Analyzing older users' home telehealth services acceptance behavior - applying an Extended UTAUT model
ID Cimperman, Miha (Author), ID Zalaznik, Maja (Author), ID Trkman, Peter (Author)

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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.

Keywords:medicine, health services, telemedicine, informatics, telework
Work type:Article
Typology:1.01 - Original Scientific Article
Organization:EF - School of Economics and Business
Publication version:Author Accepted Manuscript
Number of pages:Str. 22-31
Numbering:Vol. 90
PID:20.500.12556/RUL-115197 This link opens in a new window
ISSN on article:1386-5056
DOI:10.1016/j.ijmedinf.2016.03.002 This link opens in a new window
COBISS.SI-ID:23020006 This link opens in a new window
Publication date in RUL:17.04.2020
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Record is a part of a journal

Title:International journal of medical informatics
COBISS.SI-ID:1665556 This link opens in a new window


License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:17.04.2020

Secondary language

Keywords:medicina, zdravstvo, telemedicina, informatika, delo na daljavo


Funder:ARRS - Slovenian Research Agency
Project number:J5-6816
Name:Prenova poslovanja - od poslovnih modelov do inovativnih procesov

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