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Song L, Li B, Wu H, Wu C, Zhang X. Understanding the factors of wearable devices among the patients with thyroid cancer: A modified UTAUT2 model. PLoS One 2024; 19:e0305944. [PMID: 39058689 PMCID: PMC11280220 DOI: 10.1371/journal.pone.0305944] [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: 01/31/2024] [Accepted: 06/08/2024] [Indexed: 07/28/2024] Open
Abstract
Wearable devices hold promising prospects on a global scale, including in China. Thyroid cancer prevalence is notably high in China.This purpose of this researchwas to provide an updated theoretical model for assessing Chinese thyroid cancer patients' intentions towards wearable devices, based on the UTAUT2 framework, and to ascertain the factors that have an impact on these intents. A cross-sectional study with an institutional focus wasconducted from January 20, 2023, to June 30, 2023, at several general hospitals in China. Five hundred participants were recruited to identify predictors of wearable device use.The questionnaire survey about patients' intentionswas collected using a face-to-face method, employing a random sampling technique for patient selection. Four hundred sixty-nine individuals (93.8%) had the intention to use wearable devices. The intentions were highly impacted by performance expectancy (PE), effort expectancy (EE), social influence (SI), hedonic motivation (HM), price value (PV) and habit (HA). Usage intention (UI)was a statistically predictor of Usage behavior (UB). The facilitating condition(FC) was not significant. Gender positively moderated the relationship between EE and UI. Income positively moderated the relationship between all variables and UI.Overall, the utilization of wearable devices among patients diagnosed with thyroid cancer has demonstrated considerable potential. This study offers a series of suggestions for digital health developers,healthcare decision-makers,doctors and patients.
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Affiliation(s)
- LingLi Song
- Department of Clinical Laboratory, Associated Hospital, Beihua University, Jilin, China
| | - BinXian Li
- Department of Clinical Laboratory, Associated Hospital, Beihua University, Jilin, China
| | - HaiBo Wu
- Department of Clinical Laboratory, Associated Hospital, Beihua University, Jilin, China
| | - CuiCui Wu
- Department of Clinical Laboratory, Associated Hospital, Beihua University, Jilin, China
| | - XueQi Zhang
- Department of Nuclear Medicine, Associated Hospital, Beihua University, Jilin, China
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Zhang M, Cai A, Jin K, Huang J, Li D, He M, Gao R. Scientific epistemology beliefs and acceptance of Traditional Chinese Medicine: A multigroup analysis based on the UTAUT model in Southern China. Heliyon 2024; 10:e33136. [PMID: 39022003 PMCID: PMC11252763 DOI: 10.1016/j.heliyon.2024.e33136] [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: 12/10/2023] [Revised: 06/12/2024] [Accepted: 06/14/2024] [Indexed: 07/20/2024] Open
Abstract
Purpose This study for the first time delves into the intricate relationship between scientific literacy and the acceptance of traditional Chinese medicine (TCM) by employing a multigroup path analysis based on the Unified Theory of Acceptance and Use of Technology (UTAUT) model. We adopted Scientific Epistemology Belief (SEB) as an indicator for measuring scientific literacy due to its comprehensive reflection of individuals' understanding of scientific knowledge and knowing. In assessing TCM acceptance, we focused on Chinese parents' receptivity towards pediatric TCM, as it offers a more genuine representation of actual inclinations. Methods A convenience sample of 1016 Chinese parents in Southern China was assessed using online Likert-scale questionnaires on SEB and UTAUT determinants (including performance expectancy, social influence, risk awareness, and facilitating conditions). A K-means cluster analysis was employed to discern distinct SEB profiles, followed by a multigroup path analysis to ascertain UTAUT model variations across these profiles. Results Five SEB profiles were identified, namely, intermediate, absolutistic, multiplistic, sophisticated, and evidence-based. Evidence-based believers manifested the highest pediatric TCM acceptance, albeit with elements of blind faith, while multiplistic skeptics, prone to questioning everything, displayed the least acceptance. The absolutistic, intermediate, and sophisticated demonstrated moderate TCM acceptance levels, with the intermediate profile outscoring both absolutistic and sophisticated. These findings highlight that individuals with high scientific literacy do not blindly endorse TCM, nor do those with limited scientific understanding fully appreciate TCM's merits. Conclusion SEB significantly moderates TCM acceptance factors in the UTAUT model, indicating that extremes in scientific knowledge spectrum result in less balanced TCM perspectives. Our findings pave the way for novel insights into harmonizing modern and traditional medical practices.
