Tag Archives: alternative

WHAT ARE SOME ALTERNATIVE DESIGNS THAT COULD BALANCE PRIVACY PRESERVATION WITH FUNCTIONALITY

Privacy and functionality can seem inherently at odds with one another, yet with thoughtful design both values can be upheld. One approach is to refocus how data is collected, stored, and used according to several key principles:

Minimize collection. Only collect data necessary for stated system functions, avoiding blanket data grabs. An online store need only collect payment details, not a life history. Systems could also give users meaningful control over what data is collected about them.

Decentralize storage. Rather than aggregating all user data in a single large database, a better model is federated storage where data about each individual remains localized to their own device or a close third party. Central databases become hacking targets whereas dispersed data has no “pot of gold.”

Use anonymization. Where aggregate data trends may be useful, like improving a fashion site’s recommendations, personal details should be anonymized and details like names, addresses and other directly identifying information removed before any sharing or analysis. cryptographic techniques like differential privacy can help achieve this.

Limit third party sharing. By default, personal data collected by one entity for a stated purpose should not be shared with or sold to third parties. Explicit opt-in consent from users would be required for any sharing, sale or additional uses beyond the purpose for which data was originally collected.

Embrace purpose limitation. Collected data should only be used for the purposes disclosed to and consented to by the user. “Mission creep” where data is used for unexpected secondary uses undermines trust and privacy. Systems could implement technical checks to enforce allowed uses.

Give control to users. Individuals should have access to all data collected about them, the ability to correct inaccuracies, request data deletion, and easily withdraw consent for any third party data uses. Technical barriers should not obstruct these basic privacy rights and controls.

Use strong encryption. Where transmission or storage of sensitive personal data is necessary, strong whole-system encryption protocols ensure that even if data is intercepted it remains protected. Encryption keys should remain localized under user control as much as possible.

Apply strict access controls. Within systems, access to personal user data should be tightly controlled on a need-to-know basis alone. Audit logs can help monitor for any improper access attempts and hold systems accountable. Structured data policies and personnel training reinforce privacy-respecting culture.

Employ accountability. Independent third party audits assess privacy/security practices. Incidents like breaches are disclosed promptly and remediation efforts announced. Regulators oversee compliance while certifications like Privacy by Design reinforce conformance. Consumers can opt to take disputes to binding arbitration.

Incorporate user feedback. Privacy and functionality evolve alongside user needs and expectations. Ongoing user research, transparency into data practices and response to concerns help keep systems iteratively improving with input from those impacted most.

By applying these privacy-preserving design principles – minimizing data collection, decentralizing storage, anonymizing insights, limiting sharing, enforcing purpose limitation, putting users in control, employing strong encryption and access controls, maintaining accountability and incorporating ongoing feedback – systems can balance functionality with individual privacy concerns. No system will ever satisfy all parties, yet an earnest commitment to these best practices establishes trust and shows priority placed on data respect. With sustained effort, privacy need not come at a cost to utility if thoughtful solutions center human needs over corporate interests alone. Doing right by users now helps ensure viability over the long run.

An alternative model focusing on minimizing data grabs, decentralizing storage, anonymizing insights, restricting sharing and secondary uses, giving users control and visibility along with strict security can achieve much-needed balance. Ongoing review and improving based on real-world experiences further strengthens privacy and widens the circle of stakeholders with a say. Outcomes matter more than broad claims. By making demonstrable progress on tangible privacy design, systems earn willingness from users to participate and thrive.

CAN YOU PROVIDE EXAMPLES OF ALTERNATIVE THERAPIES USED IN HOSPICE CARE

Massage therapy can be an effective holistic treatment for managing pain, stress, and anxiety at the end of life. Gentle massage has been shown to decrease pain by stimulating the production of endorphins, the body’s natural pain relievers. It also promotes relaxation and a sense of calmness. Massage therapists in hospice care are specially trained to work with patients who may have limited mobility or medical conditions. They are able to modify massage techniques to best suit an individual patient’s needs and comfort level. Some patients receive chair massages while others receive bed massages or have certain areas massaged.

Aromatherapy involves the use of essential oils extracted from plants to positively impact mood and well-being. Several essential oils like lavender, peppermint, and eucalyptus may help relieve pain, stress, and anxiety when inhaled or applied topically during a massage. Aromatherapy is a non-invasive treatment option that can be part of a patient’s overall palliative care plan. Essential oils can be diffused in a room or added to hot or cold compresses that are gently placed on areas of discomfort. Research has found that aromatherapy can work in synergy with conventional medical treatments to enhance quality of life.

Music therapy is a beneficial complementary approach for end-of-life care. Live or recorded music has been shown to decrease pain levels, relax the mind and body, ease emotional distress, and create opportunities for reminiscence and shared moments. Board-certified music therapists in hospice agencies use gentle songs and instruments tailored to each patient’s musical preferences, backgrounds, and cultures. For some bedridden patients, music therapy may involve simply listening to soothing music with headphones or speakers. Therapists also use singing, instrument play, song writing, and music-assisted relaxation to lift spirits and address psychosocial and spiritual needs. Being able to engage with music provides enjoyment, comfort and meaningful expression at life’s end.

