Factors affecting the acceptance of integrated electronic personal health records in Saudi Arabia: The impact of e-health literacy

Background: National implementation of electronic personal health record (ePHR) systems is of vital importance to governments worldwide because this type of technology promises to promote and enhance healthcare. Although there is widespread agreement as to the advantages of ePHRs, the level of awareness and acceptance of this technology among healthcare consumers has been low. Objective: The aim of this study was to identify the factors that can influence the acceptance and use of an integrated ePHR system in Saudi Arabia. Method: The unified theory of acceptance and use of technology model was extended in this study to include e-health literacy (e-HL) and tested using structural equation modelling. Data were collected via a questionnaire survey, resulting in 794 valid responses. Results: The proposed model explained 56% of the variance in behavioural intention (BI) to use the integrated ePHR system. Findings also highlighted the significance of performance expectancy, effort expectancy, social influence (SI) and e-HL as determinants of Saudi healthcare consumers’ intentions to accept and use the integrated ePHR system. Additionally, assessment of the research model moderators revealed that only gender had a moderating influence on the relationship between SI and BI. Finally, findings showed a low level of awareness among Saudi citizens about the national implementation of an integrated ePHR system, suggesting the need to promote a greater and more widespread awareness of the system and to demonstrate its usefulness. Conclusion: Findings from this study can assist governments, policymakers and developers of health information technologies and systems by identifying important factors that may influence the diffusion and use of integrated ePHRs.

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Examining attitudes toward and ability to interact with an online personal health record: A case study in Saudi Arabia

International Journal of Healthcare ◽

10.5430/ijh.v6n1p1 ◽

2019 ◽

Vol 6 (1) ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

Bandar Faisal Al-Mifgai ◽

Joseph Sharit ◽

Arzu Onar-Thomas ◽

Shihab Asfour

Keyword(s):

Saudi Arabia ◽

Health Literacy ◽

Health Systems ◽

Health Management ◽

Personal Health Record ◽

The Internet ◽

Personal Health ◽

Health Record ◽

Health Numeracy ◽

Electronic Health

Objective: This study examined the ability for adults from a developing country to use a personal health record (PHR) to perform health-management tasks. The effects of gender differences as well as differences in attitudes about using the internet to manage health prior to and after exposure to the PHR were also investigated.Methods: A simulation of a PHR based on a well-established U.S. online patient portal was designed and tailored for this particular study population. Two hundred and three adults with a mean age of 40.9 years were recruited from various areas in Saudi Arabia and asked to perform seven common health-management tasks of varying degrees of difficulty. Their electronic health literacy and health numeracy, as well as their attitudes about using online health systems for managing their health prior to and following their interaction with the PHR, were assessed using questionnaires.Results: After controlling for education, perceived health status, and comfort using the internet, electronic health literacy and health numeracy were still found to be significant predictors of participants’ task performance, but only for the more challenging health-management tasks. No important differences based on gender were found. Exposure to the PHR significantly increased the acceptability of using the internet for managing their health.Conclusions: The change in attitudes following interaction with the PHR suggests that many adults in this society could benefit from these electronic health systems, including females who, due to cultural considerations, may desire greater control in managing their health. However, the importance of electronic health literacy and health numeracy suggests the need for designs that minimize the impact of these factors for successful performance of health-management tasks.

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Computer Skills Drive Personal Health Record Adoption: A Multi-dimensional Evaluation of Users versus Non-Users (Preprint)

10.2196/preprints.19191 ◽

2020 ◽

Author(s):

Martina A Clarke ◽

Ann L Fruhling ◽

Alvin E Tarrell ◽

Tamara L Bernard ◽

John R Windle

Keyword(s):

