Monitoring of Cardiovascular Implantable Electronic Devices, Carly Daley, Tammy Toscos PhD, and Michael Mirro

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An empirical comparison of back burners, hookups, and friends with benefits relationships in young adults, Jayson L. Dibble, Michelle Drouin, and Narissra M. Punyanunt-Carter

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How Does Alcohol Consumption Affect Perceptions of One's Own and a Drinking Partner's Ability to Consent to Sexual Activity?, Michelle Drouin, Kristen N Jozkowski, Jedidiah Davis, and Genni Newsham

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Relationship Between Parent Distraction with Technology at Mealtimes and Child Eating Behavior: a Pilot Study, Moriah M. Gramm, Rachel L. Vollmer, Tammy S. Harpel, Brandon T. McDaniel PhD, and Julie Schumacher

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Researcher Reflections on Human Factors and Health Equity, Richard J. Holden, Tammy Toscos PhD, and Carly Daley

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Cross-day influences between couple closeness and coparenting support among new parents., Yunying Le, Steffany J Fredman, Brandon T. McDaniel PhD, Jean-Philippe Laurenceau, and Mark E Feinberg

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Parent distraction with phones, reasons for use, and impacts on parenting and child outcomes: A review of the emerging research, Brandon T. McDaniel PhD

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Passive sensing of mobile media use in children and families: a brief commentary on the promises and pitfalls., Brandon T. McDaniel PhD

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Daily Technology Interruptions and Emotional and Relational Well-Being., Brandon T. McDaniel PhD and Michelle Drouin

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Online sexual harassment over anonymous social media in Bangladesh, Fayika Farhat Nova, Rifat Rashidujjaman MD, Pratyasha Saha, Shion Guha PhD, and Syed Ishtiaque Ahmed

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Exploring Indicators of Digital Self-Harm with Eating Disorder Patients: A Case Study, Jessica Pater, Brooke Farrington, Alycia Brown, Lauren Reining, Tammy Toscos, and Elizabeth D. Mynatt

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"Notjustgirls": Exploring Male-related Eating Disordered Content across Social Media Platforms, Jessica Pater, Lauren Reining, Andrew D. Miller, Tammy Toscos PhD, and Elizabeth D. Mynatt

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Connecting ACEs to in-patient behavioral health treatment associated with bullying/cyberbullying, Rachel Pfafman, Jessica Pater, Lauren Reining, Michelle Drouin, Connie Kerrigan, and Kelley Kardys

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The Significance of Sexual Debut in Women’s Lives, Susan Sprecher, Lucia F. O'Sullivan, Michelle Drouin, Julie Verette-Lindenbaum, and Marion C. Willetts

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Improving Implanted Device Remote Monitoring Adherence Through Data Sharing, Tammy Toscos; Ryan Ahmed; Shauna Wagner; and Michael Mirro MD, FACC, FHRS, FAHA

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Teens Using Screens for Help: Impact of Suicidal Ideation, Anxiety, and Depression Levels on Youth Preferences for Telemental Health Resources., Tammy Toscos PhD; Amanda Coupe; Mindy Flanagan; Michelle Drouin; Maria D. Carpenter; Lauren Reining; Amelia Roebuck; and Michael Mirro MD, FACC, FHRS, FAHA

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Audience Response Systems and Missingness Trends: Using Interactive Polling Systems to Gather Sensitive Health Information From Youth., Tammy Toscos, Michelle Drouin, Mindy Flanagan, Maria D. Carpenter, Connie Kerrigan, Colleen Carpenter, Cameron Mere MBA, and Marcia Haaff

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Selection biases in technology-based intervention research: patients' technology use relates to both demographic and health-related inequities., Tammy Toscos PhD; Michelle Drouin; Jessica Pater; Mindy Flanagan; Rachel Pfafman; and Michael Mirro MD, FACC, FHRS, FAHA

Submissions from 2018

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Research Ethics Town Hall Meeting, Pernille Bjorn, Casey Fiesler, Michael Muller, Jessica Pater, and Pamela Wisniewski

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Systematic review of smartphone-based passive sensing for health and wellbeing., Victor P. Cornet MS and Richard J. Holden

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Computational Exploration of Gerontology-Related Topics Shared on Social Media Platform Twitter, Victor P. Cornet MS and Michin Hong

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Naturalistic Decision Making by Older Adults with Chronic Heart Failure: An Exploratory Study Using the Critical Incident Technique, Carly Daley; Davide Bolchini; Anagha VArrier; Kartik Rao; Pushkar Joshi; Jessica Blackburn; Tammy Toscos; Michael Mirro MD, FACC, FHRS, FAHA; Shauna Wagner; Elizabeth Martin; Amy Miller; and Richard J. Holden