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Affiliation(s)
- Minrui Zhang
- Department of Pediatrics, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, 510120, China
- The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, 510405, China
- Xiaorong Luo's Renowned Expert Inheritance Studio, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, 510120, China
| | - Aiyuan Cai
- The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, 510405, China
- Xiaorong Luo's Renowned Expert Inheritance Studio, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, 510120, China
| | - Kexin Jin
- Shenzhen Zhongshan Obstetrics & Gynecology Hospital, Shenzhen, 518100, China
| | | | - Dan Li
- Department of Pediatrics, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, 510120, China
- Xiaorong Luo's Renowned Expert Inheritance Studio, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, 510120, China
| | - Meihui He
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, and School of Psychology, South China Normal University, Guangzhou, 510631, China
| | - Ruixiang Gao
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, and School of Psychology, South China Normal University, Guangzhou, 510631, China
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Hayat N, Al Mamun A, Gao J, Yang Q, Hussain WMHW. Envisaging the intention and adoption of electronic health applications among middle-aged and older adults: Evidence from an emerging economy. Digit Health 2024; 10:20552076241237499. [PMID: 38449679 PMCID: PMC10916462 DOI: 10.1177/20552076241237499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/19/2024] [Indexed: 03/08/2024] Open
Abstract
Technology plays a substantial role in our daily lives, and the spread of COVID-19 paves the way for the use of healthcare technologies to manage health in the comfort of our homes. Middle-aged and older adults face health issues and require instant healthcare advice and support. Electronic healthcare (EH) applications have emerged to facilitate middle-aged and older adults receiving healthcare support instantly while remaining in their homes. The present study empirically evaluates the intention and adoption of electronic health applications with the technological attributes of perceived compatibility, cost, product value, technology accuracy, privacy issues and health motivation among middle-aged and older adults from Malaysia. Moreover, this research examines the mediating effect of the intention to adopt EH applications between technology attributes and the adoption of EH applications. This study uses a cross-sectional method and employs an online survey to assemble quantitative data from 298 middle-aged and older Malaysian adults. It utilizes partial least squares structural equation modelling for data analysis. The data analysis reveals that perceived compatibility, cost, privacy, product value and health motivation significantly influenced the intention to use EH apps. Furthermore, the analysis shows that the intention to adopt EH apps significantly mediates the relationship between the perception of cost, personal privacy, product value, health motivation and adoption of EH apps. However, the intention to use EH apps insignificantly instigates their adoption. Finally, the study presents its implications, limitations and future research directions.
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Affiliation(s)
- Naeem Hayat
- Global Entrepreneurship Research and Innovation Centre, Universiti Malaysia Kelantan, Pengkalan Chepa, Kelantan, Malaysia
| | - Abdullah Al Mamun
- UKM – Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Selangor Darul Ehsan, Malaysia
| | - Jingzu Gao
- UKM – Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Selangor Darul Ehsan, Malaysia
| | - Qing Yang
- UKM – Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Selangor Darul Ehsan, Malaysia
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Thomas M, Boursalie O, Samavi R, Doyle TE. Data-driven approach to quantify trust in medical devices using Bayesian networks. Exp Biol Med (Maywood) 2023; 248:2578-2592. [PMID: 38281083 PMCID: PMC10854471 DOI: 10.1177/15353702231215893] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2024] Open
Abstract
Bayesian networks are increasingly used to quantify the uncertainty of subjective and stochastic concepts such as trust. In this article, we propose a data-driven approach to estimate Bayesian parameters in the domain of wearable medical devices. Our approach extracts the probability of a trust factor being in a specific state directly from the devices (e.g. sensor quality). The strength of the relationship between related factors is defined by expert knowledge and incorporated into the model. We use propagation rules from requirements engineering to estimate how much each trust factor contributes to the related intermediate nodes in the network and ultimately compute the trust score. The trust score is a relative measure of trustworthiness when different devices are evaluated in the same test conditions and using the same Bayesian structure. To evaluate our approach, we developed Bayesian networks for the trust quantification of similar wearable devices from two manufacturers under identical test conditions and noise levels. The results demonstrated the learnability and generalizability of our approach.
