Addiction and Mental Health Clinicians’ Attitudes Toward Telepsychology: Predicting Post-Pandemic Telepsychology Uptake (Preprint)

2021 ◽  
Author(s):  
Kristen Emily Zentner ◽  
Graham Gaine ◽  
Paige Ethridge ◽  
Shireen Surood ◽  
Adam Abba-Aji

BACKGROUND The COVID-19 pandemic has resulted an unprecedented uptake of telepsychology services; however, clinicians are mixed in their attitudes toward virtual technologies. OBJECTIVE This study explored clinician attitudes towards video, telephone, and in-person services and tested the utility of the unified theory of acceptance and use of technology (UTAUT) to predict clinician intention to offer telepsychology post-pandemic. METHODS Clinician satisfaction and therapeutic alliance were compared across in-person, video, and telephone while ease of communication, technology attitudes, and intention to use post-pandemic were compared across video and telephone services in 118 addiction and mental health clinicians during the COVID-19 pandemic. RESULTS Clinicians reported more positive attitudes toward in-person services than both virtual technologies, and more positive attitudes towards video- than telephone-based services across measures (P < .001). Based on the UTAUT, performance expectancy positively predicted concurrent intention to use video (β = 0.46, P < .001) and telephone (β = 0.35, P < .001) services in future practice. Social influence (β = 0.24, P = .004) and facilitating conditions (β = 0.19, P = .028) additionally predicted intention to use telephone. CONCLUSIONS Clinicians have more positive attitudes towards in-person than virtual technologies, with video perceived more positively than telephone; performance expectancy is a primary facilitator to uptake of both virtual modalities. Recommendations and limitations are discussed.

2021 ◽  
Vol 13 (6) ◽  
pp. 3524
Author(s):  
Melor Md Yunus ◽  
Wee Shin Ang ◽  
Harwati Hashim

Online learning has become essential in education as the spread of coronavirus 19 (COVID-19) pandemic has brought significant changes to the field. However, education should remain welcoming and supportive to all the learners as it is important to keep the students’ behavioural intention in any form of learning environment. Thus, this study is significant as online learning is leading the trend of education now. Past studies revealed that the factors of performance expectancy, effort expectancy, social influence, and facilitating conditions under the unified theory of acceptance and use of technology (UTAUT) model affect learners’ behavioural intention to use online learning. This study intended to identify the most significant factors that influence TESL postgraduate students’ behavioural intention towards the use of online learning during the COVID-19 pandemic. It also examined the relationship amongst the four factors and postgraduate students’ behavioural intention to use online learning. The participants consisted of 169 postgraduate students at a public university in Malaysia. To achieve the aim, the study utilized a survey design using a questionnaire. The results from regression analysis revealed that all of the factors have positive effects on postgraduate students’ behavioural intention to use online learning. Meanwhile, performance expectancy has the greatest influence on postgraduate students’ behavioural intention. Hence, this study concludes that the practicality and the usefulness of online learning should be highlighted by the authorities.


2016 ◽  
Vol 12 (4) ◽  
pp. 23-37 ◽  
Author(s):  
Nuno Fortes ◽  
António Carrizo Moreira ◽  
João Saraiva

Online gambling has skyrocketed in recent years. As such, knowing the determinants of consumer usage behavior is crucial in understanding online gambling services. This study has as main objective the construction of an explanatory model of the online gambling services usage behavior, based on the incorporation of perceived risk in the conceptual framework of the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2). The empirical validation of the model was performed by conducting an online survey to a convenience sample of 212 Portuguese online players. Data were processed using the PLS-SEM methodology. The results evidence that performance expectancy, social influence, facilitating conditions, hedonic motivations, price value, habits, as well as perceived risk influence the intention to use online gambling services.


10.2196/15023 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e15023 ◽  
Author(s):  
Yiyu Zhang ◽  
Chaoyuan Liu ◽  
Shuoming Luo ◽  
Yuting Xie ◽  
Fang Liu ◽  
...  

