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Wagner G, Ringeval M, Raymond L, Paré G. Digital health competences and AI beliefs as conditions for the practice of evidence-based medicine: a study of prospective physicians in Canada. MEDICAL EDUCATION ONLINE 2025; 30:2459910. [PMID: 39890587 PMCID: PMC11789221 DOI: 10.1080/10872981.2025.2459910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2024] [Revised: 12/14/2024] [Accepted: 01/19/2025] [Indexed: 02/03/2025]
Abstract
BACKGROUND The practice of evidence-based medicine (EBM) has become pivotal in enhancing medical care and patient outcomes. With the diffusion of innovation in healthcare organizations, EBM can be expected to depend on medical professionals' competences with digital health (dHealth) and artificial intelligence (AI) technologies. OBJECTIVE We aim to investigate the effect of dHealth competences and perceptions of AI on the adoption of EBM among prospective physicians. By focusing on dHealth and AI technologies, the study seeks to inform the redesign of medical curricula to better prepare students for the demands of evidence-based medical practice. METHODS A cross-sectional survey was administered online to students at the University of Montreal's medical school, which has approximately 1,400 enrolled students. The survey included questions on students' dHealth competences, perceptions of AI, and their practice of EBM. Using structural equation modeling (SEM), we analyzed data from 177 respondents to test our research model. RESULTS Our analysis indicates that medical students possess foundational knowledge competences of dHealth technologies and perceive AI to play an important role in the future of medicine. Yet, their experiential competences with dHealth technologies are limited. Our findings reveal that experiential dHealth competences are significantly related to the practice of EBM (β = 0.42, p < 0.001), as well as students' perceptions of the role of AI in the future of medicine (β = 0.39, p < 0.001), which, in turn, also affect EBM (β = 0.19, p < 0.05). CONCLUSIONS The study underscores the necessity of enhancing students' competences related to dHealth and considering their perceptions of the role of AI in the medical profession. In particular, the low levels of experiential dHealth competences highlight a promising starting point for training future physicians while simultaneously strengthening their practice of EBM. Accordingly, we suggest revising medical curricula to focus on providing students with practical experiences with dHealth and AI technologies.
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Affiliation(s)
- Gerit Wagner
- Faculty Information Systems and Applied Computer Sciences, Otto-Friedrich Universität, Bamberg, DE, Germany
| | - Mickaël Ringeval
- Département de technologies de l’information, HEC Montréal, Montréal, CA, Canada
| | | | - Guy Paré
- Département de technologies de l’information, HEC Montréal, Montréal, CA, Canada
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2
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Sprik PJ, Schall MC, Boitet LM, Meese KA, Rogers DA. Comparing perceptions of operational inefficiencies among clinical healthcare workers by professional role. APPLIED ERGONOMICS 2025; 124:104424. [PMID: 39603035 DOI: 10.1016/j.apergo.2024.104424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2024] [Revised: 11/19/2024] [Accepted: 11/21/2024] [Indexed: 11/29/2024]
Abstract
Operational inefficiencies remain a critical occupational burden to clinical healthcare workers, contributing to adverse organizational and employee outcomes. Perceptions of these inefficiencies likely vary across occupational roles, yet these differences have not been thoroughly explored in the healthcare setting. To address this gap, inefficiencies at work were self-reported by 1083 interdisciplinary clinical healthcare workers within a large academic medical center in the southeastern United States. A qualitative inductive thematic analysis was used to describe employee perceptions of work tasks, processes, or systems that seem duplicative, poorly designed, or unnecessary. Matrix coding was used to explore differences based on professional roles. Specific inefficiencies were differentially experienced across professional roles, including but not limited to role definition, education, and staffing. The reported differences highlight the need to engage with all healthcare workers to enhance the experience of all roles across the organization.
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Affiliation(s)
- P J Sprik
- Department of Health Services Administration, University of Alabama at Birmingham (UAB), USA
| | - M C Schall
- Department of Industrial & Systems Engineering, Auburn University, USA.
| | - L M Boitet
- UAB Medicine Office of Wellness, UAB, USA; Department of Medical Education, UAB, USA
| | - K A Meese
- Department of Health Services Administration, University of Alabama at Birmingham (UAB), USA; UAB Medicine Office of Wellness, UAB, USA
| | - D A Rogers
- UAB Medicine Office of Wellness, UAB, USA
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3
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Sun S, Li T, Zheng A, Zhang Z, Wang Q, Chen C, Zeng Z. Doctor-patient-family collaboration in community-based chronic disease management to enhance multidimensional value. PATIENT EDUCATION AND COUNSELING 2025; 132:108604. [PMID: 39705963 DOI: 10.1016/j.pec.2024.108604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2024] [Revised: 12/01/2024] [Accepted: 12/02/2024] [Indexed: 12/23/2024]
Abstract
The United Nations Sustainable Development Goal (SDG 3) aims to strengthen healthcare systems, combat chronic and infectious diseases, and improve global health. However, chronic diseases pose significant public health challenges, straining healthcare resources and escalating economic burdens. In China, they affect 180 million people, account for over 90 % of the national disease burden, and are the leading cause of mortality. Community chronic disease management faces challenges such as limited capacity, uneven resource allocation, and weak information systems. Despite policies to improve primary healthcare, outcomes remain modest due to implementation gaps. Addressing these issues requires creating "multidimensional value" through collaboration among doctors, patients, families, and communities. This framework emphasizes functional value (efficiency), social value (community ties), emotional value (well-being), and health value (better outcomes). However, most research narrowly focuses on doctor-patient collaboration, overlooking broader dynamics involving families and community healthcare providers. By explicitly exploring the goals and collaborative roles of doctor-patient-family value co-creation in community chronic disease management, we aim to develop well informed strategies to enhance interaction and resource integration, offering insights for China and scalable solutions for global health.
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Affiliation(s)
- Shengchao Sun
- Guangdong Medical University, Department of Social Medicine and Health Management, School of Public Health& Institute of Public Health and Wellness, Dongguan, China
| | - Ting Li
- Guangdong Medical University, School of Humanities and Management, Dongguan, China
| | - Anqi Zheng
- Guangdong Medical University, Department of Epidemiology and Health Statistics, School of Public Health& Institute of Public Health and Wellness, Dongguan, China
| | - Zexu Zhang
- Guangdong Medical University, Department of Epidemiology and Health Statistics, School of Public Health& Institute of Public Health and Wellness, Dongguan, China
| | - Qingyun Wang
- Guangdong Medical University, Department of Epidemiology and Health Statistics, School of Public Health& Institute of Public Health and Wellness, Dongguan, China
| | - Chao Chen
- Guangdong Medical University, Department of Epidemiology and Health Statistics, School of Public Health& Institute of Public Health and Wellness, Dongguan, China
| | - Zhirong Zeng
- Guangdong Medical University, Institute of Public Health and Wellness, No.1 Xincheng Avenue, Songshanhu District, Dongguan, Guangdong 523808, China; Guangdong Medical University, The Affiliated Dongguan Songshan Lake Central Hospital, No.1 Xianglong Road, Shilong Town, Dongguan, Guangdong 523808, China.
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Shahzad F, Zhang Q. Leveraging the metaverse ecosystem: How institutional factors, adoption of metaverse-related technologies, and absorptive capacity drive performance in high-tech small and medium-sized enterprises. INFORMATION & MANAGEMENT 2025; 62:104080. [DOI: 10.1016/j.im.2024.104080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2025]
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Hsu WC. eHealth Literacy and Cyberchondria Severity Among Undergraduate Students: Mixed Methods Study. JMIR Form Res 2025; 9:e63449. [PMID: 39898996 DOI: 10.2196/63449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2024] [Revised: 01/12/2025] [Accepted: 01/15/2025] [Indexed: 02/04/2025] Open
Abstract
Background With the development of the internet, health care websites have become increasingly important by enabling easy access to health information, thereby influencing the attitudes and behaviors of individuals toward health issues. However, few studies have addressed public access to health information and self-diagnosis. Objective This study investigated the background factors and status of cyberchondria severity among college students by conducting a nationwide sample survey using the Cyberchondria Severity Scale. Further, we explored the perspective of eHealth literacy of those with scores higher than 1 SD from the mean by analyzing their recent experiences using web-based health information. Methods A nationally representative sample of college students was surveyed, and 802 valid responses were obtained (male: 435/802, 54.2%; female: 367/802, 45.8%; mean age 20.3, SD 1.4 years). The Cyberchondria Severity Scale was used, which consisted of 4 dimensions (increased anxiety, obsessive-compulsive hypochondria, perceived controllability, and web-based physician-patient interaction). Additionally, we recruited 9 volunteers who scored more than 1 SD above the mean for in-depth interviews on their web-based health information-seeking behaviors. Results Significant differences were found across the 4 dimensions of cyberchondria severity (F3,2403=256.26; P<.001), with perceived controllability scoring the highest (mean 2.75, SD 0.87) and obsessive-compulsive hypochondria scoring the lowest (mean 2.19, SD 0.77). Positive correlations were observed between perceived controllability, web-based physician-patient interactions, increased anxiety, and obsessive-compulsive hypochondria (r=0.46-0.75, P<.001). Regression analysis indicated that health concern significantly predicted perceived controllability (β coefficient=0.12; P<.05) and web-based physician-patient interaction (β coefficient=0.16; P<.001). Interview data revealed that students often experienced heightened anxiety (8/9, 89%) and stress (7/9, 78%) after exposure to web-based health information, highlighting the need for improved health literacy and reliable information sources. Conclusions The study identified both benefits and risks in college students' use of web-based health information, emphasizing the importance of critical consciousness and eHealth literacy. Future research should examine how college students move from self-awareness to actionable change and the development of critical health literacy, which are essential for effective digital health engagement.