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Affiliation(s)
- Mini Thomas
- Department of Computing and Software, McMaster University, Hamilton, ON L8S 4L8, Canada
| | - Omar Boursalie
- Department of Electrical and Computer Engineering, Toronto Metropolitan University, ON M5B 2K3, Canada
| | - Reza Samavi
- Department of Electrical and Computer Engineering, Toronto Metropolitan University, ON M5B 2K3, Canada
- Vector Institute, Toronto, ON M5G 1M1, Canada
| | - Thomas E Doyle
- Vector Institute, Toronto, ON M5G 1M1, Canada
- Department of Electrical & Computer Engineering, McMaster University, Hamilton, ON L8S 4L8, Canada
- School of Biomedical Engineering, McMaster University, Hamilton, ON L8S 4L8, Canada
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Alanzi TM, Alzahrani W, Almoraikhi M, Algannas A, Alghamdi M, Alzahrani L, Abutaleb R, Ba Dughaish R, Alotibi N, Alkhalifah S, Alshehri M, Alzahrani H, Almahdi R, Alanzi N, Farhah N. Adoption of Wearable Insulin Biosensors for Diabetes Management: A Cross-Sectional Study. Cureus 2023; 15:e50782. [PMID: 38239544 PMCID: PMC10795719 DOI: 10.7759/cureus.50782] [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] [Accepted: 12/17/2023] [Indexed: 01/22/2024] Open
Abstract
BACKGROUND Wearable insulin biosensors represent a novel approach that combines the benefits of real-time glucose monitoring and automated insulin delivery, potentially revolutionizing how individuals with diabetes manage their condition. STUDY PURPOSE To analyze the behavioral intentions of wearable insulin biosensors among diabetes patients, the factors that drive or hinder their usage, and the implications for diabetes management and healthcare outcomes. METHODS A cross-sectional survey design was adopted in this study. The validated questionnaire included 10 factors (Performance expectancy, effort expectancy, social influence, facilitating conditions, behavioral intention, trust, perceived privacy risk, and personal innovativeness) affecting the acceptance of wearable insulin sensors. A total of 248 diabetic patients who had used wearable sensors participated in the study. RESULTS Performance expectancy was rated the highest (Mean = 3.84 out of 5), followed by effort expectancy (Mean = 3.78 out of 5), and trust (Mean = 3.53 out of 5). Statistically significant differences (p < 0.05) were observed with respect to socio-demographic variables including age and gender on various influencing factors and adoption intentions. PE, EE, and trust were positively associated with adoption intentions. CONCLUSION While wearable insulin sensors are positively perceived with respect to diabetes management, issues like privacy and security may affect their adoption.
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Affiliation(s)
- Turki M Alanzi
- Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, SAU
| | - Wala Alzahrani
- Department of Clinical Nutrition, College of Applied Medical Sciences, King Abdulaziz University, Jeddah, SAU
| | | | | | - Mohammed Alghamdi
- Department of Pharmaceutical Services, Dhahran Long Term Care Hospital, Dhahran, SAU
| | | | | | | | - Nada Alotibi
- College of Pharmacy, Shaqra University, Shaqra, SAU
| | - Shayma Alkhalifah
- College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU
| | - Mona Alshehri
- College of Medicine, Princess Nourah Bint Abdul Rahman University, Riyadh, SAU
| | | | - Reham Almahdi
- College of Medicine, Al Baha University, Al Baha, SAU
| | - Nouf Alanzi
- Department of Clinical Laboratories Sciences, College of Applied Medical Sciences, Jouf University, Jouf, SAU
| | - Nesren Farhah
- Department of Health Informatics, College of Health Sciences, Saudi Electronic University, Riyadh, SAU
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Khan S. Assessing the older population acceptance of healthcare wearable in a developing Country: an extended PMT model. JOURNAL OF DATA, INFORMATION AND MANAGEMENT 2023. [PMCID: PMC10052253 DOI: 10.1007/s42488-023-00087-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Abstract
Wearable healthcare devices (HWDs) got prominence, especially during the COVID-19 pandemic. Aiming to know the proliferation of the HWDS, this study tries to evaluate the intentions of the old-age population to use the devices. To this end, the protection motivation theory (PMT) coupled with health information accuracy, perceived novelty, perceived ease of use, hedonic motivation, health anxiety, and health consciousness were investigated as predictors of HWDs among senior Pakistani citizens. A total of 310 participants who knew how the smartwatches could be used as a health monitoring device, were surveyed to empirically test the model. The required data were then analyzed using structural equation modeling. The findings reveal that the protective, utilitarian, and personal attributes of HWDs play a significant role in choosing the HWDs. While addressing their healthcare issues, senior citizens are highly receptive to perceived usefulness, accurate information accuracy, self-efficacy, perceived severity, health consciousness, and perceived vulnerability during COVID-19. These factors have a positive impact on their willingness to use HWDs. The study educates healthcare management and users to focus on the determining factors that can enhance the use of HWDs.
