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1.
Journal of Clinical Oncology ; JOUR:278, 40(28 Supplement).
Article in English | EMBASE | ID: covidwho-2098613

ABSTRACT

Background: Regular distress screening of patients with cancer is mandated by cancer care guidelines, with 25-50% of patients with cancer experiencing some level of distress. The COVID-19 pandemic amplified symptoms of distress and shifted oncologic care delivery towards telemedicine. In light of challenges faced with implementation of such screening, especially during this pandemic, we sought to assess the feasibility of implementing patient-focused distress screening at a large academic cancer center and its associated network sites. Method(s): We designed a modified distress screening tool with reflexive suicidality and mental health screening consisting of 1) Wellness Reflection, a questionnaire that incorporates questions from Patient-Reported Outcomes Measurement Information System-Global Health (PROMIS-GH) to monitor patients' physical, mental, and social health and to assess patients' needs for extra support, and 2) modified Patient Health Questionnaire 2+9 (PHQ 2+9) tool to screen for depression and suicide risk. This tool was used to triage patients in need of further assessment by the clinical team, including consideration for referrals to cancer supportive services. The two-tiered distress screening tool was delivered to patients at Stanford Cancer Center and 5 affiliate sites for inperson clinic visits starting September 2019. The Wellness Reflection was launched starting June 2020 for video visits. Result(s): From October 1, 2019 to May 14, 2021, 147,165 questionnaires representing 46,341 patients were collected. The overall Wellness Reflection questionnaire response rate was 55%;the video visit questionnaire response rate was ~70%, higher than the in-person visit response rate of ~50%. About 6% of questionnaires analyzed showed a request for more support, most commonly emotional and physical/symptom support, and this was consistent during the COVID-19 pandemic. 18.6% of questionnaire responses screened positive for further assessment, and those that triggered reflexive suicidality screening had a 17% positive PHQ 2+9 rate. Following assessment, 13,631 referrals to cancer supportive services were generated. Conclusion(s): The adoption of commonly available patient-reported outcome tools, including PROMIS-GH and PHQ 2+9, as a large-scale distress screening method for both in-person and tele-health clinic visits during the COVID-19 pandemic is feasible at a large academic cancer center and network sites. The volumes of positive screens and referrals were lower than expected despite broader implementation of distress screening and amplified symptoms of distress due to the pandemic.

2.
International Social Work ; JOUR
Article in English | Web of Science | ID: covidwho-2098153

ABSTRACT

This study utilizes the Technology Acceptance Model by exploring the relationship between user acceptance attitude and actual usage behaviors of technological tools in telesupervision among supervisors in international societies. Specifically, the age of supervisors is examined to see whether it mediates the relationship between acceptance attitude and usage behavior. Survey data were collected from 194 supervisors in international societies using online Survey Monkey. The results indicated a significant relationship between user acceptance attitude and actual usage behaviors of technological tools in telesupervision. Implications of these findings for supervision training and further telesupervision development are discussed.