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Affiliation(s)
- Wan-Chen Hsu
- Center for Teaching & Learning Development , National Kaohsiung University of Science and Technology, No.1, University Rd.,, Yanchao District, Kaohsiung, Taiwan, +886-7-3814526 ext. 31171
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House S, Palazzolo J, Stucky C, Campbell C, Williams K, Langerman K. Demographic Characteristics and Relational Coordination in ICU Teams: Implications for Building Diverse and Effective Healthcare Collaboration. J Nurs Adm 2025; 55:97-103. [PMID: 39841569 DOI: 10.1097/nna.0000000000001536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2025]
Abstract
OBJECTIVE To determine if professional roles and demographic characteristics predict relational coordination (RC) among healthcare professionals in the ICU. BACKGROUND Race, age, and sex diversity are increasing in the medical and nursing workforce, raising questions regarding how well healthcare professionals are collaborating. RC is a validated model for coordinating interdependent work among healthcare professionals. METHODS The research team conducted a secondary analysis from a 2-group parallel randomized controlled trial. Study variables were examined using multiple regression. RESULTS One hundred two participants completed the survey. Professional role, race, age, and experience were not associated with RC. Sex and education were significantly associated with RC. Males and participants with bachelor's degrees reported higher RC within roles. CONCLUSION Diverse and inclusive work environments are critical to patient and staff outcomes. Nurse leaders can use RC to foster teamwork and coordinate patient care among healthcare professionals, despite demographic characteristics and professional roles.
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Affiliation(s)
- Sherita House
- Author Affiliations: Assistant Professor (Dr House), University of North Carolina Greensboro School of Nursing; Assistant Professor (Dr Palazzolo), Truman State University Health and Exercise Science Department, Kirlsville, Missouri; Chief, Center for Nursing Science and Clinical Inquiry (Dr Stucky), Landstuhl, Germany; Instructor (Dr Campbell), Weber State University Annie Taylor Dee School of Nursing, Ogden, Utah; Clinical Nurse Specialist (Williams), Eglin Air Force Base Hospital, Eglin, Florida; PhD Student (Langerman), University of North Carolina Greensboro School of Nursing
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Sun S, Zhang M, Liu L, Zhou D. Synergistic governance efficiency of industrial pollution and CO 2 emissions under the digital economy. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2025; 374:124148. [PMID: 39826365 DOI: 10.1016/j.jenvman.2025.124148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2024] [Revised: 12/23/2024] [Accepted: 01/13/2025] [Indexed: 01/22/2025]
Abstract
Using panel data for 284 Chinese cities, this study explores the nonlinear relationship between the digital economy and the synergistic governance efficiency of industrial pollution and CO2 emissions (SGEIPCE). The study also investigates the transmission mechanism of two-way knowledge flows within this relationship using the double fixed effect model and two-stage least square method. The results show that the digital economy has a significant U-shaped relationship on the SGEIPCE: the impact first decreases and then increases. When the level of digital economy exceeds infection point, the SGEIPCE increases. The marginal effect identified through the heterogeneity analysis indicates that Chinese cities with high innovative talent agglomeration and low industrial Internet level are the first to cross the inflection point of the U-shaped relationship, and the promoting effect of the digital economy on the SGEIPCE is greater in these two types of cites. Further, when the digital economy crosses the inflection point, it indirectly improves the SGEIPCE by increasing the level of knowledge absorption and knowledge overflow. Knowledge overflow is the most critical transmission mechanism by which China's digital economy affects SGEIPCE. These results provide empirical support and a decision-making basis for promoting the mutually beneficial cooperation between digital economy and industrial synergistic governance.
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Affiliation(s)
- Sha Sun
- College of Economics and Management, China University of Petroleum (East China), Qingdao, 266580, China
| | - Mingming Zhang
- College of Economics and Management, China University of Petroleum (East China), Qingdao, 266580, China.
| | - Liyun Liu
- Business School, Qingdao University of Technology, Qingdao, 266520, China
| | - Dequn Zhou
- College of Economics and Management, Nanjing University of Aeronautics and Astronautics, Nanjing, 211106, China
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8
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Jacobs M, Ryan H, Ellis C. Racial-Ethnic Disparities in Hearing Aid Use: Price Responsiveness Among Older Adults with Hearing Loss. J Racial Ethn Health Disparities 2025; 12:489-498. [PMID: 38099996 DOI: 10.1007/s40615-023-01889-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 10/27/2023] [Accepted: 11/29/2023] [Indexed: 01/22/2025]
Abstract
OBJECTIVE To explore the role of racial-ethnic background, income, residential context, and historic variation in hearing aid (HA) price HA usage among a nationally representative cohort of older adults with hearing loss. METHODS Multilevel logistic regression models evaluated data from the 2012 through 2017 Medical Expenditure Panel Survey (MEPS) to 1) compare historic HA use between subgroups, 2) test for differential responsiveness to price changes between racial and ethnic groups, and 3) assess the relative role of demographic characteristics and HA use. RESULTS Between 2012 and 2017, the price of economy HAs decreased by 5% while HA use among Non-Hispanic (NH) Whites and Hispanics with hearing loss increased by 30% and 20% respectively, but usage among NH-Blacks increased by less than 10%. After controlling for relevant covariates, NH-Blacks were two times less likely than NH-Whites to use a HA. Household income and price were only significant for NH-Whites who showed that a 1% increase in income was associated with a 10% increase in the likelihood of HA use. Calculation of subgroup participation showed that, when the price of HAs dropped by 1%, the likelihood of HA use by NH-Whites increased by 14.2%, Hispanics increased by 13.2%, and Others increased by 14.8%, but only 2.8% among NH-Blacks. CONCLUSION Results suggest that cost is not the primary barrier to HA utilization among minoritized individuals from racial and ethnic groups. Additional analyses are needed to evaluate the role of social, cultural, and environmental influences on HA utilization.
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Affiliation(s)
- Molly Jacobs
- College of Public Health & Health Professions, University of Florida, Gainesville, FL, USA
| | - Hollea Ryan
- College of Public Health & Health Professions, University of Florida, Gainesville, FL, USA
| | - Charles Ellis
- College of Public Health & Health Professions, University of Florida, Gainesville, FL, USA.
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Holtz BE, Kanthawala S, Martin K, Nelson V, Parrott S. Young adults' adoption and use of mental health apps: efficient, effective, but no replacement for in-person care. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:602-610. [PMID: 37399569 DOI: 10.1080/07448481.2023.2227727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 05/31/2023] [Accepted: 06/11/2023] [Indexed: 07/05/2023]
Abstract
Objective: Millions of people use mobile phone or computer-based applications-apps-to maintain their mental health and connect with treatment providers through text- and video-based chat functions. The present study sought to understand young adults' motivations for adopting this technology using the unified theory of acceptance and use of technology (UTAUT), how they use mental health apps, and the gratifications they receive from using mental health apps. Participants: One hundred-eighteen mental health app users responded to an online survey. Methods: A survey was conducted with students at a Midwestern university. The survey included questions regarding current mental health services, mental health apps used, UTAUT and gratifications survey items. Results: A regression analysis suggested users' performance expectancies, effort expectancies, and facilitating conditions predicted the adoption of mental health apps. Young adults most often use mental health apps for stress relief. While they preferred in-person treatment, users described mental health apps as efficient and helpful. Conclusion: Overall, the results reinforce the sense of optimism for the future of mental health apps, suggesting the potential for apps to supplement-but not necessarily replace-in-person care.
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Affiliation(s)
- Bree E Holtz
- College of Communication, Arts, & Sciences, Michigan State University, East Lansing, MI, USA
| | - Shaheen Kanthawala
- College of Communication and Information Sciences, University of Alabama, Tuscaloosa, AL, USA
| | - Kaley Martin
- College of Communication and Information Sciences, University of Alabama, Tuscaloosa, AL, USA
| | - Victoria Nelson
- College of Communication, Arts, & Sciences, Michigan State University, East Lansing, MI, USA
| | - Scott Parrott
- College of Communication and Information Sciences, University of Alabama, Tuscaloosa, AL, USA
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Sègbotangni EA, Laguir I, Gupta S. Exploring the effect of supply chain integration and supply chain transparency on SME environmental performance under conditions of environmental unpredictability. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2025; 375:124225. [PMID: 39892262 DOI: 10.1016/j.jenvman.2025.124225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2024] [Revised: 12/27/2024] [Accepted: 01/17/2025] [Indexed: 02/03/2025]
Abstract
This research aims to study the impact of supply chain integration in bolstering SME supply chain transparency and environmental performance. Drawing on stakeholder theory, the study focuses customer and supplier integration as well as internal integration in the operations of the supply network. Manufacturing SMEs provided survey data suggesting that integration of both customers and suppliers improves SME supply chain transparency, while internal integration plays no role in this regard. Findings reveal that environmental unpredictability strengthens links between supply chain integration and transparency. Furthermore, strong results in terms of environmental issues depend significantly on supply chain transparency. Overall, this work provides much needed investigation into how the integration of the supply chain shapes SME supply chain transparency and environmental performance by offering insights for further research.
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Werder K, Cao L, Park EH, Ramesh B. Why AI Monitoring Faces Resistance and What Healthcare Organizations Can Do About It: An Emotion-Based Perspective. J Med Internet Res 2025; 27:e51785. [PMID: 39889282 DOI: 10.2196/51785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 08/20/2024] [Accepted: 10/07/2024] [Indexed: 02/02/2025] Open
Abstract
Continuous monitoring of patients' health facilitated by artificial intelligence (AI) has enhanced the quality of health care, that is, the ability to access effective care. However, AI monitoring often encounters resistance to adoption by decision makers. Healthcare organizations frequently assume that the resistance stems from patients' rational evaluation of the technology's costs and benefits. Recent research challenges this assumption and suggests that the resistance to AI monitoring is influenced by the emotional experiences of patients and their surrogate decision makers. We develop a framework from an emotional perspective, provide important implications for healthcare organizations, and offer recommendations to help reduce resistance to AI monitoring.
