scholarly journals Factors Influencing the Acceptance of Pediatric Telemedicine Services in China: A Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Jingjin Shi ◽  
Xueming Yan ◽  
Miao Wang ◽  
Ping Lei ◽  
Guangjun Yu

Background: Pediatrician workforce shortages have aroused great attention from health authorities in China. Telemedicine services have been known to enhance the management of children's health, yet the rate of adoption and usage in Chinese hospitals still at a quite low level, and the factors influencing the acceptance of telemedicine services remains unclear.Objective: The purpose of this empirical study was to evaluate the reliability and validity of a technology acceptance measurement instrument applied in healthcare, to investigate the perception of telemedicine services on the provider-side and demand-side, and to determine the factors that may drive individuals to adopt telemedicine services.Methods: A cross-sectional survey study based at Shanghai Children's Hospital, Shanghai Jiao Tong University, was conducted in March 2020. A total of 456 valid responses were obtained by convenience sampling. The internal consistency of items was assessed by Cronbach's alpha (α), composite reliability (CR) and average variance extracted (AVE) to evaluate both the reliability and validity of the questionnaire. Structural equation modeling analysis was used to test and verify the interrelationships among relevant variables.Results: Price value is the strongest predictor (β = 0.30, p = 0.02), facilitating conditions (β = 0.28, p = 0.01) and hedonic motivation (β = 0.13, p = 0.04) also have significantly positive direct effects on telemedicine acceptance. The results showed the perception of child patients' families were significantly more acceptable to telemedicine services than pediatricians (t = −2.99, p < 0.01). Participants with no prior experience and lower education may be more willing to adopt telemedicine.Conclusion: Telemedicine will likely continue to have an integral role in pediatric health care delivery, and the findings can assist policy makers and hospital administrators in determining the more valued characteristics of telemedicine services from a behavioral perspective. Future attention will be paid to the pricing, training and service quality of telemedicine in China.

Author(s):  
Dong Wang ◽  
Kehong Wang ◽  
Lemei Yan ◽  
Zeyu Yue ◽  
Jiewen Zhang

Understanding users’ safety perception of the credibility of web-based information has become increasingly important in the context of new retailing. This study extends the existing literature by exploring the factors influencing information credibility in the context of new retailing. Based on the technology acceptance model and the rational behavior theory, a theoretical model for the assessment of information credibility in new retailing was developed. We analyzed the factors influencing users’ safety preference toward information communication procedures and information credibility in new retailing based on two aspects: perceived information quality and user judgment motivation. The reliability and validity of the model measure were analyzed, and structural equation modeling was used to test the model hypotheses. The following results were obtained: (1) Authenticity, accuracy, and practicability positively affected the perceived information quality of new retailing information; (2) User judgment motivation had a positive impact on information users’ safety preference and information credibility; (3) Users’ safety preference positively affected information credibility; (4) Information acquisition, social interaction, and self-identity positively affected the perceived credibility of new retailing information.


2013 ◽  
Vol 3 (3) ◽  
pp. 37-44 ◽  
Author(s):  
Hesamaddin Kamalzadeh takhti ◽  
Azizah Binti Abdul Rahman ◽  
Samireh Abedini

This study employs the combined technology acceptance model (TAM) and theory of planned behavior (TPB) (i.e., C-TAM-TPB) that extended with self-efficacy and knowledge of information technology to examine HIS acceptance by Malaysian nurses. A cross-sectional survey was conducted in three public hospitals in Malaysia to gather data from practicing nurses with experience of using HIS. Structural equation modeling using the partial least squares (PLS) method was utilized to evaluate measurements and structural models. The results stress that a nurses intention was significantly influenced by three factors, including his or her attitude, the subjective norm, and perceived behavioral control. The results also indicate that the model can explain over half of the variance in the intention to use HIS.  


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Juhong Pei ◽  
Xinglei Wang ◽  
Haixia Chen ◽  
Hongchen Zhang ◽  
Ruiling Nan ◽  
...  

