Revisiting expectation confirmation model to measure the effectiveness of multichannel bank services for elderly consumers

PurposeThis study aims to understand the expectations of elderly bank customers with mobile banking services and to measure its impact on their long-term satisfaction and continued intention. The study is based on two theories, expectations-confirmation theory (ECT) and hedonic adaptation theory.Design/methodology/approachA self-administered longitudinal survey was completed with a sample of 208 elder customers who do not use mobile banking services. Latent growth curve modelling approach was used to determine the change in their post-adoption experience over four time points.FindingsResults of the study confirm that the use of mobile banking services prolongs the duration of customer satisfaction and continued intention level, post-adoption, reinforcing the hedonic adaptation theory.Research limitations/implicationsMobile banking services are going to be a significant component of the multichannel banking agenda. But it might be interesting to review other digital channels of banking services. The key contribution of this study is that it measures the expectation-confirmation link of elderly customers with mobile banking services. The study sheds light on factors that positively influence customer inclination and adoption of multichannel banking services in the long run, which is important for the commercial success of such channels.Practical implicationsThe study highlights the importance of elder customers' pre-expectations, related dimensions which are important for post-adoption experiences of mobile banking services to improve customers' satisfaction and continued intention in the long run. This is crucial for the commercial success of banks.Originality/valueThis is the first such study that used the expectation confirmation model (ECT) and related it with hedonic adaptation theory to assess elderly customer's post-adoption satisfaction and continued usage of mobile banking services over time.

The Use and Costs of Paid and Unpaid Care for People with Dementia: Longitudinal Findings from the IDEAL Cohort

Background: The drivers of costs of care for people with dementia are not well understood and little is known on the costs of care for those with rarer dementias. Objective: To characterize use and costs of paid and unpaid care over time in a cohort of people with dementia living in Britain. To explore the relationship between cohort members’ demographic and clinical characteristics and service costs. Methods: We calculated costs of health and social services, unpaid care, and out-of-pocket expenditure for people with mild-to-moderate dementia participating in three waves of the IDEAL cohort (2014– 2018). Latent growth curve modelling investigated associations between participants’ baseline sociodemographic and diagnostic characteristics and mean weekly service costs. Results: Data were available on use of paid and unpaid care by 1,537 community-dwelling participants with dementia at Wave 1, 1,199 at Wave 2, and 910 at Wave 3. In models of paid service costs, being female was associated with lower baseline costs and living alone was associated with higher baseline costs. Dementia subtype and caregiver status were associated with variations in baseline costs and the rate of change in costs, which was additionally influenced by age. Conclusion: Lewy body and Parkinson’s disease dementias were associated with higher service costs at the outset, and Lewy body and frontotemporal dementias with more steeply increasing costs overall, than Alzheimer’s disease. Planners of dementia services should consider the needs of people with these relatively rare dementia subtypes as they may require more resources than people with more prevalent subtypes.

Associations Between Neighborhood Environments and Depressive Symptoms of Older Adults

Little is known about the accumulative impacts of neighbourhood physical environments on depression among older adults. Based on a cohort study of 2,081 older adults in Hong Kong, this study examined longitudinal relationships between neighbourhood physical environments and depressive symptoms among older adults and the moderating effects of the slope of terrain and individual functional ability using latent growth curve modelling. Results indicated that the availability of community centres and passive leisure facilities reduced depressive symptoms over time. The protective effects of residential surrounding greenness on depressive symptoms among older adults differed by the slope of terrain. Longitudinal associations between neighbourhood physical environments and depressive symptoms varied between older adults with and without functional limitations. Identifying environmental barriers and applying targeted residential environment interventions are essential.

Preprint and additional materials for: Positivity in peer perceptions over time: Personality explains variation at zero-acquaintance, popularity explains differential change.

People have characteristic ways of perceiving others’ personalities. When judging others on several traits, some perceivers tend to form globally positive and others tend to form globally negative impressions. These differences, often termed perceiver effects, have mostly been conceptualized as a static construct that taps perceivers’ personal stereotypes about the average other. Here, we assessed perceiver effects repeatedly in small groups of strangers who got to know each other over the course of 2 to 3 weeks and examined the degree to which positivity differences were stable vs. developed systematically over time. Using second order latent growth curve modelling, we tested whether initial positivity (i.e., random intercepts) could be explained by several personality variables and whether change (i.e., random slopes) could be explained by these personality variables and by perceivers’ social experiences within the group. Across three studies (ns = 439, 257, and 311), personality variables characterized by specific beliefs about others, such as agreeableness and narcissistic rivalry, were found to explain initial positivity but personality was not reliably linked to changes in positivity over time. Instead, feeling liked and, to a lesser extent, being liked by one’s peers, partially explained changes in positivity. The results suggest that perceiver effects are best conceptualized as reflecting personal generalized stereotypes at an initial encounter but group-specific stereotypes that are fueled by social experiences as groups get acquainted. More generally, these findings suggest that perceiver effects might be a key variable to understanding reciprocal dynamics of small groups and interpersonal functioning.

