scholarly journals Examining Protection Motivation and Network Externality Perspective Regarding the Continued Intention to Use M-Health Apps

Author(s):  
Yumei Luo ◽  
Guiping Wang ◽  
Yuwei Li ◽  
Qiongwei Ye

M-health apps have developed rapidly and are widely accepted, but users’ continued intention to use m-health apps has not been fully explored. This study was designed to obtain a better understanding of users’ continued intention to use m-health apps. We developed a theoretical model by incorporating the protection motivation theory and network externalities and conducted an empirical study of a 368-respondent sample. The results showed that: (1) perceived vulnerability has a direct impact on users’ self-efficacy and response efficacy; (2) self-efficacy and response efficacy have a direct impact on users’ attitudes and continued intention; (3) network externalities affect users’ attitudes and continued intention, among which direct network externalities have an indirect impact on users’ continued intention through attitude; and (4) the impacts of self-efficacy, response efficacy, and indirect network externalities on continued intention are partially meditated by attitudes.

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Joris Adriaan Frank van Loenhout ◽  
Kirsten Vanderplanken ◽  
Bénédicte Scheen ◽  
Stephan Van den Broucke ◽  
Isabelle Aujoulat

Abstract Background Since the start of the COVID-19 outbreak, the Belgian government has implemented various infection prevention and control measures. This study assessed the extent to which the general population in Belgium adhered to these measures, and which determinants were associated with adherence. Methods We undertook an internet survey among a sample of the Belgian population, representative for sex, age, socio-economic status and province. The questionnaire included various demographic, socio-economic and health-related questions, and also drew upon the Protection Motivation Theory as a theoretical framework to measure levels of perceived severity, vulnerability, perceived usefulness of the measures (response efficacy), perceived personal capacity to adhere (self-efficacy), and past and future adherence. Data were collected in Dutch and French, the main languages of Belgium. Results Our study was carried out in September 2020, and the number of respondents was 2008. On average, respondents provided high scores for each of the measures in place in September in terms of response efficacy (range of 3.54–4.32 on 1 to 5 Likert-scale), self-efficacy (range of 3.00–4.00), past adherence (4.00–4.68) and future adherence (3.99–4.61). The measure that overall received the highest scores was wearing a face mask in public spaces, while ‘the social bubble of 5’ generally received the lowest scores. There was a statistically significant relationship between response efficacy and self-efficacy on the one hand and (past and future) adherence on the other hand, in a multivariate model corrected for confounders. Vulnerability and severity did not show statistical significance. Conclusion Risk communication regarding COVID-19 should place a stronger emphasis on helping people understand why implemented measures are useful and how they can be put into practice, more than on increasing fear appeals.


Author(s):  
A.Y.M. Atiquil Islam

The prime objective of this study was to develop and validate the Technology Adoption and Gratification (TAG) Model to evaluate the adoption and gratification of lecturers in using ICT facilities for their teaching and research purposes in higher education. The second objective of this study was to evaluate the cross-cultural validation of the causal structure of the TAG model. A total of 396 lecturers were collected from two public universities, namely, University of Malaya in Malaysia and Jiaxing University in China using stratified random sampling procedure. The questionnaire's validity was established through Exploratory Factor Analysis (EFA) using SPSS version 21.0. The data was analyzed applying Structural Equation Modeling (SEM) using AMOS version 18. The findings of the research using the TAG model discovered that the computer self-efficacy of the lecturers had a positive direct impact on their perceived usefulness and ease of use, while the latter two factors also had a significant direct impact on gratification and intention to use, separately. Meanwhile, gratification and actual use of ICT facilities were directly affected by intention to use. Moreover, computer self-efficacy had a positive and significant indirect impact on gratification and intention to use mediated by perceived usefulness and ease of use, respectively. In addition to lecturers' perceived ease of use and usefulness had a significant indirect effect on their gratification mediated by intention to use. The results of the invariance analysis of the TAG model also demonstrated that the model was valid for measuring lecturers' adoption and gratification in using ICT facilities. However, the TAG model works differently in cross-cultural settings. The findings contribute to the existing body of knowledge in the field of ICT by developing and validating the applicability of the TAG Model within institutions of higher education. Once validated the model could then be applied by future researchers, academicians and practitioners in the diverse context of education.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Emma J Williams ◽  
Adam N Joinson