Background Diabetes poses heavy social and economic burdens worldwide. Diabetes management apps show great potential for diabetes self-management. However, the adoption of diabetes management apps by diabetes patients is poor. The factors influencing patients’ intention to use these apps are unclear. Understanding the patients’ behavioral intention is necessary to support the development and promotion of diabetes app use. Objective This study aimed to identify the determinants of patients’ intention to use diabetes management apps based on an integrated theoretical model. Methods The hypotheses of our research model were developed based on an extended Unified Theory of Acceptance and Use of Technology (UTAUT). From April 20 to May 20, 2019, adult patients with diabetes across China, who were familiar with diabetes management apps, were surveyed using the Web-based survey tool Sojump. Structural equation modeling was used to analyze the data. Results A total of 746 participants who met the inclusion criteria completed the survey. The fitness indices suggested that the collected data fit well with the research model. The model explained 62.6% of the variance in performance expectancy and 57.1% of the variance in behavioral intention. Performance expectancy and social influence had the strongest total effects on behavioral intention (β=0.482; P=.001). Performance expectancy (β=0.482; P=.001), social influence (β=0.223; P=.003), facilitating conditions (β=0.17; P=.006), perceived disease threat (β=0.073; P=.005), and perceived privacy risk (β=–0.073; P=.012) had direct effects on behavioral intention. Additionally, social influence, effort expectancy, and facilitating conditions had indirect effects on behavioral intention that were mediated by performance expectancy. Social influence had the highest indirect effects among the three constructs (β=0.259; P=.001). Conclusions Performance expectancy and social influence are the most important determinants of the intention to use diabetes management apps. Health care technology companies should improve the usefulness of apps and carry out research to provide clinical evidence for the apps’ effectiveness, which will benefit the promotion of these apps. Facilitating conditions and perceived privacy risk also have an impact on behavioral intention. Therefore, it is necessary to improve facilitating conditions and provide solid privacy protection. Our study supports the use of UTAUT in explaining patients’ intention to use diabetes management apps. Context-related determinants should also be taken into consideration.


Author(s):  
Eija Kivekäs ◽  
Santtu Mikkonen ◽  
Samuli Koponen ◽  
Kaija Saranto

The use of welfare technologies in the home setting has drawn increased attention in healthcare. From a historical perspective, medical technologies were designed for hospital settings. Digitalization and internet of things have changed the structure of our society. The aim of this paper is to describe the factors that determine a user’s intent to adopt new welfare technologies in the context of homecare. The phenomenon was being examined by the unified theory of acceptance and use of technology. This study was to show that performance expectancy, effort expectancy, and facilitating conditions are significant factors in determining a user’s intention to use new welfare technologies. While, the use of welfare technologies was rare in homecare.


Author(s):  
Wejdan Abualbasal ◽  
Emad Abu-Shanab ◽  
Heba Al-Quraan

The technology adoption domain is rich with studies that utilized a cross-sectional snapshot of subjects' perceptions regarding the adoption of new technology. This research tried to implement a longitudinal study that took three measures within 4 months to estimate the influence of time and experience on students' perceptions. The study adopted a modified version of the Unified Theory of Acceptance and use of Technology (UTAUT) with effort expectancy, performance expectancy, facilitating conditions, and locus of control predicting the intention to use Microsoft Project. Results supported the UTAUT and its prediction. Also, this study fitted two types of dynamic research typologies (learning curve and equilibrium circles) to the UTAUT relationships and across time.


2019 ◽  
Author(s):  
Yiyu Zhang ◽  
Chaoyuan Liu ◽  
Shuoming Luo ◽  
Yuting Xie ◽  
Fang Liu ◽  
...  

BACKGROUND Diabetes poses heavy social and economic burdens worldwide. Diabetes management apps show great potential for diabetes self-management. However, the adoption of diabetes management apps by diabetes patients is poor. The factors influencing patients’ intention to use these apps are unclear. Understanding the patients’ behavioral intention is necessary to support the development and promotion of diabetes app use. OBJECTIVE This study aimed to identify the determinants of patients’ intention to use diabetes management apps based on an integrated theoretical model. METHODS The hypotheses of our research model were developed based on an extended Unified Theory of Acceptance and Use of Technology (UTAUT). From April 20 to May 20, 2019, adult patients with diabetes across China, who were familiar with diabetes management apps, were surveyed using the Web-based survey tool Sojump. Structural equation modeling was used to analyze the data. RESULTS A total of 746 participants who met the inclusion criteria completed the survey. The fitness indices suggested that the collected data fit well with the research model. The model explained 62.6% of the variance in performance expectancy and 57.1% of the variance in behavioral intention. Performance expectancy and social influence had the strongest total effects on behavioral intention (β=0.482; P=.001). Performance expectancy (β=0.482; P=.001), social influence (β=0.223; P=.003), facilitating conditions (β=0.17; P=.006), perceived disease threat (β=0.073; P=.005), and perceived privacy risk (β=–0.073; P=.012) had direct effects on behavioral intention. Additionally, social influence, effort expectancy, and facilitating conditions had indirect effects on behavioral intention that were mediated by performance expectancy. Social influence had the highest indirect effects among the three constructs (β=0.259; P=.001). CONCLUSIONS Performance expectancy and social influence are the most important determinants of the intention to use diabetes management apps. Health care technology companies should improve the usefulness of apps and carry out research to provide clinical evidence for the apps’ effectiveness, which will benefit the promotion of these apps. Facilitating conditions and perceived privacy risk also have an impact on behavioral intention. Therefore, it is necessary to improve facilitating conditions and provide solid privacy protection. Our study supports the use of UTAUT in explaining patients’ intention to use diabetes management apps. Context-related determinants should also be taken into consideration.