3.
J Med Internet Res ; 24(10): e40558, 2022 10 14.
Article in English | MEDLINE | ID: covidwho-2099001

ABSTRACT

BACKGROUND: Digital contact tracing (DCT) apps have been implemented as a response to the COVID-19 pandemic. Research has focused on understanding acceptance and adoption of these apps, but more work is needed to understand the factors that may contribute to their sustained use. This is key to public health because DCT apps require a high uptake rate to decrease the transmission of the virus within the general population. OBJECTIVE: This study aimed to understand changes in the use of the National Health Service Test & Trace (T&T) COVID-19 DCT app and explore how public trust in the app evolved over a 1-year period. METHODS: We conducted a longitudinal mixed methods study consisting of a digital survey in December 2020 followed by another digital survey and interview in November 2021, in which responses from 9 participants were explored in detail. Thematic analysis was used to analyze the interview transcripts. This paper focuses on the thematic analysis to unpack the reasoning behind participants' answers. RESULTS: In this paper, 5 themes generated through thematic analysis are discussed: flaws in the T&T app, usefulness and functionality affecting trust in the app, low trust in the UK government, varying degrees of trust in other stakeholders, and public consciousness and compliance dropping over time. Mistrust evolved from participants experiencing sociotechnical flaws in the app and led to concerns about the app's usefulness. Similarly, mistrust in the government was linked to perceived poor pandemic handling and the creation and procurement of the app. However, more variability in trust in other stakeholders was highlighted depending on perceived competence and intentions. For example, Big Tech companies (ie, Apple and Google), large hospitality venues, and private contractors were seen as more capable, but participants mistrust their intentions, and small hospitality venues, local councils, and the National Health Service (ie, public health system) were seen as well-intentioned but there is mistrust in their ability to handle pandemic matters. Participants reported complying, or not, with T&T and pandemic guidance to different degrees but, overall, observed a drop in compliance over time. CONCLUSIONS: These findings contribute to the wider implications of changes in DCT app use over time for public health. Findings suggest that trust in the wider T&T app ecosystem could be linked to changes in the use of the app; however, further empirical and theoretical work needs to be done to generalize the results because of the small, homogeneous sample. Initial novelty effects occurred with the app, which lessened over time as public concern and media representation of the pandemic decreased and normalization occurred. Trust in the sociotechnical capabilities of the app, stakeholders involved, and salience maintenance of the T&T app in conjunction with other measures are needed for sustained use.


Subject(s)
COVID-19 , Mobile Applications , COVID-19/prevention & control , Contact Tracing/methods , Ecosystem , Humans , Pandemics/prevention & control , State Medicine , Trust , United Kingdom
4.
Thyroid ; JOUR:A110, 32(Supplement 1).
Article in English | EMBASE | ID: covidwho-2097292

ABSTRACT

OBJECTIVE: Teleconsultation has gained traction in the past decade. The COVID-19 pandemic has accelerated its uptake worldwide. Clinic visits for thyroid disorders includemany routine tasks that may be carried out remotely, and seldom involve intervention procedures. Our study aims to understand clinicians' and patients' perception of teleconsultation for thyroid disorders, in consideration of the barriers and facilitators to sustainable adoption beyond the pandemic. METHOD(S): This is a cross-sectional survey study. Clinicians at a tertiary hospital completed a survey on the suitability of teleconsultation for specific clinic tasks, and an adapted Technological Acceptance Model (TAM) questionnaire scored on a 7-point scale. Patients with thyroid disorders completed the Telemedicine Perception Questionnaire (TMPQ) scored on a 5-point scale. RESULT(S): Thirty-four clinicians (attending specialists:50%;fellows and junior doctors:50%) completed the questionnaire. Review of thyroid ultrasound results (73.5%) and blood tests results (61.8%) were tasks deemed most suitable for teleconsultation. 85.3% of clinicians felt that bad news should not be conveyed remotely. There were no significant differences in the responses between senior and junior clinician groups. Clinicians had a moderately positive attitude towards teleconsultation (mean(M) = 5.01 +/- 1.16) and perceived video platforms as easy to use (M= 4.97+/- 0.88). They were ambivalent about the usefulness of teleconsultation (M= 4.55+/- 1.05) and whether they were time-efficient (M= 4.06+/- 1.37). They were equivocal about their intention to use teleconsultation (M= 4.79+/- 1.28). Fifty patients (mean age = 58(+/-13.3) years) with thyroid disorders completed the survey. Patients felt teleconsultation should complement in-person care instead of substituting it completely (M= 3.72+/- 0.73). Patients perceived teleconsultations to be timesaving for both clinicians (M= 3.88+/- 1.16) and themselves (M= 3.86+/- 0.78). Patients also thought teleconsultations reduced costs for hospitals (M= 3.62+/- 0.83). CONCLUSION(S): Clinicians and patients shared a general positive attitude towards teleconsultation. They agreed that teleconsultation is suitable for some clinic tasks, but cannot completely replace inperson care. Patients felt that teleconsultations saved time for both clinicians and themselves, but this view was not shared by clinicians. Further studies should explore the time efficiency and cost effectiveness of teleconsultation for thyroid disorders. This can inform on sustainable adoption of teleconsultation as an alternative mode of service delivery.