Abstract Phishing e-mails are fraudulent e-mails used to gain access to sensitive information or secure computer systems. They persuade users to click on malicious links, download attachments or provide sensitive information, such as usernames or passwords. One approach that aims to reduce people’s susceptibility to phishing is the provision of information to users regarding the phishing threat and the techniques used within phishing e-mails. In line with this, awareness campaigns are often used within organizations and wider society to raise awareness of phishing and encourage people to engage with protective information. However, the potential effectiveness of such approaches in reducing susceptibility remains uncertain. In particular, there is a lack of research investigating (i) whether the propensity to access such information may in itself influence susceptibility to phishing and (ii) the different factors that motivate people to engage with information in the first place. In order to understand how current and future interventions regarding phishing may be consumed by users, as well as their potential impact on phishing susceptibility, it is important to conduct theoretically based research that provides a foundation to investigate these issues. This study provides a first step in addressing this by developing and validating a theoretically based survey measure across two studies centred upon the constructs of protection motivation theory (perceived vulnerability, severity, self-efficacy and response efficacy) to assess the factors that influence whether people choose to keep up to date with protective information about phishing. This survey measure is then used within Study 2 to provide an initial investigation of the role of these constructs in (i) self-reported user intentions to keep up to date with phishing techniques in the future and (ii) phishing discrimination ability, assessed using a phishing quiz. Overall, higher perceived threat severity, self-efficacy and response efficacy were associated with greater intentions, while greater perceived vulnerability was associated with lower intentions. No relationship was found with phishing discrimination ability. By understanding the factors that influence user intention to maintain knowledge and seek information about phishing threats, it will be possible to ensure that, as effective interventions are developed, their potential impact can be maximized.


2020 ◽  
Author(s):  
Roghayeh Ezati Rad ◽  
Hesamaddin Kamalzadeh Takhti ◽  
Mehdi Hassani Azad ◽  
Shokrollah Mohseni ◽  
Teamur Aghamolaei ◽  
...  

Abstract Background: The present research aimed to predict the preventive behaviors of COVID-19 in the light of the Protection Motivation Theory (PMT).Methods: The present cross-sectional research was conducted in 2 months (March 2020-April 2020) in Hormozgan Province of Iran. The research population comprised all residents above 15 years of age. They received an online questionnaire survey in two parts, demographic information along with PMT constructs. To analyze the data, independent t-test and one-way anova test, Multiple linear regression and the statistical technique of path analysis and structural equation modeling was used. All statistical calculations and hypothesis testing were performed using spss21 and Amos21 software and a significant level of hypothesis testing was considered to be 0.05Results: A total number of 2,032 subjects participated in this research, the mean age of whom was 34.84±9.8 (R=15-98). The majority of participants were between 31 - 40 years old, female (60.4%), married (72%), urban residents (87.3%), holding a Bachelor’s degree or higher (58.8%) and employed (58.8%). Statistically significant positive correlation coefficients were estimated between preventive behaviors of COVID-19 and perceived vulnerability (r=0.192, p<0.001), perceived severity (r=0.092, p<0.001), response efficacy (r=0.398, p<0.001) ,self efficacy (r=0.497, p<0.001) and protection motivation (r=0.595, p<0.001). Statistically significant negative correlations were found between behavior and maladaptive behavior rewards (r=-0.243, p<0.001) and perceived costs (r=-0.121, p<0.001).Conclusions: The present findings showed that maladaptive behavior reward and fear predicted protective behaviors negatively; response efficacy and self-efficacy predicted protective behaviors positively. The effect of self-efficacy was the strongest among all. The information provided in this research can contribute to policy-making in the country.


