A 12-week pilot study of acceptance of a computer-based chronic disease self-monitoring system among patients with type 2 diabetes mellitus and/or hypertension

Abstract

This study tested a structural model examining the effects of perceived usefulness, perceived ease of use, attitude, subjective norm, perceived behavioral control, health consciousness, and application-specific self-efficacy on the acceptance (i.e. behavioral intention and actual usage) of a computer-based chronic disease self-monitoring system among patients with type 2 diabetes mellitus and/or hypertension. The model was tested using partial least squares structural equation modeling, with 119 observations that were obtained by pooling data across three time points over a 12-week period. The results indicate that all of the seven constructs examined had a significant total effect on behavioral intention and explained 74 percent of the variance. Also, application-specific self-efficacy and behavioral intention had a significant total effect on actual usage and explained 17 percent of the variance. This study demonstrates that technology acceptance is determined by patient characteristics, technology attributes, and social influences. Applying the findings may increase the likelihood of acceptance.

An examination of the socio-demographic correlates of patient adherence to self-management behaviors and the mediating roles of health attitudes and self-efficacy among patients with coexisting type 2 diabetes and hypertension

“…In the development and implementation of interventions that aim to promote self-management adherence, such as caregiver-assisted programs or technology-based support, the design, usability, and acceptance of the interventions should be carefully studied and considered. This is necessary to prevent avoid unintended, undesirable effects on the implementation effort or on patient outcomes due to mismatches between the interventions and patients’ needs and characteristics [ 33 , 48 , 79 , 84 – 89 ].…”

Integrating usability and social cognitive theories with the technology acceptance model to understand young users’ acceptance of a health information portal

“…In light of this, this study proposed and tested a consumer acceptance model by integrating usability and social cognitive theories with TAM to examine consumer acceptance of HIPs among Chinese young Internet users. The work in this study, to the best of our knowledge, is among one of the first studies 49,63 to explore critical antecedents that affect the formation of consumer acceptance of health informatics applications in Chinese context.…”

“…46–48 In addition, it is suggested that the construct of self-efficacy would achieve stronger predictive power if it is contextualized by domain-specific measure rather than by its general form. 44,49 Therefore, this study examined application-specific self-efficacy, which was defined as an individual’s judgment about his or her own ability to use HIPs to acquire health information and services. Accordingly, the following hypotheses were proposed:…”

Telemonitoring readiness among Austrian diabetic patients: A cross-sectional validation study

“…39 Cognitive understanding, especially language skills, and technology affinity are required personality traits that often, but not exclusively, correlate with age and, notably, also relatives can support. 47 Our survey could not find correlations between readiness for telemonitoring and age, sex, or education. Notably, we did not analyze whether relevant diabetes-related complications or other diseases of participants affected their telemonitoring readiness.…”