5.
Journal of Science and Medicine in Sport ; JOUR:S11, 25(Supplement 2).
Article in English | EMBASE | ID: covidwho-2095705

ABSTRACT

Introduction: The Good Life with osteoArthritis from Denmark (GLA:D) program provides group-based education (2 sessions) and exercise-therapy (12 sessions) for people with knee and hip osteoarthritis at >500 sites in Australia and is associated with clinically meaningful improvements in pain and quality of life (QoL). During the COVID-19 pandemic, physiotherapists in Australia were supported to provide GLA:D via telehealth. The aim of this mixed-methods project was to evaluate the implementation of GLA:D via telehealth. Method(s):Evaluation Framework: Reach, Effectiveness, Adoption, Implementation, and Maintenance Qualitative Evaluation for Systematic Translation (RE-AIM QuEST). Quantitative: People with knee or hip osteoarthritis participating in GLA:D via telehealth-only or a hybrid delivery of in-person and telehealth (>=3 telehealth sessions) from March 2020-October 2021. Mean differences (MD) and effect sizes (ES) from baseline to 3-month follow-up were calculated for average pain (0-100) and joint-related QoL (KOOS-QOL, HOOS-QOL sub-scales). Participants rated perceived recovery (global rating of change scale -3 to 3;1-3=recovered) and program satisfaction (scale 1-5;4,5=satisfied).Qualitative: 23 GLA:D trained physiotherapists (n=12 telehealth adopters;n=11 non-adopters) from diverse (private/public practice, urban/rural) settings completed one-on-one semi-structured interviews. Interviews were transcribed and analysed using a reflexive thematic approach. Results :Reach: 138 people (39 telehealth-only and 99 hybrid delivery;69% female) participated in GLA:D via telehealth.. Mean (SD) age and BMI were 64 (9) years and 29.8 (5.5) kg/m2, respectively. Identified barriers and enablers for reach included technology literacy and access, personal preference and perceived value of telehealth, and availability of exercise equipment. Pandemic restrictions to in-person GLA:D was an enabler. Effectiveness: Average pain decreased for telehealth-only (MD, 95%CI=-10, -16 to -4;ES=-0.54) and hybrid delivery (MD=-11, -16 to -6;ES=-0.43) GLA:D. Joint-related QoL improved for telehealth-only (MD=9, 3 to 14;ES=0.51) and hybrid delivery (MD=12, 8 to 16;ES=0.65) GLA:D. At 3-months, 81% of participants were recovered and 88% were satisfied. Most physiotherapists believed telehealth was as effective as in-person and felt patients were better able to continue exercising at home. Adoption: 92 physiotherapists (74 health services) delivered GLA:D via telehealth, most stating it had become a normal part of their practice. Adoption barriers included preferring, and greater confidence with providing, in-person GLA:D. Implementation: 70% (n=96) of participants attended both education sessions and 91% (n=125) attended >10 exercise-therapy sessions. Telehealth-delivered GLA:D involved modifications to assessment, exercise instruction, equipment, and reduced fee structures. Maintenance: Lack of personnel capacity, low patient demand, and a need for telehealth training and support were sustainability barriers. Discussion(s): Telehealth-delivered GLA:D in Australia during the pandemic predominantly involved hybrid delivery. Patient outcomes following telehealth-delivered GLA:D were comparable to published in-person registry data. However, implementation was limited, impeded by low perceived value by patients and lack of confidence and training of physiotherapists. Impact and application to the field * Telehealth-delivered group-based education and exercise provides a viable and effective option to provide people with osteoarthritis appropriate first-line care in Australia. * Findings highlight the need for, and can help guide, community education about the value of telehealth, alongside training to support physiotherapists delivering GLA:D via telehealth. My co-authors and I have no conflict of interest related to the submission of this Copyright © 2022