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Affiliation(s)
- Karl Werder
- Digital Business Innovation, IT University of Copenhagen, Copenhagen, Denmark
| | - Lan Cao
- Information Technology & Decision Sciences, Strome College of Business, Old Dominion University, Norfolk, VA, United States
| | - Eun Hee Park
- Information Technology & Decision Sciences, Strome College of Business, Old Dominion University, Norfolk, VA, United States
| | - Balasubramaniam Ramesh
- Computer Information Systems, J. Mack Robinson College of Business, Georgia State University, Atlanta, GA, United States
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Schürmann F, Westmattelmann D, Schewe G. Factors Influencing Telemedicine Adoption Among Health Care Professionals: Qualitative Interview Study. JMIR Form Res 2025; 9:e54777. [PMID: 39869885 DOI: 10.2196/54777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 10/01/2024] [Accepted: 12/01/2024] [Indexed: 01/29/2025] Open
Abstract
BACKGROUND Telemedicine is transforming health care by enabling remote diagnosis, consultation, and treatment. Despite rapid adoption during the COVID-19 pandemic, telemedicine uptake among health care professionals (HCPs) remains inconsistent due to perceived risks and lack of tailored policies. Existing studies focus on patient perspectives or general adoption factors, neglecting the complex interplay of contextual variables and trust constructs influencing HCPs' telemedicine adoption. This gap highlights the need for a framework integrating risks, benefits, and trust in telemedicine adoption, while addressing health care's unique dynamics. OBJECTIVE This study aimed to adapt and extend the extended valence framework (EVF) to telemedicine, deconstructing factors driving adoption from an HCP perspective. Specifically, it investigated the nuanced roles of perceived risks, benefits, and trust referents (eg, technology, treatment, technology provider, and patient) in shaping behavioral intentions, while integrating contextual factors. METHODS We used a qualitative research design involving semistructured interviews with 14 HCPs experienced in offering video consultations. The interview data were analyzed with deductive and inductive coding based on the EVF. Two coders conducted the coding process independently, achieving an intercoder reliability of 86.14%. The qualitative content analysis aimed to uncover the nuanced perspectives of HCPs, identifying key risk and benefit dimensions and trust referents relevant to telemedicine adoption. RESULTS The study reveals the complex considerations HCPs have when adopting telemedicine. Perceived risks were multidimensional, including performance risks such as treatment limitations (mentioned by 7/14, 50% of the participants) and reliance on technical proficiency of patients (5/14, 36%), privacy risks related to data security (10/14, 71%), and time and financial risks associated with training (7/14, 50%) and equipment costs (4/14, 29%). Perceived benefits encompassed convenience through reduced travel time (5/14, 36%), improved care quality due to higher accessibility (8/14, 57%), and operational efficiency (7/14, 50%). Trust referents played a pivotal role; trust in technology was linked to functionality (6/14, 43%) and reliability (5/14, 36%), while trust in treatment depended on effective collaboration (9/14, 64%). Transparency emerged as a critical antecedent of trust across different referents, comprising disclosure, clarity, and accuracy. In addition, the study highlighted the importance of context-specific variables such as symptom characteristics (10/14, 71%) and prior professional experience with telemedicine (11/14, 79%). CONCLUSIONS This study expands the EVF for telemedicine, providing a framework integrating multidimensional risks, benefits, trust, and contextual factors. It advances theory by decomposing trust referents and transparency into actionable subdimensions and emphasizing context-specific variables. Practically, the findings guide stakeholders: policy makers should prioritize transparent regulations and data security, health care organizations should provide training and support for HCPs, and technology developers must design telemedicine solutions aligning with trust and usability needs. This understanding equips health care to address barriers, optimize adoption, and leverage telemedicine's potential for sustainable clinical integration.
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Affiliation(s)
- Fiona Schürmann
- Center for Management, University of Münster, Münster, Germany
| | | | - Gerhard Schewe
- Center for Management, University of Münster, Münster, Germany
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Kahlawi A, Masri F, Ahmed W, Vidal-Alaball J. Cross-Cultural Sense-Making of Global Health Crises: A Text Mining Study of Public Opinions on Social Media Related to the COVID-19 Pandemic in Developed and Developing Economies. J Med Internet Res 2025; 27:e58656. [PMID: 39869893 DOI: 10.2196/58656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 10/31/2024] [Accepted: 11/27/2024] [Indexed: 01/29/2025] Open
Abstract
BACKGROUND The COVID-19 pandemic reshaped social dynamics, fostering reliance on social media for information, connection, and collective sense-making. Understanding how citizens navigate a global health crisis in varying cultural and economic contexts is crucial for effective crisis communication. OBJECTIVE This study examines the evolution of citizen collective sense-making during the COVID-19 pandemic by analyzing social media discourse across Italy, the United Kingdom, and Egypt, representing diverse economic and cultural contexts. METHODS A total of 755,215 social media posts from X (formerly Twitter) were collected across 3 time periods: the virus' emergence (February 15 to March 31, 2020), strict lockdown (April 1 to May 30, 2020), and the vaccine rollout (December 1, 2020 to January 15, 2021). In total, 284,512 posts from Italy, 261,978 posts from the United Kingdom, and 209,725 posts from Egypt were analyzed using the latent Dirichlet allocation algorithm to identify key thematic topics and track shifts in discourse across time and regions. RESULTS The analysis revealed significant regional and temporal differences in collective sense-making during the pandemic. In Italy and the United Kingdom, public discourse prominently addressed pragmatic health care measures and government interventions, reflecting higher institutional trust. By contrast, discussions in Egypt were more focused on religious and political themes, highlighting skepticism toward governmental capacity and reliance on alternative frameworks for understanding the crisis. Over time, all 3 countries displayed a shift in discourse toward vaccine-related topics during the later phase of the pandemic, highlighting its global significance. Misinformation emerged as a recurrent theme across regions, demonstrating the need for proactive measures to ensure accurate information dissemination. These findings emphasize the role of cultural, economic, and institutional factors in shaping public responses during health crises. CONCLUSIONS Crisis communication is influenced by cultural, economic, and institutional contexts, as evidenced by regional variations in citizen engagement. Transparent and culturally adaptive communication strategies are essential to combat misinformation and build public trust. This study highlights the importance of tailoring crisis responses to local contexts to improve compliance and collective resilience.
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Affiliation(s)
- Adham Kahlawi
- Department of Statistics, Computer Science, Applications, University of Florence, Florence, Italy
- Lloyds Banking Group (United Kingdom), Edinburgh, United Kingdom
| | - Firas Masri
- Newcastle Business School, Northumbria University, Newcastle Upon Tyne, United Kingdom
| | - Wasim Ahmed
- Hull Univeristy Business School, Hull University, Kingston Upon Hull, United Kingdom
| | - Josep Vidal-Alaball
- Unitat de Recerca i Innovació, Gerència d'Atenció Primària i a la Comunitat de la Catalunya Central, Institut Català de la Salut, Sant Fruitós de Bages, Spain
- Intelligence for Primary Care Research Group, Unitat de Suport a la Recerca de la Catalunya Centra, Fundació Institut Universitari per a la recerca, Sant Fruitós de Bages, Spain
- Department of Medicine, Faculty of Medicine, University of Vic, Vic, Spain
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Heath ML, Silvera GA, Porter TH. From the backroom to the boardroom: Health care chief information officers, stereotypes, and strategic leadership in the digital transformation era. Health Care Manage Rev 2025:00004010-990000000-00078. [PMID: 39868962 DOI: 10.1097/hmr.0000000000000436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2025]
Abstract
ISSUE The digital transformation of the U.S. health care system is underway, but the role of health care chief information officers (HCIOs) in that transformation has been unclear. As the landscape of health care technology continues to expand, there is an increasing need to understand the influence of HCIOs, who are in a unique position to impact key strategic decisions. We seek to demonstrate the strategic importance of HCIOs in meeting the needs of digital transformation, by managing the emergence and strategic implementation of health care technologies to benefit health care organization performance. We also propose that profession-based stereotypes inhibit HCIOs as they may be viewed as behind-the-scenes technicians rather than strategic leaders. CRITICAL THEORETICAL ANALYSIS Upper echelons (UE) theory demonstrates how HCIOs' unique perspectives gained through education, experience, and the strategic decision-making process also can influence organizational performance. We build on UE to conceptualize the degree to which profession-based stereotypes moderate the decision-making of top management teams). THEORETICAL IMPLICATIONS We present two theoretical contributions. First, we introduce a profession-based stereotype moderated model of UE specific to HCIOs. Second, we offer an analysis of the role of HCIOs as strategic leaders in the digital transformation era. PRACTICE IMPLICATIONS We call upon health care scholars and practitioners to examine HCIOs' influence and their roles in health care organization decision-making, top management team interactions, and organizational outcomes as the digital transformation in health care continues.
