Purpose: This study aims to examine the factors affecting caregivers’ acceptance of the use of wearable devices by patients with dementia by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) model with 2 additional constructs: resistance to change (RC) and technology anxiety (TA). Methods: A structured online questionnaire was developed and distributed to caregivers who have either dealt previously with or were currently taking care of patients with dementia in sub-Saharan Africa. The selection of countries for the study was purely based on the availability of caregivers of patients with dementia and their readiness to take part in the survey. Questionnaire data from 350 respondents were analyzed and the hypothesis tested using partial least squares based on structural equation modeling. Result: The results of the extended model show that social influence, effort expectancy, facilitating conditions, and behavioral intention (BI) all had P < .05, thus were statistically significant in explaining the perceived BI and actual use of health-care wearable devices among patients with dementia as reported by caregivers. However, P value for RC and TA was greater than .05, hence were insignificant.

<p>This study seeks to assess the perceptions and readiness of family carers of dementia patients in Ghana to recommend for use of healthcare wearable devices by dementia patients.</p> <p>Using a structured questionnaire, this study sampled and analyzed the views of 355 family carers from thirteen administrative regions of Ghana. The different perceptions of family carers on the use of healthcare wearable devices based on questions adapted from the extended unified theory of acceptance and use of technology model, were assessed using Pearson’s correlation and multiple linear regression.</p> <p>The results of the regression indicated that the model explained 75.4% of the variance of behavioral intention and was a significant predictor of family carers’ perception on the use of healthcare wearable devices by patients with dementia in Ghana. In terms of the individual contributions of family carers’ perceptions based on the extended Unified Theory of Acceptance and Use of Technology model’s indicators, all indicators contributed significantly to the model with p-values less than 0.05 except family carers’ perception on social influence and perception on resistance to change, which were not significant with p-values greater than 0.05.</p> <p>Despite concerns of insufficient disposable income of carers, and existence of inherent issues relating to safety, privacy and security of patients data in their quest to use healthcare wearable devices, our findings suggest that family carers in Ghana are willing and ready to recommend for use of healthcare wearable devices by dementia patients, which may consequently enhance their well-being and help satisfy their desire to live independently.</p>

The objective of this study is to provide a comprehensive, systematic review on the progress of research on technological innovation management literature in healthcare delivery and its impact, whereby we seek to highlight the knowledge gaps, and provide researchers and scholars' approaches for future research. We statistically reviewed and analyzed 289 articles relevant to our research objectives using publications in journals, articles, conferences and those available in press from 1990 to 2018. Based on which we critically synthesized 36 articles for content analysis (conceptual, and empirical studies) and created a framework for technological innovation management research. Content analysis showed some appreciable contributions of conceptual, empirical, evidential and review articles in the field. We observed that though there has been some research into the area of innovation, open innovation and the application of technological innovation in the area of health care delivery, little study has been done in assessing the impact management of such technological innovation on the delivery of public health care services to citizens; thus the use of our proposed framework will provide guidance for researchers and scholars seeking to advance discussions and studies in this area.