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Maintaining Relationship Alternatives Electronically: Positive Relationship Maintenance in Back Burner Relationships, Jayson L. Dibble, Narissra M. Punyanunt-Carter, and Michelle Drouin

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College Students in Distress: Can Social Media be a Source of Social Support, Michelle Drouin, L Reining, Mindy Flanagan, Maria Carpenter, and Tammy Toscos

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Sexting profiles in the United States and Canada: Implications for individual and relationship well-being, Adam M. Galova, Michelle Drouin, and Brandon T. McDaniel PhD

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Safety vs. Surveillance: What Children have to say about Mobile Apps for Parental Control, Arup Kumar Ghosh, Karla Badillo-Urquiola, Shion Guha PhD, Joseph J. LaViola Jr, and Pamela J. Wisniewski

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Modeling Personas for Older Adults with Heart Failure, Richard J. Holden; Pushkar Joshi; Kartik Rao; Anagha Varrier; Carly Daley; Jessica Blackburn; Tammy Toscos; Shauna Wagner; Elizabeth Martin; Amy Miller; and Michael Mirro MD, FACC, FHRS, FAHA

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Adult Consumers’ and Mental Health Professionals’ Perceptions of Telemental Health for Youth: A Delphi Study, Abigail Howard, Mindy Flanagan, Michelle Drouin, Maria Carpenter, Elizabeth M. Chen, Catherine Duchovic, and Tammy Toscos

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Adult experts' perceptions of telemental health for youth: A Delphi study., Abigail Howard, Mindy Flanagan, Michelle Drouin, Maria D. Carpenter, Elizabeth Chen, Catherine Duchovic, and Tammy Toscos

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Reaching Youth Where They Are, Kristina Johnson

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Dashboards to Support Operational Decision Making in Health Centers: A Case for Role-Specific Design, Kislaya Kunjan, Bradley N. Doebbeling, and Tammy Toscos

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Large-Scale Data Mining to Optimize Patient-Centered Scheduling at Health Centers, Kislaya Kunjan, Huanmei Wu, Tammy Toscos, and Bradley N. Doebbeling

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Conducting Research with Stigmatized Populations: Practices, Challenges, and Lessons Learned, Juan F. Maestre, Elizabeth V. Eikey, Mark Warner, Svetlana Yarosh, Jessica Pater, Maia Jacobs, Gabriela Marcu, and Patrick C. Shih

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"Technoference" and Implications for Mothers' and Fathers' Couple and Coparenting Relationship Quality., Brandon T. McDaniel PhD, Adam M Galovan, Jaclyn D Cravens, and Michelle Drouin

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Technoference: Longitudinal Associations between Parent Technology Use, Parenting Stress, and Child Behavior Problems., Brandon T. McDaniel PhD and Jenny S Radesky

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Technoference: Parent Distraction With Technology and Associations With Child Behavior Problems., Brandon T. McDaniel PhD and Jenny S Radesky

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Delivering Remote Monitoring Data to Patients with Implantable Cardioverter-Defibrillators: Does Medium Matter?, Michael Mirro, Carly Daley, Shauna Wagner, Romisa Rohani Ghahari, Michelle Drouin, and Tammy Toscos

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A patient-centered approach towards designing a novel CIED remote monitoring report, Michael J. Mirro, Romisa Rohani Ghahari, R Ahmed, Lauren Reining, Shauna Wagner, Gavin Lehmann, Jaime Heller, Melissa Omlor, and Tammy Toscos

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Data Analytics and Modeling for Appointment No-show in Community Health Centers., Iman Mohammadi, Huanmei Wu, Ayten Turkcan, Tammy Toscos PhD, and Bradley N Doebbeling

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Cyberbullying, revenge porn and the mid-sized university: Victim characteristics, prevalence and students' knowledge of university policy and reporting procedures, Kimberly O'Conner, Michelle Drouin, Jedidiah Davis, and Hannah Thompson

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Youth Online - Where they may go, what they may be doing and how this may impact mental and behavioral health, Jessica Pater

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College students in distress: Can social media be a source of social support?, Lauren Reining, Michelle Drouin, Tammy Toscos, and Michael J. Mirro

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Using cardiac implantable electronic device data to facilitate health decision making: A design study, Romisa Rohani Ghahari, Richard J. Holden, Mindy Flanagan, Shauna Wagner, Elizabeth Martin, Ryan Ahmed, Carly Daley, Rehab Tambe, Elizabeth Chen, Tina Allmandinger, Michael Mirro MD, and Tammy Toscos PhD

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Abstract 16894: Innovation in Cardiac Care: Direct Transmission of Remote Implantable Cardioverter Defibrillator Data to Patients through Their Electronic Personal Health Records, Areej Sami; Elizabeth Chen; Carly Daley; Riddhi Doshi; Lisa Herald; Tammy Toscos PhD; David Slotwiner; Robert Plant; and Michael Mirro MD, FACC, FHRS, FAHA

