An Investigation of Patients’ Decisions to Use eHealth

eHealth service has received increasing attention. Patients can consult online doctors via the Internet, and then physically visit the doctors for further diagnosis and treatments. Although extant research has focused on the adoption of eHealth services, the decision-making process from online to offline health services still remains unclear. This study aims to examine patients’ decisions to use online and offline health services by integrating the extended valence framework and the halo effect. By analyzing 221 samples with online consultation experiences, the results show that trust significantly influences perceived benefits and perceived risks, while trust, perceived benefits, and perceived risks significantly influence the intention to consult. The intention to consult positively influences the intention to visit. Considering the moderating effects of payment types, the influence of perceived risks on the intention to consult is larger for the free group than for the paid group. The findings are useful to better understand patients’ decisions to use eHealth.

Antecedent and employee well-being outcomes of perceived benefits schemes: a two-wave study

PurposeThe purpose of the research is to examine the antecedent and employee well-being outcomes of employees' perceptions of benefits schemes.Design/methodology/approachData were collected using both paper-based and web-based questionnaires over two time points (one month apart). The sample included 281 participants in eight companies in China. Structural equation modelling was employed to investigate the relationship between Chinese traditionality, perceived benefits schemes, job involvement and emotional exhaustion.FindingsChinese traditionality is an antecedent of employees' perceptions of benefits schemes. Perceived benefits schemes are negatively associated with emotional exhaustion. Moreover, job involvement mediates the relationship between perceived benefits schemes and emotional exhaustion.Research limitations/implications The data were collected in eight manufacturing companies in China, which may raise concerns about the generalisability of findings across industries, nations and cultures. Larger, more representative and cross-contextual samples are needed for future research to test the results further.Practical implicationsManagers should anticipate that employees with different cultural values may develop dissimilar perceptions of the same benefits schemes. Hence, managers need to communicate the benefits schemes to distinct employee groups in different ways.Originality/valueBased on the conservation of resources model, this research offers theoretical insights into the mechanisms through which perceived benefits schemes influence employee health well-being. In addition, this research tests an antecedent of perceived benefits schemes.

Farmers’ Perceptions, Insight Behavior and Communication Strategies for Rice Straw and Stubble Management in Thailand

The adoption of rice straw and stubble management approaches can be affected by various factors. To understand the psychological factors influencing Thai farmers’ adoption of rice straw and stubble management approaches, three integrated behavioral theories were employed: the Theory of Planned Behavior (TPB), the Value-Belief-Norm (VBN) and the Health Belief Model (HBM). Then, a practical communication framework was synthesized and proposed to promote rice straw utilization for social-ecological benefits to achieve more sustainable agricultural production. Through a questionnaire survey and in-depth interviews with 240 local farmers, a statistical analysis was performed employing cross-tab, stepwise multiple linear regression, one-way ANOVA and descriptive content analysis using QDA lite miner software. The key results clearly showed that perceived pro-environmental personal norms, perceived cues to rice straw utilization, perceived behavioral control, perceived severity of rice straw burning, perceived ascription of responsibility, and the perceived benefits of rice straw utilization were significantly negatively influenced by burning, and that there was a significantly negative difference to non-burning approaches. Meanwhile, cost savings as perceived benefits of the current option of burning showed a significantly positive difference when compared with incorporation and free-duck grazing options. In communication strategies to promote rice straw utilization for achieving sustainable agriculture, key messages should highlight the clear steps of rice straw utilization, as well as the costs and benefits of each option in terms of economic, health, environmental and social perspectives. Moreover, messages designed to promote action knowledge and self-efficacy at the group level, to promote perceived responsibility via self-awareness and self-commitment, and convenient channels of communication to the farmers can help to achieve more effective non-burning rice straw and stubble management.

Benefits and Motivations for Virtual Community Participation: A Netnography of the Hogwarts Running Club

