JMIR Aging,
Год журнала:
2025,
Номер
8, С. e60156 - e60156
Опубликована: Март 11, 2025
The
rapid
advancement
of
technology
has
made
mobile
health
(mHealth)
a
promising
tool
to
mitigate
problems,
particularly
among
older
adults.
Despite
the
numerous
benefits
mHealth,
assessing
individual
acceptance
is
required
address
specific
needs
people
and
promote
their
intention
use
mHealth.
This
study
aims
adapt
validate
senior
model
(STAM)
questionnaire
for
mHealth
in
Thai
context.
In
this
cross-sectional
study,
we
adapted
original,
38-item,
English
version
STAM
using
10-point
Likert
scale
acceptability
population.
We
translated
into
forward
backward
translation.
A
total
15
adults
experts
completed
pilot
were
interviewed
assess
its
validity.
items
then
reworded
revised
better
comprehension
cross-cultural
compatibility.
construct
validity
was
evaluated
by
multidimensional
approach,
including
exploratory
confirmatory
factor
analysis
nonparametric
item
response
theory
analysis.
Discriminative
indices
consisting
sensitivity,
specificity,
area
under
receiver
operating
characteristic
(AUROC)
used
determine
appropriate
banding
discriminant
Internal
consistency
assessed
Cronbach
α
McDonald
ω
coefficients.
Out
1100
participants
with
mean
age
62.3
(SD
8.8)
years,
360
(32.7%)
aged
45-59
740
(67.3%)
60
years
older.
Of
40-item
questionnaire,
identified
22
loadings
>0.4
across
7
principal
components,
explaining
91.45%
variance.
Confirmatory
confirmed
that
9-dimensional
sets
had
satisfactory
fit
(comparative
index=0.976,
Tucker-Lewis
index=0.968,
root
square
error
approximation=0.043,
standardized
squared
residual=0.044,
R2
each
item>0.30).
score
D
(low≤151,
moderate
152-180,
high≥181)
preferred
as
optimal
22-item
cutoff
based
on
highest
sensitivity
89%
(95%
CI
86.1%-91.5%)
AUROC
72.4%
70%-74.8%)
predicting
final
STAM,
items,
exhibited
remarkable
internal
consistency,
evidenced
0.88
0.87-0.89)
0.85
0.83-0.87).
For
all
corrected
item-total
correlations
ranged
between
0.26
0.71.
demonstrated
psychometric
properties
both
reliability.
potential
serve
practical
pre-older
Journal of Medical Systems,
Год журнала:
2023,
Номер
47(1)
Опубликована: Янв. 27, 2023
Abstract
The
study
aims
to
(1)
investigate
current
levels
of
patient
acceptance
mHealth
in
Germany;
(2)
determine
the
influencing
factors
patients'
intention
use,
and
(3)
test
influence
prescription
reimbursement
status
on
acceptance.
Online
survey
with
1349
participants,
which
1051
were
complete
included
for
statistical
analysis,
from
a
broad
cross-section
German
population,
addressing
both
users
mobile
health
(mHealth)
applications
people
without
prior
experience.
SEM
modeling
based
combination
two
theoretical
frameworks:
extended
Unified
Theory
Acceptance
Use
Technology
Health
Protective
Behavior
Theories
used
assess
Users
Germany
are
mostly
patients
between
ages
30
–
50
mental
or
endocrine
conditions.
General
willingness
use
apps
/
DiGAs
(mHealth
fully
reimbursed
by
social
insurance)
is
high
at
76%,
especially
if
they
governmentally
certified,
however
only
27%
respondents
willing
pay
out
pocket.
With
exception
spike
performance
expectancy
data
security,
lack
clear
differentiation
apps.
Perceived
self-efficacy
significant
predictors
digital
interventions;
age,
attitude,
e-literacy
being
key
demographic
predictors.
A
takeaway
regulators,
providers
apps/
DiGAs,
other
stakeholders
involved
adoption
importance
negative
beliefs
early
on,
targeted
communication
around
effortless
usage
services
across
age
groups
demographics,
focus
highlighting
expected
benefits
app/
DiGA
usage.