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Younas A, Fàbregues S, Munce S, Creswell JW. Framework for types of metainferences in mixed methods research. BMC Med Res Methodol 2025; 25:18. [PMID: 39856568 PMCID: PMC11758751 DOI: 10.1186/s12874-025-02475-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2024] [Accepted: 01/17/2025] [Indexed: 01/27/2025] Open
Abstract
BACKGROUND The generation of metainferences is a core and significant feature of mixed methods research. In recent years, there has been some discussion in the literature about criteria for appraising the quality of metainferences, the processes for generating them, and the critical role that assessing the "fit" of quantitative and qualitative data and results plays in this generative process. However, little is known about the types of insights that emerge from generating metainferences. To address this gap, this paper conceptualize and present the types and forms of metainferences that can be generated in MMR studies for guiding future research projects. METHODS A critical review of literature sources was conducted, including peer-reviewed articles, book chapters, and research reports. We performed a non-systematic literature search in the Scopus, Web of Science, Ovid, and Google Scholar databases using general phrases such as "inferences in research", "metainferences in mixed methods", "inferences in mixed methods research", and "inference types". Additional searches included key methodological journals, such as the Journal of Mixed Methods Research, International Journal of Multiple Research Approaches, Methodological Innovations, and the Sage Research Methods database, to locate books, chapters, and peer-reviewed articles that discussed inferences and metainferences. RESULTS We propose two broad types of metainferences and five sub-types. The broad metainferences are global and specific, and the subtypes include relational, predictive, causal, comparative, and elaborative metainferences. Furthermore, we provide examples of each type of metainference from published mixed methods empirical studies. CONCLUSIONS This paper contributes to the field of mixed methods research by expanding the knowledge about metainferences and offering a practical framework of types of metainferences for mixed methods researchers and educators. The proposed framework offers an approach to identifying and recognizing types of metainferences in mixed methods research and serves as an opportunity for future discussion on the nature, insights, and characteristic features of metainferences within this methodology. By proposing a foundation for metainferences, our framework advances this critical area of mixed methods research.
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Affiliation(s)
- Ahtisham Younas
- Memorial University of Newfoundland & Labrador, 300 Prince Philip Drive, St. John's, Newfoundland and Labrador, A1B 3V6, Canada.
| | | | - Sarah Munce
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
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16
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Alwerthan TA. Time efficiency as a mediator between institutional support and higher education student engagement during e-learning. PLoS One 2025; 20:e0315420. [PMID: 39854352 PMCID: PMC11760031 DOI: 10.1371/journal.pone.0315420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2024] [Accepted: 11/25/2024] [Indexed: 01/26/2025] Open
Abstract
This study examined the relationship between institutional support and student engagement in e-learning, with time efficiency as a potential mediator among Saudi university students. This study employed a cross-sectional, questionnaire-based research design. A sample of 752 Saudi university students from different provinces in the Kingdom of Saudi Arabia completed an online questionnaire. The results of the measurement model showed good reliability and validity for all constructs. The results of the structural model and hypothesis testing showed that this study partially supported the hypotheses. Notably, there was a significant positive relationship between student support during e-learning and student engagement. In addition, student support was found to be a predictor of student's time efficiency (short-term planning, long-term planning, time attitude). Furthermore, the results revealed that long-term planning and time attitude, both components of time efficiency, act as mediators between support provided to students by a higher education (HE) institution during e-learning and their level of engagement. The findings shed light on the underlying mechanisms that explain students' e-learning engagement.
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Affiliation(s)
- Tarik Abdulkrem Alwerthan
- Department of Educational Leadership and Policies, College of Education, Taif University, Taif, Kingdom of Saudia Arabia
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17
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Zhang G, Cao J, Huang M, Meng S. Investigating the impact of user perception and gamification elements on repurchase decisions in game live broadcasting. Front Psychol 2025; 16:1492832. [PMID: 39911990 PMCID: PMC11795668 DOI: 10.3389/fpsyg.2025.1492832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2024] [Accepted: 01/09/2025] [Indexed: 02/07/2025] Open
Abstract
As a branch of online live broadcasting, the development of game live broadcasting is also getting faster and faster. Based on the theory of affordance-psychological outcome-behavioral (A-P-B), this paper introduces three gamification elements of user activity visibility, user level visibility and purchase effect visibility, and three user-perceived experience values of perceived hedonic value, perceived cognitive value and perceived social value to establish the model. After collecting data through questionnaires, an empirical analysis based on partial least squares structural equation modelling (PLS-SEM) was carried out using SPSS and SmartPLS data analysis methods to explore the influencing factors of viewers' re-purchase behaviors in game live broadcasting from the perspective of the visibility of gamification elements. The results of this study show that in game live broadcasting, there is a certain influence between the visibility of gamification elements and the perceived value of users, and that the visibility of user activity, the visibility of purchasing effects, and the visibility of user level all have a significant positive effect on the perceived value of the user experience. This study enriches the literature on the business aspects of game live broadcasting and consumer behavior and has a certain significance in guiding live broadcasting business scenarios to improve the re-purchasing behavior of live broadcast viewers.
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Affiliation(s)
- Guihua Zhang
- School of business, Xinyang Normal University, Xinyang, China
- Dabie Mountain Economic and Social Development Center, Xinyang, China
| | - Junwei Cao
- School of business, Yangzhou University, Yangzhou, China
| | - Mengli Huang
- School of business, Yangzhou University, Yangzhou, China
| | - Shang Meng
- Anyang Institute of Technology, Anyang, China
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18
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Liu X, Zuo Z, Han J, Zhang W. Is digital-green synergy the future of carbon emission performance? JOURNAL OF ENVIRONMENTAL MANAGEMENT 2025; 375:124156. [PMID: 39842360 DOI: 10.1016/j.jenvman.2025.124156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2024] [Revised: 01/09/2025] [Accepted: 01/14/2025] [Indexed: 01/24/2025]
Abstract
Amid the new industrial revolution, digital technology and green finance play pivotal roles in shifting towards a low-carbon economy. This paper establishes a coherent research framework by integrating digital technology, green financing, and carbon emission performance. Utilizing a multifaceted dataset that combines provincial panel data with corporate listings databases, this study evaluates the development of green finance using a hybrid weighing methodology that merges the analytical hierarchy process (AHP) with the spatial-temporal entropy weight method. This work empirically analyzes the effects and mechanisms through which these factors influence carbon emission performance, employing instrumental variables and models with two-way fixed effects. The results show that: (1) Green finance (green) and digital technology both have a significant and direct impact on enhancing carbon emission performance (cep). (2) The synergistic effect is particularly pronounced in the central and western regions, as well as in areas characterized by lenient environmental regulations and weaker commercial credit systems. (3) This synergy is primarily achieved through promoting industrial upgrades, alleviating financial mismatches, and reducing information asymmetry. The study also shows that synergy shapes threshold features in the positive effect of synergy on cep when combined with regulatory actions and economic growth. (4) While the digitalization of businesses may initially increase carbon emissions, the combined impact of digital technology and green effectively mitigates these increases and leads to a substantial reduction in emissions. These findings suggest designing policy initiatives that are both unique and flexible, and increasing the extent and complexity of the integration between digital technology and green. The outcomes of this study offer significant guidance for policy development and industry practices.
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Affiliation(s)
- Xuemeng Liu
- Business School, Chengdu University of Technology, Chengdu, 610059, China.
| | - Zhili Zuo
- College of Management Science, Chengdu University of Technology, Chengdu, 610059, China.
| | - Jie Han
- School of Economics and Management, China University of Geosciences, Wuhan, 430078, China.
| | - Wei Zhang
- School of Economics and Management, China University of Geosciences, Wuhan, 430078, China.
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19
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Prashar A, Kaushal LA. Nudging sustainable fashion choices: An experimental investigation on generation Z fashion consumers. Acta Psychol (Amst) 2025; 253:104727. [PMID: 39837072 DOI: 10.1016/j.actpsy.2025.104727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2024] [Revised: 12/16/2024] [Accepted: 01/13/2025] [Indexed: 01/23/2025] Open
Abstract
Despite the growing cognizance of Generation Z (Gen Z) fashion consumers about the externalities of fast fashion, an attitude-behaviour gap persists in their willingness to pay for sustainable fashion. This study uses dual-processing theory to examine how nudging communications in online fashion retail influence Gen Z's sustainable fashion choices and willingness to pay. It also explores how Gen Z's fashion-related knowledge and involvement and ecological consciousness moderate the effects of nudging. The study used a vignette-based experiment with dummy webpages from a leading Indian online fashion store to test nudging effects on sustainable fashion brands. The subjects were 252 Gen Z fashion consumers from India. The findings revealed a significant association between nudging conditions with participants' fashion choices with verbal nudges having a stronger influence than visual nudges. Moderation tests indicated that verbal nudging is more effective for those with high environmental orientation and high fashion familiarity.
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20
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Johnson AH, Lee K, Reeder B, Popejoy L, Vogelsmeier A. Feasibility and Acceptability of Smartwatches for Use by Nursing Home Residents. Comput Inform Nurs 2025:00024665-990000000-00277. [PMID: 39831805 DOI: 10.1097/cin.0000000000001245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2025]
Abstract
Smartwatch wearables are a promising health information technology to monitor older adults with complex chronic care needs. Pilot and feasibility studies have assessed smartwatch use with community-dwelling older adults, but less is known about their use in nursing homes. The purpose of this study was to test the feasibility and acceptability of smartwatch technology in a real-world nursing home setting to generate initial evidence about potential use. Using a qualitative descriptive approach, we conducted a pilot feasibility and acceptability study of smartwatch technology: Phase 1, pretrial semistructured interviews and focus groups with nursing home leaders, staff, and residents/families; Phase 2, a 7-day smartwatch trial deployment with residents; and Phase 3, posttrial semistructured interviews and focus groups. Themes related to feasibility findings included a part of the workflow and making the technology work. Themes related to acceptability findings included it's everywhere anyway, how will you protect me, knowing how you really are, more information = more control, and knowing how they are doing. These findings have important implications for the design of technology-supported interventions incorporating these devices within the unique context of residential nursing homes to best meet the needs of older adult residents, families, and staff caretakers.