Studying trajectories of multimorbidity: a systematic scoping review of longitudinal approaches and evidence

ObjectivesMultimorbidity—the co-occurrence of at least two chronic diseases in an individual—is an important public health challenge in ageing societies. The vast majority of multimorbidity research takes a cross-sectional approach, but longitudinal approaches to understanding multimorbidity are an emerging research area, being encouraged by multiple funders. To support development in this research area, the aim of this study is to scope the methodological approaches and substantive findings of studies that have investigated longitudinal multimorbidity trajectories.DesignWe conducted a systematic search for relevant studies in four online databases (Medline, Scopus, Web of Science and Embase) in May 2020 using predefined search terms and inclusion and exclusion criteria. The search was complemented by searching reference lists of relevant papers. From the selected studies, we systematically extracted data on study methodology and findings and summarised them in a narrative synthesis.ResultsWe identified 35 studies investigating multimorbidity longitudinally, all published in the last decade, and predominantly in high-income countries from the Global North. Longitudinal approaches employed included constructing change variables, multilevel regression analysis (eg, growth curve modelling), longitudinal group-based methodologies (eg, latent class modelling), analysing disease transitions and visualisation techniques. Commonly identified risk factors for multimorbidity onset and progression were older age, higher socioeconomic and area-level deprivation, overweight and poorer health behaviours.ConclusionThe nascent research area employs a diverse range of longitudinal approaches that characterise accumulation and disease combinations and to a lesser extent disease sequencing and progression. Gaps include understanding the long-term, life course determinants of different multimorbidity trajectories, and doing so across diverse populations, including those from low-income and middle-income countries. This can provide a detailed picture of morbidity development, with important implications from a clinical and intervention perspective.

Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic

IntroductionThe COVID-19 pandemic is creating immense psychosocial disturbance. While global, broad-based research is being conducted, little is known about the effects of the COVID-19 pandemic on health and well-being or how protective and resilience factors influence the human response in Australian rural and regional communities. Rural and regional communities often have less resources to deal with such public health emergencies and face additional environmental adversity. Healthcare workers, including those in rural and regional areas, have felt the immediate impacts of COVID-19 in a multitude of ways and these impacts will continue for years to come. Therefore, this study aims to describe and understand the impacts of the COVID-19 pandemic on the rural and regional healthcare workforce within the Loddon Mallee region, Victoria, Australia.Methods and analysisThis prospective cohort of rural and regional healthcare workers will be recruited and followed over 3 years to examine the effects of the COVID-19 pandemic on their health and well-being. Self-administered online questionnaires will be administered every 6 months for a 36-month period. Multiple outcomes will be assessed; however, the primary outcomes are emotional health and well-being and psychological resilience. Emotional health and well-being will be measured using validated instruments that will assess multiple domains of the emotional health and well-being continuum.Linear and logistic regression and latent growth curve modelling will be used to examine the association between baseline and follow-up participant emotional health, well-being and resilience while adjusting for potentially time-varying confounding variables. Participant characteristics measured at baseline will also be tested for association with incident health, morbidity, mortality and health service utilisation outcomes at follow-up.Ethics and disseminationEthical approval has been obtained through the Bendigo Health Human Research Ethics Committee. The study findings will be disseminated through international conferences, international peer-reviewed journals and social media.Trial registration numberACTRN12620001269921.

The development of students’ achievement emotions after transition to secondary school: a multilevel growth curve modelling approach

This empirical study focuses on students’ development of positive and negative achievement emotions during the first year and the beginning of the second year of secondary school. Using multilevel growth curve modelling, the development of the achievement emotions enjoyment, pride, anxiety, hopelessness and boredom during class in general was investigated. Data from 584 students (taken at three different time points during the first year and the beginning of the second year of secondary school in Germany) was analysed by controlling for gender and the type of school. The results confirm the main assumption: positive achievement emotions decline, whereas negative achievement emotions increase after transition to secondary school. The assumption regarding the effects of type of school was also confirmed: students entering a higher track school (German Gymnasium) experience more positive achievement emotions than students in middle track schools (German Realschule) do. However, the decline in these achievement emotions in higher track schools is comparatively worse than for students in middle track schools. The results are discussed with regard to students’ further studies, as well as the wider educational implications.

Is the Recession a ‘Shecession’? Gender Inequality in the Employment Effects of the COVID-19 Pandemic in Germany

This paper evaluates gender inequality in employment risks during the first and the second wave of the COVID-19 pandemic in Germany. We use individual-level panel data collected weekly between 20 March and 9 July 2020, and again in January 2021, to examine the risks of short-time work, job loss and unpaid furlough, as well as having to work on-site by means of growth curve modelling. The results reveal gender inequality in employment risks and gendered use of governmental support schemes. During the early phase of the pandemic, women had a higher probability of being temporarily exempted from work, but a lower probability of being in short-time work and receiving the associated state benefits. Compared to men, women also continuously had a higher probability of working on-site rather that from home. Consequently, women’s employment during the pandemic is more polarized between job loss or working on-site with the associated infection risk. Gender inequalities are rooted in the long-term gendered dualization of the German labour market with the low-wage sector and marginal employment being female dominated. The results call for close monitoring of long-term gendered effects of the pandemic recession and an adjustment of governmental crisis measures to the requirements of the female workforce.