Self Efficacy ◽

Information Technologies ◽

Personal Health Record ◽

Patient Activation ◽

Personal Health ◽

Health Record ◽

Health Information Technologies ◽

Complex Information ◽

Significant Difference ◽

Computer Self Efficacy

BACKGROUND In the era of precision medicine, it is critical for health communication efforts to improve the comprehension level of the complex information being presented in the personal health record (PHR). OBJECTIVE To assess and understand the characteristics associated with patients’ choice to use or not use their PHR. METHODS A diverse group of patients with chronic cardiovascular disease was selected to participate in this study. They were screened by race, ethnicity, sex, age and zip code, specifically. Seventy-nine patients participated: 48 PHR users and 31 non-users. They completed seven surveys related to their choice to use or not use the PHR: demographics, patient activation, medication adherence, health literacy, computer self-efficacy, numeracy and graph literacy. RESULTS There is no significant difference between users and non-users in sociodemographic measures: age (P=0.17), sex (P=0.35), education (P=0.068), ethnicity (P=0.43), race (P=0.42), and employment (P=0.75). There is a significant difference between PHR users and PHR non-users in computer self-efficacy (P=0.0053), subjective graph literacy (P=0.0073), subjective numeracy scale (P=0.0074). CONCLUSIONS In this study, we demonstrate that sociodemographic characteristics were not an important factor in patients’ use of their PHR. Our results did demonstrate that there is a difference between PHR users and non-users related to their computer self-efficacy (CSE), graph literacy, and numeracy. This work suggests that incorporating CSE and graph literacy into the design of PHRs is critical. The design of patient facing tools must take into account patients’ preferences and abilities when developing effective user-friendly health information technologies (HIT). CLINICALTRIAL NA

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The Impact of Big Data Adoption on SMEs’ Performance

Big Data and Cognitive Computing ◽

10.3390/bdcc5040068 ◽

2021 ◽

Vol 5 (4) ◽

pp. 68

Author(s):

Mahdi Nasrollahi ◽

Javaneh Ramezani ◽

Mahmoud Sadraei

Keyword(s):

Big Data ◽

Economic Performance ◽

Structural Equation ◽

Information Technologies ◽

Social Performance ◽

Empirical Studies ◽

Research Area ◽

Equation Modeling ◽

Future Research ◽

The Impact

The notion of Industry 4.0 encompasses the adoption of new information technologies that enable an enormous amount of information to be digitally collected, analyzed, and exploited in organizations to make better decisions. Therefore, finding how organizations can adopt big data (BD) components to improve their performance becomes a relevant research area. This issue is becoming more pertinent for small and medium enterprises (SMEs), especially in developing countries that encounter limited resources and infrastructures. Due to the lack of empirical studies related to big data adoption (BDA) and BD’s business value, especially in SMEs, this study investigates the impact of BDA on SMEs’ performance by obtaining the required data from experts. The quantitative investigation followed a mixed approach, including survey data from 224 managers from Iranian SMEs, and a structural equation modeling (SEM) methodology for the data analysis. Results showed that 12 factors affected the BDA in SMEs. BDA can affect both operational performance and economic performance. There has been no support for the influence of BDA and economic performance on social performance. Finally, the study implications and findings are discussed alongside future research suggestions, as well as some limitations and unanswered questions.

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Patient empowerment through a user-centered design of an electronic personal health record: a qualitative study of user requirements in chronic kidney disease

BMC Medical Informatics and Decision Making ◽

10.1186/s12911-021-01689-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Esmaeel Toni ◽

Habibollah Pirnejad ◽

Khadijeh Makhdoomi ◽

Azam Mivefroshan ◽

Zahra Niazkhani

Keyword(s):