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Affiliation(s)
- Alisha Harvey Johnson
- Author Affiliations: Sinclair School of Nursing (Drs Johnson, Lee, Reeder, Popejoy, and Vogelsmeier) and Institute of Data Science and Informatics (Drs Lee and Reeder), University of Missouri, Columbia
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21
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Li R, Wang S, Wu T. When I Receive Too Much Social Support: The Effect of Social Support Overload on Users' Life Burnout and Discontinuance in Fitness Apps. Healthcare (Basel) 2025; 13:191. [PMID: 39857219 PMCID: PMC11764542 DOI: 10.3390/healthcare13020191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2024] [Revised: 01/14/2025] [Accepted: 01/16/2025] [Indexed: 01/27/2025] Open
Abstract
BACKGROUND/OBJECTIVES As fitness apps increasingly incorporate social interaction features, users may find themselves overwhelmed by an excess of received support, struggling to effectively manage it. Highlighting a novel recipient-centric perspective, we aim to investigate the impact of social support overload on users' life burnout and discontinuance within fitness apps. METHODS Utilizing Social Support Theory and Basic Psychological Needs Theory, we develop a model to examine how emotional, network, and informational support overload affect life burnout and discontinuance through the frustration of basic psychological needs: autonomy, competence, and relatedness. A total of 443 fitness app users were included in our study, and we employed Structural Equation Modeling (SEM) to empirically test this model. RESULTS The results highlight the significant mediating role of the frustration of basic psychological needs between social support overload and life burnout/discontinuance. Network and informational support overload positively correlate with frustration of all needs, whereas emotional support overload shows a complex relationship. All need frustrations are linked to life burnout, but only autonomy and relatedness frustrations significantly lead to discontinuance. Additionally, gender and app use proficiency are significant control variables impacting discontinuance. CONCLUSIONS This study adopts a novel recipient-centric perspective to explore social support overload, examining its effects on life burnout and discontinuance and offering practical implications for both users and app managers.
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Affiliation(s)
| | | | - Tailai Wu
- School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, China; (R.L.); (S.W.)
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22
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Zhang W, Zhang H, Deng Z. Public attitude and media governance of biometric information dissemination in the era of digital intelligence. Sci Rep 2025; 15:2419. [PMID: 39827293 PMCID: PMC11742989 DOI: 10.1038/s41598-025-86603-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2024] [Accepted: 01/13/2025] [Indexed: 01/22/2025] Open
Abstract
Absrtact: In the era of digital intelligence, biometrics plays a critical role in mediating sensitive information dissemination, human-computer interaction, and governance in both virtual and real-world settings, including the evolving metaverse. Based on an empirical analysis of 1,862 participants, the current study investigated factors influencing public perception, acceptance, and risk awareness of biometric technologies. The findings highlight the critical roles of perceived trust (PT) and technical prudence (TP) in driving behavioral intentions (BI), with their positive effects outweighing the significant deterrent impact of perceived risks (PR). While PT and perceived availability (PA) significantly enhance the adoption of biometric technologies, TP exhibited an unexpected positive influence, suggesting that cautious users may still embrace biometrics if perceived as secure and trustworthy. These results emphasize the urgency of refining legal and regulatory frameworks, improving risk mitigation strategies, and enhancing user confidence to foster the responsible adoption and utilization of biometric technologies. This study offers valuable insights into the interplay of factors such as perceived trust, risks, and technological prudence in shaping behavioral intentions, contributing to a deeper understanding of biometrics in a rapidly digitizing society.
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Affiliation(s)
- Wenyi Zhang
- School of Information Management, Nanjing University, Nanjing, Jiangsu Province, China
| | - Hengtian Zhang
- Department of Chinese and Bilingual Studies, Faculty of Humanities, The Hong Kong Polytechnic University, Hong Kong, China.
| | - Zhouyang Deng
- School of Publishing, Communication University of Zhejiang, Hangzhou, Zhejiang Province, China
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23
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Sharif MN, Zhang L, Asif M, Alshdaifat SM, Hanaysha JR. Artificial intelligence and employee outcomes: Investigating the role of job insecurity and technostress in the hospitality industry. Acta Psychol (Amst) 2025; 253:104733. [PMID: 39826322 DOI: 10.1016/j.actpsy.2025.104733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2024] [Revised: 01/13/2025] [Accepted: 01/14/2025] [Indexed: 01/22/2025] Open
Abstract
Drawing on self-determination theory (SDT), this research examines how the utilization of artificial intelligence (AI) in hospitality organizations is influencing employee work and career outcomes (well-being and career success). We explore the underlying role of job insecurity in the associations of AI use with employee wellbeing and career success. We further explore the boundary condition effect of technostress in our proposed model. This study used a three-wave online survey approach to collect data from 277 workers of fast-food chain restaurants in the People's Republic of China. We used Smart PLS 4 to analyze our data. The results showed a positive relationship among AI use and employee well-being, but not with career success. Job insecurity mediates the relationship between AI use and employee outcomes. Additionally, technostress moderated the associations between AI use and employee well-being and career success. This study contributes to the theory and practice in the field of AI and hospitality industry and helps understand the nexus between increasing use of AI and employees' work and career outcomes.
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Affiliation(s)
| | - Li Zhang
- School of Management, Harbin Institute of Technology, Harbin 150001, China.
| | - Muhammad Asif
- School of Management, Harbin Institute of Technology, Harbin 150001, China.
| | - Sajead Mowafaq Alshdaifat
- Financial and Accounting Sciences Department, Faculty of Business, Middle East University, Amman, Jordan.
| | - Jalal Rajeh Hanaysha
- School of Business, Skyline University College, 1797, Sharjah, United Arab Emirates.
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24
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Trigka M, Dritsas E. A Comprehensive Survey of Deep Learning Approaches in Image Processing. SENSORS (BASEL, SWITZERLAND) 2025; 25:531. [PMID: 39860903 PMCID: PMC11769216 DOI: 10.3390/s25020531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2024] [Revised: 01/13/2025] [Accepted: 01/13/2025] [Indexed: 01/27/2025]
Abstract
The integration of deep learning (DL) into image processing has driven transformative advancements, enabling capabilities far beyond the reach of traditional methodologies. This survey offers an in-depth exploration of the DL approaches that have redefined image processing, tracing their evolution from early innovations to the latest state-of-the-art developments. It also analyzes the progression of architectural designs and learning paradigms that have significantly enhanced the ability to process and interpret complex visual data. Key advancements, such as techniques improving model efficiency, generalization, and robustness, are examined, showcasing DL's ability to address increasingly sophisticated image-processing tasks across diverse domains. Metrics used for rigorous model evaluation are also discussed, underscoring the importance of performance assessment in varied application contexts. The impact of DL in image processing is highlighted through its ability to tackle complex challenges and generate actionable insights. Finally, this survey identifies potential future directions, including the integration of emerging technologies like quantum computing and neuromorphic architectures for enhanced efficiency and federated learning for privacy-preserving training. Additionally, it highlights the potential of combining DL with emerging technologies such as edge computing and explainable artificial intelligence (AI) to address scalability and interpretability challenges. These advancements are positioned to further extend the capabilities and applications of DL, driving innovation in image processing.
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Affiliation(s)
| | - Elias Dritsas
- Industrial Systems Institute (ISI), Athena Research and Innovation Center, 26504 Patras, Greece;
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25
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Yuan B, Sun H, Guo Y, Liu Q, Zhan X. Explainable analysis of infrared and visible light image fusion based on deep learning. Sci Rep 2025; 15:2223. [PMID: 39820058 PMCID: PMC11739588 DOI: 10.1038/s41598-024-79684-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2024] [Accepted: 11/11/2024] [Indexed: 01/19/2025] Open
Abstract
Explainability is a very active area of research in machine learning and image processing. This paper aims to investigate the explainability of visible light and infrared image fusion technology in order to enhance the credibility of model understanding and application. Firstly, a multimodal image fusion model was proposed based on the advantages of convolutional neural networks (CNN) for local context extraction and Transformer global attention mechanism. Secondly, to enhance the explainability of the model, the Delta Debugging Fuse Image (DDFImage) algorithm was employed for generating local explanatory information. Finally, we gain deeper insights into the internal workings of the model through feature importance analysis of the generated explanatory fusion images. Comparative analysis with other explainability algorithms demonstrates the superior performance of our algorithm. This comprehensive approach not only improves the explainability of the model but also provides more reference for practical application of the model.
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Affiliation(s)
- Bo Yuan
- Shandong University of Science and Technology, Qingdao, 266590, China
| | - Hongyu Sun
- Shandong University of Science and Technology, Qingdao, 266590, China.
| | - YinJing Guo
- Shandong University of Science and Technology, Qingdao, 266590, China
| | - Qiang Liu
- Shandong University of Science and Technology, Qingdao, 266590, China
| | - Xinghao Zhan
- Shandong University of Science and Technology, Qingdao, 266590, China
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26
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Cauley MR, Boland RJ, Rosenbloom ST. Interdisciplinary systems may restore the healthcare professional-patient relationship in electronic health systems. J Am Med Inform Assoc 2025:ocaf001. [PMID: 39823373 DOI: 10.1093/jamia/ocaf001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2024] [Revised: 12/02/2024] [Accepted: 01/02/2025] [Indexed: 01/19/2025] Open
Abstract
OBJECTIVE To develop a framework that models the impact of electronic health record (EHR) systems on healthcare professionals' well-being and their relationships with patients, using interdisciplinary insights to guide machine learning in identifying value patterns important to healthcare professionals in EHR systems. MATERIALS AND METHODS A theoretical framework of EHR systems' implementation was developed using interdisciplinary literature from healthcare, information systems, and management science focusing on the systems approach, clinical decision-making, and interface terminologies. OBSERVATIONS Healthcare professionals balance personal norms of narrative and data-driven communication in knowledge creation for EHRs by integrating detailed patient stories with structured data. This integration forms 2 learning loops that create tension in the healthcare professional-patient relationship, shaping how healthcare professionals apply their values in care delivery. The manifestation of this value tension in EHRs directly affects the well-being of healthcare professionals. DISCUSSION Understanding the value tension learning loop between structured data and narrative forms lays the groundwork for future studies of how healthcare professionals use EHRs to deliver care, emphasizing their well-being and patient relationships through a sociotechnical lens. CONCLUSION EHR systems can improve the healthcare professional-patient relationship and healthcare professional well-being by integrating norms and values into pattern recognition of narrative and data communication forms.
