m-Health adoption by healthcare professionals: a systematic review

Abstract Objective The aim of this systematic review was to synthesize current knowledge of the factors influencing healthcare professional adoption of mobile health (m-health) applications. Methods Covering a period from 2000 to 2014, we conducted a systematic literature search on four electronic databases (PubMed, EMBASE, CINAHL, PsychInfo). We also consulted references from included studies. We included studies if they reported the perceptions of healthcare professionals regarding barriers and facilitators to m-health utilization, if they were published in English, Spanish, or French and if they presented an empirical study design (qualitative, quantitative, or mixed methods). Two authors independently assessed study quality and performed content analysis using a validated extraction grid with pre-established categorization of barriers and facilitators. Results The search strategy led to a total of 4223 potentially relevant papers, of which 33 met the inclusion criteria. Main perceived adoption factors to m-health at the individual, organizational, and contextual levels were the following: perceived usefulness and ease of use, design and technical concerns, cost, time, privacy and security issues, familiarity with the technology, risk-benefit assessment, and interaction with others (colleagues, patients, and management). Conclusion This systematic review provides a set of key elements making it possible to understand the challenges and opportunities for m-health utilization by healthcare providers.

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Effect of barrier related factors on perceived usefulness and ease of use of social media applications in the Australian healthcare sector

Australasian Journal of Information Systems ◽

10.3127/ajis.v25i0.2625 ◽

2021 ◽

Vol 25 ◽

Author(s):

Irfanuzzaman Khan ◽

Jennifer Loh ◽

Abu Saleh ◽

Ali Quazi ◽

Majharul Talukder

Keyword(s):

Social Media ◽

Structural Equation ◽

Healthcare Professionals ◽

Healthcare Providers ◽

Ease Of Use ◽

Perceived Usefulness ◽

Healthcare Sector ◽

Cross Sectional Survey ◽

Related Factors ◽

Cross Sectional

Despite the growing popularity of social media internationally, an extant review of the literature revealed a low rate of social media usage among healthcare professionals. While cynicism amongst healthcare professionals might be a reason, there might be other factors that could explain healthcare professionals’ reluctance to use social media in their practices. This research investigated potential barriers that affected healthcare professionals’ behavioural intention to use social media. A cross-sectional survey was randomly administered to 824 healthcare professionals working in Australian healthcare organisations. At the end of data collection, 219 usable responses were collected. Analysis of data via structural equation model (SEM) found that perceived trust, privacy threats, professional boundary, facilitating conditions and self-efficacy significantly influence the notion of perceived usefulness and ease of use. In addition, information quality directly influences health professionals’ perceived ease of utilising social media technology. The result also indicated that gender moderates the relationship between barrier-related factors and perceived usefulness and ease of use. This study’s findings have important implications for healthcare providers and policymakers regarding medical professionals’ perceptions of the potential challenges in using social media as well as developing strategies to counter misinformation against the backdrop of COVID-19.

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Perceptions of healthcare professionals about the adoption and use of EHR in Gulf Cooperation Council countries: a systematic review

BMJ Health & Care Informatics ◽

10.1136/bmjhci-2019-100099 ◽

2020 ◽

Vol 27 (1) ◽

pp. e100099

Author(s):

Bander Alanazi ◽

Kerryn Butler-Henderson ◽

Mohammed Alanazi

Keyword(s):