Chronic Kidney Disease ◽

Health Literacy ◽

Kidney Disease ◽

Qualitative Study ◽

Personal Health Record ◽

Self Management ◽

Personal Health ◽

Health Record ◽

User Centered Design ◽

Electronic Personal Health Record

Abstract Background To improve chronic disease outcomes, self-management is an effective strategy. An electronic personal health record (ePHR) is a promising tool with the potential to support chronic patient’s education, counseling, and self-management. Fitting ePHRs within the daily practices of chronic care providers and chronic patients requires user-centered design approaches. We aimed to understand users’ needs and requirements in chronic kidney disease (CKD) care to consider in the design of an ePHR to facilitate its implementation, adoption, and use. Methods A qualitative study was conducted in a major Iranian nephrology center including inpatient and outpatient settings in 2019. We conducted 28 semi-structured interviews with CKD patients, nurses, and adult nephrologists. To confirm or modify the requirements extracted from the interviews, a focus group was also held. Data were analyzed to extract especially those requirements that can facilitate implementation, adoption, and sustained use based on the PHR adoption model and the unified theory of acceptance and use of technology. Results Participants requested an ePHR that provides access to up to date patient information, facilitates patient-provider communication, and increases awareness about patient individualized conditions. Participants expected a system that is able to cater to low patient e-health literacy and high provider workload. They requested the ePHR to include purposeful documentation of medical history, diagnostic and therapeutic procedures, tailored educational content, and scheduled care reminders. Messaging function, tailored educational content to individual patients’ conditions, and controlled access to information were highly valued in order to facilitate its implementation, adoption, and use. Conclusions We focused on the ePHR’s content and functionalities in the face of facilitators and/or barriers envisioned for its adoption in nephrology care. Designers and implementers should value CKD patients’ needs and requirements for self-management such as providing personalized education and counseling (on the basis of their condition and risk factors), health literacy, and disease progression levels. The socio-technical aspects of care also need further attention to facilitate ePHR’s adoption.

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The Impact of Attitudes towards Healthcare Service Quality on Organisational Performance: Evidence from the Saudi Arabia

Research in Business and Management ◽

10.5296/rbm.v5i1.11872 ◽

2017 ◽

Vol 5 (1) ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

Yaser Salman Alsharar ◽

Fadzil Shah bin Aziz ◽

Che Azlan Bin Taib ◽

Rushami Zien Yusoff

Keyword(s):

Saudi Arabia ◽

Structural Equation Modeling ◽

Data Analysis ◽

Service Quality ◽

Structural Equation ◽

Healthcare Service ◽

Equation Modeling ◽

Organisational Performance ◽

Government Hospitals ◽

The Impact

This research aims to investigate the effect of attitudes towards healthcare service quality on organisational performance among Saudi Arabian hospitals. The sample size comprises of 154 hospitals randomly chosen from 259 government hospitals in Saudi Arabia. For data analysis, the Partial Least Squares (PLS) structural equation modeling was used. In addition, this study found a positive and significant association between attitudes towards healthcare service quality and organisational performance. Eventually, this study provides some limitations and suggestions for future researchers.

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The Impact of Religiosity and Food Consumption Culture on Food Waste Intention in Saudi Arabia

Sustainability ◽

10.3390/su13116473 ◽

2021 ◽

Vol 13 (11) ◽

pp. 6473

Author(s):

Ibrahim Elshaer ◽

Abu Elnasr E. Sobaih ◽

Mansour Alyahya ◽

Ahmed Abu Elnasr

Keyword(s):

Saudi Arabia ◽

Food Consumption ◽

Food Waste ◽

Structural Equation ◽

Research Question ◽

Equation Modeling ◽

Kingdom Of Saudi Arabia ◽

Consumption Culture ◽

The Impact ◽

The Relationship

The Kingdom of Saudi Arabia (KSA) is among the top food-wasting countries worldwide, despite it being considered a religious society. Hence, an important question has emerged “to what extent and by what mechanism can religiosity influence food waste intention?”. This research answers this research question and examines the direct impact of both religiosity and food consumption culture on food waste intention as well as the indirect impact through the constructs of theory of planned behavior. For this purpose, a pre-tested self-administered questionnaire was collected from 1135 restaurant customers in Kingdom of Saudi Arabia (KSA). The results of structural equation modeling (SEM) using Analysis of a Moment Structures (AMOS) showed a very weak negative influence of religiosity on food waste intention. However, food consumption culture has had a high positive significant influence on food waste intention. The results also showed that attitude towards behaviors, subjective norms, and perceived behavioral control fully mediate the relationship between religiosity and food waste intention. On the other side, they were found to partially mediate the relationship between food consumption culture and food waste intention. The results have several implications for policy-makers, scholars, and restaurant practitioners.

