Analyzing older users' home telehealth services acceptance behavior - applying an Extended UTAUT model

Cimperman, Miha (avtor), Zalaznik, Maja (avtor), Trkman, Peter (avtor)

Background Although telehealth offers an improved approach to providing healthcare services, its adoption by end users remains slow. With an older population as the main target, these traditionally conservative users pose a big challenge to the successful implementation of innovative telehealth services. Objectives The objective of this study was to develop and empirically test a model for predicting the factors affecting older users’ acceptance of Home Telehealth Services (HTS). Methods A survey instrument was administered to 400 participants aged 50 years and above from both rural and urban environments in Slovenia. Structural equation modeling was applied to analyze the causal effect of seven hypothesized predicting factors. HTS were introduced as a bundle of functionalities, representing future services that currently do not exist. This enabled users’ perceptions to be measured on the conceptual level, rather than attitudes to a specific technical solution. Results Six relevant predictors were confirmed in older users’ HTS acceptance behavior, with Performance Expectancy (r=0.30), Effort Expectancy (r=0.49), Facilitating Conditions (r=0.12), and Perceived Security (r=0.16) having a direct impact on behavioral intention to use HTS. In addition, Computer Anxiety is positioned as an antecedent of Effort Expectancy with a strong negative influence (r=-0.61), and Doctor’s Opinion influence showed a strong impact on Performance Expectancy (r=0.31). The results also indicate Social Influence as an irrelevant predictor of acceptance behavior. The model of six predictors yielded 77% of the total variance explained in the final measured Behavioral Intention to Use HTS by older adults. Conclusion The level at which HTS are perceived as easy to use and manage is the leading acceptance predictor in older users’ HTS acceptance. Together with Perceived Usefulness and Perceived Security, these three factors represent the key influence on older people’s HTS acceptance behavior. When promoting HTS, interventions should focus to portray it as secure. Marketing interventions should focus also on promoting HTS among health professionals, using them as social agents to frame the services as useful and beneficial. The important role of computer anxiety may result in a need to use different equipment such as a tablet computer to access HTS. Finally, this paper introduces important methodological guidelines for measuring perceptions on a conceptual level of future services that currently do not exist.

• Jezik: Angleški jezik
• Ključne besede: medicine, health services, telemedicine, informatics, telework
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: EF - Ekonomska fakulteta
• Različica publikacije: Recenzirani rokopis
• Leto izida: 2016
• Št. strani: Str. 22-31
• Številčenje: Vol. 90
• PID: 20.500.12556/RUL-115197
• UDK: 614.2
• ISSN pri članku: 1386-5056
• DOI: 10.1016/j.ijmedinf.2016.03.002
• COBISS.SI-ID: 23020006
• Datum objave v RUL: 17.04.2020

Gradivo je del revije

• Naslov: International journal of medical informatics
• Založnik: Elsevier
• ISSN: 1386-5056
• COBISS.SI-ID: 1665556

Licence

• Licenca: CC BY-NC-ND 4.0, Creative Commons Priznanje avtorstva-Nekomercialno-Brez predelav 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by-nc-nd/4.0/deed.sl
• Opis: Najbolj omejujoča licenca Creative Commons. Uporabniki lahko prenesejo in delijo delo v nekomercialne namene in ga ne smejo uporabiti za nobene druge namene.
• Začetek licenciranja: 17.04.2020

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: medicina, zdravstvo, telemedicina, informatika, delo na daljavo

Projekti

• Financer: ARRS - Agencija za raziskovalno dejavnost Republike Slovenije
• Številka projekta: J5-6816
• Naslov: Prenova poslovanja - od poslovnih modelov do inovativnih procesov