Factors Affecting Wearable ECG Device Adoption by General Practitioners for Atrial Fibrillation Screening: Cross-Sectional Study (Preprint)

2021 ◽  
Author(s):  
YI Yao ◽  
Zhichao Li ◽  
Yi He ◽  
Yalin Zhang ◽  
Zhaoxia Guo ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Social Influence ◽  
General Practitioners ◽  
Structural Equation ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Price Perception ◽  
Performance Expectancy

BACKGROUND Atrial fibrillation (AF) is a challenging cardiovascular disease worldwide. Wearable electrocardiograph devices (WEDs) have great potential to improve the detection rate of AF in primary care. However, the factors that influence general practitioners’ (GPs) perception and acceptance of WEDs are not well understood. These factors are very important for the usability of WEDs. OBJECTIVE To identify factors that influence the intention of GPs to utilize WEDs in a clinical setting to screen patients for AF. METHODS The research hypotheses and questionnaire items were designed and developed based on the extended unified theory of acceptance and technology (UTAUT) framework. We used stratified random sampling and obtained the data through an online survey. Structural equation modeling was used to analyze the collected data. RESULTS A total of 1004 valid questionnaires from GPs across Sichuan province in China were collected. Three factors increased GPs' intention to utilize WEDs to screen patients for AF, including performance expectancy (β=0.121, P=0.004), social influence (β=0.356, P<0.001), and price perception (β=0.587, P<0.001). Perception risk (β=-0.059, P<0.001) decreased usage intention, while effort expectancy (β=-0.079, P=0.155) and facilitating conditions (β=-0.014, P=0.868) did not affect usage intention. Gender (β=-0.022, P=0.179), age (β=0.006, P=0.699), education level (β=-0.22, P=0.184) and training (β=0.007, P=0.69) were not significantly correlated with usage intention, and these four factors had no moderating effect on the path coefficients. CONCLUSIONS GPs’ intention to utilize WEDs is affected by performance expectancy, price perception, perception risk and social influence. Health information technology companies should improve the usability and perception of WEDs for screening and carry out studies to provide evidence for the security of wearable devices. They should also focus on social influence and provide the devices at a reasonable price. CLINICALTRIAL This study is registered at www.chictr.org.cn (Identifier: CHiCTR1900021246).

Factors Influencing General Practitioners’ Intention to Utilize Wearable ECG Devices for Atrial Fibrillation Screening: An Acceptance Model and Questionnaire Survey (Preprint)

2021 ◽  
Author(s):  
Yi Yao ◽  
Zhichao Li ◽  
Yi He ◽  
Yalin Zhang ◽  
Zhaoxia Guo ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Social Influence ◽  
General Practitioners ◽  
Structural Equation ◽  
Online Survey ◽  
Equation Modeling ◽  
Price Perception ◽  
Performance Expectancy ◽  
Acceptance Model ◽  
Facilitating Conditions

BACKGROUND Atrial fibrillation (AF) was a challenging cardiovascular disease worldwide. Wearable electrocardiograph devices (WEDs) had great potential to improve the detection rate of AF in primary care. However, the factors that influence general practitioners’ (GPs) acceptance of WEDs were not well understood. OBJECTIVE To identify factors that influenced the intention of GPs to utilize WEDs in their practice to screen patients for AF. METHODS The research hypotheses and questionnaire items were designed and developed based on the extended unified theory of acceptance and technology (UTAUT) framework. We used stratified random sampling and obtained the data through an online survey. We used structural equation modeling(SMR) to analyze the collected data . RESULTS A total of 1004 valid questionnaires from GPs across Sichuan province in China were collected. Three factors increased GPs' intention to utilize WEDs to screen patients for AF, including performance expectancy (β=0.121, P=0.004), social influence (β=0.356, P<0.001), and price perception (β=0.587, P<0.001). Perception risk (β=-0.059, P<0.001) decreased usage intention, while effort expectancy (β=-0.079, P=0.155) and facilitating conditions (β=-0.014, P=0.868) did not affect usage intention. Gender (β=-0.022, P=0.179), age (β=0.006, P=0.699), education level (β=-0.22, P=0.184) and training (β=0.007, P=0.69) were not significantly correlated with usage intention, and these four factors had no moderating effect on the path coefficients. CONCLUSIONS GPs’ intention to utilize WEDs is affected by performance expectancy, price perception, perception risk and social influence. Health information technology companies should improve the usability of WEDs and carry out studies to provide evidence for the security of such devices. They should also focus on social influence and provide the devices at a reasonable price. The findings of this study point to a new option for GPs to screen patients for AF. CLINICALTRIAL This study is registered at www.chictr.org.cn (Identifier: CHiCTR1900021246).