6.
Sexually Transmitted Diseases ; JOUR:S12, 49(10 Supplement 1).
Article in English | EMBASE | ID: covidwho-2092288

ABSTRACT

BACKGROUND: STI partner services (PS) represent an opportunity to connect MSM to PrEP. We evaluated PrEP linkage through Public Health-Seattle & King County's (PHSKC) STI PS program. METHOD(S): Since 2014, PHSKC has collected data on PrEP use from all HIV-negative MSM receiving PS and offered recipients PrEP referrals. In 2020 when COVID-related staffing shortages limited the ability to provide PS to all MSM with STI, we added questions about HIV status and current PrEP use to STI case report forms and triaged PS to focus on HIV-negative MSM off PrEP. We calculated the percentage of MSM with STI receiving PS and, among HIVnegative PS recipients, trends in the percentage off PrEP and accepting PrEP referrals. We estimated the number of men initiating PrEP using follow-up data from a random sample of cases who were re-interviewed in 2017. RESULT(S): From 2014-2021, 9530 (35%) of 27,101 MSM with STIs received PS. This number increased from 679 (66%) of 1035 in 2014 to 1833 (41%) of 4502 in 2017 and declined thereafter to 490 (18%) of 2787 in 2021. Over 8 years, 2025 (64%) of 3163 HIV-negative MSM off PrEP were offered PrEP referrals, of whom 66% accepted. An estimated 744 (56%) men started PrEP. The percentage of MSM offered PrEP increased from 23% to 91% (P<0.0001, chisquare trend) while the percentage accepting referrals remained stable over time (range: 52%-82%). The percentage of HIV-negative MSM PS recipients eligible for PrEP referrals (i.e., off PrEP) decreased from 80% in 2014 to 39% in 2019 but rose to 49% concurrent with adoption of case report-guided PS triage. CONCLUSION(S): Integrating PrEP referrals into STI PS activities is feasible, sustainable and increases PrEP use among MSM. Using data from STI case reports allowed PS to triage and focus on MSM who could benefit from PrEP referrals.

7.
Drug Safety ; JOUR:1272, 45(10).
Article in English | EMBASE | ID: covidwho-2085731

ABSTRACT

Introduction: European legislation on pharmacovigilance was amended with the adoption of EU Regulation 2010/1235 [1], which introduced significant changes in the active participation of patients and healthcare professionals to the Adverse Drug Reaction (ADR) reporting process. In recent years a new trend has established worldwide, allowing patients to directly report ADRs to national pharmacovigilance authorities [2]. A consumer, defined as a nonhealthcare professional, is now also considered as a source of information on the safety of a medicinal product [3]. Objective(s): To identify numerosity and level of the involvement of citizens in ADR reporting in Sardinia. Method(s): We extracted data using Vigisegn platform from the Sardinian Region, from 2013 to 2021, for ADRs, stratified by year and qualification of the signaler. ADRs were also analyzed by severity, outcome, SOC (System Organ Classification) and ATC2 (Anatomical Therapeutic Chemical Classification System, level 2). Result(s): In Sardinia, from 2013 to 2021, 6.591 ADR reports were recorded, 1093 (17%) of which were by citizens. Among those reports, 75% were classified as "not serious" and 37% had resolved completely. From 2013 to 2021, citizen participation in ADR reporting changed significantly, from 1 to 26% (Table). In this period, most SOCs reported by citizens were "General pathologies and conditions related to site of administration" (596), "Pathologies of nervous system" (421), "Pathologies of musculoskeletal system and connective tissue" (328). As for SOC "Pathologies of reproductive system and breast", a significant increase in reporting was recorded: from 0% in 2013 to 73% in 2021. In this period, citizen reporting of pathologies of reproductive system and breast constituted 49% of the total reports. In absolute terms, the ATC J07 Vaccine was the most reported by citizens with 799 reports (2737 in 2021). Reports by citizens for homeostatic calcium drugs (H05) account for 81% (48 ADRs) of the total reports for this ATC. Conclusion(s): Increase in citizen reporting in 2017 and 2021 can be traced back to the information activities of the Regional Center following the introduction of mandatory vaccination and the awareness campaign for Covid-19 vaccines. Such increase reflects the growing importance of pharmacovigilance among citizens, meaning that an increasing number of citizens have now acquired the necessary tools to ADR reporting, thus becoming a significant source of information on the safety of drugs and vaccines. (Table Presented).