Systematic Review ◽

Technology Acceptance ◽

Policy Development ◽

Healthcare Professionals ◽

Gulf Cooperation Council ◽

Ease Of Use ◽

Perceived Usefulness ◽

Personal Factors ◽

Gulf Region ◽

Negative Perceptions

IntroductionElectronic health records (EHRs) can improve the quality and safety of care. However, the adoption and use of the EHR is influenced by several factors, including users’ perception.ObjectivesTo undertake a systematic review of the literature to understand healthcare professionals’ perceptions about the adoption and use of EHRs in Gulf Cooperation Council (GCC) countries in order to influence the implementation strategies, training programme and policy development in the GCC region.MethodA systematic literature search was undertaken on seven online databases to identify articles published between January 2006 and December 2017 examining healthcare professionals’ perception towards the adoption and use of EHR in the Gulf context.ResultsThe fourteen articles included in this review identified both positive and negative perceptions of the role of EHR in healthcare. The positive perceptions included EHR benefits, such as improvements to work efficiency, quality of care, communication and access to patient data. Conversely, the negative perceptions were associated with challenges or risks of adopting an EHR, such as disruption of provider–patient communication, privacy and security concerns and high initial costs. The perceptions were influenced by personal factors (eg, age, occupation and computer literacy) and system factors (perceived usefulness and perceived ease of use).ConclusionPositive perceptions of EHRs by the healthcare professionals could facilitate the adoption of this technology in the Gulf region, particularly when barriers are addressed early. Negative perceptions may inform change management strategies during adoption and implementation. The perceptions should be further evaluated from a technology acceptance perspective.

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A Systematic Review of Research Studies Examining Telehealth Privacy and Security Practices Used By Healthcare Providers

International Journal of Telerehabilitation ◽

10.5195/ijt.2017.6231 ◽

2017 ◽

Vol 9 (2) ◽

pp. 39-58 ◽

Cited By ~ 5

Author(s):

Valerie J.M. Watzlaf ◽

Leming Zhou ◽

Dilhari R. DeAlmeida ◽

Linda M. Hartman

Keyword(s):

Systematic Review ◽

Computer Security ◽

Healthcare Providers ◽

The United States ◽

Specific Information ◽

Exclusion Criteria ◽

Privacy And Security ◽

Security Practices ◽

Meta Analyses ◽

Encryption And Authentication

The objective of this systematic review was to systematically review papers in the United States that examine current practices in privacy and security when telehealth technologies are used by healthcare providers. A literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). PubMed, CINAHL and INSPEC from 2003 – 2016 were searched and returned 25,404 papers (after duplications were removed). Inclusion and exclusion criteria were strictly followed to examine title, abstract, and full text for 21 published papers which reported on privacy and security practices used by healthcare providers using telehealth. Data on confidentiality, integrity, privacy, informed consent, access control, availability, retention, encryption, and authentication were all searched and retrieved from the papers examined. Papers were selected by two independent reviewers, first per inclusion/exclusion criteria and, where there was disagreement, a third reviewer was consulted. The percentage of agreement and Cohen’s kappa was 99.04% and 0.7331 respectively. The papers reviewed ranged from 2004 to 2016 and included several types of telehealth specialties. Sixty-seven percent were policy type studies, and 14 percent were survey/interview studies. There were no randomized controlled trials. Based upon the results, we conclude that it is necessary to have more studies with specific information about the use of privacy and security practices when using telehealth technologies as well as studies that examine patient and provider preferences on how data is kept private and secure during and after telehealth sessions.Keywords: Computer security, Health personnel, Privacy, Systematic review, Telehealth

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Barriers and facilitators to implementing clinical imaging guidelines by healthcare professionals using theoretical domains framework: a mixed-methods systematic review protocol

BJR|Open ◽

10.1259/bjro.20210004 ◽

2021 ◽

Vol 3 (1) ◽

pp. 20210004

Author(s):

Harriet Nalubega Kisembo ◽

Ritah Nassanga ◽

Faith Ameda Ameda ◽

Moses Ocan ◽

Alison A Kinengyere ◽

...

Keyword(s):