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Affiliation(s)
- Michael R Cauley
- Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, 37203, United States
| | - Richard J Boland
- Weatherhead School of Management, Case Western Reserve University, Cleveland, OH, 44106, United States
| | - S Trent Rosenbloom
- Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, 37203, United States
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Bangun K, Tania V, Kreshanti P, Halim J. Influence of Social Media in Multidisciplinary Cleft Care in Indonesia. Cleft Palate Craniofac J 2025:10556656241311739. [PMID: 39819083 DOI: 10.1177/10556656241311739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2025] Open
Abstract
Social media has played a pivotal role in relaying healthcare-related information, especially in efforts to improve cleft management. Cleft management involves a multidisciplinary team throughout the years of comprehensive intervention, from birth to adulthood. To investigate the behaviors of parents and patients with clefts regarding social media use in improving cleft-related outcomes, knowledge, and awareness. This questionnaire-based descriptive study was conducted online and involved both closed- and short-ended questions. Parents and patients with cleft lip and palate provided consent to participate in the study. Patient demographics, history, and timing of cleft treatment, barriers to care, and social media use were explored. Fifty-six participants were enrolled in this study. The mean ages of the mothers and fathers of children with cleft were 34 (range, 24-57) and 36 (range, 26-59) years, respectively, and more than one-half were university graduates. WhatsApp, Instagram, and YouTube were used by 100%, 89%, and 89% of parents, respectively, 82% of whom were part of a cleft community group. Seventy-two percent underwent labioplasty, and 75% underwent palatoplasty at the ideal time. Parents exhibited low perceived barriers to care, with 33% and 37% reporting limitations on knowledge and accommodation, respectively. Social media is the key to bridging the gap between the large number of cases and facility limitations and specialized human resources. Cleft centers should integrate combined platforms (WhatsApp, YouTube, and Instagram) for marketing and education purposes. Social media and community groups facilitate sharing, engagement, and empowerment of patients and caregivers to improve cleft-related outcomes.
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Affiliation(s)
- Kristaninta Bangun
- Cleft and Craniofacial Center, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
- Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
- Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Vika Tania
- Cleft and Craniofacial Center, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
- Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
- Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Prasetyanugraheni Kreshanti
- Cleft and Craniofacial Center, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
- Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
- Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Jessica Halim
- Cleft and Craniofacial Center, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
- Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
- Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
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28
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Farina I, Sangiorgi D, Masella C, Simonelli I, Alves R, Marques MJ, Dias S, Dantas C, Herzog S, Paternoster S, Torri E, Bertotti M. A service ecosystems perspective to explore social prescribing value co-creation for vulnerable young people in NEET situation. BMC Health Serv Res 2025; 25:88. [PMID: 39819565 PMCID: PMC11737153 DOI: 10.1186/s12913-024-12182-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2024] [Accepted: 12/26/2024] [Indexed: 01/19/2025] Open
Abstract
BACKGROUND Social prescribing inherently embodies a co-productive nature, particularly within the 'holistic' model facilitated by the pivotal role of Link Workers. Most attention is focused on collecting evidence about the micro-level relationship between Link Workers and their clients. However, little is known about how this co-productive relationship influences or is influenced by value co-creation at different levels, given the involvement of multiple actors in delivering the intervention. To advance research on the operational processes underlying social prescribing, we propose a conceptual framework utilizing the Service Ecosystems perspective to investigate the application of social prescribing with young people in NEET situations in Italy. METHODS A single case study was conducted as part of the European C.O.P.E. (Capabilities, Opportunities, Places, and Engagement) initiative, examining the implementation of social prescribing targeting young NEETs (Not in Education, Employment, or Training) in Italy. Semi-structured interviews were conducted with 27 participants, including six members of the C.O.P.E. coordination team, six Link Workers, and 15 young people aged 15-34 years. RESULTS Findings are presented showing the ecosystem dynamics at each intervention phase: the referral process, co-production of an individualized action plan, and connection with and activation of community assets. DISCUSSION This research illustrates how social prescribing is not a linear path but rather a complex intervention with multiple interacting elements across ecosystem layers. The dyadic relationship between Link Workers and clients operates within broader care services, fostering continuity of care. The service ecosystem perspective offers a valuable framework for examining the dynamic interactions between actors and understanding how their resource integration processes and institutional arrangements foster the emergence of opportunities to support an invisible and hard-to-reach target group, such as young people in NEET situations.
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Affiliation(s)
- Isabel Farina
- Department of Management Engineering, Politecnico of Milan, Milan, Italy.
| | | | - Cristina Masella
- Department of Management Engineering, Politecnico of Milan, Milan, Italy
| | - Ilaria Simonelli
- Healthcare trust of the Autonomous Province of Trento, Trento, Italy
| | - Regina Alves
- Research Centre on Child Studies (CIEC), Institute of Education of University of Minho Braga, Braga, Portugal
- Formerly NOVA National School of Public Health, NOVA University Lisbon, Lisbon, Portugal
| | - Maria J Marques
- NOVA National School of Public Health, Public Health Research Centre, CHRC, REAL, NOVA University Lisbon, Lisbon, Portugal
| | - Sonia Dias
- NOVA National School of Public Health, Public Health Research Centre, CHRC, REAL, NOVA University Lisbon, Lisbon, Portugal
| | | | - Sabrina Herzog
- Healthcare trust of the Autonomous Province of Trento, Trento, Italy
| | - Sara Paternoster
- Healthcare trust of the Autonomous Province of Trento, Trento, Italy
| | - Emanuele Torri
- Healthcare trust of the Autonomous Province of Trento, Trento, Italy
| | - Marcello Bertotti
- Community Health, Institute for Connected Communities, University of East London, London, UK
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Aboagye-Darko D, Mkhize P. Unearthing the determinants of digital innovation adoption in the agricultural sector: The role of food security awareness and agricultural experience. Heliyon 2025; 11:e41695. [PMID: 39866395 PMCID: PMC11760315 DOI: 10.1016/j.heliyon.2025.e41695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2024] [Revised: 01/02/2025] [Accepted: 01/03/2025] [Indexed: 01/28/2025] Open
Abstract
Extant research has widely acknowledged the role of digital innovation as a facilitator of digital transformation, presenting solutions for various challenges in various industries. However, prior research demonstrates inadequate discussions on the determinants of digital innovation adoption for digital transformation in developing countries, particularly in the agricultural sector. To address this gap, this study investigates the effect of food security awareness, innovation characteristics, and the moderating role of agricultural experience on behavioral intention to adopt digital innovation in the agricultural sector. A dyadic model based on diffusion innovation theory and the technology acceptance model is proposed to investigate the phenomenon. This study employed a cross-sectional quantitative approach to investigate the phenomenon based on survey data collected from 207 study participants in Ghana's agricultural sector and the partial least square structural equation modeling technique. The study's findings revealed that personal innovativeness significantly affects food security awareness (β = 0.574; p < 0.000), relative advantage (β = 0.699; p < 0.000), compatibility (β = 0.687; p < 0.000), and complexity (β = 0.312; p < 0.000). In addition, food security awareness (β = 0.336; p < 0.000), compatibility (β = 0.257; p < 0.000), and agricultural experience (β = 0.238; p < 0.003) significantly affect behavioral intention to adopt digital innovation. Furthermore, the study revealed that agricultural experience (β = -0.145; p < 0.036) moderates the relationship between compatibility and behavioral intention. Together, these variables explain 78.9 % of the variance in behavioral intention to adopt digital innovation in the agricultural sector in Ghana. The study contributes to the literature on digital innovation adoption in the agricultural sector in developing countries and proffers actionable insights for practitioners.
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Affiliation(s)
- David Aboagye-Darko
- Department of Information Technology Studies, University of Professional Studies, Accra, Ghana
| | - Peter Mkhize
- Department of Information Systems, College of Science, Engineering, and Technology, University of South Africa, Johannesburg, South Africa
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Naga JF, Ebardo RA. Social network sites (SNS) an archetype of techno-social stress: A systematic review. Heliyon 2025; 11:e41119. [PMID: 39811382 PMCID: PMC11730205 DOI: 10.1016/j.heliyon.2024.e41119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Revised: 11/28/2024] [Accepted: 12/09/2024] [Indexed: 01/16/2025] Open
Abstract
Background Social Networking Sites (SNS) are widely used platforms known for both their hedonic and social connectivity benefits. Although there is considerable interest in understanding how personal technostress affects individual well-being, a significant gap remains in the systematic exploration of this topic within the literature. Methods This review systematically examined 41 empirical studies from Scopus and PubMed published between 2014 and 2023, following PRISMA guidelines, and assessed for methodological quality using the Mixed Method Appraisal Tool. Only English-language articles were considered to avoid translation complexities. Studies were categorized and coded using the Stressor-Strain-Outcome (SSO) model to examine demographic variations in stressor impacts and coping mechanisms. Results The findings reveal a complex interplay of technological, behavioral-technological, and social stressors. Technological complexities often exacerbate social stressors like FoMO (Fear of Missing Out) and social overload, resulting in psychological (e.g., anxiety, depression), behavioral (e.g., reduced engagement), and physical strains (e.g., sleep disruptions). Demographic factors significantly influence stress responses, with younger users and women particularly affected. Key intervention strategies identified include digital detox practices, mindfulness techniques, and user-centered SNS design modifications. Conclusion This review emphasizes the need for targeted approaches to mitigate SNS-induced technostress to foster balanced, health-oriented digital engagement. Future research should focus on developing comprehensive frameworks to address technostress impacts on diverse user groups better and support sustainable digital well-being practices.