8.
Soc Sci Med ; 314: 115479, 2022 Oct 28.
Article in English | MEDLINE | ID: covidwho-2086738

ABSTRACT

RATIONALE: Psychological reactance theory was applied to examine the implications of state-level mask mandates in the United States during the COVID-19 pandemic. We evaluated the role of political partisanship and COVID-19 risk on changes in self-reported mask wearing before and after the imposition and removal of state mask mandates. METHOD: Secondary data from several sources were aggregated about self-reported mask wearing behavior, state mandates, COVID-19 infection rates, and state-level political partisanship. Difference-in-differences tests were performed using logistic regression to evaluate whether change in mask wearing behavior following the imposition or removal of a mandate was greater in states based on state-level political partisanship and COVID-19 infection rates. RESULTS: Although mask adoption generally increased following mandates, the amount of increase was smaller in more Republican states compared to more Democratic states. Mask wearing generally decreased following the removal of mandates, with greater decreases when COVID-19 infection rates were lower. CONCLUSION: The results collectively offer insights about the nuanced role of contextual factors in the adoption and resistance to masks following state mask mandates. Partisanship was important in responses to the imposition of state mask mandates and COVID-19 risk played a critical role in responses to mandate removal.

9.
Ageing and Society ; JOUR: 1-18,
Article in English | Web of Science | ID: covidwho-2083194

ABSTRACT

Previous studies on older adults' intention to adopt medical apps during irregular circumstances like the COVID-19 outbreak are still in its infancy. In order to fill this knowledge gap, we developed a theoretical framework based on the Unified Theory of Acceptance and Use of Technology (UTAUT) model and the Technology of Acceptance Model (TAM) to explain Chinese older people's willingness to use medical apps during the COVID-19 pandemic. We collected 1,318 online questionnaires during the first wave of the pandemic in China in early 2020. We employed structural equation modelling to analyse the data, and the results show that (a) attitudes towards using apps influence older people's intention to use apps significantly;(b) only two factors, perceived usefulness and facilitating conditions, which were proposed in the UTAUT model, significantly predicted the older adults' intention to use apps, but not others;and (c) perceived usefulness, perceived ease of use, subjective norm and facilitating conditions all significantly impact attitudes towards using apps. Further mediation analysis found that attitudes towards using apps significantly mediated the paths suggested in the original UTAUT model. Due to the online survey method we used, older people who do not use the internet were excluded from our sampling process. However, our timely research contributes to the existing literature by showcasing older people's usage of eHealth technology in public health emergencies. It also builds on the broader discussions on technology use by combining the TAM and the UTAUT model, highlighting the vital role of people's attitude towards using technology in shaping their intention to use it.

10.
IET Intelligent Transport Systems ; JOUR
Article in English | Web of Science | ID: covidwho-2082967

ABSTRACT

The mobility provider MOIA operates Europe's largest contiguous electric ride-pooling service in Hamburg, representing a testbed of how shared and digitized transport can help foster the transformation of urban mobility. The on-demand service has been in operation since 2019 and was thus affected by the COVID-19 pandemic in 2020. This study shows real-world insights into travel behavior before and during the pandemic, contributing to the empirical evidence on recent mobility behavior. After the application of descriptive statistical analyses, several (spatial) regression models are estimated to understand the relationship between spatial variables and demand. MOIA trip data from three different time periods are used: (a) before the COVID-19 pandemic in summer and autumn 2019, (b) during the time of the first lockdown in Germany in spring 2020, and (c) after the first lockdown in summer and autumn 2020. A significant positive effect on ride-pooling demand is observed for number of inhabitants, workplaces, gastronomic facilities, and at the airport in all time periods. In the course of the pandemic, the main travel patterns remained stable. However, the positive influences of gastronomy and the airport on ride-pooling demand diminished in 2020. In contrast, the impact of hospitals on ride-pooling demand increased in the course of the pandemic. In areas with high car ownership, ride-pooling demand declined compared to pre-pandemic times.

11.
Applied Ecology and Environmental Research ; JOUR: 4633-4644,
Article in English | Web of Science | ID: covidwho-2082713

ABSTRACT

The coronavirus disease 2019 (COVID-19) is spreading around the world, and Taiwan is no exception. Faced with the outbreak of the epidemic, the Taiwan government immediately ordered a policy of banning indoor dining. The main purpose of the present research is to extend a Theory of Planned Behavior (TPB) and Technology Acceptance Model (TAM) theoretical framework to explore acceptance of sustained utilization behavior of telemedicine in the post-COVID-19 era. An online survey was administered in Taiwan during the COVID-19 pandemic from February 22 to April 6, 2022, and a total of 359 responses were collected by convenience sampling method, and partial least square (PLS) analysis was deployed to examine the hypothesized relationships. The results showed that the sustained utilization behavior of telemedicine had independent significant associations with behavioral intentions;the behavioral intention had independent significant associations with subjective norms, attitudes, perceived behavioral control, perceived usefulness, and perceived ease of use. Moreover, perceived usefulness had independent significant associations with perceived ease of use. This study provides theoretical and practical insights into the psychological and behavioral processes of public use of telemedicine during the post-COVID-19 pandemic, thereby helping policymakers better understand the important developmental implications of telemedicine.

