scholarly journals Developing the National Usability-Focused Health Information System Scale for Physicians: Validation Study (Preprint)

2018 ◽  
Author(s):  
Hannele Hyppönen ◽  
Johanna Kaipio ◽  
Tarja Heponiemi ◽  
Tinja Lääveri ◽  
Anna-Mari Aalto ◽  
...  
Keyword(s):  
Health Information ◽  
Concurrent Validity ◽  
Structural Equation ◽  
Ease Of Use ◽  
Equation Modeling ◽  
Factor Analyses ◽  
Factor Solution ◽  
Validated Questionnaire ◽  
Electronic Health ◽  
Fit Index

BACKGROUND Problems in the usability of health information systems (HISs) are well acknowledged, but research still lacks a validated questionnaire for measuring and monitoring different dimensions of usability of HISs. Such questionnaires are needed not only for research but also for developing usability of HISs from the viewpoint of end-user experiences. OBJECTIVE This study aimed to develop and test the validity of the questionnaire measuring the National Usability-Focused HIS-Scale (NuHISS) among a nationally representative sample of Finnish physicians. METHODS We utilized 2 cross-sectional data collected from a random sample of Finnish physicians in 2014 (N=3781; of which 2340 [61.9%] were women) and 2017 (N=4018; of which 2604 [64.8%] were women). Exploratory and confirmatory factor analyses (structural equation modeling [SEM]) were applied to test the structural validity of the NuHISS. As the concurrent validity measure, we used the self-reported overall quality of the electronic health record system (school grade) provided by the participants using marginal structural models. RESULTS The exploratory factor analyses with Varimax rotation suggested that the 7-factor solution did offer a good fit to the data in both samples (C2=2136.14 in 2014 and C2=2109.83 in 2017, both P<.001). Moreover, structural equation modelling analyses, using comparative fit index (CFI), Tucker-Lewis Index (TLI), Normed Fit Index (NFI), root mean squared error of approximation (RMSEA), and Standardized Root Mean square Residual (SRMR), showed that the 7-factor solution provided an acceptable fit in both samples (CFI=0.92/0.91, TLI=0.92/0.91, NFI=0.92/0.91, RMSEA=0.048/0.049, and SRMR=0.040/0.039). In addition, concurrent validity of this solution was shown to be acceptable. Ease of use, but also all other dimensions, was especially associated with overall quality reports independent of measured confounders. The 7-factor solution included dimensions of technical quality, information quality, feedback, ease of use, benefits, internal collaboration, and cross-organizational collaboration. CONCLUSIONS NuHISS provides a useful tool for measuring usability of HISs among physicians and offers a valid measure for monitoring the long-term development of HISs on a large scale. The relative importance of items needs to be assessed against national electronic health policy goals and complemented with items that have remained outside the NuHISS from the questionnaire when appropriate.

The Schoolwork Engagement Inventory

2012 ◽  
Vol 28 (1) ◽  
pp. 60-67 ◽  
Author(s):  
Katariina Salmela-Aro ◽  
Katja Upadaya
Keyword(s):  
Secondary School ◽  
Concurrent Validity ◽  
Structural Equation ◽  
Self Esteem ◽  
Equation Modeling ◽  
Validity And Reliability ◽  
Older Students ◽  
School Students ◽  
Factor Solution ◽  
Upper Secondary

This study introduces the Schoolwork Engagement Inventory (EDA), which measures energy, dedication, and absorption with respect to schoolwork. Structural equation modeling was used to assess the validity and reliability of the inventory among students attending postcomprehensive schools. A total of 1,530 (769 girls, 761 boys) students from 13 institutions (six upper-secondary and seven vocational schools) completed the EDA 1 year apart. The results showed that a one-factor solution had the most reliability and fitted best among the younger students, whereas a three-factor solution was most reliable and fit best among the older students. In terms of concurrent validity, depressive symptoms and school burnout were inversely related, and self-esteem and academic achievement were positively associated with EDA. Boys and upper-secondary-school students experienced lower levels of schoolwork engagement than girls and vocational-school students.