Abstract Background Several factors are associated with the incidence of burnout, including alexithymia, social support, and depression. The relative importance of these three key parameters as mediators of burnout, however, is not well understood. In addition, there have been few studies to date specifically examining the association between alexithymia and burnout among nurses in China. Purpose To evaluate the relationship of burnout with alexithymia, social support, and depression across emergency department nurses in China. Methods This descriptive, cross-sectional survey was conducted using a convenience sampling methodology to survey nurses responsible for direct emergency care (n = 413) from 18 tertiary hospitals in Western, Eastern, Northern, and Southern China between May 2020 and June 2020. A structural equation modeling approach was then used to assess a hypothetical model wherein alexithymia both directly and indirectly affects burnout among emergency nurses via impacting the incidence of depression and perceived social support. Results Results supported all driving hypotheses. Alexithymia was positive direct correlated with burnout (β = 0.35; P < 0.001) and depression (β = 0.50; P < 0.001), and exhibited a negative direct effect on social support (β = − 0.14; P = 0.041). Depression was associated with burnout, both directly (β = 0.24; P < 0.001) and indirectly (β = 0.15; P < 0.001) through its relationship with social support. Alexithymia was the factor most strongly associated with burnout, and it was able to affect burnout indirectly through depression and social support. Conclusions We found that among emergency nurses in China, alexithymia was correlated with burnout, depression, and social support. Alexithymia was the factor most strongly associated with burnout. These data suggest that providing better social support and alleviating alexithymia may decrease rates of burnout among emergency nurses.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jacques J. D. M. van Lankveld ◽  
Marieke Dewitte ◽  
Peter Verboon ◽  
Susan A. H. van Hooren

In this online cross-sectional survey study in a large community sample we investigated the associations between attachment-related relational needs, partner responsiveness, intimacy, and sexual desire, using structural equation modeling. Participants were heterosexual and non-heterosexual women and men. Intimacy and partner responsiveness correlated positively with sexual desire in all subsamples. Anxious attachment-related relational needs correlated positively with sexual desire. Avoidant attachment-related relational needs correlated negatively with sexual desire. Anxious and avoidant attachment-related needs, however, did not moderate the association between intimacy and sexual desire. Individuals with problems of low sexual desire may benefit from an emphasis in sex therapy on ways to increase (perceptions of) intimacy.


2016 ◽  
Vol 34 (2) ◽  
pp. 182-200 ◽  
Author(s):  
Emre Sezgin ◽  
Sevgi Özkan-Yildirim ◽  
Soner Yildirim

The objective of this study was to investigate physicians’ perceptions to use mobile health applications in practice, and to identify influencing factors to use the technology. An mHealth technology acceptance model was proposed (M-TAM), and a cross-sectional survey was implemented using structured questionnaire to collect data. Online tools were used for inviting participants (physicians) and data collection from Turkey. The data was analyzed using Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM). A total of 128 physicians participated in the survey. The model explained the perception of physicians towards mHealth application use by 51% of total variance. The influential factors were identified as Effort Expectancy, Mobile Anxiety, Perceived Service Availability and Technical Training and Support. The study provided a new model to the literature of health information technology. Findings of the research contributed by unveiling latent constructs and their influence on physicians’ perceptions towards a new healthcare technology: mHealth applications.


2019 ◽  
Vol 8 (3) ◽  
pp. 6303-6308

Bring Your Own Device (BYOD) is an emerging trend whereby employees are allowed to use their own mobile devices to access organizational data from anywhere and anytime. It helps increasing employee productivity and reducing capital cost for the organization. To formalize and implement BYOD policy, it is imperative to understand the employee’s attitude and intention since the success of this policy highly depends on their attitude and intention. Therefore, this study proposes an insight on the factors influencing employees’ attitude towards BYOD & their intentions to use their own devices for organizational purpose. A research model have been developed based on Technology Acceptance Model(TAM) which is tested for reliability and validity through Structured Equation Modeling using sample collected from 332 employees. The results of this study indicate that decision by employees to adopt BYOD is indeed a complex interplay of a number of variables and while some of them may affect attitude towards BYOD they may not have a positive effect on intention to adopt BYOD. The study also brings forward several implications which can be a valuable reference for practitioners and other researchers.


