Decision-making Factors Associated With Telehealth Adoption by Patients With Heart Failure at Home

Woo, Kyungmi; Dowding, Dawn

doi:10.1097/cin.0000000000000589

Cited by 21 publications

(18 citation statements)

References 30 publications

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“… 21,26,35 However, a study applied the UTAUT to predict nurses’ intention of using an electronic documentation system and found that all the UTAUT constructs were significantly associated with the nurse's BI, excluding EE which was not a significant predictor 36 . This finding was also supported by Woo et al 28 . who found that EE was not associated with the adoption of telehealth by patients with heart failure.…”

Section: Discussionmentioning

confidence: 81%

“…23 Utilizing the UTAUT model to predict behavioral intentions (BI) has been investigated in various settings in health care, such as telerehabilitation technology, 25 electronic medical record, 26 telemonitoring, 22 eHealth interventions, 27 and telehealth. 28 To our knowledge, research is not available surrounding the application of a theory-based approach to understand the acceptance and BI of dental students toward the use of teledentistry. An investigation of the factors that predict the acceptance of teledentistry innovation among dental professionals is needed to fill this literature gap.…”

Section: Introductionmentioning

confidence: 99%

“…The study found that the UTAUT constructs were significantly predicted the nurses’ intentions to use the hospital information system and the model explained 72.8% of their intentions’ variance 23 . Utilizing the UTAUT model to predict behavioral intentions (BI) has been investigated in various settings in health care, such as telerehabilitation technology, 25 electronic medical record, 26 telemonitoring, 22 eHealth interventions, 27 and telehealth 28 …”

Section: Introductionmentioning

confidence: 99%

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Application of the unified theory of acceptance and use of technology model to predict dental students’ behavioral intention to use teledentistry

Alabdullah

Lunen

Claiborne

et al. 2020

Journal of Dental Education

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Teledentistry is an innovative technology that can be used to improve access to care and oral health outcomes. Dental students' intention to use teledentistry after completing dental school has not been investigated. Purpose: The unified theory of acceptance and use of technology (UTAUT) was used to predict intentions to use teledentistry among 4th-year U.S. dental students. Methods: A cross-sectional approach was performed for a 7-week period in Spring 2019. All U.S. dental schools (N = 66) were invited to participate and 16 schools agreed to participate. An anonymous survey link was emailed to academic deans for dissemination to students. A total of 1416 4th-year dental students received the anonymous survey link and 210 students completed the survey (response rate = 14.8%). The survey included questions and scales that measured the UTAUT constructs of performance expectancy (PE), effort expectancy (EE), social influence (SI), facilitating conditions (FC), and behavioral intentions (BI). Data were analyzed using SPSS version 24. The study was deemed exempt by institutional review board. Results: The dental students' BI to use teledentistry was significantly predicted by PE (R 2 = 33%, P < 0.01), EE (R 2 = 24%, P < 0.01), SI (R 2 = 24%, P < 0.01), and FC (R 2 = 14%, P < 0.01). The UTAUT model was statistically significant in predicting the BI and explained 40% of BI variance (R 2 = .40, P < 0.01). Conclusions: Dental students' perceptions about PE, EE, SI, and FC were associated with BI. Therefore, exposure to teledentistry while in dental school could increase the likelihood of use as a practicing provider.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Application of the unified theory of acceptance and use of technology model to predict dental students’ behavioral intention to use teledentistry

Alabdullah

Lunen

Claiborne

et al. 2020

Journal of Dental Education

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“…The patient's decision-making capacity should not be compromised with the use of telehealth services. Woo et al ( 63 ) highlighted factors that increased the patients' involvement in decision-making when using telehealth. These factors included previous experience with using telehealth and knowledge of one's own medical condition and confidence with using the differing types of technologies.…”

Section: Discussionmentioning

confidence: 99%

Telehealth to the Rescue During COVID-19: A Convergent Mixed Methods Study Investigating Patients' Perception