12.
Studies in Systems, Decision and Control ; 216:961-971, 2023.
Article in English | Scopus | ID: covidwho-2075261

ABSTRACT

Along with the global growth of Covid-19 infections, transactions involving physical money pose a significant danger of viral transmission. As a result, customers and Indonesian MSEs increasingly utilize E-Wallets to conduct cashless transactions. Given the lack of studies linking Covid-19 and E-Wallets, The goal of this study is to analyze how Indonesian micro and small enterprises (MSEs) adopted E-Wallets during Covid-19. Specifically, this study examines the effect of perceived usefulness, perceived Covid-19 risk, perceived financial cost, and perceived ease of use on Indonesian MSEs’ intention to adopt E-Wallet. The data for this study were gathered via a questionnaire-based survey. Respondents in this study were either owners or managers of Indonesian MSEs. The model is tested using SmartPLS 3.0, based on the PLS-SEM approach. The analysis reveals that Perceived Covid-19 Risk significantly affects the perceived usefulness and intention of Indonesian MSEs to adopt E-Wallets. Surprisingly, the perceived financial cost does not affect the intention of Indonesian MSEs to use E-Wallet. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

13.
Journal of Pharmaceutical Negative Results ; 13:70-77, 2022.
Article in English | Web of Science | ID: covidwho-2072515

ABSTRACT

The digitalization process has been increasing rapidly worldwide today. There is various technologies developed and continue developing tremendously in the world, such as mobile payment systems. Such type of emerging technologies has made a very significant transformation in people lives everywhere. Technologies such as mobile devices facilitate people to finish their work in less time and effort required usually. That is why, these innovations and advancements in technologies led people to be more inclined toward their use. Furthermore, in the current scenario, mobile payments have become an integral part of the daily lives of people due to the impact of the novel coronavirus (COVID-19) disease on society. The presence of mobile payment systems can be considered for years, but the use of mobile payment systems has increased in the current situation of the COVID-19 pandemic, which is the core basis of this research paper. However, the user's acceptance of mobile payment systems is still low due to some pros and cons of this technology which are examined in this paper by applying a hybrid machine learning model. We collected primary data through Google Form from the institute in the Meerut region and other sources from India with a total of 222 respondents. In this study, the data is processed and applied on to the machine learning models. Data analysis and findings of the research showed that the proposed ensemble of classifier algorithms outperforms other exiting machine models in terms of accuracy, precision, recall and F1-score. The research and findings will help the organizations have a clear and correct analysis of the scenario of the adoption of mobile payments in India and also design better mobile payment systems to curb the situation like the COVID-19 pandemic.

14.
Arab World English Journal ; : 88-103, 2022.
Article in English | Web of Science | ID: covidwho-2072417

ABSTRACT

This study examined the attitudes toward online learning of EFL students by applying technology acceptance model (TAM) constructs along with the characteristics of the online learning system and the experience of online learning as external independent variables. The study used a quantitative approach. The researchers collected data by administering a questionnaire using Microsoft's online form to the tertiary students who were studying for their Bachelor of Arts degree (B.A.) in the English Language and Literature Department at Al-Balqa Applied University - Jordan. . One hundred eighty-five students out of 602 responded to the questionnaire. The researchers used SPSS and Structural Equational Modeling (SEM - Smart PLS) to analyze the data. Among the findings, the characteristics of an online learning system significantly affected perceived usefulness (PU), perceived ease of use (PEOU), attitudes, and the behavioral intentions (BIs) of EFL learners. In contrast, EFL learners' PEOU negatively affected their attitudes towards online learning and BIs. Finally, the attitudes of students who studied online for four semesters or more were negative compared to those who took less than four semesters online. These findings could be attributed to the supposedly temporary and rapid shift to online learning due to Covid-19 lockdown measures. This study is significant because it develops an understanding of tertiary EFL attitudes towards online learning. It also reflects on their behavioral intentions to utilize online learning after the pandemic. The researchers believe that this is the first study to examine EFL learners' attitudes and BIs on using online learning during/after the pandemic in Jordan using TAM.

