scholarly journals Application of In-Home Monitoring Data to Transition Decisions in CCRC's: A Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Katherine Wild ◽  
Nicole Sharma ◽  
Nora Mattek ◽  
Jason Karlawish ◽  
Thomas Riley ◽  
...  

BACKGROUND Continuous in-home monitoring of older adults can provide rich and sensitive data capturing subtle behavioral and cognitive changes. Our previous work has identified multiple metrics that describe meaningful trends in daily activities over time. The continuous, multi-domain nature of this technology may also serve to inform caregivers of the need for increased attention in order to maintain the health and safety of at-risk older adults. Accordingly, care decisions can be based on objective, systematically assessed real-time data. OBJECTIVE The present study deployed a suite of in-home monitoring technologies to detect changing levels of care needs in residents of independent living units in seven retirement communities. METHODS Continuous activity data were presented to staff involved in decisions regarding transitions in care. Comparisons were planned between outcomes for residents whose data were shared and those whose data were not made available to staff. Staff use of the data dashboard was also monitored over the course of the study. RESULTS Despite initial enthusiasm and an iterative process of refinement of measures and modes of data presentation based on staff input, actual inspection and therefore use of resident data was well below expectation. Survey data and in-depth interviews offered insight to the mismatch between intended and actual use. CONCLUSIONS Most continuous in-home monitoring technology acceptance models focus on perceived usefulness and ease of use, and equate intent to use technology with actual use. Our experience suggests otherwise. We found multiple intervening variables exist between perceived usefulness, intent to use and actual use. Ethical, institutional, and social factors are considered in their role as determinants of use.

2020 ◽  
Author(s):  
Todd Molfenter ◽  
Nancy Roget ◽  
Michael Chaple ◽  
Stephanie Behlman ◽  
Olivia Cody ◽  
...  

BACKGROUND COVID-19 social distancing guidelines caused a rapid transition to telephone and video technologies for the delivery of substance use disorder (SUD) treatment. The study examined: a) adoption of these technologies across the SUD service continuum; b) acceptance of these technologies by service providers; and c) intention of providers to use these technologies following the pandemic. An additional analysis used the validated Technology Acceptance Model (TAM) to test the rigor of the intent to use the technology post-pandemic. OBJECTIVE Specific hypotheses were that over 50% of organizations would use telephone and video technologies, that organizations would report statistically significant odds of increasing their use of technology after the COVID-19 pandemic, and that perceived usefulness of telephone and video technologies would mediate the effect of ease of use on intention to use. METHODS An on-line survey distributed between May and August, 2020 measured current use of telephone and video services, assessed perceived organizational readiness to use these services, and gauged intent to use telephone and video applications post-COVID-19. Seven of the 10 Regional Addiction Technology Transfer Centers (ATTCs), representing 43 states, distributed the survey. The unit of analysis was the organization. RESULTS Four hundred and fifty-seven organizations responded. Overall, there was widespread use of technology; greater than 70% of organizations reported using telephone or video for most services. For all but two services (residential and buprenorphine services by telephone), organizations reported significantly greater odds (mean OR = 3.79; range from 1.87 to 6.98) of intending to use technology to deliver services post COVID-19. Clinical users regarded video more favorably than telephone for all but two services. Readiness for telephone and video use was high across numerous factors, though telephone services were viewed as being more accessible. Consistent with the TAM, perceived usefulness and ease of use influenced intention to use both telephone and video technologies. CONCLUSIONS The overall perceived ease of use and usefulness of telephone and video-based services provide a promising outlook for use of these services post the COVID-19 pandemic. Future studies should continue to review the acceptance of these services and their comparative impact on care outcomes. CLINICALTRIAL This trial is not currently registered since it was not an randomized controlled trial.


2018 ◽  
Vol 7 (4.9) ◽  
pp. 90
Author(s):  
Yuhelmi . ◽  
Surya Dharma ◽  
Mery Trianita ◽  
Listiana Sri Mulatsih

This study was aimed to investigate the determinants of actual use of computer based transaction processing system among employees in minimarkets in Padang, Indonesia. In addition to Perceived ease of use and perceived usefulness which are the basic models of Technology Acceptance Model (TAM), Subjective norm was conceptualized as an external variable that affecting Technology Acceptance among users of transaction processing system. In total, 246 employees participated in this study. The results show that the perceived ease of use positively affects Perceived Usefulness and Attitude. Furthermore, perceived usefulness and subjective norm have positively affected on Attitude. Likewise Attitude has positively affected on Actual Use. This study reveals that employees tend to comply the peers’ opinion on using transaction processing system. For future research is expected to expand the TAM model by adding external variables and individual characteristics as a moderator variable  