Keeping up with technology today can be challenging. As park and recreation agencies increasingly find the need to adapt to and incorporate new technologies to stay relevant, the challenge to maintain membership and attract the ever-growing digital generation cannot be underestimated. Technology has long been considered a tool for agency administration, program registration, and implementation, but new forms of technological interaction should be considered by professionals as a way to reach existing and potential participants as well as a way to build community. The rapid development and growth of technology has spurred the development and popularity of virtual communities. Although these communities have been around for over 30 years, they have not yet been adopted into the professional “tool kit” for program delivery or in reaching out to foster stronger community connections and involvements. Therefore, the purpose of this study was to explore perceptions of benefits and motivation among participants of a leisure-based virtual community. This study utilized the qualitative research technique netnography to explore the perceived benefits and motivations of members of the virtual community The Hogwarts Running Club (HRC). The community has the mission of changing the world through physical fitness and charitable giving and has attracted a large, active, and loyal membership. The HRC was an ideal study setting due to its popularity and the leisure-based nature of the community. The HRC virtual interactions included in the dataset took place via a Facebook group where the focus of discussion was on Harry Potter and running. Data analysis revealed three primary categories of perceived benefits and motivations among the Facebook posts collected over a six-month timeframe: improved physical health, improved mental health, and social and emotional support. Participants indicated that their participation in HRC community events and the support and encouragement they received led to these perceived benefits. As many park and recreation agencies have mandates and commitments to improve quality of life for their constituents, facilitating a leisure-based virtual community might be one avenue of doing so. As such, implications derived from the findings for theory and practice are discussed along with suggestions for future research and practice.

The Views and Needs of People With Parkinson Disease Regarding Wearable Devices for Disease Monitoring: Mixed Methods Exploration

Background Wearable devices can diagnose, monitor, and manage neurological disorders such as Parkinson disease. With a growing number of wearable devices, it is no longer a case of whether a wearable device can measure Parkinson disease motor symptoms, but rather which features suit the user. Concurrent with continued device development, it is important to generate insights on the nuanced needs of the user in the modern era of wearable device capabilities. Objective This study aims to understand the views and needs of people with Parkinson disease regarding wearable devices for disease monitoring and management. Methods This study used a mixed method parallel design, wherein survey and focus groups were concurrently conducted with people living with Parkinson disease in Munster, Ireland. Surveys and focus group schedules were developed with input from people with Parkinson disease. The survey included questions about technology use, wearable device knowledge, and Likert items about potential device features and capabilities. The focus group participants were purposively sampled for variation in age (all were aged >50 years) and sex. The discussions concerned user priorities, perceived benefits of wearable devices, and preferred features. Simple descriptive statistics represented the survey data. The focus groups analyzed common themes using a qualitative thematic approach. The survey and focus group analyses occurred separately, and results were evaluated using a narrative approach. Results Overall, 32 surveys were completed by individuals with Parkinson disease. Four semistructured focus groups were held with 24 people with Parkinson disease. Overall, the participants were positive about wearable devices and their perceived benefits in the management of symptoms, especially those of motor dexterity. Wearable devices should demonstrate clinical usefulness and be user-friendly and comfortable. Participants tended to see wearable devices mainly in providing data for health care professionals rather than providing feedback for themselves, although this was also important. Barriers to use included poor hand function, average technology confidence, and potential costs. It was felt that wearable device design that considered the user would ensure better compliance and adoption. Conclusions Wearable devices that allow remote monitoring and assessment could improve health care access for patients living remotely or are unable to travel. COVID-19 has increased the use of remotely delivered health care; therefore, future integration of technology with health care will be crucial. Wearable device designers should be aware of the variability in Parkinson disease symptoms and the unique needs of users. Special consideration should be given to Parkinson disease–related health barriers and the users’ confidence with technology. In this context, a user-centered design approach that includes people with Parkinson disease in the design of technology will likely be rewarded with improved user engagement and the adoption of and compliance with wearable devices, potentially leading to more accurate disease management, including self-management.

Mediators of screening uptake in a colorectal cancer screening intervention among Hispanics

Background Colorectal cancer (CRC) is the second leading cause of cancer deaths in the USA. Although a number of CRC screening tests have been established as being effective for CRC prevention and early detection, rates of CRC screening test completion in the US population remain suboptimal, especially among the uninsured, recent immigrants and Hispanics. In this study, we used a structural equation modelling approach to identify factors influencing screening test completion in a successful CRC screening program that was implemented in an uninsured Hispanic population. This information will enhance our understanding of influences on CRC screening among historically underscreened populations. Methods We used generalized structural equation models (SEM) utilizing participant reported information collected through a series of surveys. We identified direct and indirect pathways through which cofactors, CRC knowledge and individual Health Belief Model constructs (perceived benefits, barriers, susceptibility, fatalism and self-efficacy) and a latent psychosocial health construct mediated screening in an effective prospective randomized CRC screening intervention that was tailored for uninsured Hispanic Americans. Results Seven hundred twenty-three participants were eligible for inclusion; mean age was 56 years, 79.7% were female, and 98.9% were Hispanic. The total intervention effect was comparable in both models, with both having a direct and indirect effect on screening completion (n = 715, Model 1: RC = 2.46 [95% CI: 2.20, 2.71, p < 0.001]; n = 699, Model 2 RC =2.45, [95% CI: 2.18, 2.72, p < 0.001]. In Model 1, 32% of the overall effect was mediated by the latent psychosocial health construct (RC = 0.79, p < 0.001) that was in turn mainly influenced by self-efficacy, perceived benefits and fatalism. In Model 2, the most important individual mediators were self-efficacy (RC = 0.24, p = 0.013), and fatalism (RC = 0.07, p = 0.033). Conclusion This study contributes to our understanding of mediators of CRC screening and suggests that targeting self-efficacy, perceived benefits and fatalism could maximize the effectiveness of CRC screening interventions particularly in Hispanic populations.

