Modelo de aceptación tecnológica de la aplicación móvil de seguimiento ControlVit® en pacientes con falla cardiaca / Technological acceptance model of the ControlVit® mobile monitoring application in patients with heart failure

Resumen Introducción: Los sistemas de monitoreo remoto basados en teléfonos inteligentes para pacientes con falla cardiaca podrían ser herramientas sencillas y económicas para mejorar el seguimiento ambulatorio. Objetivo: Identificar la utilidad y aceptación de la aplicación ControlVit® en pacientes con falla cardiaca. Método: Estudio piloto observacional descriptivo, en 20 pacientes ambulatorios con fracción de eyección reducida, que asisten a un programa de falla cardiaca. Durante seis meses, los pacientes utilizaron la aplicación ControlVit®, que suministra al paciente información para mejorar su autocuidado y permite el registro diario de variables médicas relevantes. Los datos se consignaron en la bitácora del sistema para verificar la frecuencia y el envío de datos. Se aplicó un cuestionario de aceptación tecnológica (TAM) a todos los pacientes y profesionales. Resultados: 100% de los pacientes reconoció la utilidad de la aplicación frente a su autocuidado, 90% niegan ansiedad tecnológica o temor para emplearla por la facilidad de uso. En general, se detectaron 164 alertas en tiempo real ―el aumento de peso fue la más frecuente (49%)―, y en 91% de los pacientes no se registraron reingresos hospitalarios. Conclusión: la aplicación ControlVit® es útil para la detección temprana de síntomas que permiten identificar, de forma precoz, complicaciones y modificar su tratamiento. La excelente aceptación de la aplicación por parte de los pacientes y su facilidad de uso plantean la posibilidad de implementarla como una estrategia complementaria de seguimiento en pacientes con falla cardiaca.

Abstract Introduction: Mobile phone based remote monitoring systems for heart failure patients could become simple and affordable tools to improve home management. Objective: to identify utility and acceptance of ControlVit® in heart failure patients. Method: descriptive observational pilot study in 20 outpatients with reduced ejection fraction, attending at hospital heart failure program. For six months, patients use the ControlVit® application, which supplies patient information to improve self-care and allows daily recording of specific medical variables. The data was recorded in the system log to verify frequency and data transmission. A technological acceptance questionnaire (TAM) was applied to all patients and professionals. A descriptive analysis with absolute and relative frequency distribution was also performed. Results: 100% of patients recognized the usefulness of the application compared to self-care, 90 % deny technological anxiety or fear of using it due to the ease of use. Overall, 164 real-time alerts were detected, weight gain was the most frequent (49 %) and 91 % of patients had no hospital readmissions. Conclusion: The ControlVit® application is useful for the early detection of symptoms that allow timely detection of complications and early modification of treatment. The excellent acceptance of the application by patients and its ease of use, raise the possibility of implementing it as a complementary monitoring strategy in patients with heart failure.

Application of health portal in public health services and factors influencing its adoption / 公共卫生与预防医学

Objective To explore the current status of the application of health portals in the field of public health, and analyze the factors affecting users' adoption of health portals, so as to provide a theoretical basis for promoting the use of health portals and promoting health management. Methods Referring to domestic and foreign literature, integrating the technology acceptance model and the dual motivation factor theory, a comprehensive analysis framework was built, and the influencing factors of whether various groups of people adopt health portals were analyzed from multiple dimensions. Results The current status of health portal applications around special groups and specific purposes was analyzed. A comprehensive analysis dimension was constructed with perceived usefulness and perceived ease of use as the basic framework, service quality, social norms and users themselves as specific indicators, and positive and negative impacts as specific directions. Conclusion From the perspective of service, society and individuals, analyzing the positive and negative factors that affect users’ adoption of health portals, it is necessary to strengthen the use of health portals by special groups such as the elderly, to further improve disease prevention and control, deepen public health services, and promote the development of healthy China.