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Co-creating Health Information Technology Platforms with Patients: An Innovative Approach Used at Parkview Research Center, Tammy Toscos

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Designing tailored patient education on atrial fibrillation, Tammy Toscos, R Ahmed, Romisa Rohani Ghahari, Elizabeth Martin, Shauna Wagner, Michelle Drouin, and Michael J. Mirro

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Using Immediate Response Technology to Gather Electronic Health Data and Promote Telemental Health Among Youth, Tammy Toscos, Maria Carpenter, Michelle Drouin, Amelia Roebuck, Abigail Howard, Mindy Flanagan, and Connie Kerrigan

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College Students' Experiences with, and Willingness to Use, Different Types of Telemental Health Resources: Do Gender, Depression/Anxiety, or Stress Levels Matter?, Tammy Toscos, Maria Carpenter, Michelle Drouin, Amelia Roebuck, Connie Kerrigan, and Michael Mirro

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Identifying Successful Practices to Overcome Access to Care Challenges in Community Health Centers: A "Positive Deviance" Approach., Tammy Toscos, Maria Carpenter, Mindy Flanagan, Kislaya Kunjan, and Bradley N Doebbeling

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Tech-obsessed teens are still human: How do teens want to communicate during times of stress?, Tammy Toscos PhD and Connie Kerrigan

Submissions from 2017

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Comparing grounded theory and topic modeling: Extreme divergence or unlikely convergence, Eric P.S. Baumer, David Mimno, Shion Guha PhD, Emily Quan, and Geri K. Gay

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Multimodal Classification of Moderated Online Pro-Eating Disorder Content, Stevie Chancellor, Yannis Kalantidis, Jessica Pater, Munmun DeChoudhury, and David A. Shamma

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“Do you dare to compare?” Associations between maternal social comparisons on social networking sites and parenting, mental health, and romantic relationship outcomes., Sarah M. Coyne, Brandon T. McDaniel PhD, and Laura A. Stockdale

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Providing Patients with Implantable Cardiac Device Data through a Personal Health Record: A Qualitative Study, Carly Daley, Michael J. Mirro, and Tammy Toscos

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The double-edged sword: A mixed methods study of the interplay between bipolar disorder and technology use, Mark Matthews, Elizabeth Murnane, Jaime Snyder, Shion Guha PhD, Pamara Chang, Gavin Doherty, and Geri Gay

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Do You Have Anything to Hide? Infidelity-Related Behaviors on Social Media Sites and Marital Satisfaction., Brandon T. McDaniel PhD, Michelle Drouin, and Jaclyn D Cravens

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Defining Digital Self-Harm, Jessica Pater and Elizabeth Mynatt

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Addressing medication adherence technology needs in an aging population, Jessica Pater PhD, Shane Owens, Sarah Farmer, Elizabeth Mynatt, and Brad Fain

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“I don’t know how you can be the decision maker when you don’t understand”: designing a tailored E-health intervention to empower patients living with non-valvular atrial fibrillation, Amelia Roebuck; Shauna Wagner; Ryan Ahmed; Romisa Rohani Ghahari; Carly Daley; Maria D. Carpenter; Tammy Toscos; and Michael Mirro MD, FACC, FHRS, FAHA

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Tailored, theory-based strategies for engaging low-income populations with a personal health record, Tammy Toscos PhD; Maria Wright RN, BSN; Mindy Flanagan PhD; Kislaya Kunjan MS, MBA; Amy Olson-Miller MS; and Bradley N. Doebbeling MD, MS

Submissions from 2016

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#thyghgapp: Instagram Content Moderation and Lexical Variation in Pro-Eating Disorder Communities, Stevie Chancellor, Jessica Pater, Trustin Clear, Eric Gilbert, and Munmun De Choudhury

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Challenges and Futures for Ethical Social Media Research, Casey Fiesler, Stevie Chancellor, Anna Lauren Hoffmann, Jessica Pater, and Nicholas Proferes

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Exploring Ethics and Obligations for Studying Digital Communities, Casey Fiesler, Pamela Wisniewski, Jessica Pater, and Nazab=nin Andalibi

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“Technoference”: The interference of technology in couple relationships and implications for women’s personal and relational well-being., Brandon T. McDaniel PhD and Sarah M. Coyne

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Machine Learning and Grounded Theory Method: Convergence, Divergence, and Combination, Michael Muller, Shion Guha PhD, David Mimno, and N. Sadat Shami

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“Hunger Hurts but Starving Works”: Characterizing the Presentation of Eating Disorders Online, Jessica Pater, Olive L. Haimson, Nazanin Andalibi, and Elizabeth D. Mynatt