Systematic Review ◽

Mixed Methods ◽

Systematic Reviews ◽

Financial Incentives ◽

Healthcare Professionals ◽

Information Source ◽

Theoretical Domains Framework ◽

Barriers And Facilitators ◽

Cochrane Library ◽

Clinical Imaging

Objectives: To identify, categorize, and develop an aggregated synthesis of evidence using the theoretical domains framework (TDF) on barriers and facilitators that influence implementation of clinical imaging guidelines (CIGs) by healthcare professionals (HCPs) in diagnostic imaging Methods: The protocol will be guided by the Joanna Briggs Institute Reviewers’ Manual 2014. Methodology for JBI Mixed Methods Systematic Reviews and will adhere to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA-P). Information source will include databases (MEDLINE, EMBASE and The Cochrane Library), internet search (https://www.google.com/scholar), experts’ opinion, professional societies/organizations websites and government bodies strategies/recommendations, and reference lists of included studies. Articles of any study design published in English from 1990 to date, having investigated factors operating as barriers and/or facilitators to the implementation CIGs by HCPs will be eligible. Selecting, appraising, and extracting data from the included studies will be independently performed by at least two reviewers using validated tools and Rayyan – Systematic Review web application. Disagreements will be resolved by consensus and a third reviewer as a tie breaker. The aggregated studies will be synthesized using thematic analysis guided by TDF. Results: Identified barriers will be defined a priori and mapped into 7 TDF domains including knowledge, awareness, effectiveness, time, litigationand financial incentives Conclusion: The results will provide an insight into a theory-based approach to predict behavior-related determinants for implementing CIGs and develop strategies/interventions to target the elicited behaviors. Recommendations will be made if the level of evidence is sufficient Advances in knowledge: Resource-constrained settings that are in the process of adopting CIGs may opt for this strategy to predict in advance likely impediments to achieving the goal of CIG implementation and develop tailored interventions during the planning phase. Systematic review Registration: PROSPERO ID = CRD42020136372 (https://www.crd.york.ac.uk/PROSPERO).

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International barriers and facilitators for cervical cancer screening among young people: a systematic review

10.22541/au.159620944.40309212/v2 ◽

2021 ◽

Author(s):

Abirami Kirubarajan ◽

Shannon Leung ◽

Xinglin Li ◽

Matthew Yau ◽

Mara Sobel

Keyword(s):

Systematic Review ◽

Cervical Cancer ◽

Cancer Screening ◽

Young People ◽

Cervical Cancer Screening ◽

Low Income ◽

Healthcare Providers ◽

Barriers And Facilitators ◽

Low Income Countries ◽

Age Group

Background Though cervical cancer is one of the leading causes of death globally, its incidence is nearly entirely preventable. Young people have been an international priority for screening. However, in both high-income and low-income countries, young people have not been screened appropriately according to country-specific guidelines and in many countries, screening rates for this age-group have even dropped. Objectives The aim of this systematic review was to systematically characterize the existing literature on barriers and facilitators for cervical cancer screening among young people globally. Search Strategy We conducted a systematic review following PRISMA guidelines of four databases: Medline-OVID, EMBASE, CINAHL, and ClinicalTrials.Gov. Selection Criteria We only examined original, peer-reviewed literature. Databases were examined from inception until the date of our literature searches (12/03/2020). Articles were excluded if they did not specifically discuss cervical cancer screening, were not specific to young people, or did not report outcomes or evaluation. Data Collection and Analysis All screening and extraction was completed in duplicate with two independent reviewers. Main Results Of the 2177 original database citations, we included 36 studies that met inclusion criteria. Our systematic review found that there are three large categories of barriers for young people: lack of knowledge/awareness, negative perceptions of the test, and practical barriers to testing. Facilitators included stronger relationships with healthcare providers, social norms, support from family, and self-efficacy. Conclusions Health systems worldwide should address the barriers and facilitators to increase cervical cancer screening rates in young people. Further research is required to understand this age group.

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Factors affecting patient and physician engagement in remote healthcare for heart failure: a systematic review (Preprint)

10.2196/preprints.33366 ◽

2021 ◽

Author(s):

Ahmed Al-Naher ◽

Jennifer Downing ◽

Kathryn A Scott ◽

Munir Pirmohamed

Keyword(s):