Device ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 9-14
Author(s):  
Saifu Rohman

Company Profile sebuah perusahaan merupakan sebuah media yang memiliki peran yang sangat penting dalam menunjukkan eksistensinya di dalam berbagai bidang dunia bisnis. Perkembangan dunia teknologi informasi menuntut untuk selalu memberikan sesuatu yang lebih nyaman dan mengedepankan user experience. Metode TAM (Technology Acceptance Model) merupakan salah satu metode yang tepat dalam merancang dan membangun sistem yang user friendly dalam meningkatkan tingkat kepuasan pengguna pada user experience. Dengan mengimplementasikan konstruk-konstruk TAM yang meliputi PU (Perceived Usefulness), PEOU (Perceived Ease of Use), ATU (Attitude Toward Using), BITU (Behavioral Intention to Use) dan AU (Actual Use) maka dapat dipastikan akan meningkatkan tingkat kenyamanan user experience melalui interface yang baik dan sesuai dengan kebutuhan pengguna informasi.


Author(s):  
Maddy Halbach ◽  
Tao Gong

The purpose of this study was to investigate the roles leadership behaviors have on technology acceptance models, focusing on bank leaders’ intention to use mobile-commerce. The study included responses from 101 senior-level managers working at FDIC-insured commercial banks in the United States. Three instruments including Kouzes and Posner’s (1987) leadership practice inventory (LPI), Wu and Wang’s (2005) mobile commerce technology acceptance model (MC-TAM), and Oreg’s (2003) resistance to change model (RTC) were employed. A correlation analysis revealed that two transformational leadership behaviors—model the way and enabling others to act—positively relate to behavioral intent to use mobile commerce. A regression analysis found that perceived compatibility, perceived usefulness, and perceived ease of use are positively related to the behavioral intent to use m-Commerce. However, the authors found that the RTC and LPI model cannot predict the willingness to use m-Commerce.


Author(s):  
M. McCord

The Technology Acceptance Model (TAM) (Davis, 1989) measures perceived usefulness and perceived ease of use as predictors of a user’s intent to use computer technology, and their actual usage on the job. The measure first appeared in 1989, in an MIS Quarterly article by Fred Davis and in a coauthored article in Management Science(Davis, 1989; Davis, Bagozzi, & Warshaw, 1989). Extending the Theory of Reasoned Action (Ajzen & Fishbein, 1980) to technology, Perceived usefulness (U) is defined as “the degree to which a person believes a particular system would enhance his or her job performance.” Perceived ease of use (EOU) is defined as “the degree to which a person believes that using a particular system would be free of effort.” ‘Usage intentions’ (BI) was measured through self-predicted future usage and ‘user acceptance’ was measured through self-reported current usage. Although information technology is adopted to improve employee performance, these gains are often lost or diminished by users’ unwilling to accept and use the information system. Davis wanted to understand why users rejected or accepted information technologies, to better predict, explain and increase user acceptance. The TAM model has since become one of the most established models for predicting user acceptance.


2018 ◽  
Vol 14 (3) ◽  
pp. 12-31 ◽  
Author(s):  
Isaac Kofi Mensah

This research article explores the important elements of trust and transparency to the adoption of e-government services. The Technology Acceptance Model was used as the theoretical framework. The data capture and analyses were conducted with SPSS. The results indicate that trust in the internet was a significant predictor of both the intention to use and perceived ease of use (PEOU), but was not significant in predicting perceived usefulness (PU) and the actual use (AU) of e-government services. Trust in the government (TG) was also not significant in determining both the intention to use and PEOU of e-government services. Rather TG had a significant impact on PU and the actual use (AU) of e-government services. Furthermore, perceived transparency was a significant predictor of PU, IU, and AU of e-government services. The implications of these findings on the implementation of e-government are thoroughly discussed.


2011 ◽  
Vol 7 (1) ◽  
pp. 20-37 ◽  
Author(s):  
Teta Stamati ◽  
Drakoulis Martakos

The paper examines the critical success factors for employees’ adoption of the unified Local Government Access Framework (LGAF), deployed for the Central Union of Municipalities and Communities of Greece. Following an extensive bibliographical survey, an initial conceptual framework (CF1) based on the Technology Acceptance Model (TAM) for LGAF adoption is proposed, which is empirically explored within sixteen Local Governments Organizations. The CF1 is revised using the structured-case approach. New concepts discovered during each research cycle revealed that LGAF adoption is a procedure of experiential judgement. The applicability of the TAM is investigated and the model is enhanced, exploring additional variables that affect perceived ease of use, perceived usefulness and actual use. A final complementary CF2 is presented and the evaluation of this model according to the data received from the case studies is discussed.