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Calegari LP, Tortorella GL, Fettermann DC. Getting Connected to M-Health Technologies through a Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4369. [PMID: 36901379 PMCID: PMC10001891 DOI: 10.3390/ijerph20054369] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 02/23/2023] [Accepted: 02/25/2023] [Indexed: 06/18/2023]
Abstract
The demand for mobile e-health technologies (m-health) continues with constant growth, stimulating the technological advancement of such devices. However, the customer needs to perceive the utility of these devices to incorporate them into their daily lives. Hence, this study aims to identify users' perceptions regarding the acceptance of m-health technologies based on a synthesis of meta-analysis studies on the subject in the literature. Using the relations and constructs proposed in the UTAUT2 (Unified Theory of Acceptance and Use of Technology 2) technology acceptance model, the methodological approach utilized a meta-analysis to raise the effect of the main factors on the Behavioral Intention to Use m-health technologies. Furthermore, the model proposed also estimated the moderation effect of gender, age, and timeline variables on the UTAUT2 relations. In total, the meta-analysis utilized 84 different articles, which presented 376 estimations based on a sample of 31,609 respondents. The results indicate an overall compilation of the relations, as well as the primary factors and moderating variables that determine users' acceptance of the studied m-health systems.
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Affiliation(s)
- Luiz Philipi Calegari
- Department of Industrial Engineering, Federal University of Santa Catarina, Florianópolis 8040-900, SC, Brazil
| | | | - Diego Castro Fettermann
- Department of Industrial Engineering, Federal University of Santa Catarina, Florianópolis 8040-900, SC, Brazil
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Chen J, Li T, You H, Wang J, Peng X, Chen B. Behavioral Interpretation of Willingness to Use Wearable Health Devices in Community Residents: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3247. [PMID: 36833943 PMCID: PMC9960868 DOI: 10.3390/ijerph20043247] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/22/2023] [Accepted: 02/06/2023] [Indexed: 05/30/2023]
Abstract
Wearable health devices (WHDs) have become increasingly advantageous in long-term health monitoring and patient management. However, most people have not yet benefited from such innovative technologies, and the willingness to accept WHDs and their influencing factors are still unclear. Based on two behavioral theories: the theory of planned behavior (TPB) and the diffusion of innovation (DOI), this study aims to explore the influencing factors of willingness to use WHDs in community residents from the perspective of both internal and external factors. A convenience sample of 407 community residents were recruited from three randomly selected Community Health Service Centers (CHSCs) in Nanjing, China, and were investigated with a self-developed questionnaires. The mean score of willingness to use WHDs was 17.00 (range 5-25). In the dimensions of TPB, perceived behavioral control (β = 1.979, p < 0.001) was the strongest influencing factor. Subjective norms (β = 1.457, p < 0.001) and attitudes (β = 0.651, p = 0.016) were also positively associated with willingness. In innovation characteristics of DOI, compatibility (β = 0.889, p < 0.001) and observability (β = 0.576, p = 0.003) had positive association with the willingness to wear a WHD. This study supports the applicability of the two behavioral theories to interpret the willingness to use WHDs in Chinese community residents. Compared with the innovative features of WHDs, individual cognitive factors were more critical predictors of willingness to use.