Journal of Medical Internet Research,
Год журнала:
2023,
Номер
25, С. e44225 - e44225
Опубликована: Янв. 31, 2023
Background
Despite
the
increased
development
and
use
of
mobile
health
(mHealth)
devices
during
COVID-19
pandemic,
there
is
little
knowledge
willingness
Chinese
people
to
mHealth
key
factors
associated
with
their
in
post–COVID-19
era.
Therefore,
a
more
comprehensive
multiangle
investigation
required.
Objective
We
aimed
probe
attitudes
regarding
analyze
possible
associations
between
attitude
some
based
on
socioecological
model.
Methods
A
survey
was
conducted
using
quota
sampling
recruit
participants
from
148
cities
China
June
20
August
31,
2022.
Data
were
analyzed
multiple
stepwise
regression
examine
devices.
Standardized
coefficients
(β)
95%
CIs
calculated
regression.
Results
The
contained
collection
21,916
questionnaires
21,897
valid
questionnaires,
99.91%
effective
response
rate.
median
score
era
70
points
scale
0
100.
Multiple
results
showed
that
female
gender
(β=.03,
CI
1.04-2.35),
openness
personality
trait
(β=.05,
0.53-0.96),
higher
household
per
capita
monthly
income
0.77-2.24),
commercial
insurance
(β=.04,
1.77-3.47)
In
addition,
high
scores
literacy
(β=.13,
0.53-0.68),
self-reported
rating
(β=.22,
0.24-0.27),
social
support
(β=.08,
0.40-0.61),
family
0.03-0.16),
neighbor
relations
(β=.12,
2.09-2.63),
status
(β=.07,
1.19-1.69)
likely
Conclusions
On
basis
theoretical
framework
model,
this
study
identified
specifically
These
findings
provide
reference
information
for
research,
development,
promotion,
application
future
BMC Health Services Research,
Год журнала:
2024,
Номер
24(1)
Опубликована: Апрель 11, 2024
Abstract
Background
Increasing
patient
loads,
healthcare
inflation
and
ageing
population
have
put
pressure
on
the
system.
Artificial
intelligence
machine
learning
innovations
can
aid
in
task
shifting
to
help
systems
remain
efficient
cost
effective.
To
gain
an
understanding
of
patients’
acceptance
toward
such
with
AI,
this
study
adapted
Unified
Theory
Acceptance
Use
Technology
2
(UTAUT2),
looking
at
performance
effort
expectancy,
facilitating
conditions,
social
influence,
hedonic
motivation
behavioural
intention.
Methods
This
was
a
cross-sectional
which
took
place
between
September
2021
June
2022
National
Heart
Centre,
Singapore.
One
hundred
patients,
aged
≥
21
years
least
one
heart
failure
symptom
(pedal
oedema,
New
York
Association
II-III
limitation,
orthopnoea,
breathlessness),
who
presented
cardiac
imaging
laboratory
for
physician-ordered
clinical
echocardiogram,
underwent
both
echocardiogram
by
skilled
sonographers
experience
novice
guided
AI
technologies.
They
were
then
given
survey
looked
above-mentioned
constructs
using
UTAUT2
framework.
Results
Significant,
direct,
positive
effects
all
behavioral
intention
accepting
AI-novice
combination
found.
Facilitating
expectancy
top
3
constructs.
The
analysis
moderating
variables,
age,
gender
education
levels,
found
no
impact
Conclusions
These
results
are
important
stakeholders
changemakers
as
policymakers,
governments,
physicians,
insurance
companies,
they
design
adoption
strategies
ensure
successful
engagement
focusing
factors
affecting
technologies
used
shifting.
With
the
digitalization
of
healthcare,
mobile
apps
are
also
becoming
increasingly
relevant.
This
narrative
literature
review
examines
general
expectations
and
requirements
patients
for
health
based
on
scientific
studies
from
last
10
years
(2014-2024),
identifies
specific
functions
features
summarizes
acceptance
factors.
The
results
show
that
should
primarily
serve
success
treatment.
Specifically
desired
include
data
entry
automated
tracking,
reminder
alerting,
personalization
customization,
education
information
as
well
sharing
connectivity.
Perceived
usefulness
ease
use
among
most
important
Personal
support
healthcare
professionals
plays
an
role
in
some
contexts.