2018 ◽  
Author(s):  
Jennifer Dickman Portz ◽  
Elizabeth A Bayliss ◽  
Sheana Bull ◽  
Rebecca S Boxer ◽  
David B Bekelman ◽  
...  

BACKGROUND Patient portals offer modern digital tools for older adults with multiple chronic conditions (MCC) to engage in their health management. However, there are barriers to portal adoption among older adults. Understanding portal user interface and user experience (UI and UX) preferences of older adults with MCC may improve the accessibility, acceptability, and adoption of patient portals. OBJECTIVE The aim of this study was to use the Technology Acceptance Model (TAM) as a framework for qualitatively describing the UI and UX, intent to use, and use behaviors among older patients with MCC. METHODS We carried out a qualitative descriptive study of Kaiser Permanente Colorado’s established patient portal, My Health Manager. Older patients (N=24; mean 78.41 (SD 5.4) years) with MCC participated in focus groups. Stratified random sampling was used to maximize age and experience with the portal among participants. The semistructured focus groups used a combination of discussion and think-aloud strategies. A total of 2 coders led the theoretically driven analysis based on the TAM to determine themes related to use behavior, portal usefulness and ease of use, and intent to use. RESULTS Portal users commonly used email, pharmacy, and lab results sections of the portal. Although, generally, the portal was seen to be easy to use, simple, and quick, challenges related to log-ins, UI design (color and font), and specific features were identified. Such challenges inhibited participants’ intent to use the portal entirely or specific features. Participants indicated that the portal improved patient-provider communication, saved time and money, and provided relevant health information. Participants intended to use features that were beneficial to their health management and easy to use. CONCLUSIONS Older adults are interested in using patient portals and are already taking advantage of the features available to them. We have the opportunity to better engage older adults in portal use but need to pay close attention to key considerations promoting usefulness and ease of use.


2020 ◽  
Vol 13 (3) ◽  
pp. 164
Author(s):  
Anggit Esti Irawati ◽  
Ehrmann Suhartono

<p>Potensi penggunaan e-money sangat besar dan menarik perhatian sebagai cara pembayaran alternatif di seluruh dunia. Pemerintah melalui Bank Indonesia menggerakkan masyarakat untuk melakukan Gerakan Nasional Non Tunai (GNNT). Namun, hanya lapisan masyarakat tertentu yang sudah terbiasa menggunakan transaksi dengan <em>e-money</em>. Sebagian masyarakat beranggapan bahwa transaksi pembayaran menggunakan <em>e-money</em> masih terdapat banyak kekurangan. Penelitian ini bertujuan untuk menguji <em>Technology Acceptance Model</em> (TAM) yaitu <em>perceived ease of use</em> dan <em>perceived usefulness</em>, selain itu juga menambahkan <em>perceived risk</em> untuk mengetahui pengaruh terhadap <em>attitude toward using</em> dan <em>actual use</em> terhadap penggunaan aplikasi LinkAja. Metode analisis menggunakan <em>Structural Equation Modeling</em> (SEM) dengan alat analisis SmartPLS. Penelitian ini dilakukan dengan metode survei dan sampel diambil menggunakan teknik <em>purposive sampling</em> terhadap responden yang menggunakan aplikasi LinkAja di seluruh Indonesia. Responden yang diperoleh sebanyak 200 responden. Hasil penelitian menunjukkan bahwa <em>perceived ease of use</em> dan <em>perceived usefulness</em> berpengaruh positif signifikan terhadap <em>attitude toward using</em> dan <em>actual use</em>. <em>Perceived risk</em> tidak berpengaruh signifikan terhadap <em>actual use</em> aplikasi LinkAja.</p>


Author(s):  
Ángel Hernández-García ◽  
Ángel Francisco Agudo-Peregrina ◽  
Santiago Iglesias-Pradas

The main results from the study confirm the influence of the variables from Technology Acceptance Model –perceived ease of use and perceived usefulness– and of perceived compatibility on the adoption of this service. Although self-expressiveness was also found to be an antecedent of perceived usefulness, all other variables –personal innovativeness, subjective norm, perceived behavioral control, perceived cost, and perceived quality of service– were found to have no influence on the adoption of mobile video-calls. Other important findings are the critical role played by perceived usefulness, the existing gap between attitudes, intentions and actual use, and the role of perceived cost in the adoption of mobile video-call. Other findings and recommendations for future research are also discussed.


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