Page - 212 - in Applied Interdisciplinary Theory in Health Informatics - Knowledge Base for Practitioners

Theory Limitations Technology Acceptance Models A number of TAM extensions have been proposed to overcome some limitations in the original model. Distributed Cognition (DiCoT) Distributed cognition encourages a level of description about a system or process that lends itself to developing design ideas, but it may not readily emphasise the role of individuals or emotions as it focuses on systems and more observable functional issues. Actor-Network theory Lack of predictive power. Not internally consistent. Lacks specificity. Treatment of human actors and non-human actors as equal. Terminology is only loosely defined. Collective Mindfulness Rarely applied in health informatics. Recommendations may be difficult to put into practice. Principles could be viewed as ideals rather than descriptors. Boosting Framework Rarely applied in health informatics. It is a framework not theory and it helps to explicate some guiding principles for future research, from which testable assumptions can be derived. The boosting framework does not yet provide a full-blown process model with detailed “how-to” information describing how research evidence can be translated into practical health informatics solutions. Deterioration Communication Management Theory Classical Grounded Theory (CGT) focuses on one main concern, unlike constructivist Grounded Theory (GT) which aims to understand multiple perspectives in a social process. CGT has seldom been used in information systems research. Resilient Health Care (RHC) Resilient Health Care theory is relatively new and many of its tools are still in their infancy. RHC tools may be used to complement determinant frameworks such as computational simulation modelling. Health Behaviour Theory The use of behaviour change theory in health informatics interventions originates mainly from other disciplines: psychologists and public health workers familiar with behaviour change theory. Many interventions developed by people working in health informatics do not report using a health behaviour or behaviour change theory. Control Theory(CT) In the Audit & Feedback literature it has often been used but not explicitly reported. HI interventions are typically complex and placed into a social and organisational context. This context is not in the scope of CT. Itprovides no guidance as to which factors related to the context, recipients, or feedback itself may influence success of the feedback loop. NASSS Framework Published studies about the application of the NASSS framework are limited. Key challenge is to find ways of “running with” complexity, instead of seeking to “eliminate it”. P.J.Scott etal. /ReflectingandLooking to theFuture212