The Impact of Perceived Benefits of Corporate Social Responsibility Initiatives on Wetland Farming Communities in Indonesia

The Corporate Social Responsibility (CSR) literature has advanced beyond its long-standing emphasis on a firm's financial performance to include its social impact. However, it has fallen short of offering insight into how effective CSR is in the event of a disaster. This study investigated the community's perception of CSR in wetland farmers communities after flood disasters. Data were from 49 farmer groups in South Kalimantan Province, Indonesia. The research hypotheses were drawn: Perceived benefits of CSR initiatives affect farming community resilience, farming community wellbeing, and perceived competence of wetland farmers; Community resilience affects community wellbeing; Community wellbeing and community resilience affect perceived competence of farmers. The structural equation modeling (SEM) analysis showed that CSR initiatives positively affected community resilience and community wellbeing but had no effect on the perceived competence of farmers; Community resilience had a positive effect on community wellbeing. However, both community wellbeing and resilience did not affect perceived competence. This study sheds light on the complex link between the community and the individual. Triple bottom line and community psychology theories were applied, and this study contributes to the social impact of CSR by focusing on both community and individual, especially in the face of natural disasters in wetlands.

Factors Influencing Protective Behaviors for Dental Radiation Exposure among Female Korean Dental Hygienists Using Health Belief Model

This study aimed to identify the associated factors for protective behaviors for dental radiation exposure (PBDRE) among dental hygienists using the health belief model (HBM). The HBM, which is composed of perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and cues to action, explains preventive behavior. In this study, self-efficacy and modifying factors were additionally applied to the HBM. The subjects of the study were 204 dental hygienists who were working at hospitals or clinics in Korea. An online survey was conducted to measure PBDRE-related factors based on the HBM and self-efficacy. The collected data were analyzed using frequency analysis, t-tests, ANOVA, Pearson’s correlation analysis, and hierarchical multiple regression analysis. Regarding modifying factors, performance was found to be high when protection facilities were sufficient (β = 0.24, p < 0.001) and low when radiation education was not received (β = −0.16, p < 0.05). Among the HBM factors, cues to action for PBDRE (β = 0.28, p < 0.001) was the most influential factor in the performance of PBDRE, and the effect of its perceived benefits on radiation exposure was also high (β = 0.17, p < 0.001). Regarding the performance of PBDRE according to the HBM, providing education programs on protection can stimulate appropriate cues to action to perform PBDRE. In addition, if the benefits of PBDRE are highlighted, the performance of PBDRE by dental hygienists is increased.

Valuing the Benefits and Enhancing Access: Community and Allotment Gardens in Urban Melbourne, Australia

The purpose of this study was to explore perceptions of the benefits and challenges experienced by community and allotment gardens utilising a broad theoretical analysis, pertaining to the case study of Melbourne, a city in Australia that until recently has been experiencing significant population growth and urban densification. The study involved qualitative, semi-structured interviews with 23 participants from six urban community and allotment gardens. Interviews identified the perceived benefits of community and allotment gardening, perceived demographic patterns of engagement, challenges faced in relation to secure land access, and the potential offered by community and allotment gardens for social and environmental wellbeing. Findings revealed a range of perceived benefits, perceived demographic patterns, highlighted challenges posed to participation due to insecurity around ongoing land access, and detailed the perceived capacity community and allotment gardens have to contribute to social and environmental wellbeing. This study contributes to existing literature focused on the benefits and potential of community and allotment gardening for personal, social and environmental wellbeing, by offering an original theoretical contribution through carrying out an analysis informed by urban geography, phenomenology, political economy and ecology, and to literature focused on issues of access to land for these amenities.