Building a Composable Electronic Health Records System using Fast Healthcare Interoperability Resources (FHIR) web components (Preprint)

2021 ◽  
Author(s):  
Bolu Oluwalade ◽  
Shruti Apte ◽  
Saptarshi Purkayastha
Keyword(s):  
Structural Equation Modeling ◽  
User Interface ◽  
Electronic Health Records ◽  
Latent Variables ◽  
Structural Equation ◽  
Ease Of Use ◽  
Equation Modeling ◽  
Structured Interviews ◽  
Health Records ◽  
Electronic Health

BACKGROUND In the last decade, Electronic Health Records systems (EHRs) have been widely adopted in the United States because of the government's efforts. These efforts have led to the broad and rapid adoption of the EHR but with numerous usability and interoperability challenges. The disconnect between the clinical users' expectations from their EHRs and what is available in the EHRs is well-known. OBJECTIVE This study aimed to evaluate (1) the feasibility of a user-composable user interface (UI) for an EHR system using FHIR web components, (2) the user's ease of learning and ease of use of the assembled EHR's UI. METHODS We developed web components for the FHIR patient resource using the Polymer 3 library. The components were assembled by 19 subjects with a clinical background and past EHR use experience utilizing a drag and drop UI designer. We measured latent variables of "ease of learning" and "ease of use" through a 33-questions pre-validated survey from these subjects. Further, we conducted semi-structured interviews as per the sequential explanatory research design. The quantitative and qualitative data obtained from the survey and the semi-structured interviews were analyzed using the convergent parallel mixed method design. The quantitative data derived through the survey estimated the Structural Equation Modeling (SEM) latent variables tagged "ease of learning" and "ease of use" of the user interface. RESULTS About 88 percent (16 of 18) of the participants were confident or very confident about assembling the user components to form a user interface after watching a workflow video of the process, and 63 percent (12 of 19) of participants eventually completed the assembly process. A partial least square structural equation modeling (PLS-SEM) analysis of the survey results showed that there is a significant positive effect (p =0.00) on the ease of learning of the assembling process and on ease of use of the system and vice versa. The qualitative analysis of the interview showed that more' easy to use' and 'easy to learn' themes appeared in the participants' responses (40.1%) than the "difficult to learn," "difficult to use," "too complex," and "cumbersome" themes combined appearing in 11.2 % of the combined themes. CONCLUSIONS It seems that the non-technical users can assemble an EHR user interface without little or no technical support. Moreover, a user-composed EHR user interface will improve EHR users' experience. Finally, web components based on FHIR resources can be developed and implemented into an EHR user interface.

scholarly journals Drivers of Cash-on-Delivery Method of Payment in E-Commerce Shopping: Evidence From Pakistan

SAGE Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 215824402091739
Author(s):  
Safia Anjum ◽  
Junwu Chai
Keyword(s):  
Perceived Control ◽  
Structural Equation ◽  
Goodness Of Fit ◽  
Sem Analysis ◽  
Ease Of Use ◽  
Equation Modeling ◽  
Perceived Trust ◽  
Perceived Security ◽  
Major Factors ◽  
Fit Index

The e-commerce market of Pakistan has phenomenally fostered in recent years as a result of cyberspace expansion and launching of various national and international vendors. While country’s e-commerce scenario has significantly reshaped, customers are still reluctant to adopt e-payment methods and cash on delivery (COD) prevails as the method of payments for online shopping. This study was conducted to empirically investigate major factors which influence Pakistani customers to opt for COD while shopping online. A framework was proposed based on seven constructs and the data were collected using 5-point Likert-type scale. Statistical Package for the Social Sciences (SPSS) v. 22 and Amos v. 23 were used for statistical analysis and structural equation modeling (SEM). Cronbach’s alpha values above .85 were found suggesting good internal consistency. The goodness-of-fit index and adjusted goodness-of-fit index values were observed to be 0.933 and 0.866, respectively. In SEM analysis, perceived security against online scams and perceived control over the buying process were observed to be the key role players instigating Pakistani customers to use COD. Interestingly, perceived trust and perceived satisfaction did not show significant impact. Moreover, the moderator of ease of use positively mediated the influence of perceived security on the use of COD. This study presents imperative implications for online businesses as well as government agencies. The investigation provides an insight into purchase behaviors of Pakistani e-customers and has paramount importance for e-commerce retailers and marketing startups in evolving e-commerce scenario of the country.

scholarly journals An Integration of Multiple Student Engagement Dimensions into a Single Measure and Validity-Based Studies

2019 ◽  
Vol 38 (5) ◽  
pp. 564-580 ◽  
Author(s):  
Paulo Moreira ◽  
Diana Cunha ◽  
Richard A. Inman
Keyword(s):  
Student Engagement ◽  
Concurrent Validity ◽  
Structural Equation ◽  
Well Being ◽  
Equation Modeling ◽  
Contextual Influences ◽  
Factor Analyses ◽  
Single Measure ◽  
Multidimensional Construct ◽  
Portuguese Adolescents

Student engagement is typically regarded as being a multidimensional construct, but there remains no clear consensus about its precise conceptualization. Several current measures of student engagement are limited by their omission of relevant dimensions and/or poor correspondence between dimension labels and item content. To address these limitations, we integrated dimensions from two validated student engagement instruments, each with different approaches to the dimensionality of student engagement, into a single measure and assessed its psychometric properties. We concluded from factor analyses that this scale captures seven distinct-yet-related engagement dimensions, including students’ perceptions of contextual influences, which load on a global higher-order student engagement construct. Structural equation modeling (SEM) indicated that poor academic performance was linked to lower student engagement and that lower student engagement was associated with worse emotional well-being, confirming the concurrent validity of the scale. The results validate the integrated measure of engagement as a comprehensive assessment of student engagement in Portuguese adolescents.