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Affiliation(s)
- Jiaxin Chen
- School of Nursing, Nanjing Medical University, Nanjing 211166, China
| | - Ting Li
- Geriatric Hospital of Nanjing Medical University, Nanjing 210009, China
| | - Hua You
- School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Jingyu Wang
- School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Xueqing Peng
- Chengdu Center for Disease Control and Prevention, Chengdu 610041, China
| | - Baoyi Chen
- MaiGaoQiao Community Health Service Center, Nanjing 210028, China
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Hayat N, Salameh AA, Mamun AA, Alam SS, Zainol NR. Exploring the mass adoption potential of wearable fitness devices in Malaysia. Digit Health 2023; 9:20552076231180728. [PMID: 37325073 PMCID: PMC10265353 DOI: 10.1177/20552076231180728] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Accepted: 05/22/2023] [Indexed: 06/17/2023] Open
Abstract
Objective The current study explores the formation of an intention to use wearable fitness devices (WFDs) with wearable fitness attributes and health consciousness (HCS). Moreover, the research examines the use of WFDs with the health motivation (HMT) and intention to use WFDs. The study also exposes the moderating effect of HMT between the intention to use WFDs and the use of WFDs. Methods Five hundred and twenty-five adults participated in the current study, and data were collected from January 2021 to March 2021 through the online survey of Malaysian respondents. The cross-sectional data was analyzed using the second-generation statistical method of partial least square structural equation modeling. Results HCS is insignificantly associated with the intention to use WFDs. Perceived compatibility, perceived product value, perceived usefulness, and perceived technology accuracy significantly influence the intention to use WFDs. HMT significantly impacts the adoption of WFDs; however, the intention to use WFDs negatively but significantly influences the use of WFDs. Lastly, the association between the intention to use WFDs and the adoption of WFDs is significantly moderated by HMT. Conclusions Our study findings illuminate the significant impact of technology-level attributes of WFDs on the intention to use WFDs. However, an insignificant impact of HCS on the intention to use WFDs was reported. Our result confirms that HMT plays a significant role in the use of WFDs. Such as the moderating role of HMT is vital to transform the intention to use WFDs into the adoption of WFDs.
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Affiliation(s)
- Naeem Hayat
- Global Entrepreneurship Research and Innovation Centre, Universiti Malaysia Kelantan, Kelantan, Malaysia
| | - Anas A Salameh
- College of Business Administration, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
| | - Abdullah Al Mamun
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, UKM Bangi, Selangor Darul Ehsan, Malaysia
| | - Syed Shah Alam
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, UKM Bangi, Selangor Darul Ehsan, Malaysia
| | - Noor Raihani Zainol
- Faculty of Entrepreneurship and Business, Universiti Malaysia Kelantan, Kota Bharu, Kelantan, Malaysia
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Graeber J, Warmerdam E, Aufenberg S, Bull C, Davies K, Dixon J, Emmert K, Judd C, Maetzler C, Reilmann R, Ng WF, Macrae V, Maetzler W, Kaduszkiewicz H. Technology acceptance of digital devices for home use: Qualitative results of a mixed methods study. Digit Health 2023; 9:20552076231181239. [PMID: 37361435 PMCID: PMC10286539 DOI: 10.1177/20552076231181239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Accepted: 05/04/2023] [Indexed: 06/28/2023] Open
Abstract
Objective Digital devices have demonstrated benefits to patients with chronic and neurodegenerative diseases. But when patients use medical devices in their homes, the technologies have to fit into their lives. We investigated the technology acceptance of seven digital devices for home use. Methods We conducted 60 semi-structured interviews with participants of a larger device study on their views on the acceptability of seven devices. Transcriptions were analysed using qualitative content analysis. Results Based on the unified theory of acceptance and use of technology, we evaluated effort, facilitating conditions, performance expectancy and social influence of each device.In the effort category, five themes emerged: (a) the hassle to use the device; (b) its usability; (c) comfort; (d) disturbance to daily life; and (e) problems during usage. Facilitating conditions consisted of five themes: (a) expectations regarding a device; (b) quality of the instructions; (c) insecurities with usage; (d) possibilities of optimization; and (e) possibilities to use the device longer. Regarding performance expectancy, we identified three themes: (a) insecurities with the performance of a device; (b) feedback; and (c) motivation for using a device. In the social influence category, three themes emerged: (a) reactions of peers; (b) concerns with the visibility of a device; and (c) concerns regarding data privacy. Conclusions We identify key factors that determine the acceptability of medical devices for home use from the participants' perspective. These include low effort of use, minor disruptions to their daily lives and good support from the study team.