Author(s):  
Diana Fischer-Preßler ◽  
Dario Bonaretti ◽  
Kai Fischbach

AbstractMobile emergency warning apps are essential for effective emergency communication – of course, provided the population intends to use them. Drawing on protection motivation theory, the study validated a psychometric model to explain what motivates individuals to install a warning app for the first time and to keep using it over time. Multi-group covariance-based structural equation modeling was used to model the answers to a survey that measured the drivers of intention to begin using or intention to continue using a warning app. The model shows that, for both non-users and users, trust, social influence, and response efficacy positively and maladaptive rewards negatively affect intention to use and intention to continue use warning apps. However, perceived vulnerability influences only intention to use, whereas response cost and self-efficacy affect continued use intention. Hence, this study enhances the theoretical understanding of technology-enabled protection behaviors and provides practitioners with a list of factors to consider for pushing the adoption and continued use of emergency warning applications.


2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Van Pham ◽  
Hoang Nguyen ◽  
Le Huu Tho ◽  
Truong Tan Minh ◽  
Porntip Lerdboon ◽  
...  

With an increase in sexual activity among young adults in Vietnam and associated risks, there is a need for evidence-based sexual health interventions. This evaluation of three sexual health programs based on the Protection Motivation Theory (PMT) was conducted in 12 communes in Ha Noi, Nha Trang City, and Ninh Hoa District. Inclusion criteria included unmarried youth 15–20 years residing in selected communes. Communes were randomly allocated to an intervention, and participants were randomly selected within each commune. The intervention programs included Vietnamese Focus on Kids (VFOK), the gender-based program Exploring the World of Adolescents (EWA), and EWA plus parental and health provider education (EWA+). Programs were delivered over a ten-week period in the communities by locally trained facilitators. The gender-based EWA program with parental involvement (EWA+) compared to VFOK showed significantly greater increase in knowledge. EWA+ in comparison to VFOK also showed significant decrease at immediate postintervention for intention to have sex. Sustained changes are observed in all three interventions for self-efficacy condom use, self-efficacy abstinence, response efficacy for condoms, extrinsic rewards, and perceived vulnerability for HIV. These findings suggest that theory-based community programs contribute to sustained changes in knowledge and attitudes regarding sexual risk among Vietnamese adolescents.


2021 ◽  
Author(s):  
Siwarat Pattanrsi ◽  
Thi Phuoc Lai Nguyen

Abstract Background Urban marginalized people are most vulnerable to the Covid-19 pandemic because of their poor water and hygiene conditions and high-density populated environment. However, there lack WASH facilities and theory-guided behavioural health intervention programs towards the Covid-19 pandemic in these fragile communities. Methods This study used the combined Knowledge- Practice -Theory (KAP) and Protection Motivation Theory (PMT) to predict the protective motivation behaviours of urban marginalized people against Covid-19. The phenomenological approach was applied to examine the slum communities' lived experiences during the COVID-19 pandemic. Data was collected through 105 semi-structured interviews and 453 questionnaires in two slum communities in Bangkok, Thailand. Results Results showed that most Thai slum people tended to have better access WASH and healthcare services and protection behaviours towards Covid-19 than other foreign migrant slum people. Structural Equation Modelling results illustrated that knowledge directly drove marginalized peoples’ perceived vulnerability and practices, while practices influenced their perceived severity, self, and response efficacy which directly associated with their behavioural intentions. Conclusions Future pandemic prevention intervention programs should focus on vulnerability and severity through providing adequate WASH facilities and self-efficacy and response efficacy of protection motivation through enhancing community sensitization and awareness of COVID-19 protection.


2021 ◽  
Vol 8 (1) ◽  
pp. 1-8
Author(s):  
Nematollah Jaafarzadeh Haghighifard ◽  
Mehdi Mojadam ◽  
Mohammad Hassan Ehrampoush ◽  
Mohammad Ali Morowatisharifabad ◽  
Morteza Abdullatif Khafaie ◽  
...  