Celebrity Worship Among University Students in Malaysia

2011 ◽  
Vol 16 (4) ◽  
pp. 334-342 ◽  
Author(s):  
Viren Swami ◽  
Tomas Chamorro-Premuzic ◽  
Khairul Mastor ◽  
Fatin Hazwani Siran ◽  
Mohammad Mohsein Mohammad Said ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Structural Equation Modeling ◽  
Structural Equation ◽  
Attitude Scale ◽  
Equation Modeling ◽  
Future Research ◽  
The West ◽  
Factor Solution ◽  
Movie Stars ◽  
Three Factor

The present study examined conceptual issues surrounding celebrity worship in a Malay-speaking population. In total, 512 Malay and 269 Chinese participants from Malaysia indicated who their favorite celebrity was and completed the Celebrity Attitude Scale (CAS) as well as a range of demographic items. Results showed that the majority of Malay and Chinese participants selected pop stars and movie stars as their favourite celebrities, mirroring findings in Western settings. In addition, exploratory factor analysis revealed a three-factor solution of the CAS that was consistent with previous studies conducted in the West. Structural equation modeling further revealed that participant’s age was negatively associated with celebrity worship and that self-rated attractiveness was positively associated with celebrity worship. Overall, the present results suggest that celebrity worship in Malaysia may be driven by market and media forces, and future research may well be guided by use of the CAS.

Assessment of Teacher Attitudes Toward Inclusion of Students with Disabilities: A Confirmatory Factor Analysis

1997 ◽  
Vol 14 (1) ◽  
pp. 51-64 ◽  
Author(s):  
Georgios D. Sideridis ◽  
Judy P. Chandler
Keyword(s):  
Physical Education ◽  
Music Education ◽  
Students With Disabilities ◽  
Structural Equation ◽  
Structural Model ◽  
Equation Modeling ◽  
Future Research ◽  
Physical Education Teachers ◽  
The Status ◽  
Fit Index

The Teacher Integration Attitudes Questionnaire (TIAQ) was developed in order to assess the attitudes and beliefs of teachers (n = 110) with regard to the inclusion of students with disabilities in regular education settings. Using Structural Equation Modeling, the final structural model of the TIAQ comprised four constructs, namely, “Skills,” “Benefits,” “Acceptance,” and “Support.” The final model was fully supported by the derivation sample of music education teachers (n = 54) and produced a Comparative Fit Index (CFI = 1.00). The replication sample of physical education teachers (n = 56) partially supported the generality of the TIAQ, (CFI = .844). Further, the internal consistency properties of the TIAQ (Cronbach’s alpha was .77 for both samples) were satisfactory. We conclude that the psychometric properties of the TIAQ were adequate, and it can be used as a valid assessment in evaluating the status of inclusion for students with disabilities as perceived by music education and physical education teachers. However, future research is needed to support its generality with other groups of teachers and professionals.

Job crafting and turnover intention: The mediating role of work engagement and job satisfaction

2020 ◽  
Vol 48 (2) ◽  
pp. 1-9 ◽  
Author(s):  
Taotao Zhang ◽  
Bingxiang Li
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Turnover Intention ◽  
Employee Turnover ◽  
Structural Equation ◽  
Job Crafting ◽  
Equation Modeling ◽  
Employee Turnover Intention ◽  
Validated Questionnaire

The aims in this study were to examine the influence of job crafting, job satisfaction, and work engagement on employee turnover intention, and to investigate the role of work engagement and job satisfaction as mediators in the relationship between job crafting and employee turnover intention. A validated questionnaire was used to collect data from 212 employees of a service company in China. The results of structural equation modeling showed that work engagement and job satisfaction partially mediated the job crafting–turnover intention relationship. These findings extended prior research and confirmed that job crafting, job satisfaction, and work engagement were each a predictor of employee turnover intention. These findings suggest that the turnover intention of employees could be reduced through generating job-crafting behaviors, and by improving job satisfaction and work engagement.