Various
further
research
directions
discussed.
Future
could
example
focus
question
how
affect
user
satisfaction
loyalty
once
they
have
been
implemented.
International Journal of Environmental Research and Public Health,
Год журнала:
2022,
Номер
19(22), С. 15156 - 15156
Опубликована: Ноя. 17, 2022
The
unprecedented
development
of
information
and
communication
technologies
has
opened
up
immense
possibilities
in
the
field
health
care.
Mobile
(mHealth)
is
gaining
increasing
attention
as
an
important
technology
for
solving
health-related
problems.
Although
a
high
rate
smartphone
usage
among
young
people
Japan
been
identified,
management
not
high.
As
Japanese
youth
are
potential
users
mHealth,
it
necessary
to
explore
theories
that
influence
behavioral
intention
adopt
mHealth.
This
study
conducted
questionnaire
survey
university
collected
233
valuable
responses.
was
adapted
extended
from
unified
theory
acceptance
use
(UTAUT)
model
measure
eight
constructs:
consciousness,
social
influence,
facilitation
conditions,
perceived
risk,
trust,
performance
expectancy,
effort
intention.
Structural
equation
modeling
used
hypothesis
testing.
We
found
expectancy
directly
influenced
Health
consciousness
indirectly
through
trust
expectancy.
Facilitation
conditions
makes
vital
theoretical
contribution
policymakers
product
developers
further
diffusion
mHealth
Japan.
Marketing Intelligence & Planning,
Год журнала:
2023,
Номер
41(5), С. 613 - 629
Опубликована: Июнь 29, 2023
Purpose
Since
the
advent
of
augmented
reality
(AR)
technology,
“Smart
Retailing”
has
become
dominant
business
model
in
retail
sector.
Therefore,
comprehending
dynamics
AR
adoption
is
essential
if
retailers
are
to
successfully
encourage
customers
embrace
this
extremely
innovative
form
technology.
As
a
result,
authors
propose
and
evaluate
more
comprehensive
model,
consisting
task-technology
fit
(TTF)
unified
theory
acceptance
use
technology
(UTUAT2)
models,
for
low-income
countries.
Design/methodology/approach
The
present
research
uses
variance-based
partial
least
squares
structural
equation
modeling
(PLS-SEM)
using
WarpPLS.7
examine
398
responses
from
Egyptian
consumers.
Findings
TTF,
performance
expectancy
(PE),
effort
(EE),
social
influence
(SI),
facilitating
condition
(FC),
hedonic
motivation
(HM)
customer
innovativeness
(CI)
positively
affect
shoppers'
behavioral
intentions
(BI)
adopt
Apps
retail,
while
perceived
risk
(PR)
negatively
affects
BI.
Originality/value
current
study
first
investigate
determinants
BI
toward
context
UTAUT2
TTF
models.
JMIR Human Factors,
Год журнала:
2023,
Номер
10, С. e45503 - e45503
Опубликована: Июнь 21, 2023
With
the
increasing
digitalization
of
health
sector,
more
and
mobile
(mHealth)
apps
are
coming
to
market
continuously
collect
process
sensitive
data
for
benefit
patients
providers.
These
technologies
open
up
new
opportunities
make
care
system
efficient
save
costs
but
also
pose
potential
threats
such
as
loss
or
finances.This
study
aims
present
an
empirical
review
adaptation
extended
privacy
calculus
model
mHealth
domain
understand
what
factors
influence
intended
usage
technologies.A
survey
was
conducted
empirically
validate
our
model,
using
a
case
vignette
cover
story.
Data
were
collected
from
250
German
participants
analyzed
covariance-based
structural
equation
model.The
explains
R2=79.3%
variance
in
intention
use.
The
3
main
(social
norms,
attitude
privacy,
perceived
control
over
personal
data)
influenced
use
apps,
albeit
partially
indirectly.
is
driven
by
benefits
technology,
trust
provider,
social
norms.
Privacy
concerns
have
no
bearing
on
has
large
inhibiting
effect
benefits,
well
provider.
Perceived
clearly
dispels
supports
relationship
between
user
provider.Based
calculus,
domain-specific
better
than
previous,
general
models.
findings
allow
providers
improve
their
products
increase
targeting
specific
groups.