Heart Failure ◽

Systematic Review ◽

Health Outcomes ◽

Healthcare Professionals ◽

Clinical Care ◽

Disease Process ◽

Ease Of Use ◽

Cochrane Library ◽

User Engagement ◽

Remote Care

BACKGROUND Adult chronic heart failure mainly affects an elderly population with multiple co-morbidities that often require frequent medical visits to prevent poor health outcomes. However the heart failure disease process reduces their independence by reducing mobility, exercise tolerance and cognitive decline. Remote care technologies can bridge the gap in care for these patients by allowing them to be followed up within the comfort of their home and encourage their self-care. However, patients, carers and healthcare professionals need to engage with the technology for it to be useful. OBJECTIVE This systematic review explored qualitative primary studies of remote care technologies used in heart failure, to determine the factors that affect user engagement with the technology. This is explored from the perspective of patients, carers, and healthcare professionals. METHODS Relevant studies published between 1/1/1990 – 19/9/2020 were identified from EMBASE, Ovid MEDLINE, Pubmed, Cochrane library and Scopus. These studies were then synthesized using thematic analysis. Relevant user experiences with remote care were extracted using line-by-line coding. These codes were summarised into secondary codes and core concepts, which were further merged into overarching themes that encapsulate user experience with remote care. RESULTS The review included 47 studies, which led to the generation of 5 overarching themes which affect engagement: (a) ‘Convenience’ relates to time saved by the intervention; (b) ‘Clinical Care’ relates to perceived quality of care and health outcomes; (c) ‘Communication’ involves feedback and interaction between patients, staff and carers; (d) ‘Education’ concerns the tailored information provided; and (e) ‘Ease of Use’ relates to accessibility and technical barriers to engagement. Each theme was applied to each user base of patient, carer and healthcare professional in a different manner. CONCLUSIONS The 5 themes identified highlight aspects of remote care that facilitate engagement, and should be considered in both future design and trials evaluating these technologies.

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Usability Evaluation of User Requirement–Based Teleconsultation Robots: A Preliminary Report from South Korea

Methods of Information in Medicine ◽

10.1055/s-0040-1715579 ◽

2020 ◽

Vol 59 (02/03) ◽

pp. 086-095

Author(s):

Hyeongsuk Lee ◽

Jeongeun Kim ◽

Sukwha Kim ◽

Hyoun-Joong Kong ◽

Hyunjin Joo ◽

...

Keyword(s):

Health Care ◽

User Interface ◽

Point Of Care ◽

Healthcare Providers ◽

Usability Evaluation ◽

Ease Of Use ◽

Perceived Usefulness ◽

Perceived Ease Of Use ◽

User Requirement ◽

Effective Decision Making

Abstract Background Telepresence robots used to deliver a point-of-care (POC) consultation system that may provide value to enable effective decision making by healthcare providers at care sites. Objectives This study aimed to evaluate usability of teleconsultation robots, based on endusers' needs, that can improve acceptance in future robot applications. Methods This is a single group postdesign study using mixed methods to assess the usability of teleconsultation robots using scenarios. To collect opinions from various departments, 15 nurses or physicians currently working at medical institutions in Korea were selected using purposive sampling. The usability evaluation was conducted on healthcare providers twice at the simulation center; the think-aloud method was used and surveys and interviews were conducted to identify problems or improvements that may arise from the use of robots in hospital settings. Results The results showed that perceived usefulness, perceived ease of use, and satisfaction level each scored 4 points or higher out of 7 points, showing usability of midhigh level. Camera angle control and robot driving functions were the most difficult. Other basic robot user interface was shown to be relatively easy. There was no difference in usability depending on the characteristics of the evaluator. Some functions including user interface were modified based on the usability test. Conclusion Using robots in health care institutions may support effective communication among healthcare providers, thus contributing to health care improvement.

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Healthcare Professionals’ Acceptance of Digital Cognitive Rehabilitation

Frontiers in Psychology ◽

10.3389/fpsyg.2020.617886 ◽

2020 ◽

Vol 11 ◽

Author(s):

Ineke J. M. van der Ham ◽

Rosalie van der Vaart ◽

Anouk Miedema ◽

Johanna M. A. Visser-Meily ◽

Milan N. A. van der Kuil

Keyword(s):