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Affiliation(s)
- January F. Naga
- Department of Information Technology, MSU-Iligan Institute of Technology, Iligan City, Philippines
- Department of Information Technology, De La Salle University, Philippines
| | - Ryan A. Ebardo
- Department of Information Technology, De La Salle University, Philippines
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Hui G, Al Mamun A, Reza MNH, Hussain WMHW. An empirical study on logistic service quality, customer satisfaction, and cross-border repurchase intention. Heliyon 2025; 11:e41156. [PMID: 39790886 PMCID: PMC11714389 DOI: 10.1016/j.heliyon.2024.e41156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Revised: 12/05/2024] [Accepted: 12/11/2024] [Indexed: 01/12/2025] Open
Abstract
Domestic e-retailers acknowledge logistics service quality (LSQ) as a critical success factor in business excellence. However, exponential growth in cross-border e-commerce (CBEC) requires a re-evaluation of the relationship between LSQ and consumers repurchase intention. By integrating the technology acceptance model, this study investigates the impact of LSQ on repurchase intention based on the LSQ (experience)-satisfaction-repurchase intention consequence chain. Data were collected from 466 Chinese consumers who had engaged in online shopping with international vendors. Partial least squares structural equation modeling was employed to examine the effectiveness of the research model. The results reveal that delivery service quality, return logistics services, and cross-border online shopping experiences significantly influence customer satisfaction. Nevertheless, the relationships between delivery information service, delivery stability, price fairness, and customer satisfaction are not supported. Price fairness, cross-border online shopping experience, and customer satisfaction positively affect cross-border repurchase intentions. Additionally, customer satisfaction mediates the relationships between LSQ, price fairness, cross-border online shopping experience, and repurchase intention. The novelty of this study lies in its focus on the cross-border dimension, introducing additional factors, such as price fairness and cross-border online shopping experiences, including other variables that affect LSQ and customer satisfaction, in contrast to domestic e-commerce. This study contributes to the literature by providing new insights into the complex dynamics of LSQ in CBEC and highlighting the nuanced role of customer satisfaction as a mediator in different market contexts. It offers empirical findings and valuable insights into the multiple dimensions of LSQ and customer satisfaction, thus contributing to the body of knowledge.
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Affiliation(s)
- Guan Hui
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, 43600, UKM, Bangi, Selangor Darul Ehsan, Malaysia
- Business English, School of Foreign Languages, Changzhi University, Changzhi City, Shanxi Province, 046000, China
| | - Abdullah Al Mamun
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, 43600, UKM, Bangi, Selangor Darul Ehsan, Malaysia
| | - Mohammad Nurul Hassan Reza
- Faculty of Business and Management, UCSI University, No. 1, Jalan Menara Gading, Cheras, 56000, Kuala Lumpur, Malaysia
| | - Wan Mohd Hirwani Wan Hussain
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, 43600, UKM, Bangi, Selangor Darul Ehsan, Malaysia
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Wang Z, Song M, Duan Y. Sparking employee's creativity in digital work: A new look on the role of perceived usefulness. Psychol Rep 2025:332941251314734. [PMID: 39813790 DOI: 10.1177/00332941251314734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2025]
Abstract
Telecommuting platform is an important medium for collaboration in the digital era and empowering employees to work from anywhere. However, existing research has paid less attention to how employees' perception of telecommuting platform affects their behavior during working from home, especially the impact on their digital creativity. Drawing on self-determination theory, a dual path moderated mediation model was proposed to investigate the effect of perceived usefulness on employees' digital creativity. Based on survey data from 881 employees, we found that perceived usefulness has a significant positive impact on employees' digital creativity; work autonomy and telecommuting efficacy play a mediating role in the relationship between perceived usefulness and employees' digital creativity; psychological individualism positively moderates the relationship between perceived usefulness and employees' digital creativity through work autonomy. However, psychological individualism does not show a significant moderating effect on the relationship between perceived usefulness and employees' digital creativity through telecommuting efficacy.
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Affiliation(s)
- Zhenyuan Wang
- School of Economics and Management, East China Normal University, Shanghai, China
| | - Mei Song
- School of Economics and Management, East China Normal University, Shanghai, China
| | - Yongjia Duan
- Antai College of Economics and Management, Shanghai Jiao Tong University, Shanghai, China
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Li M, Gu D, Li R, Gu Y, Liu H, Su K, Wang X, Zhang G. The Impact of Linguistic Signals on Cognitive Change in Support Seekers in Online Mental Health Communities: Text Analysis and Empirical Study. J Med Internet Res 2025; 27:e60292. [PMID: 39808783 PMCID: PMC11775492 DOI: 10.2196/60292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2024] [Revised: 11/04/2024] [Accepted: 12/10/2024] [Indexed: 01/16/2025] Open
Abstract
BACKGROUND In online mental health communities, the interactions among members can significantly reduce their psychological distress and enhance their mental well-being. The overall quality of support from others varies due to differences in people's capacities to help others. This results in some support seekers' needs being met, while others remain unresolved. OBJECTIVE This study aimed to examine which characteristics of the comments posted to provide support can make support seekers feel better (ie, result in cognitive change). METHODS We used signaling theory to model the factors affecting cognitive change and used consulting strategies from the offline, face-to-face psychological counseling process to construct 6 characteristics: intimacy, emotional polarity, the use of first-person words, the use of future-tense words, specificity, and language style. Through text mining and natural language processing (NLP) technology, we identified linguistic features in online text and conducted an empirical analysis using 12,868 online mental health support reply data items from Zhihu to verify the effectiveness of those features. RESULTS The findings showed that support comments are more likely to alter support seekers' cognitive processes if those comments have lower intimacy (βintimacy=-1.706, P<.001), higher positive emotional polarity (βemotional_polarity=.890, P<.001), lower specificity (βspecificity=-.018, P<.001), more first-person words (βfirst-person=.120, P<.001), more future- and present-tense words (βfuture-words=.301, P<.001), and fewer function words (βlinguistic_style=-.838, P<.001). The result is consistent with psychotherapists' psychotherapeutic strategy in offline counseling scenarios. CONCLUSIONS Our research contributes to both theory and practice by proposing a model to reveal the factors that make support seekers feel better. The findings have significance for support providers. Additionally, our study offers pointers for managing and designing online communities for mental health.
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Affiliation(s)
- Min Li
- School of Management, Hefei University of Technology, Hefei, China
| | - Dongxiao Gu
- School of Management, Hefei University of Technology, Hefei, China
| | - Rui Li
- School of Management, Hefei University of Technology, Hefei, China
| | - Yadi Gu
- Center for Mental Health Education, University of Shanghai for Science and Technology, Shanghai, China
| | - Hu Liu
- School of Management, Southeast University, Nanjing, China
| | - Kaixiang Su
- School of Management, Hefei University of Technology, Hefei, China
| | - Xiaoyu Wang
- The 1st Affiliated Hospital, Anhui University of Traditional Chinese Medicine, Hefei, China
| | - Gongrang Zhang
- School of Management, Hefei University of Technology, Hefei, China
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Laukka E, Tuunanen T, Jansson M, Vanhanen M, Hirvonen N, Palukka J, Vesinurm M, Torkki P. Value Cocreation and Codestruction in Digital Health Services: Protocol for a Systematic Review. JMIR Res Protoc 2025; 14:e63015. [PMID: 39808788 PMCID: PMC11775491 DOI: 10.2196/63015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2024] [Revised: 10/15/2024] [Accepted: 12/03/2024] [Indexed: 01/16/2025] Open
Abstract
BACKGROUND To successfully design, develop, implement, and deliver digital health services that provide value, they should be cocreated with patients. However, occasionally, the value may also be codestructed. In the field of health care, the concepts of value cocreation and codestruction still need to be better established within emerging digital health services. Studying these concepts is essential for developing effective and sustainable patient-centered care. OBJECTIVE The aim of the study is (1) to understand the antecedents, decisions, and outcomes of value cocreation and codestruction in digital health services, (2) to define the dynamics between value cocreation and codestruction, and (3) to map future research areas of value cocreation and codestruction within digital health services. METHODS The systematic review will be conducted in accordance with the Joanna Briggs Institute methodology for mixed method systematic reviews and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. The review considers scientific qualitative, quantitative, or mixed method studies published in English, Finnish, or Swedish that concern either value cocreation or codestruction in digital health services. Studies focusing on physical robotics and online health communities, as well as non-peer-reviewed and nonscientific papers, will be excluded. The searches were conducted using Scopus and MEDLINE during this protocol creation. Critical appraisal will be done using suitable checklists for qualitative, quantitative, and mixed method studies. The review will adhere to a convergent integrated approach as outlined in the Joanna Briggs Institute methodology for mixed methods systematic reviews. RESULTS The searches resulted in a total of 837 records. The antecedents, decisions, and outcomes of value cocreation and codestruction in the context of digital health services will be described in a finalized systematic review. In the outcomes, our main interest is the effect on patient outcomes and experiences and professional experiences. CONCLUSIONS Since our study involves diverse scientific fields, there is a risk that our search does not capture all relevant papers. To mitigate this risk, we used 2 large databases for the searches. In addition, the value cocreation or codestruction terms may not have been used in all studies focusing on the collaborative roles of patients and providers, especially in the medical field, and that may be difficult to capture. The review reveals the current understanding of value cocreation and codestruction in digital health services and shapes the research agenda for these phenomena. Value cocreation can be used to both design and efficiently use digital health services trying to maximize the value for patients. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/63015.