Impacts of menu information quality and nutrition information quality on technology acceptance characteristics and behaviors toward fast food restaurants' kiosk

BACKGROUND/OBJECTIVES: With the advances in technologies, self-service kiosks at foodservice operations are becoming a new way of service provision. This study examined the relationships among the menu information quality, nutrition information quality, technology acceptance characteristics, and customer behavioral intention toward the kiosks in fast food restaurants.SUBJECTS/METHODS: A survey with a self-administered method was distributed online and offline. The sample consisted of customers who had used the kiosks at fast food restaurants in the last six months prior to the survey. The study hypotheses were tested by applying structural equation modeling.RESULTS: Structural equation modeling revealed the positive impacts of menu information quality and nutrition information quality, technology acceptance characteristics, and behavioral intention toward kiosks at fast food restaurants. On the other hand, one hypothesis (Hypothesis 4) on the impact of nutrition information quality on the perceived usefulness was rejected.CONCLUSION: The study is the first to investigate nutrition and menu information at foodservice kiosks and relate them to technology acceptance. The study is very timely and adequate in the time of the 4th industrial revolution. The critical importance of the presentation of nutrition information and menu information at the kiosks at fast food restaurants was verified. The academic and industrial implications of the study findings were discussed.

Public Acceptance of a Health Information Exchange in Korea / 대한의료정보학회지

OBJECTIVES: We assessed the public acceptance of a health information exchange (HIE) and examined factors that influenced the acceptance and associations among constructs of the Technology Acceptance Model (TAM). METHODS: We collected data from a survey of 1,000 individuals in Korea, which was administered through a structured questionnaire. We assessed the validity and reliability of the survey instrument with exploratory factor analysis and Cronbach's alpha coefficients. We computed descriptive statistics to assess the acceptance and performed regression analyses with a structural equation model to estimate the magnitude and significance of influences among constructs of TAM. RESULTS: Eighty-seven percent of the respondents were willing to use the technology, and the average level of agreement with the need for the technology was 4.16 on a 5-point Likert scale. The perception of ease of use of the technology significantly influenced perceptions of usefulness and attitudes about the need for HIE. Perceptions of usefulness influenced attitude and behavioral intention to use HIE, and attitude influenced intention. Age showed a wide range of influences throughout the model, and experience with offline-based information exchange and health status also showed noteworthy influences. CONCLUSIONS: The public acceptance of HIE was high, and influences posited by TAM were mostly confirmed by the study results. The study findings indicated a need for an education and communication strategy tailored by population age, health status, and prior experience with offline-based exchange to gain public buy-in for a successful introduction of the technology.

Does the acceptance of hybrid learning affect learning approaches in France? / 보건의료교육평가

PURPOSE: Acceptance of a learning technology affects students' intention to use that technology, but the influence of the acceptance of a learning technology on learning approaches has not been investigated in the literature. A deep learning approach is important in the field of health, where links must be created between skills, knowledge, and habits. Our hypothesis was that acceptance of a hybrid learning model would affect students' way of learning. METHODS: We analysed these concepts, and their correlations, in the context of a flipped classroom method using a local learning management system. In a sample of all students within a single year of study in the midwifery program (n= 38), we used 3 validated scales to evaluate these concepts (the Study Process Questionnaire, My Intellectual Work Tools, and the Hybrid E-Learning Acceptance Model: Learner Perceptions). RESULTS: Our sample had a positive acceptance of the learning model, but a neutral intention to use it. Students reported that they were distractible during distance learning. They presented a better mean score for the deep approach than for the superficial approach (P<0.001), which is consistent with their declared learning strategies (personal reorganization of information; search and use of examples). There was no correlation between poor acceptance of the learning model and inadequate learning approaches. The strategy of using deep learning techniques was moderately correlated with acceptance of the learning model (r(s)=0.42, P=0.03). CONCLUSION: Learning approaches were not affected by acceptance of a hybrid learning model, due to the flexibility of the tool. However, we identified problems in the students' time utilization, which explains their neutral intention to use the system.

Analysis of the Factors Affecting Consumer Acceptance of Accredited Online Health Information

With the increasing use of the internet and the spread of smartphones, health information seekers obtain considerable information through the internet. As the amount of online health information increases, the need for quality management of health information has been emphasized. The purpose of this study was to investigate the factors affecting the intention of using accredited online health information by applying the extended technology acceptance model (Extended-TAM). An online survey was conducted from September 15, 2016 to October 3, 2016, on 500 men and women aged 19–69 years. The results showed that the greatest factor influencing the acceptance of the accredited health information was perceived usefulness, and the expectation for the quality of the accreditation system was the most important mediator variable. In order to establish the health information accreditation system as a means to provide easy and useful information to the consumers, it is necessary to carry out quality management and promote the system through the continuous monitoring of the accreditation system.