Technology Acceptance ◽

Cognitive Rehabilitation ◽

Healthcare Providers ◽

Subjective Norm ◽

Ease Of Use ◽

Perceived Usefulness ◽

Successful Implementation ◽

Perceived Ease Of Use ◽

Technological Advances ◽

And Gender

With technological possibilities in healthcare steadily increasing, more tools for digital cognitive rehabilitation become available. Acceptance of such technological advances is crucial for successful implementation. Therefore, we examined technology acceptance specifically for this form of rehabilitation in a sample of healthcare providers involved in cognitive rehabilitation. An adjusted version of the Technology Acceptance Model (TAM) questionnaire was used, including the subscales for perceived usefulness, perceived ease of use, subjective norm (toward use), and intention to use, which all contribute to actual use of a specific technology. Results indicate a generally favorable attitude toward the use of digital cognitive rehabilitation and positive responses toward the TAM constructs. Only for subjective norm, a neutral mean response was found, indicating that this could pose a potential obstacle toward implementation. Potential differences between subgroups of different age, gender, and professional background were assessed. Age and gender did not affect the attitude toward digital cognitive rehabilitation. Occupational therapists showed lower scores than healthcare psychologists and physiatrists with regard to perceived usefulness, possibly linked to a difference in operational and managerial tasks. The findings of his study stimulate further implementation of digital cognitive rehabilitation, where the role of subjective norms should be specifically considered.

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Interventions to optimize prescribed medicines and reduce their misuse in chronic non-malignant pain: a systematic review

European Journal of Clinical Pharmacology ◽

10.1007/s00228-020-03026-4 ◽

2020 ◽

Author(s):

Aziza Alenezi ◽

Asma Yahyouche ◽

Vibhu Paudyal

Keyword(s):

Systematic Review ◽

Drug Testing ◽

Healthcare Professionals ◽

Data Extraction ◽

Healthcare Providers ◽

Educational Interventions ◽

Functional Improvement ◽

Behavioural Treatment ◽

Prescribed Medicines ◽

Medication Optimization

Abstract Purpose Sub-optimal opioid prescribing and use is viewed as a major contributor to the growing opioid crisis. This study aims to systematically review the nature, process and outcomes of interventions to optimize prescribed medicines and reduce their misuse in chronic non-malignant pain (CNMP) with a particular focus on minimizing misuse of opiates. Methods A systematic review of literature was undertaken. Search of literature using Medline, EMBASE and CINAHL databases from 2000 onwards was conducted. Screening and selection, data extraction and risk of bias assessments were undertaken by two independent reviewers. Narrative synthesis of the data was conducted. Results A total of 21 studies were included in the review, of which three were RCTs. Interventions included clinical (e.g. urine drug testing, opioid treatment contract, pill count), behavioural (e.g. electrical diaries about craving), cognitive behavioural treatment and/or educational interventions for patients and healthcare providers delivered as a single or as a multi-component intervention. Medication optimization outcomes included aspects of misuse, abuse, aberrant drug behaviour, adherence and non-adherence. Although all evaluations showed improvement in medication optimization outcomes, multi-component interventions were more likely to consider and to have shown improvement in clinical outcomes such as pain intensity, quality of life, psychological states and functional improvement compared to single-component interventions. Conclusions A well-structured CNMP management programme to promote medicines optimization should include multi-component interventions delivered by a multidisciplinary team of healthcare professionals and target both healthcare professionals and patients. There was heterogeneity in definitions applied and interventions evaluated. There is a need for the development of clear and consistent terminology and measurement criteria to facilitate better comparisons of research evidence.

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Factors Affecting Students' Intention Toward Mobile Cloud Computing

International Journal of Cloud Applications and Computing ◽

10.4018/ijcac.2019040102 ◽

2019 ◽

Vol 9 (2) ◽

pp. 28-42

Author(s):

Fatheia Hassan Abdulfattah

Keyword(s):

Cloud Computing ◽

Mobile Cloud Computing ◽

Individual Characteristics ◽

Ease Of Use ◽

Perceived Usefulness ◽

Mobile Cloud ◽

Intention To Use ◽

Perceived Ease Of Use ◽

Privacy And Security ◽

Factors Affecting

The adoption of mobile cloud computing (MCC) in education systems still faces several obstacles due to technical, environmental, psychological, and individual issues. Considering numerous advantages associated with the adoption of MCC, this article evaluates the frequency of using MCC by students at King Abdul-Aziz University (KAU) and investigates the factors that influence student intention to use MCC. A survey approach has been used to include 163 students of KAU through a random sampling. Results showed that the attitude towards MCC, perceived ease of use, perceived usefulness, social influence, accessibility of technology, individual characteristics, perceived privacy, and security are all important determinants of intention to use MCC. Findings contribute towards research and practice by revealing crucial factors that impact student intention to adopt mobile cloud computing in developing countries.

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