Guided imagery uses vivid, directed suggestions to stimulate the mind’s imagination as a way to self-soothe and manage symptoms. By learning imagery techniques, patients can visualize peaceful scenes, feel relaxation in their bodies, or imagine therapeutic responses from their immune systems. This low-impact method allows the patient to mentally escape difficult realities when physical escape isn’t possible. Research confirms that guided imagery can help reduce pain levels, lessen anxiety, minimize nausea from treatments, and foster optimistic attitudes. Imagery scripts tailored specifically for end-of-life care issues are incorporated into relaxation exercises lead by trained clinicians or audio recordings.

Therapeutic touch or reiki are types of biofield energy therapies based on the premise that a universal energy field surrounds and penetrates the human body. Practitioners use a gentle, intuitive approach involving light touch to facilitate the flow of a person’s “life energy” and bring the body into better balance and alignment. This is thought to boost self-healing abilities and enhance well-being. Although its mechanisms are not fully understood scientifically, therapeutic touch in combination with standard medical care is used to relieve suffering in hospice. Patients often report therapeutic touch as deeply relaxing and comforting. It may help ease symptoms like pain, shortness of breath or anxiety. No known risks are associated with these energy-based therapies.

While more research is still needed, studies have shown that various alternative therapies can safely and effectively enhance symptom management, quality of life and end-of-life journeys when offered as options through interdisciplinary hospice care teams. Their holistic nature meets the entire person – body, mind and spirit – which is consistent with palliative philosophies of addressing all needs rather than just the physical ones. Alternatives like massage, music and imagery allow coping through elevated moods versus just medication alone. Utilizing a combination of both conventional and complementary approaches based on each individual’s preferences has demonstrated valuable results for hospice populations.

CAN YOU PROVIDE MORE EXAMPLES OF ALTERNATIVE CAPSTONE FORMATS FOR MPH PROJECTS?

Policy Brief.

A policy brief clearly outlines and analyzes a public health issue and provides policy recommendations to address it. It is targeted to a non-technical audience such as policymakers and community stakeholders. The brief will typically include an executive summary, background on the issue including relevant data and research, a clear statement of the problem or opportunity, proposed policy solutions, and implementation considerations. Students conduct a thorough literature review and may interview subject matter experts. The brief format cultivates skills in distilling complex information, strategic framing of arguments and recommendations, and written communication for lay audiences.

Program Evaluation.

Students design and conduct a process or outcome evaluation of an existing public health program, practice, or intervention. This involves developing an evaluation plan and logic model, collecting and analyzing both qualitative and quantitative data, and providing a written report on the program’s strengths/weaknesses and recommendations. Students gain experience in evaluation methodology, working with program staff, qualitative and quantitative data collection/analysis, and constructive program feedback. The report format builds skills in evidence-based analysis, respectful communication of findings, and recommendations to strengthen programs.

Toolkit or Manual.

Students develop an implementation toolkit, user manual, or training curriculum around evidence-based public health practices, programs, or policies. This could guide topic areas like creating healthy worksite environments, building coalitions, facilitating community engagement processes, or implementing public health emergency preparedness plans. The deliverable provides step-by-step guidance, tools, resources and training material stakeholders could use. Students thoroughly research best and promising practices and gain skills in instructional design, audience needs assessment, visual communication, and packaging information for end users.

Journal Article.

Modeled after a peer-reviewed public health journal article format, students write an in-depth research paper on a topic of their choice. They perform an exhaustive literature review, analyze both qualitative and quantitative data, draw conclusions and recommendations, and cite sources using APA or other standardized format. The final paper is of publishable quality and potentially submitted to a journal. This cultivates skills in hypothesis testing, rigorous methods, academic writing style, and manuscript development. Students gain an understanding of the peer review process.

Needs Assessment.

Students conduct original primary and secondary data collection to comprehensively assess community health needs or service gaps within an underserved population or geographical area. The analysis identifies and prioritizes issues, explores contributory factors and social determinants of health, engages stakeholders, and makes recommendations. Methodologies may include interviews, focus groups, surveys, asset mapping, and usage/claims data review. Skills developed include stakeholder engagement, cultural competency, quantitative/qualitative analysis, and delivering results in an action-oriented format. The findings can directly inform local programming and policy.

Multimedia Project.

Students produce non-written public health deliverables using visual and technology formats such as videos, interactive websites/exhibits, podcasts, social media campaigns, or mobile applications. The project has an educational or engagement purpose, thorough planning and scripting, and is evaluated for effectiveness. Deliverables require extensive research, creative design, and technology skills. Formats foster skills in visual and participatory communication approaches, reach diverse audiences, and explore new technologies influencing public health. Equivalency is determined based on depth and effort compared to traditional written products.

Those are some ideas beyond traditional written papers or theses that MPH capstone projects could take to provide professionally applicable experiences. Formats emphasizing skills in program evaluation, stakeholder engagement, communication strategies, technology platforms and media are valuable for today’s public health jobs and issues. Well-designed alternative models cultivate competencies beyond academic research to strengthen students’ preparation for real-world practice.