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Usefulness and Usability of a Personal Health Record and Survivorship Care Plan for Colorectal Cancer Survivors: Survey Study (Preprint)

10.2196/preprints.10692 ◽

2018 ◽

Author(s):

Will L Tarver ◽

Bruce W Robb ◽

David A Haggstrom

Keyword(s):

Colorectal Cancer ◽

Health Care ◽

Cancer Survivors ◽

Personal Health Record ◽

Care Plan ◽

Survivorship Care Plan ◽

Personal Health ◽

Health Record ◽

Survivorship Care ◽

The Impact

BACKGROUND As a result of improvements in cancer screening, treatment, and supportive care, nearly two-thirds of individuals diagnosed with colorectal cancer (CRC) live for 5 years after diagnosis. An ever-increasing population of CRC survivors creates a need for effective survivorship care to help manage and mitigate the impact of CRC and its treatment. Personal health records (PHRs) and survivorship care plans provide a means of supporting the long-term care of cancer survivors. OBJECTIVE The purpose of this study is to characterize the usefulness of a CRC PHR and survivorship care plan and to describe the usability of these technologies in a population of CRC survivors. To our knowledge, this is the first study to assess a PHR and survivorship care plan specifically targeting CRC survivors. METHODS Twenty-two patients with CRC were recruited from surgery clinics of an academic medical center and Veterans Affairs hospital in Indianapolis and provided access to an online Colorectal Cancer Survivor’s Personal Health Record (CRCS-PHR). Survey data were collected to characterize the usefulness of the CRCS-PHR and describe its usability in a population of CRC survivors. CRC survivors were surveyed 6 months after being provided online access. Means and proportions were used to describe the usefulness and ease of using the CRC website. Open-ended questions were qualitatively coded using the constant comparative method. RESULTS CRC survivors perceived features related to their health care (ie, summary of cancer treatment history, follow-up care schedule, description of side effects, and list of community resources) to be more useful than communication features (ie, creating online relationships with family members or caregivers, communicating with doctor, and secure messages). CRC survivors typically described utilizing traditional channels (eg, via telephone or in person) to communicate with their health care provider. Participants had overall positive perceptions with respect to ease of use and overall satisfaction. Major challenges experienced by participants included barriers to system log-in, lack of computer literacy or experience, and difficulty entering their patient information. CONCLUSIONS For CRC, survivors may find the greater value in a PHR’s medical content than the communication functions, which they have available elsewhere. These findings regarding the usefulness and usability of a PHR for the management of CRC survivorship provide valuable insights into how best to tailor these technologies to patients’ needs. These findings can inform future design and development of PHRs for purposes of both cancer and chronic disease management.

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Impact of the COVID19 pandemic on the implementation of Health Information Technologies (HIT): a case study in Maternity Hospital of Lubango-Angola

10.21203/rs.3.rs-786387/v1 ◽

2021 ◽

Author(s):

Tomas Hambili Paulo Sanjuluca ◽

Ricardo Cruz-Correia ◽

Anabela Antunes Almeida

Keyword(s):

Information Technology ◽

Information Systems ◽

Health Information Technology ◽

Health Information ◽

Information Technologies ◽

Maternity Hospital ◽

Health Information Technologies ◽

Technology Project ◽

Information Technology Project ◽

The Impact

Abstract Background COVID19 pandemic has shown the importance of data to manage health crises. Therefore, countries that were more mature regarding using Information Systems (IS) were better prepared to respond to their population needs. Unfortunately, in Angola, such Health Information Systems (HIS) maturity is very low, so new Health Information Technology (HIT) projects must change this scenario. Objective Describe the impact of COVID19 on a new health information technology project called "ObsCare Lubango" to collect essential data on deliveries and births at the Maternity Hospital in Lubango-Angola. Methods Retrieve data from the notes, communication events of the project management. Also, the collected data regarding obstetrics (pregnancies and childbirth) was from Jan 2019 to Apr 2021 (14 months before COVID19 and 14 months after the beginning of COVID19). The data analyzed were collected from the utilization audit trail that stores the sessions and clicks in the application logs. These logs are then presented in aggregated and anonymized form in a web interface. Results The start of COVID19 in Maternity halted the evolution of the health information project implementation. At the beginning of 2020, the usage of ObsCare Lubango was growing steadily (5.9%, 7.5%, 9.4% in the first three months), but rapidly dropped to 0% in the following months after the first of COVID arrived in late March. Conclusion COVID19 had a significant impact on the evolution of ObsCare Lubango and heavily impacted the quality of the data collected in the paper. COVID19 will probably increase the digital divide in health care between nations.

