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Article: Factors affecting home care patients' acceptance of a web-based interactive self-management technology

TitleFactors affecting home care patients' acceptance of a web-based interactive self-management technology
Authors
Issue Date2011
PublisherHanley & Belfus, Inc. The Journal's web site is located at http://www.elsevier.com/locate/jamia
Citation
Journal Of The American Medical Informatics Association, 2011, v. 18 n. 1, p. 51-59 How to Cite?
AbstractObjective: With the advent of personal health records and other patient-focused health technologies, there is a growing need to better understand factors that contribute to acceptance and use of such innovations. In this study, we employed the Unified Theory of Acceptance and Use of Technology as the basis for determining what predicts patients' acceptance (measured by behavioral intention) and perceived effective use of a web-based, interactive selfmanagement innovation among home care patients. Design: Cross-sectional secondary analysis of data from a randomized field study evaluating a technologyassisted home care nursing practice with adults with chronic cardiac disease. Measurement and analysis A questionnaire was designed based on validated measurement scales from prior research and was completed by 101 participants for measuring the acceptance constructs as part of the parent study protocol. Latent variable modeling with item parceling guided assessment of patients' acceptance. Results: Perceived usefulness accounted for 53.9% of the variability in behavioral intention, the measure of acceptance. Together, perceived usefulness, health care knowledge, and behavioral intention accounted for 68.5% of the variance in perceived effective use. Perceived ease of use and subjective norm indirectly influenced behavioral intention, through perceived usefulness. Perceived ease of use and subjective norm explained 48% of the total variance in perceived usefulness. Conclusion: The study demonstrates that perceived usefulness, perceived ease of use, subjective norm, and healthcare knowledge together predict most of the variance in patients' acceptance and self-reported use of the web-based self-management technology. © 2010 by the American Medical Informatics Association.
Persistent Identifierhttp://hdl.handle.net/10722/139296
ISSN
2015 Impact Factor: 3.428
2015 SCImago Journal Rankings: 2.315
PubMed Central ID
ISI Accession Number ID
Funding AgencyGrant Number
National Library of MedicineR01-LM6249
Funding Information:

This study was funded by a grant from the National Library of Medicine (R01-LM6249, 'HeartCare II-Custom Support for Home Care').

References

 

DC FieldValueLanguage
dc.contributor.authorOr, CKLen_HK
dc.contributor.authorKarsh, BTen_HK
dc.contributor.authorSevertson, DJen_HK
dc.contributor.authorBurke, LJen_HK
dc.contributor.authorBrown, RLen_HK
dc.contributor.authorBrennan, PFen_HK
dc.date.accessioned2011-09-23T05:48:06Z-
dc.date.available2011-09-23T05:48:06Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal Of The American Medical Informatics Association, 2011, v. 18 n. 1, p. 51-59en_HK
dc.identifier.issn1067-5027en_HK
dc.identifier.urihttp://hdl.handle.net/10722/139296-
dc.description.abstractObjective: With the advent of personal health records and other patient-focused health technologies, there is a growing need to better understand factors that contribute to acceptance and use of such innovations. In this study, we employed the Unified Theory of Acceptance and Use of Technology as the basis for determining what predicts patients' acceptance (measured by behavioral intention) and perceived effective use of a web-based, interactive selfmanagement innovation among home care patients. Design: Cross-sectional secondary analysis of data from a randomized field study evaluating a technologyassisted home care nursing practice with adults with chronic cardiac disease. Measurement and analysis A questionnaire was designed based on validated measurement scales from prior research and was completed by 101 participants for measuring the acceptance constructs as part of the parent study protocol. Latent variable modeling with item parceling guided assessment of patients' acceptance. Results: Perceived usefulness accounted for 53.9% of the variability in behavioral intention, the measure of acceptance. Together, perceived usefulness, health care knowledge, and behavioral intention accounted for 68.5% of the variance in perceived effective use. Perceived ease of use and subjective norm indirectly influenced behavioral intention, through perceived usefulness. Perceived ease of use and subjective norm explained 48% of the total variance in perceived usefulness. Conclusion: The study demonstrates that perceived usefulness, perceived ease of use, subjective norm, and healthcare knowledge together predict most of the variance in patients' acceptance and self-reported use of the web-based self-management technology. © 2010 by the American Medical Informatics Association.en_HK
dc.languageengen_US
dc.publisherHanley & Belfus, Inc. The Journal's web site is located at http://www.elsevier.com/locate/jamiaen_HK
dc.relation.ispartofJournal of the American Medical Informatics Associationen_HK
dc.subject.meshHeart Diseases - therapy-
dc.subject.meshHome Care Services-
dc.subject.meshPatient Acceptance of Health Care-
dc.subject.meshSelf Care-
dc.subject.meshTelenursing-
dc.titleFactors affecting home care patients' acceptance of a web-based interactive self-management technologyen_HK
dc.typeArticleen_HK
dc.identifier.emailOr, CKL:klor@hku.hken_HK
dc.identifier.authorityOr, CKL=rp01369en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1136/jamia.2010.007336en_HK
dc.identifier.pmid21131605-
dc.identifier.pmcidPMC3005875-
dc.identifier.scopuseid_2-s2.0-78650500253en_HK
dc.identifier.hkuros194453en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78650500253&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume18en_HK
dc.identifier.issue1en_HK
dc.identifier.spage51en_HK
dc.identifier.epage59en_HK
dc.identifier.eissn1527-974X-
dc.identifier.isiWOS:000289218000009-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridOr, CKL=14834272300en_HK
dc.identifier.scopusauthoridKarsh, BT=6603540921en_HK
dc.identifier.scopusauthoridSevertson, DJ=6508166798en_HK
dc.identifier.scopusauthoridBurke, LJ=7102048642en_HK
dc.identifier.scopusauthoridBrown, RL=35331629000en_HK
dc.identifier.scopusauthoridBrennan, PF=35473309900en_HK

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