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Characterizations of Online Harassment: Comparing Policies Across Social Media Platforms, Jessica Pater, Moon K. Kim, Elizabeth Mynatt, and Casey Fiesler

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Young children’s tablet use and associations with maternal well-being, Tiffany Pempek and Brandon T. McDaniel PhD

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Access Is Meaningful (AIM): Working with Community Health Centers to Improve Access to Care., Tammy Toscos PhD; Maria D. Carpenter RN, BSN; Kislaya Kunjan MS, MBA; Iman Mohammadi MS; Amy Miller; Brad N. Doebbeling MD, MS; and Huanmei Wu PhD

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Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study, Tammy Toscos, Carly Daley, Michael J. Mirro, and Rob Plant

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Missing links: challenges in engaging the underserved with health information and communication technology, Maria D. Wright, Mindy Flanagan, Kislaya Kunjan, Bradley N. Doebbeling, and Tammy Toscos PhD

Submissions from 2015

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Missing Photos, Suffering Withdrawal, or Finding Freedom? How Experiences of Social Media Non-Use Influence the Likelihood of Reversion, Eric P.S. Baumer, Shion Guha PhD, Emily Quan, David Mimno, and Geri K. Gay

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No longer wearing: investigating the abandonment of personal health-tracking technologies on craigslist, James Clawson, Jessica Pater PhD, Andrew D. Miller, Elizabeth Mynatt, and Lena Mamykina

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Engagement of ICD Patients: Direct Electronic Messaging of Remote Monitoring Data via a Personal Health Record, Carly Daley

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A Multidimensional Data Warehouse for Community Health Centers., Kislaya Kunjan, Tammy Toscos PhD, Ayten Turkcan, and Brad N Doebbeling

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Sexting Among Married Couples: Who Is Doing It, and Are They More Satisfied?, Brandon T. McDaniel PhD and Michelle Drouin

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This Digital Life: A Neighborhood-Based Study of Adolescents' Lives Online, Jessica Pater PhD, Andrew D. Miller, and Elizabeth Mynatt

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Just One More Patient: Optimizing EMR Documentation in Ambulatory Care, Mark Pierce MD and Tammy Toscos

Submissions from 2014

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Patient-centered appointment scheduling using agent-based simulation., Ayten Turkcan, Tammy Toscos PhD, and Brad N Doebbeling

Submissions from 2013

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Communities of participation: A comparison of disability and aging identified groups on Facebook and LinkedIn, Paul MA Baker, John C. Bricout, Nathan W. Moon, Barry Coughlan, and Jessica Pater

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Design strategies for youth-focused pervasive social health games., Andrew D. Miller, Jessica Pater, and Elizabeth D. Mynatt

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Designing for positive health affect: Decoupling negative emotion and health monitoring technologies, Tammy Toscos PhD, Kay Connelly, and Yvonne Rogers

Submissions from 2012

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The Not So Level Playing Field: Disability Identity and Gender Representation in Second Life, Abbe Foreman, Jessica Pater, and Kel Smith

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New mothers and media use: associations between blogging, social networking, and maternal well-being., Brandon T. McDaniel PhD, Sarah M. Coyne, and Erin K. Holmes

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Best intentions: health monitoring technology and children. In Proceedings of the SIGCHI conference on Human Factors in Computing System, Tammy Toscos, Kay Connelly, and Yvonne Rogers

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Integrating an Automated Diabetes Management System into the family management of children with type 1 diabetes: results from a 12-month randomized controlled technology trial., Tammy Toscos PhD, Stephen W Ponder, Barbara J Anderson, Mayer B Davidson, Martin L Lee, Elaine Montemayor-Gonzalez, Patricia Reyes, Eric Link, and Kevin L McMahon

Submissions from 2011

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Beautiful to me: Identity, disability, and gender in virtual environments, Abbe E. Foreman, Paul M.A. Baker, Jessica Pater, and Kel Smith

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"What's your number?": A survey of how parents and teens cope with diabetes in the context of technology support, Tammy Toscos, Kay Connelly, and Yvonne Rogers

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Barriers to physical activity: a study of self-revelation in an online community., Tammy Toscos PhD, Sunny Consolvo, and David W McDonald

Submissions from 2010

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Community, participation and virtual spaces: Design considerations for inclusivity, Paul M.A. Baker, A Fairchild, Jessica Pater, and A Seavey

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"…is it normal to be this sore?":: using an online forum to investigate barriers to physical activity, Tammy Toscos PhD, Sunny Consolvo, and David W. McDonald

Submissions from 2008

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Encouraging physical activity in teens. Can technology help reduce barriers to physical activity in adolescent girls?, Tammy Toscos PhD, Anne Faber, Kay Connelly, and Adity Mutsuddi Upoma