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Affiliation(s)
- Elina Laukka
- Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- School of Culture and Wellbeing, Oulu University of Applied Sciences, Oulu, Finland
| | - Tuure Tuunanen
- Faculty of Information Technology, University of Jyväskylä, Jyväskylä, Finland
- Department of Informatics and Media, Uppsala University, Uppsala, Sweden
| | - Miia Jansson
- Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland
- RMIT University, Melbourne, Australia
| | - Minna Vanhanen
- Focus Area for Digital Solutions, Centre for Research and Innovation, Oulu University of Applied Sciences, Oulu, Finland
| | - Nina Hirvonen
- Institute of Healthcare Engineering and Management at the Department of Industrial Engineering and Management, Aalto University School of Science, Espoo, Finland
| | - Jenni Palukka
- Institute of Healthcare Engineering and Management at the Department of Industrial Engineering and Management, Aalto University School of Science, Espoo, Finland
| | - Märt Vesinurm
- Institute of Healthcare Engineering and Management at the Department of Industrial Engineering and Management, Aalto University School of Science, Espoo, Finland
| | - Paulus Torkki
- Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland
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Huang H, Zhang Z. Equalization of basic public services enabled by digitization: A study of mechanism and heterogeneity. PLoS One 2025; 20:e0317207. [PMID: 39804913 PMCID: PMC11730429 DOI: 10.1371/journal.pone.0317207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2024] [Accepted: 12/21/2024] [Indexed: 01/16/2025] Open
Abstract
Digitalization has penetrated into every aspect of life. However, research on the mechanisms through which digitalization affects the equalization of basic public services, as well as the heterogeneity of its impact on different fields of these services, is still insufficient. Based on the panel data of 30 provincial-level administrative regions in China from 2013 to 2023, this paper studies the mechanism and heterogeneity of the impact of digital development on the equalization of basic public services. The research finds that the improvement of the digital development level can significantly promote the equalization process of basic public services, and this finding remains robust after a series of endogeneity and robustness tests. The discussions on regional heterogeneity and spatial complexity show that digitalization makes a greater contribution to the equalization of basic public services in the central and western regions and the northeast than in the east. However, achieving equalization of basic public services across regions through digitalization is challenging. The development of digitalization and the equalization of basic public services are limited by territorial cohesion in geographical space. Underdeveloped regions have poor access to digitalization for achieving equalization of basic public services. This leads to a 'digital divide' between developed and underdeveloped regions. It also results in a 'low-lying area' phenomenon in basic public services. Additionally, the promoting effect of digitalization on the equalization of different areas of basic public services varies significantly. The effect is strongest for basic living services. It is moderate for environmental protection services and education services. The effect on medical services is not significant.
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Affiliation(s)
- Huayi Huang
- School of Finance, Lanzhou University of Finance and Economics, Lanzhou, PR China
| | - Zhibing Zhang
- School of Finance, Lanzhou University of Finance and Economics, Lanzhou, PR China
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Kabanda R, Ocaatre RM, Atwine D, Kim B, Waiswa SE, Kavuma PD, Lee Y, Mutoni L, Kim S, Park Y, Okuga M, Tweheyo R. Community health system capacities and capabilities within an evolving community health policy framework: mixed methods study of stakeholders in central Uganda. BMJ Open 2025; 15:e082085. [PMID: 39800393 PMCID: PMC11749817 DOI: 10.1136/bmjopen-2023-082085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 12/09/2024] [Indexed: 01/23/2025] Open
Abstract
OBJECTIVES Empowering communities through identifying and unlocking community capacities and capabilities is vital for improving community health systems. This study assessed the community health system's status quo and readiness for implementing a government-led, partner-supported community health worker project. DESIGN A mixed methods cross-sectional study. SETTING Two districts and one city in central Uganda. PARTICIPANTS 21 key informants (KIIs) with district leaders, 4 focus group discussions (FGDs) with community health workers (CHWs) termed as village health teams in the Ugandan setting and a survey of 487 CHWs and 419 pregnant women who had childbirth 12 months before. STUDY MEASURES KIIs and FGDs explored community health system resources using the WHO health systems building blocks and the UNICEF health system strengthening maturation model. However, the surveys explored the work-related attributes and services delivered by the CHWs and to the community, respectively. ANALYSIS A framework analysis was used for qualitative data in NVivo 14. While descriptive and stratified analyses were conducted for quantitative data in Stata I/C 15.0: proportions for the varied geographical entities were compared using the t-test with p values <0.05 considered significant, one-way ANOVA was used to compare means. RESULTS Overall, all sites had relatively strong governance of community health only challenged by multiple implementing partners that were weakly coordinated. There was an exclusive paper-based information management system that linked to the national DHIS-2 software. Community reporting rates varied between 20% and 80%. Community health financing was weak, similarly to commodities availability. The mean age of the community health workforce was high at 50.9 (SD 11.9); the majority reported adequate skills in service delivery except for community first aid, Kangaroo mother care and noncommunicable diseases. Households' most received CHW services included home visits, treatment for sick under-five children and child immunisation. CONCLUSIONS The existing CHW system has governance and reporting strengths but could be enhanced through revitalization, enhanced coordination of stakeholders, providing appropriate training, work tools, supervision and engaging the community for accountability of results.
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Affiliation(s)
- Richard Kabanda
- Republic of Uganda Ministry of Health, Kampala, Uganda
- Faculty of Health Sciences, Uganda Martyrs University, Kampala, Uganda
| | - Ronald Miria Ocaatre
- Department of Health Education and Promotion, Ministry of Health, Kampala, Uganda
| | - Diana Atwine
- Senior Top Management, Ministry of Health, Kampala, Uganda
| | - Bounggui Kim
- Korea Foundation for International Healthcare, Gwangjin-gu, Seoul, Korea (the Republic of)
- Korea Foundation for International Healthcare, Gwangjin-gu, Seoul, Korea (the Republic of)
| | | | | | - Yeni Lee
- Korea Foundation for International Healthcare, Gwangjin-gu, Seoul, Korea (the Republic of)
| | - Loretah Mutoni
- Department of Health Education and Promotion, Ministry of Health, Kampala, Uganda
| | - Solyi Kim
- Korea Foundation for International Healthcare, Gwangjin-gu, Seoul, Korea (the Republic of)
| | - Yein Park
- Korea Foundation for International Healthcare, Gwangjin-gu, Seoul, Korea (the Republic of)
| | - Monica Okuga
- Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda
| | - Raymond Tweheyo
- Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda
- Centre for Health Systems Research and Development, University of the Free State-Bloemfontein Campus, Bloemfontein, Free State, South Africa
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Petrakaki D, Chamakiotis P, Russell E, Charlwood A. Resistance, tensions and consent to digital working in healthcare. Soc Sci Med 2025:117691. [PMID: 39893068 DOI: 10.1016/j.socscimed.2025.117691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2024] [Accepted: 01/09/2025] [Indexed: 02/04/2025]
Abstract
Earlier research has extended knowledge about how the nature of healthcare work is changing, and the implications this has for professionals seeking to deliver effective, robust and state-of-the-art services. However, since the onset of the Covid-19 pandemic there has been a rapid mobilization of digital services across the sector that has raised new challenges. In this Special Issue (SI), we therefore aim to offer novel insights on how new patterns of work are playing out in this new era of digital healthcare. As digitalization has become widespread, even ubiquitous, it is now necessary to identify the theoretical, practical and empirical issues that affect the organization of health work now and how it might affect it in the future. Our overarching research question in this SI, which we address through the nine selected articles we present in this Editorial, is: How is digital work in healthcare being organized post-Covid 19, and how does this impact interprofessional collaborations, clinical work practices, professional identities and relations of power?
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Affiliation(s)
- Dimitra Petrakaki
- University of Sussex Business School, University of Sussex, Brighton, UK; Digital Futures at Work Research Centre, UK.
| | - Petros Chamakiotis
- Digital Futures at Work Research Centre, UK; Department of Management, ESCP Business School, Madrid, Spain
| | - Emma Russell
- University of Sussex Business School, University of Sussex, Brighton, UK; Digital Futures at Work Research Centre, UK
| | - Andy Charlwood
- Digital Futures at Work Research Centre, UK; Leeds University Business School, University of Leeds, Leeds, UK
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Goethals S, Matz S, Provost F, Martens D, Ramon Y. The Impact of Cloaking Digital Footprints on User Privacy and Personalization. BIG DATA 2025. [PMID: 39791517 DOI: 10.1089/big.2024.0036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2025]
Abstract
Our online lives generate a wealth of behavioral records-digital footprints-which are stored and leveraged by technology platforms. These data can be used to create value for users by personalizing services. At the same time, however, it also poses a threat to people's privacy by offering a highly intimate window into their private traits (e.g., their personality, political ideology, sexual orientation). We explore the concept of cloaking: allowing users to hide parts of their digital footprints from predictive algorithms, to prevent unwanted inferences. This article addresses two open questions: (i) can cloaking be effective in the longer term, as users continue to generate new digital footprints? And (ii) what is the potential impact of cloaking on the accuracy of desirable inferences? We introduce a novel strategy focused on cloaking "metafeatures" and compare its efficacy against just cloaking the raw footprints. The main findings are (i) while cloaking effectiveness does indeed diminish over time, using metafeatures slows the degradation; (ii) there is a tradeoff between privacy and personalization: cloaking undesired inferences also can inhibit desirable inferences. Furthermore, the metafeature strategy-which yields more stable cloaking-also incurs a larger reduction in desirable inferences.
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Affiliation(s)
- Sofie Goethals
- Department of Engineering Management, University of Antwerp, Antwerp, Belgium
| | - Sandra Matz
- Columbia Business & Engineering Schools, New York, New York, USA
| | - Foster Provost
- Technology, Operations & Statistics Department, NYU Stern School of Business, New York, New York, USA
| | - David Martens
- Department of Engineering Management, University of Antwerp, Antwerp, Belgium
| | - Yanou Ramon
- Department of Engineering Management, University of Antwerp, Antwerp, Belgium
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