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Affiliation(s)
- Johanna Graeber
- Institute of General Practice, University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
| | - Elke Warmerdam
- Innovative Implant Development (Fracture Healing), Division of Surgery, Saarland University, Homburg, Germany
- Department of Neurology, University Medical Center Schleswig-Holstein, Campus Kiel and Kiel University, Kiel, Germany
| | | | - Christopher Bull
- Open Lab, School of Computing, Newcastle University, Newcastle upon Tyne, UK
| | - Kristen Davies
- Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Jan Dixon
- NIHR Newcastle Clinical Research Facility, Newcastle upon Tyne NHS Hospitals Foundation Trust and Newcastle University, Newcastle upon Tyne, UK
| | - Kirsten Emmert
- Department of Neurology, University Medical Center Schleswig-Holstein, Campus Kiel and Kiel University, Kiel, Germany
| | - Claire Judd
- NIHR Newcastle Clinical Research Facility, Newcastle upon Tyne NHS Hospitals Foundation Trust and Newcastle University, Newcastle upon Tyne, UK
| | - Corina Maetzler
- Department of Neurology, University Medical Center Schleswig-Holstein, Campus Kiel and Kiel University, Kiel, Germany
| | - Ralf Reilmann
- George-Huntington-Institute, Münster, Germany
- Department of Clinical Radiology University of Münster, Münster, Germany
- Department of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Germany
| | - Wan-Fai Ng
- Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK
- NIHR Newcastle Clinical Research Facility, Newcastle upon Tyne NHS Hospitals Foundation Trust and Newcastle University, Newcastle upon Tyne, UK
- Musculoskeletal and Inflammation Theme, NIHR Newcastle Biomedical Research Center, Newcastle upon Tyne NHS Hospitals Foundation Trust and Newcastle University Newcastle upon Tyne, UK
| | - Victoria Macrae
- Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Walter Maetzler
- Department of Neurology, University Medical Center Schleswig-Holstein, Campus Kiel and Kiel University, Kiel, Germany
| | - Hanna Kaduszkiewicz
- Institute of General Practice, University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany
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Bube B, Zanón BB, Lara Palma AM, Klocke H. Wearable Devices in Diving: Scoping Review. JMIR Mhealth Uhealth 2022; 10:e35727. [PMID: 36066926 PMCID: PMC9490542 DOI: 10.2196/35727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 05/20/2022] [Accepted: 07/15/2022] [Indexed: 11/13/2022] Open
Abstract
Background Wearables and their benefits for the safety and well-being of users have been widely studied and have had an enormous impact on the general development of these kinds of devices. Yet, the extent of research into the use and impact of wearable devices in the underwater environment is comparatively low. In the past 15 years, there has been an increased interest in research into wearables that are used underwater, as the use of such wearables has steadily grown over time. However, there has so far been no clear indication in the literature about the direction in which efforts for the design and construction of underwater wearable devices are developing. Therefore, the analysis presented in this scoping review establishes a good and powerful basis for the further development and orientation of current underwater wearables within the field. Objective In this scoping review, we targeted wearable devices for underwater use to make a comprehensive map of their capabilities and features and discuss the general direction of the development of underwater wearables and the orientation of research into novel prototypes of these kinds of devices. Methods In September 2021, we conducted an extensive search for existing literature on 4 databases and for grey literature to identify developed prototypes and early-stage products that were described and tested in water, could be worn and interacted with (eg, displays, buttons, etc), and were fully functional without external equipment. The studies were written in English, came from peer-reviewed academic sources, and were published between 2005 and 2021. We reviewed each title and abstract. The data extraction process was carried out by one author and verified by another author. Results In total, 36 relevant studies were included. Among these, 4 different categories were identified; 18 studies dealt primarily with safety devices, 9 dealt with underwater communication devices, 7 dealt with head-up displays, and 2 dealt with underwater human-computer interaction approaches. Although the safety devices seemed to have gained the most interest at the time of this study, a clear trend toward underwater communication wearables was identified. Conclusions This review sought to provide a first insight into the possibilities and challenges of the technologies that have been used in and for wearable devices that are meant for use in the underwater environment. Among these, underwater communication technologies have had the most significant influence on future developments. Moreover, a topic that has not received enough attention but should be further addressed is human-computer interaction. By developing underwater wearables that cover 2 or more of the technology categories that we identified, the extent of the benefits of such devices can be significantly increased in the future.