scholarly journals The Influence of Satisfaction toward Loyalty of Adolescent Consumers Mujigae Resto in Bogor City

2020 ◽  
Vol 5 (1) ◽  
pp. 1-15
Author(s):  
Fidaa Nafiisah ◽  
Moh Djemdjem Djamaludin
Keyword(s):  
Consumer Satisfaction ◽  
Structural Equation ◽  
Online Survey ◽  
Hypothesis Test ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Equation Modeling ◽  
Survey Method ◽  
Cross Sectional ◽  
Korean Wave

As the globally popularity of South Korean culture called Korean wave is hitting around the world, Korean food has been drawing people’s attention and Korean restaurants have been developing in recent years. One of them is offered by a restaurant franchise called Mujigae Resto which can be found in many areas of Indonesia including Bogor City. This study aims to analyze the influence of satisfaction toward loyalty of consumers of Mujigae Resto in Bogor City. This study was a cross-sectional study design which used an online survey method. As many as 150 adolescents have participated in this survey. The sample criteria were individuals aged 16-18 years, residing in Bogor City, and had bought foods in Mujigae Resto at least two times in the last six months. The analysis included a descriptive analysis, Spearman correlation test, and hypothesis test with the Structural Equation Modeling (SEM) using the Analysis of Moment Structures (AMOS) program. The results showed that consumer adolescents in this study, generally, had a satisfaction in a moderate level and loyalty in a low level. Consumer satisfaction significantly affected consumer loyalty on Mujigae Resto.

scholarly journals Leisure attitude, stress-related growth, and quality of life during COVID-19-related

2021 ◽  
Author(s):  
Jee Hoon Han ◽  
Hye Ji Sa
Keyword(s):  
Quality Of Life ◽  
Structural Equation ◽  
Online Survey ◽  
Leisure Activities ◽  
Cross Sectional Study ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Social Distancing ◽  
Life Education

The coronavirus disease 2019 (COVID-19) pandemic and related restrictive measures have impacted on leisure activities globally; South Korea is no exception. In this cross-sectional study we identified the need to increase leisure opportunities during social distancing and respond to changes in leisure activities post-COVID-19. The leisure attitude, stress-related growth, and quality of life of 260 participants were examined via an online survey. Data were analyzed through structural equation modeling. Results show that during social distancing, leisure attitude was positively associated with stress-related growth, leisure attitude was not significantly associated with quality of life, and stress-related growth was positively associated with quality of life. From a long-term perspective, as leisure activities can improve stress-related growth and quality of life, education and related discussions must continue to ensure that people hold a positive attitude toward leisure participation.

Engaging leadership in the job demands-resources model

2015 ◽  
Vol 20 (5) ◽  
pp. 446-463 ◽  
Author(s):  
Wilmar B. Schaufeli
Keyword(s):  
Structural Equation ◽  
Work Performance ◽  
Online Survey ◽  
Job Demands ◽  
Well Being ◽  
Organizational Outcomes ◽  
Job Resources ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Content Type

Purpose – The purpose of this paper is to integrate leadership into the job demands-resources (JD-R) model. Based on self-determination theory, it was argued that engaging leaders who inspire, strengthen, and connect their followers would reduce employee’s levels of burnout and increase their levels of work engagement. Design/methodology/approach – An online survey was conducted among a representative sample of the Dutch workforce (n=1,213) and the research model was tested using structural equation modeling. Findings – It appeared that leadership only had an indirect effect on burnout and engagement – via job demands and job resources – but not a direct effect. Moreover, leadership also had a direct relationship with organizational outcomes such as employability, performance, and commitment. Research limitations/implications – The study used a cross-sectional design and all variables were based on self-reports. Hence, results should be replicated in a longitudinal study and using more objective measures (e.g. for work performance). Practical implications – Since engaged leaders, who inspire, strengthen, and connect their followers, provide a work context in which employees thrive, organizations are well advised to promote engaging leadership. Social implications – Leadership seems to be a crucial factor which has an indirect impact – via job demands and job resources – on employee well-being. Originality/value – The study demonstrates that engaging leadership can be integrated into the JD-R framework.

scholarly journals Radiation effects on atherosclerosis in atomic bomb survivors: a cross‐sectional study using structural equation modeling