2020 ◽  
Vol 2 (1) ◽  
pp. 37-44
Author(s):  
Koawo Edjah ◽  
Francis Ankomah ◽  
Ebenezer Domey ◽  
John Ekow Laryea

AbstractStress is concomitant with students’ life and can have a significant impact on their lives, and even how they go about their academic work. Globally, in every five visits by patients to the doctor, three are stress-related problems. This study examined stress and its impact on the academic and social life among students of a university in Ghana. The descriptive cross-sectional survey design was employed. Using the stratified and simple random (random numbers) sampling methods, 500 regular undergraduate students were engaged in the study. A questionnaire made up of Perceived Stress Scale and Students’ Life Satisfaction Scale was used to gather data for the study. Frequencies, percentages, means and standard deviation, and Structural Equation Modeling (SEM), with AMOS were used for the analyses. It was found that majority of the students were moderately stressed. Paramount among the stressors were academic stressors, followed by institutional stressors, and external stressors. Stress had a significant positive impact on the academic and social life of students. It was concluded that undergraduate students, in one way or the other, go through some kind of stress during the course of their study. It was recommended that the university, through its Students’ Affairs, and Counselling Sections, continue to empower students on how to manage and deal with stress in order to enhance their academic life.


2019 ◽  
Vol 12 (3) ◽  
pp. 472
Author(s):  
Ludmilla Cavarzere de Oliveira ◽  
Luis Hernan Contreras Pinochet ◽  
Ricardo Luiz Pereira Bueno ◽  
Mauri Aparecido de Oliveira

The objective of this research was to analyze the effect of gamification on intention to use online training from the partial validation of the UTAUT model for qualification of members and servers of the Regional Labor Court of the 2nd Region (TRT-2). The study analyzed the relationship between constructs performance expectancy, effort expectancy, facilitating conditions, and familiarity with the intention to use gaming in distance media.  This was conducted through an empirical application, which used the Structural Equation Modeling (SEM) for data analysis. The research was a single cross-sectional survey, carried out with TRT-2 members and servers who participated in the distance-feeding course ‘Healthy Living’ in 2015. Of the four hypotheses, only familiarity (F) was not significant as it did not serve as a behavioral intentions (BI) predictor of gamification for distance learning courses. Some explanations for such phenomenon may be career promotion and additional qualifications, learning by doing and sample size. The results confirmed that most hypotheses have a high statistical significance of the structural paths and have demonstrated that the model proposed in this study is consistent and can be applied in future studies with appropriate adjustments.


Author(s):  
Yang Silin ◽  
David Kwok

This study aims to examine the factors that support or hinder students’ attitudes towards using information and communication technology (ICT) in problem-based learning (PBL) using the technology acceptance model (TAM) (Davis, 1989) among polytechnic students. A total of 737 first-year polytechnic students in Singapore participated in the cross-sectional survey study by completing a questionnaire (The assessment of attitude and intention to use ICT tools among polytechnic students), which gathered both quantitative and qualitative data. Based on the analysis of the quantitative data, perceived usefulness and perceived ease of use are found to be significantly and positively correlated with attitudes towards using ICT. Results from the analysis of the qualitative data suggest five major themes (engagement, communication, information gathering, collaboration and efficiency) on what students enjoyed most about using ICT. On the other hand, Internet connectivity, usability, technical issues and ICT competency are the four other themes that categorised the difficulties students faced using ICT. An important implication is to develop polytechnic lecturers’ competency in the use of ICT-enabled learning tools as a priority to enable them to successfully integrate ICT in their PBL lessons. 


2016 ◽  
Vol 74 (2) ◽  
pp. 148-177 ◽  
Author(s):  
Anthony C. Waddimba ◽  
Howard B. Beckman ◽  
Thomas L. Mahoney ◽  
James F. Burgess

We examined moderating effects of professional satisfaction on physicians’ motivation to adhere to diabetes guidelines associated with pay-for-performance incentives. We merged cross-sectional survey data on attitudes, from 156 primary physicians, with prospective medical record-sourced data on guideline adherence and census data on ambulatory-care population characteristics. We examined moderating effects by testing theory-driven models for satisfied versus discontented physicians, using partial least squares structural equation modeling. Results show that attitudes motivated, while norms suppressed, adherence to guidelines among discontented physicians. Separate models for satisfied versus discontented physicians revealed motivational differences. Satisfied physicians disregarded intrinsic and extrinsic influences and biases. Discontented physicians, alienated by social pressure, favored personal inclinations. To improve adherence to guidelines among discontented physicians, incentives should align with personal attitudes and incorporate promotional campaigns countering resentment of peer and organizational pressure.


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