Background: Dust particles are one of the most important environmental problems that are threatening many countries, and patients with cardiovascular diseases (CVDs) are a vulnerable group in this respect. The present study was conducted to examine the protective strategies among patients with CVDs against exposure to dust phenomenon based on the protection motivation theory (PMT). Methods: This cross-sectional study was performed on 183 patients with CVDs who referred to health care centers in Ahvaz city, Khuzestan province, southwest of Iran. Participants were selected from patients with CVDs recruited for routine national Package of Essential Non-communicable Disease (IRA-PEN) through random cluster sampling. Data were collected using a researcher-made questionnaire based on the PMT. Data were analyzed using descriptive and analytical tests such as Pearson correlation coefficient and multiple linear regressions by SPSS version 22. Results: The mean scores of the constructs of perceived response efficacy (4.06 ± 20.06) and sensitivity (19.89 ± 4.30) were higher than those of other constructs. Correlation coefficient test showed a significant positive correlation between risk behaviors of exposure to dust phenomenon and self-efficacy, response efficacy and protection motivation, but negatively correlated with cost response. Also, self-efficacy variable, type of health insurance, and protection motivation were the predictive indicators of behavior. Conclusion: The constructs of the PMT explained the risk reduction behaviors of exposure to dust phenomenon in patients with CVDs. Therefore, this theory can be used as a framework for designing educational programs to increase the motivation of patients with CVDs to adopt risk reduction behaviors for exposure to dust.


2020 ◽  
Author(s):  
Roghayeh Ezati Rad ◽  
Shokrollah Mohseni ◽  
Hesamaddin Kamalzadeh Takhti ◽  
Mehdi Hassani Azad ◽  
Nahid Shahabi ◽  
...  

Abstract Background: The present research aimed to predict the preventive behaviors of COVID-19 in the light of the Protection Motivation Theory (PMT).Methods: The present cross-sectional research was conducted in 2 months (March 2020-April 2020) in Hormozgan Province of Iran. The research population comprised all residents above 15 years of age. They received an online questionnaire survey in two parts, demographic information along with PMT constructs. To analyze the data, independent t-test and one-way anova test, Multiple linear regression and the statistical technique of path analysis and structural equation modeling was used. All statistical calculations and hypothesis testing were performed using spss21 and Amos21 software and a significant level of hypothesis testing was considered to be 0.05Results: A total number of 2,032 subjects participated in this research, the mean age of whom was 34.84±9.8 (R=15-98). The majority of participants were between 31 - 40 years old, female (60.4%), married (72%), urban residents (87.3%), holding a Bachelor’s degree or higher (58.8%) and employed (58.8%). Statistically significant positive correlation coefficients were estimated between preventive behaviors of COVID-19 and perceived vulnerability (r=0.192, p<0.001), perceived severity (r=0.092, p<0.001), response efficacy (r=0.398, p<0.001) ,self efficacy (r=0.497, p<0.001) and protection motivation (r=0.595, p<0.001). Statistically significant negative correlations were found between behavior and maladaptive behavior rewards (r=-0.243, p<0.001) and perceived costs (r=-0.121, p<0.001). Conclusions: The present findings showed that maladaptive behavior reward and fear predicted protective behaviors negatively; response efficacy and self-efficacy predicted protective behaviors positively. The effect of self-efficacy was the strongest among all. The information provided in this research can contribute to policy-making in the country.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alireza Ansari-Moghaddam ◽  
Maryam Seraji ◽  
Zahra Sharafi ◽  
Mahdi Mohammadi ◽  
Hassan Okati-Aliabad

Abstract Background Many efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). Methods We conducted a cross-sectional study in the Iranian adult population and surveyed 256 study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. Results SEM showed that perceived severity to COVID-19 (β = .17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (β = .26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (β = .70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and perceived response efficacy was the strongest predictor of COVID-19 vaccination intention. Conclusions This study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.


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