2021 ◽  
Vol 36 (4) ◽  
pp. 401-414
Author(s):  
Tomoki Nakamizo ◽  
John Cologne ◽  
Kismet Cordova ◽  
Michiko Yamada ◽  
Tetsuya Takahashi ◽  
...  
Keyword(s):  
Arterial Stiffness ◽  
Radiation Exposure ◽  
Structural Equation ◽  
Atomic Bomb ◽  
Cross Sectional Study ◽  
Equation Modeling ◽  
Study Cohort ◽  
Sectional Study ◽  
Cross Sectional ◽  
Atomic Bomb Survivors

AbstractPast reports indicated that total-body irradiation at low to moderate doses could be responsible for cardiovascular disease risks, but the mechanism remains unclear. The purpose of this study was to investigate the association between radiation exposure and atherosclerosis, an underlying pathology of cardiovascular diseases, in the Japanese atomic bomb survivors. We performed a cross-sectional study measuring 14 clinical-physiological atherosclerosis indicators during clinical exams from 2010 to 2014 in 3274 participants of the Adult Health Study cohort. Multivariable analyses were performed by using a structural equation model with latent factors representing underlying atherosclerotic pathologies: (1) arterial stiffness, (2) calcification, and (3) plaque　as measured with indicators chosen a priori on the basis of clinical-physiological knowledge. Radiation was linearly associated with calcification (standardized coefficient per Gy 0.15, 95 % confidence interval: CI [0.070, 0.23]) and plaque (0.11, 95 % CI [0.029, 0.20]), small associations that were comparable to about 2 years of aging per Gy of radiation exposure, but not with arterial stiffness (0.036, 95 % CI [− 0.025, 0.095]). The model fitted better and had narrower confidence intervals than separate ordinary regression models explaining individual indicators independently. The associations were less evident when the dose range was restricted to a maximum of 2 or 1 Gy. By combining individual clinical-physiological indicators that are correlated because of common, underlying atherosclerotic pathologies, we found a small, but significant association of radiation with atherosclerosis.

Modeling the Factors that Influence Ghanaian Entrepreneurs to Adopt e-Commerce

2021 ◽  
Vol 18 (06) ◽  
Author(s):  
Frederick Pobee
Keyword(s):  
Structural Equation ◽  
Partial Least Square ◽  
Least Square ◽  
Equation Modeling ◽  
Unified Theory ◽  
Cross Sectional ◽  
Performance Expectancy ◽  
Use Of Technology ◽  
Effort Expectancy ◽  
Facilitating Conditions

This study investigated the factors that influence Ghanaian entrepreneurs to adopt e-commerce. Cross-sectional data was gathered from 520 entrepreneurs in the most populous and industrious regions in Ghana. The unified theory of acceptance and use of technology (UTAUT) was employed to effectively understand the unexplored phenomenon of e-commerce adoption among Ghanaian entrepreneurs. Partial Least Square-Structural Equation Modeling (PLS-SEM) was used to test the hypothesized relationships. The findings indicate that performance expectancy, effort expectancy, and social influence (SI) positively and significantly influenced the behavioral intention (BI) to adopt e-commerce. Facilitating conditions (FC) and BI had a significant positive relationship with the adoption of e-commerce.

scholarly journals Psychological Capital and Family Satisfaction among Employees: Do Occupational Stressors Moderate the Relationship?

2021 ◽  
Vol 18 (22) ◽  
pp. 12260
Author(s):  
Oi-Ling Siu ◽  
Qianting Kong ◽  
Ting-Kin Ng
Keyword(s):  
Structural Equation ◽  
Online Survey ◽  
Psychological Capital ◽  
Positive Association ◽  
Family Satisfaction ◽  
Equation Modeling ◽  
Occupational Stressors ◽  
Cross Sectional ◽  
Personal Resource ◽  
The Relationship

The COVID-19 pandemic has created more occupational stressors, particularly work–family interface issues. The purpose of this study was to investigate the moderating role of occupational stressors in the relationship between a personal resource (psychological capital) and family satisfaction. A cross-sectional study was carried out with a sample of 787 employees (367 males, 420 females) from the Greater Bay Area of China between October and November 2020. Participants completed an online survey which included the Chinese version of the Psychological Capital Questionnaire, measures of occupational stressors from the Work Stress Management DIY Kit and a measure of family satisfaction. Latent moderated structural equation modeling revealed that family satisfaction was positively associated with psychological capital and negatively associated with occupational stressors. Furthermore, occupational stressors weakened the positive association between psychological capital and family satisfaction. These findings provided empirical evidence for the work–home resources model and may suggest that it would be beneficial to boost psychological capital and reduce occupational stressors of employees.