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Affiliation(s)
- Benjamin Bube
- Faculty of Computer Science and Engineering Science, University of Applied Sciences Cologne, Gummersbach, Germany
- Departamento de Ingeniera Informática, Escuela Politecnica Superior, Universidad de Burgos, Burgos, Spain
| | - Bruno Baruque Zanón
- Departamento de Ingeniera Informática, Escuela Politecnica Superior, Universidad de Burgos, Burgos, Spain
| | - Ana María Lara Palma
- Departamento de Ingeniería de Organización Industrial, Escuela Politecnica Superior, Universidad de Burgos, Burgos, Spain
| | - Heinrich Klocke
- Faculty of Computer Science and Engineering Science, University of Applied Sciences Cologne, Gummersbach, Germany
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Hayat N, Zainol NR, Salameh AA, Al Mamun A, Yang Q, Md Salleh MF. How health motivation moderates the effect of intention and usage of wearable medical devices? An empirical study in Malaysia. Front Public Health 2022; 10:931557. [PMID: 36045735 PMCID: PMC9421139 DOI: 10.3389/fpubh.2022.931557] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 07/27/2022] [Indexed: 01/24/2023] Open
Abstract
Mobile technology is popular because it facilitates users in multiple ways. This technology is revolutionising the healthcare industry, and mobile-based wearable medical devices (WMDs) are becoming common. Technology adoption is always challenging, and technology value is based on the technology attributes and personal inclination towards using the technology. This study investigates how the perceived product value is influenced by compatibility, cost, personal privacy, technology accuracy, and usefulness. The perceived product value instigates the intention to use wearable medical devices and health motivation (HMT), and the intention to use promotes the adoption of WMDs. Furthermore, the relationship between the intention to use and the adoption of WMDs is moderated by HMT. The current work employed a cross-sectional research design, and data were collected through an online survey of Malaysian adults. Data analysis was performed using partial least squares structural equation modelling (PLS-SEM). The analysis revealed that the WMDs' compatibility, cost, and technology accuracy significantly influenced the WMDs' value. Besides, the perceived product value impacted the intention to use WMDs, while HMT and intention to use WMDs insignificantly influenced the adoption of WMDs. Finally, HMT significantly moderated the relationship between the intention to use and the adoption of WMDs. This study also reports the limitations and future research opportunities.
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Affiliation(s)
- Naeem Hayat
- Global Entrepreneurship Research and Innovation Centre, Universiti Malaysia Kelantan, Kota Bharu, Malaysia
| | - Noor Raihani Zainol
- Faculty of Entrepreneurship and Business, Universiti Malaysia Kelantan, Kota Bharu, Malaysia
| | - Anas A. Salameh
- College of Business Administration, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
| | - Abdullah Al Mamun
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Malaysia,*Correspondence: Abdullah Al Mamun ;
| | - Qing Yang
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Malaysia
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Yang Q, Al Mamun A, Hayat N, Salleh MFM, Jingzu G, Zainol NR. Modelling the mass adoption potential of wearable medical devices. PLoS One 2022; 17:e0269256. [PMID: 35675373 PMCID: PMC9176812 DOI: 10.1371/journal.pone.0269256] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 05/17/2022] [Indexed: 11/24/2022] Open
Abstract
Digital technologies empower users to manage their health and reduce the burden on the public health system. The mass adoption of wearable medical devices (WMDs) promotes the ageing population’s confidence besides facilitating users. Thus, the current study aims to empirically evaluate the formation of perceived product value (PPV) with the WMDs’ computability, usefulness, cost, and accuracy, the intention to use WMDs influenced by health consciousness (HCS), health anxiety (HAY), product value, and perceived critical mass (PCM), and later the adoption of WMDs among Chinese adults. The study examined the mediating effect of PPV on the relationship between the intention to use WMDs and perceived compatibility (PCT), perceived cost (PCO), perceived usefulness (PUS), and perceived technology accuracy (PTA). This study adopted a cross-sectional approach and used an online survey to collect quantitative data from 1,160 Chinese adults. Data analysis was performed using the partial least squares structural equation modelling (PLS-SEM). Results showed that PCT, PUS, and PTA significant positive effect on PPV. Meanwhile, HCS, PCM, and PPV has a significant positive effect on intention to use WMDs, and the intention to use WMDs and PCM influenced the adoption of WMDs. Consequently, the analysis confirmed that PPV mediated the relationships between the intention to use WMD and PCT, PUS, and PTA. The WMD cost must be reduced to enhance the value of WMDs. Finally, the study’s implications, limitations, and suggestions for future studies are discussed.