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Usefulness and Usability of a Personal Health Record and Survivorship Care Plan for Colorectal Cancer Survivors: Survey Study

JMIR Cancer ◽

10.2196/10692 ◽

2019 ◽

Vol 5 (2) ◽

pp. e10692

Author(s):

Will L Tarver ◽

Bruce W Robb ◽

David A Haggstrom

Keyword(s):

Colorectal Cancer ◽

Health Care ◽

Cancer Survivors ◽

Personal Health Record ◽

Care Plan ◽

Survivorship Care Plan ◽

Personal Health ◽

Health Record ◽

Survivorship Care ◽

The Impact

Background As a result of improvements in cancer screening, treatment, and supportive care, nearly two-thirds of individuals diagnosed with colorectal cancer (CRC) live for 5 years after diagnosis. An ever-increasing population of CRC survivors creates a need for effective survivorship care to help manage and mitigate the impact of CRC and its treatment. Personal health records (PHRs) and survivorship care plans provide a means of supporting the long-term care of cancer survivors. Objective The purpose of this study is to characterize the usefulness of a CRC PHR and survivorship care plan and to describe the usability of these technologies in a population of CRC survivors. To our knowledge, this is the first study to assess a PHR and survivorship care plan specifically targeting CRC survivors. Methods Twenty-two patients with CRC were recruited from surgery clinics of an academic medical center and Veterans Affairs hospital in Indianapolis and provided access to an online Colorectal Cancer Survivor’s Personal Health Record (CRCS-PHR). Survey data were collected to characterize the usefulness of the CRCS-PHR and describe its usability in a population of CRC survivors. CRC survivors were surveyed 6 months after being provided online access. Means and proportions were used to describe the usefulness and ease of using the CRC website. Open-ended questions were qualitatively coded using the constant comparative method. Results CRC survivors perceived features related to their health care (ie, summary of cancer treatment history, follow-up care schedule, description of side effects, and list of community resources) to be more useful than communication features (ie, creating online relationships with family members or caregivers, communicating with doctor, and secure messages). CRC survivors typically described utilizing traditional channels (eg, via telephone or in person) to communicate with their health care provider. Participants had overall positive perceptions with respect to ease of use and overall satisfaction. Major challenges experienced by participants included barriers to system log-in, lack of computer literacy or experience, and difficulty entering their patient information. Conclusions For CRC, survivors may find the greater value in a PHR’s medical content than the communication functions, which they have available elsewhere. These findings regarding the usefulness and usability of a PHR for the management of CRC survivorship provide valuable insights into how best to tailor these technologies to patients’ needs. These findings can inform future design and development of PHRs for purposes of both cancer and chronic disease management.

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The Impact of Digital Marketing and Digital Transformation on Brand Promotion and Brand Positioning in Kosovo’s Enterprises

ENTRENOVA - ENTerprise REsearch InNOVAtion ◽

10.54820/upqn1850 ◽

2021 ◽

Vol 7 (1) ◽

pp. 249-261

Author(s):

Arta Istrefi-Jahja ◽

Jusuf Zeqiri

Keyword(s):

Social Media ◽

Structural Equation ◽

Information Technologies ◽

Digital Transformation ◽

Partial Least Square ◽

Least Square ◽

Digital Marketing ◽

Brand Positioning ◽

Brand Promotion ◽

The Impact

Digitalization is very important for every company in today’s fierce competition. The development of Information Technologies has helped companies change means of reaching their clients and changing their working practices. The paper tries to assess digital marketing (DM) and digital transformation (DT) techniques that impact enterprises in Kosovo in the process of their brand promotion and brand positioning using google analytics, social media, e-commerce, search engines, mobile apps, or other digital channels. DT is profoundly important to every company, yet the correlation between DT, brand promotion, and brand positioning for Kosovo’s enterprises has not been researched a lot. With the DT, many companies are redefining business procedures and marketing strategies. The research will collect data using a survey with 150 companies generated by the Kosovo Business Registration Agency. Partial Least Square is used to analyse the collected data. Structural Equation modelling is used to assess the relationship between exogenous and endogenous variables used in the research proposed model. A moderation effect is used to test whether COVID-19 or the company's size is linked to the usage of DM and DT. The results are expected to reveal that DM and the digitalization process of enterprises affect brand promotion and brand position. The findings also imply that social media are widely used relative to other marketing channels. Companies that use DM and invest more in technology have better chances to promote and position their brands. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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