scholarly journals Influence of Childhood Family Routines on Adult Depression: A Cross Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Yuzhi Yan ◽  
Junyi Zhang ◽  
Shenghong Dong
Keyword(s):  
College Students ◽  
Structural Equation ◽  
Cross Sectional Study ◽  
Equation Modeling ◽  
Family Routines ◽  
Cross Sectional ◽  
Chinese College Students ◽  
Adult Depression ◽  
Negative Effect ◽  
Tolerance Of Uncertainty

In order to explore the influence of childhood family routines on adult depression and the mediating role of tolerance of uncertainty and rumination, the current study tested 818 participants by adopting four questionnaires. The results of structural equation modeling revealed that (1) family routines had a negative effect on depression among Chinese college students; (2) family routines were found to have a positive effect on tolerance of uncertainty, and tolerance of uncertainty was a bridge linking family routines and depression; (3) family routines had a significant effect on depression through rumination; (4) the relationship between family routines and depression was partially mediated by the chain of tolerance of uncertainty and rumination. The result reveals not only the fact that childhood family routines have significant influence on college students' depression but also the mechanism of childhood family routines that affect college students' depression. The limitations and implications of our study were also discussed.

scholarly journals Reporting Skill: The Missing Ingredient in Concussion Reporting Intention Assessment

2019 ◽  
Vol 11 (5) ◽  
pp. 416-424 ◽  
Author(s):  
Dee Warmath ◽  
Andrew P. Winterstein
Keyword(s):  
Structural Equation ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Equation Modeling ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Confirmatory Factor Analyses ◽  
Concussion Knowledge ◽  
The Relationship ◽  
Reporting Intentions

Background: Extant literature suggests that a substantial portion of athletes may not report a possible concussion and that concussion knowledge is insufficient to predict concussion reporting behavior. One area that has not been explored is reporting skill; that is, mastery of the actions required to report a concussion. This study evaluated the relationship between reporting skill and reporting intention, introducing a measure of the reporting skill construct. Hypotheses: Reporting intentions will be more closely associated with reporting skill than with concussion/symptom knowledge. The relationship between concussion (or symptom) knowledge and reporting intentions will differ by level of reporting skill. Study Design: Repeated cross-sectional study. Level of Evidence: Level 2. Methods: A set of items was administered to young adults aged 18 to 24 years from the Survey Sampling International panel. Exploratory/confirmatory factor analyses were conducted on 2 waves of data to develop the scale (n = 899). Hypotheses were tested using structural equation modeling on the responses from the third wave of participants (n = 406). Results: Knowing the actions to take in reporting was more important than having knowledge of concussions or concussion symptoms. Reporting skill, not concussion or concussion symptom knowledge, was associated with higher intentions to report symptoms. Among those with higher levels of reporting skill, concussion symptom knowledge (but not general concussion knowledge) was associated with higher intentions to report symptoms. Conclusion: Reporting skill is an important and, until now, missing ingredient in the concussion literature and practice. Clinical Relevance: Incorporating reporting skill development in concussion education and team activities to teach athletes how to report is likely to improve actual reporting intentions. While further study is needed with particular sports and additional age groups, reporting skill holds promise as a new avenue for increased concussion reporting.

scholarly journals Attitudinal and normative responses to advertising stimuli and vaping intentions

2020 ◽  
pp. 147078532092920
Author(s):  
Abraham Brown ◽  
Seamus Allison
Keyword(s):  
Structural Equation ◽  
Cross Sectional Study ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Gas Stations ◽  
Cigarette Advertising ◽  
Retail Outlets ◽  
Former Smokers ◽  
Never Smokers ◽  
Bayesian Structural Equation Modeling

Empirical data to show whether exposure to e-cigarette advertising stimuli may influence former- and never-smokers to consider vaping is lacking. We examined whether former- and never-smokers’ cognitive, affective, and normative responses to e-cigarette stimuli in retail outlets will predict their vaping intention. A repeat cross-sectional study recruited 876 participants aged 18–24 years at Waves 1 and 2 in the United Kingdom. Bayesian structural equation modeling tested mediation and moderation effects of the variables of interest. Results from Waves 1 and 2 revealed that the association of salience of e-cigarette advertising in stores and gas stations with vaping intention was mediated by affect and subjective norms among former smokers. Cognitive attitudes of never smokers mediated the relationship between salience of e-cigarette advertising in retail outlets and vaping intention at Waves 1 and 2. Former smokers were more likely to hold stronger affect toward vaping than never smokers at Wave 2. Our study supports the need for stronger policies to restrict e-cigarette portrayals in retail outlets, as advertising messages can trigger strong thoughts, feelings, and norms of vaping. Interventions may benefit from including attitudinal and normative components to promote pro-social behavior.

Sign in / Sign up

Export Citation Format

Share Document