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Virtual Communities of Practice: Overcoming Barriers of Time and Technology
by Kieran Walsh, Stephen Barnett
(Published on 29 Jul 2014)
Barnett et al should be congratulated for their fascinating report into the use of virtual communities of practice for family physician training . It is interesting that the respondents reported time as a barrier to their participation in the community of practice. Undoubtedly, it would have taken them time to take part, but the amount of time needed should be placed in context and compared with the time needed to partake in face-to-face communities of practice. Face-to-face participation would take far more time—not least the time required to travel to the venue of the community of practice meeting. So in truth, virtual communities of practice are far more likely to be time saving. However the feeling that time was a barrier cannot be dismissed out of hand. The fact that...
On Supplementing “Foot in the Door” Incentives for eHealth Program Engagement
by Marc Steven Mitchell, Guy E Faulkner
(Published on 25 Jul 2014)
Financial health incentives, such as paying people to lose weight, are being widely implemented by Western nations and large corporations. A growing number of studies have tested the impact of incentives on health behaviors, though few have evaluated the approach on a population-scale. In this issue of the Journal of Medical Internet Research, Liu et al add to the evidence-base by examining whether a single incentive can motivate enrollment and engagement in a preventive eHealth program in a sample of 142,726 Canadian adults. While the incentives increased enrollment significantly (by a factor of about 28), a very high level of program attrition was noted (90%). The “foot in the door” incentive technique employed was insufficient; enrollees received incentives for signing-up...
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