2018 ◽  
Vol 20 (1) ◽  
pp. 103-127 ◽  
Author(s):  
Pável Reyes-Mercado

Purpose This paper aims to analyse the adoption of fitness wearables by using the unified theory of acceptance and use of technology (UTAUT). The study analyses the relative weights and causal combinations of antecedent variables on use and intention to use fitness wearables. Design/methodology/approach The study design involves two stages: first, from the perspective of variable-oriented analysis, a structural equation model is tested using partial least squares (PLS) technique on a sample of 176 adopters and a second sample of 187 non-adopters. Second, from the perspective of case-oriented analysis, a fuzzy set qualitative comparative analysis (fsQCA) identifies causal combinations of variables that lead to use of wearables by adopters and intention to use by non-adopters. Findings PLS results show that performance expectancy and effort expectancy have high net effects on use and intention to use for adopters. FsQCA analysis shows that current users follow a streamlined path to adoption. High beliefs on performance expectancy and effort expectancy are the main influences of intention to use a fitness wearable for non-adopters. In contrast to adopters, non-adopters may follow a number of paths to intention to use through performance expectancy, effort expectancy or facilitating conditions. This insight was apparent only after analysing the data sets by using fsQCA. Research limitations/implications For sake of parsimony, this paper tested UTAUT model instead of the more complex unified theory of acceptance and use of technology 2. Practical implications Marketers in the fitness category can enhance use and intention to use by utilising not one but a combination of causal factors such as performance expectancy, effort expectancy and facilitating conditions. Wide societal deployment of wearables depends on performance and expectations. Social implications The widespread use of mobile devices depends on performance expectancy and effort expectancy. To transit to a real knowledge economy, co-creation should occur at early stages of product development so that these expectations are shared and better products be developed. Originality/value This paper offers a nuanced understanding of fitness wearable adoption by analysing adopters and non-adopters through variable- and case-oriented techniques. It complements the one-linear-path perspective with a number of alternative causal combinations of variables that lead to use and intention to use fitness wearables. While the causal path for adopters is unique, there are a number of causal combinations of antecedents that lead to high intention to use in potential adopters.


Author(s):  
Wiwied Virgiyanti ◽  
Siti Sarah Azidin ◽  
Muhammad Asim Tufail ◽  
Azizah Ahmad

Recognizing the importance of ICT, e-Government initiatives are rising through public organizations and public administration all over the world. Malaysia as a developing country had started implementing e-Government to improve the public services for the people. Unfortunately, public acceptance and usage towards e-Government are still very limited in most developing countries. The main purpose of this study is to investigate citizen adoption of e-government services in the northern region of Malaysia. Importantly, this study aims to develop a conceptual framework that is based on previous literature on the Unified Theory of Acceptance and Use of Technology (UTAUT) model, by examining the relationships between four factors (Performance Expectancy, Effort Expectancy, Social Influence, and Facilitating Conditions) and Citizen adoption of e-Government services. A self-administered questionnaire was used to obtain data from 22 Malaysian citizens in the state of Kedah, Malaysia, randomly. The findings indicate that Effort expectancy, Social influence and Facilitating conditions are the significant predictors of the Malaysian intention to use an e-Government services, while Performance Expectancy is proven to be an insignificant predictor for the Malaysian’s intention to use an e-Government services. The study has made contributions to the body of knowledge at academic and practical levels as an important exploratory study that was conducted in the context of Malaysia, a country which aims to be a developed country by 2020. In addition, this study provides some valuable insights into the adoption of e-Government in Malaysian context which could help government agencies to improve the effectiveness of their services.


2019 ◽  
Vol 58 (2) ◽  
pp. 433-458 ◽  
Author(s):  
Yu-Yin Wang ◽  
Yi-Shun Wang ◽  
Shi-En Jian

Business simulation games (BSGs) are educational tools that help students develop business management knowledge and skills. However, to date, relatively little research has investigated the factors that influence students’ BSG usage intention. Grounded on the extended unified theory of acceptance and use of technology, this study helped to fill this gap by exploring intention to use BSGs. Specifically, this study investigated the influence of performance expectancy, effort expectancy, social influence, facilitating conditions, hedonic motivation, and price value on behavioral intention to use BSGs. Data collected from 141 useful respondents were tested against the research model using partial least square approach. The results of this study indicated that behavioral intention to use BSGs was influenced by facilitating conditions, hedonic motivation, and price value. Unexpectedly, performance expectancy, effort expectancy, and social influence were not predictive of students’ behavioral intention to use BSGs. These findings enhanced our understanding of students’ BSG usage behavior and provided several important theoretical and practical implications for the application of BSG in the context of business and management education.


Author(s):  
Frederick Pobee

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.


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