A Person-Technology-Health Framework for Understanding the Antecedents of the Routine Use of Mobile Health Services (Preprint)

2021 ◽  
Author(s):  
Fanbo Meng ◽  
Xitong Guo ◽  
Zeyu Peng ◽  
Kee-hung Lai ◽  
Xiaofei Zhang

BACKGROUND Although mobile health (mHealth) services have been proven to bring numerous benefits to users, the achievement of these potential benefits depends to a great extent upon users’ routine use. Previous studies on mHealth services indicate that the antecedents of the routine use remain largely unexplored. OBJECTIVE The purpose of this study is to propose a person-technology-health framework which underlines how personal factors (e.g., personal innovativeness in IT), technological factors (e.g., trust), and health factors (e.g., perceived health severity) jointly influence routine use intention regarding mHealth services. METHODS The proposed research model and related hypotheses were tested based on survey data comprising 270 respondents. RESULTS The results indicate that personal innovativeness in IT, trust, and perceived health severity are of importance for enhancing routine use intention of mHealth services. Specifically, in situations of high perceived health severity, trust relates less positively to routine use intention than personal innovativeness in IT. In contrast, in situations of low perceived health severity, trust relates more positively to routine use intention than personal innovativeness in IT. All factors collectively explain 44.2% variance in routine use intentions of mHealth services. CONCLUSIONS This study is one of the first to propose a person-technology-health framework by investigating combined effects of personal innovativeness in IT, trust, and perceived health severity on routine use of mHealth services. In addition, this integrative PTH framework provides insights into other contexts of health-related IT adoption and usage and thus may be valuable in future studies.

2020 ◽  
Author(s):  
Xiaohui Wang ◽  
Jingyuan Shi ◽  
Kwan Min Lee

BACKGROUND Although recent developments in mobile health (mHealth) have elevated the importance of assessing the extent to which smartphones empower individuals to seek information online, research in Asian countries investigating the behavior of seeking health information on smartphones has been rare. OBJECTIVE The twofold goal of our study was to provide a comprehensive profile of mobile health information seekers in 10 Asian countries and to examine the individual- and country-level digital divide in mobile health information seeking in Asia. METHODS With survey data from 10 Asian countries (N = 9,086), we ran multilevel regression models to assess the effects of sociodemographic factors, technological factors, and country-level disparity on using smartphones to seek health information. RESULTS Respondents who were women (β = .14, p < .001), parents (β = .16, p < .001), employed (β = .07, p = .009), of higher social status (β = .10, p < .001), and/or from countries with less health expenditure (β = .20, p = .002) were more likely to use smartphones to seek health information. Technological factors, especially the technology innovativeness (β = .11, p < .001) and frequency of smartphone use (β = .41, p < .001), were important factors of such information-seeking behavior. CONCLUSIONS Among smartphone users in Asia, health information seeking varies according to individuals’ socioeconomic status, their concerns with the quality of online information, their innovativeness towards technology, and the government’s health-related expenditure in their respective countries. Although smartphones widen the digital divide among individuals with different socioeconomic status, they also bridge the divide between countries with varying health expenditures. Especially in developing areas, smartphones appear to be a particularly useful complement to seeking health-related information.


2014 ◽  
Vol 10 (3) ◽  
pp. 46-61 ◽  
Author(s):  
Karim Mezghani

This paper aims to develop a research model to explain managers' intentions to switch toward cloud based ERP (Enterprise Resources Planning). Indeed, as cloud computing is considered as a true revolution in Information Technologies field, ERP market is shaping toward more cloud based solutions. However, since cloud computing is presented as a risky alternative, cloud ERP adoption may faces reticence from managers. On the other hand, thanks to the benefits of such system associated to the known difficulties of On-Premises ERP, some managers would rather be motivated to switch to the cloud solution. Thus, from the proposed research model we attempt to present factors that influence managers' intentions to switch toward cloud ERP. By considering IT switching as a particular form of IT adoption, we based our literature review on Theory of planned behavior (TPB) to identify the determinants of switching. This review also allowed us to integrate the expected switching benefits and risks as antecedents and the personal innovativeness as a moderating factor. To contextualize our research model, we performed semi-structured interviews in four Saudi Small and medium enterprises (SMEs). The use of Nvivo 10 to codify and analyze the interviews content combined to a deep analysis of previous researches helped us to improve the research model by adding two additional factors: “top management support” considered as the main determinant of intentions and “satisfaction with actual system” as an important antecedent linked closely to switching.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Marie-Camille Patoz ◽  
Diego Hidalgo-Mazzei ◽  
Bruno Pereira ◽  
Olivier Blanc ◽  
Ingrid de Chazeron ◽  
...  

Abstract Background Despite an increasing number of available mental health apps in the bipolar disorder field, these tools remain scarcely implemented in everyday practice and are quickly discontinued by patients after downloading. The aim of this study is to explore adherence characteristics of bipolar disorder patients to dedicated smartphone interventions in research studies. Methods A systematic review following PRISMA guidelines was conducted. Three databases (EMBASE, PsychInfo and MEDLINE) were searched using the following keywords: "bipolar disorder" or "mood disorder" or “bipolar” combined with “digital” or “mobile” or “phone” or “smartphone” or “mHealth” or “ehealth” or "mobile health" or “app” or “mobile-health”. Results Thirteen articles remained in the review after exclusion criteria were applied. Of the 118 eligible studies, 39 did not provide adherence characteristics. Among the selected papers, study length, sample size and definition of measures of adherence were strongly heterogeneous. Activity rates ranged from 58 to 91.6%. Conclusion The adherence of bipolar patients to apps is understudied. Standardised measures of adherence should be defined and systematically evaluated in future studies dedicated to these tools.