Examining the intentions of a Ghanaian technical university students to use e-library

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eugene Okyere-Kwakye ◽  
Khalil Md Nor
Keyword(s):  
University Students ◽  
Structural Equation ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Equation Modeling ◽  
Intention To Use ◽  
Perceived Ease Of Use ◽  
Content Type ◽  
Library Resources ◽  
Technical University

Purpose Electronic library (E-library) is a form of computer mediated system that uses electronic media, such as Web/internet devices and distributes resources to improve on the quality of teaching and learning. Students’ use of e-library for learning is essential and as such the government has invested hugely into its subscription for several university libraries in Ghana. However, most university students feel reluctant to use the e-library resources for their studies. The purpose of this paper is therefore to examine the factors that influence students’ intention to use e-library resources for their studies. Design/methodology/approach Questionnaire was used to collect data from 200 students from one Technical University in Ghana. Structural equation modeling (SmartPLS) was used to analyze the data. Findings The study found that accessibility, attitude, perceived ease of use, perceived usefulness and relevance to studies have positive significant effect on students’ attitude to use e-library. In addition, self-efficacy, subjective norm and attitude have positive significant influence on students’ intention to use e-library. Research limitations/implications Although the sample frame used for this study may be unique, but the total amount of data collected was limited to providing the general representative of the Ghanaian students in one particular university. Other researchers may consider collecting data from other universities to extend the sample frame for a larger sample size of students. Practical implications Academic administrators need to organize training and workshops on how to use the e-library portal for their search and other didactic assignments. Most importantly, students should be given IT or internet tutorials as foundation for the use of the e-library portal. Social implications Universities have to provide internet access such as hotspot and network routers at the labs, classrooms and other vantage points. It is believed that with these in place, adequate access to the internet would promote students’ engagement on the e-library facility. Originality/value The study examines the factors that influence students’ intention to use e-library resources for their studies in Ghana.

Understanding the Moderating Impact of Context-Awareness and Ubiquity on Mobile Government Services Adoption

2022 ◽  
Vol 14 (1) ◽  
pp. 0-0
Keyword(s):  
Technology Acceptance ◽  
Context Awareness ◽  
Structural Equation ◽  
Moderating Effect ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Policy Implications ◽  
Equation Modeling ◽  
Future Research ◽  
The Impact

The factors of context-awareness and mobile ubiquity are major components in the development and diffusion of any mobile technology-driven applications and services. Principally in the m-government development space, the issues of context-awareness and ubiquity are crucial if m-government initiatives are to be successful. The moderating effect of context-awareness and ubiquity on mobile government adoption is examined for 409 students from a Chinese University based on the Technology Acceptance Model. Using the Structural Equation Modeling technique, the results indicate that perceived ease of use (PEOU) was significantly related to intention to use, but perceived usefulness (PU) did not have a significant effect on mobile government adoption. The moderating analysis indicated that context-awareness significantly moderated the impact of PU but had no moderating effect on PEOU. Also, it was discovered that ubiquity was significant in moderating both the PEOU and PU on mobile government adoption. Policy implications and directions for future research are presented.

Analisis Pengaruh Persepsi Manfaat, Persepsi Kemudahan Penggunaan dan Persepsi Risiko Terhadap Keputusan Pembelian dengan Kepercayaan Sebagai Variabel Intervening (Studi Pada Konsumen Gofood di Kota Semarang)

2020 ◽  
Vol 19 (2) ◽  
pp. 114-125
Author(s):  
Isnaeni Agustin Widhiaswara ◽  
Harry Soesanto
Keyword(s):  
Structural Equation Modeling ◽  
Perceived Risk ◽  
Structural Equation ◽  
Sem Analysis ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Equation Modeling ◽  
Purchasing Decisions ◽  
Food Purchases ◽  
The City

This study aims to analyze the effect of perceived usefulness, perceived of ease of use, perceived risk , trust and purchasing decisions for GoFood in the city of Semarang. Respondents in this study are consumers who make food purchases through GoFood. Data collected through Google Form containing questionnaires filled out by 125 respondents. The analytical method used is Structural Equation Modeling (SEM) analysis carried out with the AMOS program. The results of hypothesis testing with SEM show that: 1. Perceived usefulness has a significant effect on trust, 2. Perceived of ease of use has a significant effect on trust, 3. Perceived risk has a significant effect on trust, 4. Trust has a significant effect on purchasing decisions, 5. Perceived usefulness has a significant effect on purchasing decisions, 6. Perceived of ease of use has a significant effect on purchasing desicion, 7. Perceived risk has a significant effect on purchasing decisions.

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