15.
Transportation Research Record: Journal of the Transportation Research Board ; 2022.
Article in English | Web of Science | ID: covidwho-2070665

ABSTRACT

Ridepooling service options introduced by transportation network companies (TNCs) and microtransit companies provide opportunities to increase shared-ride trips in vehicles, thereby improving congestion and environmental factors. This paper reviews the existing literature available on ridepooling and related services, specifically focusing on pooling options available from on-demand transportation companies. The paper summarizes the existing knowledge on the use of pooled-ride services, factors in travel mode service options for customers, available policy and planning strategies to incentivize sharing vehicles, and effects of the COVID-19 pandemic on shared-ride travel. Overall, research shows that ridepooling options are more likely to be considered by public transit users who have lower household incomes, while ridesourcing users of upper-class backgrounds are less likely to consider moving to a shared-ride service. Travel time and trip cost are the most important factors for travelers determining whether to use a ridesplitting or microtransit service rather than a ride-alone ridesourced trip. Existing policy and planning tools targeting pooled travel or TNCs can be expanded on and specified for on-demand ridepooling services, such as offering better incentives to use shared vehicles and increased access to curb areas or travel lanes, but the most effective strategies will include increasing the user costs for parking or riding alone.

16.
IEEE Transactions on Engineering Management ; : 1-15, 2022.
Article in English | Web of Science | ID: covidwho-2070470

ABSTRACT

Vaccine hesitancy refers to a delay in getting or refusing vaccinations for efficacy reviews from early vaccinated individuals (e.g., social learning). However, no reviews occur if everyone delays. To overcome vaccine hesitancy, we first introduce social learning to characterize this undesirable behavior in two-period vaccine market (composed of a government, a manufacturer, and individuals). Then, designing subsidy policies are in three aspects: subsidy recipients (who should be subsidized, individuals or manufacturer), subsidy times (when subsidy policies should be set, preannounced or responsive), and subsidy paths (how the subsidy level should be adjusted over two periods, increasing or decreasing). Some results are yielded. First, if subsidy recipients are individuals, sales subsidies occur, and their equilibrium subsidy paths hinge on subsidy times. When sales subsidies are preannounced in the first period, a decreasing path is always optimal. In contrast, when these subsidies are responsive in two periods, an increasing path may be optimal. Second, these optimal sales subsidies can counter vaccine hesitancy and, further, utilize social learning to enhance vaccine coverage with different levels. Their differences are affected by two factors (government budgets and uncertain vaccine efficacy levels) that have asymmetric roles. Finally, if subsidy recipients are shifted from individuals to the manufacturer, cost subsidy occurs but it fails to overcome vaccine hesitancy.

17.
International Journal of Pharmaceutical and Healthcare Marketing ; 2022.
Article in English | Web of Science | ID: covidwho-2070217

ABSTRACT

Purpose The overall purpose of this empirically validated research paper is to determine factors that impact the success of using social media channels by consumers for salvaging health-care information by integrating constructs of the information system (IS) success model, e-health service quality and perceived usefulness during pre- and post-COVID settings. Design/methodology/approach Online survey responses of 243 consumers for study 1 and 184 consumers for study 2 were validated using factor analysis to understand consumers' attitudes toward social media use. Constructs from existing literature and theories have been extracted to develop the proposed model, which has been empirically validated through statistical tests. A paired-samples t-test was also conducted to compare the customer satisfaction mean of pre- and post-COVID conditions;and word of mouth (WOM) for pre- and post-COVID conditions. Findings The outcome of this study supports that service quality and information quality conclusively influence customer satisfaction of consumers for health-care information among respondents pre COVID, and service quality, perceived usefulness and information quality conclusively affect customer satisfaction of consumers for health-care information among respondents post COVID. Furthermore, the e-health service quality contributes noteworthy in shaping the consumers' satisfaction with social media usage for study 2 and information quality for study 1. A paired-samples t-test revealed that the two groups behaved significantly differently for customer satisfaction and WOM in the two groups. Research limitations/implications At prima facie, this study has a geographical limitation for the sample size. The respondents for the online research were from the urban suburb of Bengaluru, India. The data collection has not focused on any precise social media channel. Practical implications Identification and comprehension of constructs that influence consumer satisfaction related to social media usage for health-care information can assist health-care managers in developing appropriate strategies for consumers to maximize social media usage. Moreover, this study provides an insight into the consumer's perception of using social media channels for seeking health-care information. Originality/value This study recommends an empirically validated model for the success of social media in a consumer setting for the health-care scenario. This research is a unique attempt that inspects social media satisfaction by adapting constructs from existing theories of the IS success model, e-health service quality and perceived usefulness.