2020 ◽  
Vol 20 (S1) ◽  
Author(s):  
Ferenc Ihász ◽  
Nikolett Schulteisz ◽  
Kevin J. Finn ◽  
Krisztina Szabó ◽  
Judit Gangl ◽  
...  

1993 ◽  
Vol 7 (4) ◽  
pp. 289-295 ◽  
Author(s):  
Diana Chapman Walsh ◽  
Rima E. Rudd ◽  
Lois Biener ◽  
Tom Mangione

Purpose of Proposal. A consolidated framework is proposed to highlight modifiable factors in work organizations that may contribute to alcohol-related problems. This research model serves to organize existing knowledge, highlight pathways for new research initiatives, and offer insights into the design of primary and secondary preventive strategies. Contributing Influences. Current research on problem drinking in the workplace either locates problems in individual drinkers or looks to the social environment to understand how drinking problems unfold. There is a clear need for a more complete theoretical model which incorporates social, cultural, organizational, and personal factors. Proposal Summary. This article elaborates on a model for examining problem drinking at work which integrates policy, normative, and psychosocial influences. It emphasizes the structures within which health-related decisions and actions are contained and constrained. The focus here on the connections between alcohol use and work builds on the premise that health is socially produced.


10.2196/16982 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e16982 ◽  
Author(s):  
Jeremy Snyder ◽  
Marco Zenone ◽  
Valorie Crooks ◽  
Nadine Schuurman

Background There are a range of perceived gaps and shortcomings in the publicly funded Canadian health system. These include wait times for care, lack of public insurance coverage for dental care and pharmaceuticals, and difficulties accessing specialist care. Medical crowdfunding is a response to these gaps where individuals raise funds from their social networks to address health-related needs. Objective This study aimed to investigate the potential of crowdfunding data to better understand what health-related needs individuals are using crowdfunding for, how these needs compare with the existing commentary on health system deficiencies, and the advantages and limitations of using crowdfunding campaigns to enhance or augment our understanding of perceived health system deficiencies. Methods Crowdfunding campaigns were scraped from the GoFundMe website. These campaigns were then limited to those originating in the metropolitan Vancouver region of two health authorities during 2018. These campaigns were then further limited to those raising funds to allow the treatment of a medical problem or related to needs arising from ill health. These campaigns were then reviewed to identify the underlying health issue and motivation for pursuing crowdfunding. Results We identified 423 campaigns for health-related needs. These campaigns requested CAD $8,715,806 (US $6,088,078) in funding and were pledged CAD $3,477,384 (US $2,428,987) from 27,773 donors. The most common underlying medical condition for campaign recipients was cancer, followed by traumatic injuries from collisions and brain injury and stroke. By far, the most common factor of motivation for crowdfunding was seeking financial support for wages lost because of illness (232/684, 33.9%). Some campaigns (65/684, 9.5%) sought help with purchasing medical equipment and supplies; 8.2% (56/684) sought to fund complementary, alternative, or unproven treatments including experimental interventions; 7.2% (49/684) sought financial support to cover travel-related costs, including in-province and out-of-province (49/684, 7.2%) travel; and 6.3% (43/684) campaigns sought help to pay for medication. Conclusions This analysis demonstrates the potential of crowdfunding data to present timely and context-specific user-created insights into the perceived health-related financial needs of some Canadians. Although the literature on perceived limitations of the Canadian health system focuses on wait times for care and limited access to specialist services, among other issues, these campaigners were much more motivated by gaps in the wider social system such as costs related to unpaid time off work and travel to access care. Our findings demonstrate spatial differences in the underlying medical problems, motivations for crowdfunding, and success using crowdfunding that warrants additional attention. These differences may support established concerns that medical crowdfunding is most commonly used by individuals from relatively privileged socioeconomic backgrounds. We encourage the development of new resources to harness the power of crowdfunding data as a supplementary source of information for Canadian health system stakeholders.


2020 ◽  
Author(s):  
Carlos Ayán ◽  
Tania Fernández-Villa ◽  
Antía Duro ◽  
Antonio Molina de la Torre

Author(s):  
Angelina Kouroubali ◽  
Lefteris Koumakis ◽  
Haridimos Kondylakis ◽  
Dimitrios G. Katehakis

The ever-growing demand for acquiring, managing, and exploiting patient health-related information has led to the development of several mobile health apps to support cancer patients. This chapter analyzes the clinical and technological characteristics of mobile apps enabling cancer patients to securely record, manage, and share their information online. It discusses issues relevant to increasing patient experience and acceptance, improving adherence to treatment, and effective support of coordinated care. Outcomes of recent research projects relevant to end user digital engagement, trust, interoperability, and usability/adaptability lead to an integrated approach towards developing quality mobile health apps. Improving quality of life and wellbeing in a secure and safe manner that respects the patients' privacy seems to be the key challenge. Regulation, standardization, and interoperability together with the existence of useful, accurate, and reliable tools for active patient engagement are imperative for efficient cancer disease management.


Author(s):  
L. Koh-Herlong ◽  
Abbie Brown

The purpose of this chapter is to provide data and suggestions to educators for teaching and modeling concepts and practices related to online identity. The capabilities introduced by Web 2.0 have changed the potential benefits and liabilities of using online identities. Because online identities can be different from a person's real, offline self, approaches for teaching online self-presentation will differ from the traditional methods of teaching about social interaction. The authors present two theoretical foundations to frame the concept of online self. After a discussion of issues and problems associated with online identities, the authors apply the findings from a recent study to help educators model and teach about online identities. The primary findings are the identification of four types of online identities that include real, desired, enhanced, and deceptive. The chapter concludes with recommendations for future studies to further this topic and extend the current research.


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