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Affiliation(s)
- Qing Yang
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, UKM Bangi, Bangi, Malaysia
| | - Abdullah Al Mamun
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, UKM Bangi, Bangi, Malaysia
- * E-mail: ,
| | - Naeem Hayat
- Global Entrepreneurship Research and Innovation Centre, Universiti Malaysia Kelantan, Kota Bharu, Malaysia
| | - Mohd Fairuz Md. Salleh
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, UKM Bangi, Bangi, Malaysia
| | - Gao Jingzu
- UCSI Graduate Business School, UCSI University, Cheras, Kuala Lumpur, Malaysia
| | - Noor Raihani Zainol
- Faculty of Entrepreneurship and Business, Universiti Malaysia Kelantan, Kota Bharu, Malaysia
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Zhang Z, Xia E, Huang J. Impact of the Moderating Effect of National Culture on Adoption Intention in Wearable Health Care Devices: Meta-analysis. JMIR Mhealth Uhealth 2022; 10:e30960. [PMID: 35657654 PMCID: PMC9206205 DOI: 10.2196/30960] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 01/05/2022] [Accepted: 02/09/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Wearable health care devices have not yet been commercialized on a large scale. Additionally, people in different countries have different utilization rates. Therefore, more in-depth studies on the moderating effect of national culture on adoption intention in wearable health care devices are necessary. OBJECTIVE This study aims to explore the summary results of the relationships between perceived usefulness and perceived ease of use with adoption intention in wearable health care devices and the impact of the moderating effect of national culture on these two relationships. METHODS We searched for studies published before September 2021 in the Web of Science, EBSCO, Engineering Village, China National Knowledge Infrastructure, IEEE Xplore, and Wiley Online Library databases. CMA (version 2.0, Biostat Inc) software was used to perform the meta-analysis. We conducted publication bias and heterogeneity tests on the data. The random-effects model was used to estimate the main effect size, and a sensitivity analysis was conducted. A meta-regression analysis was used to test the moderating effect of national culture. RESULTS This meta-analysis included 20 publications with a total of 6128 participants. Perceived usefulness (r=0.612, P<.001) and perceived ease of use (r=0.462, P<.001) positively affect adoption intention. The relationship between perceived usefulness and adoption intention is positively moderated by individualism/collectivism (β=.003, P<.001), masculinity/femininity (β=.008, P<.001) and indulgence/restraint (β=.005, P<.001), and negatively moderated by uncertainty avoidance (β=-.005, P<.001). The relationship between perceived ease of use and adoption intention is positively moderated by individualism/collectivism (β=.003, P<.001), masculinity/femininity (β=.006, P<.001) and indulgence/restraint (β=.009, P<.001), and negatively moderated by uncertainty avoidance (β=-.004, P<.001). CONCLUSIONS This meta-analysis provided comprehensive evidence on the positive relationship between perceived usefulness and perceived ease of use with adoption intention and the moderating effect of national culture on these two relationships. Regarding the moderating effect, perceived usefulness and perceived ease of use have a greater impact on adoption intention for people in individualistic, masculine, low uncertainty avoidance, and indulgence cultures, respectively.
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Affiliation(s)
- Zhenming Zhang
- School of Management and Economics, Beijing Institute of Technology, Beijing, China
| | - Enjun Xia
- School of Management and Economics, Beijing Institute of Technology, Beijing, China
| | - Jieping Huang
- School of Management and Economics, Beijing Institute of Technology, Beijing, China
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