18.
International Journal of Emerging Markets ; 2022.
Article in English | Web of Science | ID: covidwho-2070212

ABSTRACT

Purpose The purpose is to understand the fundamental mechanism of the consumer decision-making process and how perceived financial risk of search and experience goods influences electronic word-of-mouth adoption (e-WOMA) on social networking sites (SNSs), which will lead to purchase intention. Design/methodology/approach Drawing on information processing theory, the study conceptualizes a moderated mediation model to investigate the underlying influence of perceived financial risk and online social ties on e-WOMA and the subsequent effect on online purchase intention. Survey data from 275 individuals were analyzed through statistical tools using Statistical Package for the Social Sciences (SPSS). Findings The results revealed that e-WOMA mediates the effect of perceived financial risk of search and experience goods on online purchase intention. Strength of online social ties on SNSs positively moderates the electric word of mouth adoption for both the experience and search goods. Research limitations The limitation of this study was about the researcher's restrictions related to the length of the survey. Moreover, causal explanations can't be deduced as this is a cross-sectional study. Practical implications This research offers insight into the consumers that allow marketers to dive into the target market. Marketers should focus on social ties importance while selling products/services of markets online. Originality/value The study is novel in the context of an emerging economy to educate marketers on the product categorization of search goods and experience goods based on financial risk.

19.
Journal of Computer Information Systems ; : 1-23, 2022.
Article in English | Web of Science | ID: covidwho-2069987

ABSTRACT

Despite the high utilization of mobile payment during the COVID-19 pandemic, this situation may change in the post-pandemic era. Therefore, great value can be derived from determining the significant antecedents of mobile payment continuance intention. This study looks to do so by introducing a Multi-Dimensional Nomological Network of Mobile Payment Continuance. A two-stage Partial Least Square-Structural Equation Modeling and Artificial Neural Network was utilized for the data analysis. The results provided empirical support to establish the overall nomological network. In addition, more than 70% of the variance in continuance intention was captured. Overall, this study provides practitioners with detailed insights to develop strategies for sustainable utilization and academics with a dynamic framework to look into users' mobile payment continuance intention.

20.
International Journal of Production Research ; : 1-19, 2022.
Article in English | Web of Science | ID: covidwho-2069948

ABSTRACT

Research on Blockchain implementation in the Pharmaceutical Supply Chains (PSC) is lacking despite its strong potential to overcome conventional supply chain challenges. Thus, this study aims to provide critical insight into the nexus between Blockchain and PSC and further build a conceptual framework for implementation within the pharmaceutical industry. Following a systematic literature review and text mining approach, 65 interdisciplinary articles published between 2010 and 2021 were studied to capture the decade long developments. Descriptive and thematic analysis showcases nascent developments of Blockchain in PSC. The drivers and barriers to adoption, implementation stages, and applications identified through the thematic analysis guide in setting the agenda for future research, primarily focussing on the use of Blockchain for drug counterfeiting, recall issues, along with other sector-specific challenges such as patient privacy, regulations and clinical trials. Research on Blockchain for PSC has been slow compared to other sectors, but has accelerated since the Covid-19 pandemic. Identified influential factors, implementation process and apparent applications are expected to influence researchers and practitioners in developing a roadmap for adopting Blockchain in the pharmaceutical industry. The proposed conceptual framework is novel and provides valuable directions to producers, regulators and governments to implement Blockchain in the pharmaceutical industry.

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