Al‐Sharif

Almulla

AlMerashi

et al. 2021

Front. Public Health

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Background: The onset of the pandemic necessitated abrupt transition to telehealth consultations. Although there is a few tools that gauge the patients' perception about their experiences, none of them are contextualized to an emergency in the Middle East and North Africa region. Accordingly, this study aims at developing and validating a tool to address this gap, and deploying it to assess the patients' perception of telehealth services during COVID-19 in Dubai, United Arab Emirates (UAE).Methods: A convergent mixed methods design was adapted. A random selection of 100 patients from Dubai, UAE were invited to participate. Qualitative and quantitative datasets were collected using a tailor-made survey. The qualitative data, collected through open-ended questions, was analyzed using multi-staged thematic analysis. As for the quantitative data, it captured the patients' extent of satisfaction, and was assessed using SPSS (with a series of descriptive and inferential analyses). The qualitative and quantitative findings were then merged via joint display analysis.Results: Out of the 100 patients that were randomly selected, 94 patients participated in this study. The reliability score of Cronbach's Alpha for the instrument was 98.9%. The percentage of the total average of satisfaction was 80.67%. The Principal Component Analysis showed that 88.1% of the variance can be explained by the instrument (p < 0.001). The qualitative data analysis expanded upon the quantitative findings enabling a better understanding of the patients' perception. Three themes, revolving around the quality of the patient telehealth experiences, surfaced: “Factors that worked to the benefit of the patients,” “Factors that the patients were not in favor of,” and “Opportunities for improvements as perceived by the patients.”Discussion: This study introduced a novel patient satisfaction with telehealth consultation survey contextualized to the COVID-19 times in Dubai, UAE. The participants were quite satisfied with the quality of their experience, however they suggested areas for improvement. Regional healthcare decision-makers can leverage the identified advantages and opportunities for improvement of telehealth. This will enable making informed decisions regarding the continuity of telehealth irrespective of how matters unfold in relation to the pandemic. It will also better prepare the healthcare sector for potential resurgence(s) of COVID-19 and/or the occurrence of other similar emergencies.

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“…However, most patient research on telehealth has been conducted at the international level [ 21 , 25 , 26 ] or has focused on white, non-Hispanic populations within the United States [ 27 ]. The perspective and characteristics of individuals from vulnerable US minority communities has not received much attention, although there are a few notable exceptions focused primarily on African Americans [ 28 , 29 ]. Given that Hispanics are the largest minority group in the United States [ 30 ], it is important to understand the factors that influence their acceptance of telehealth, especially given that acceptance is a predictor of adoption [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding the Intention to Use Telehealth Services in Underserved Hispanic Border Communities: Cross-Sectional Study

Ghaddar¹,

Vatcheva²,

Alvarado³

et al. 2020

J Med Internet Res

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Background Despite the United States having one of the leading health care systems in the world, underserved minority communities face significant access challenges. These communities can benefit from telehealth innovations that promise to improve health care access and, consequently, health outcomes. However, little is known about the attitudes toward telehealth in these communities, an essential first step toward effective adoption and use. Objective The purpose of this study is to assess the factors that shape behavioral intention to use telehealth services in underserved Hispanic communities along the Texas-Mexico border and examine the role of electronic health (eHealth) literacy in telehealth use intention. Methods We used cross-sectional design to collect data at a community health event along the Texas-Mexico border. The area is characterized by high poverty rates, low educational attainment, and health care access challenges. Trained bilingual students conducted 322 in-person interviews over a 1-week period. The survey instrument assessed sociodemographic information and telehealth-related variables. Attitudes toward telehealth were measured by asking participants to indicate their level of agreement with 9 statements reflecting different aspects of telehealth use. For eHealth literacy, we used the eHealth Literacy Scale (eHEALS), an 8-item scale designed to measure consumer confidence in finding, evaluating, and acting upon eHealth information. To assess the intention to use telehealth, we asked participants about the likelihood that they would use telehealth services if offered by a health care provider. We analyzed data using univariate, multivariate, and mediation statistical models. Results Participants were primarily Hispanic (310/319, 97.2%) and female (261/322, 81.1%), with an average age of 43 years. Almost three-quarters (219/298) reported annual household incomes below $20,000. Health-wise, 42.2% (136/322) self-rated their health as fair or poor, and 79.7% (255/320) were uninsured. The overwhelming majority (289/319, 90.6%) had never heard of telehealth. Once we defined the term, participants exhibited positive attitudes toward telehealth, and 78.9% (254/322) reported being somewhat likely or very likely to use telehealth services if offered by a health care provider. Based on multivariate proportional odds regression analysis, a 1-point increase in telehealth attitudes reduced the odds of lower versus higher response in the intention to use telehealth services by 23% (OR 0.77, 95% CI 0.73-0.81). Mediation analysis revealed that telehealth attitudes fully mediated the association between eHealth literacy and intention to use telehealth services. For a 1-point increase in eHEALS, the odds of lower telehealth use decreased by a factor of 0.95 (5%; OR 0.95, 95% CI 0.93-0.98; P<.001) via the increase in the score of telehealth attitudes. Conclusions Telehealth promises to address many of the access challenges facing ethnic and racial minorities, rural communities, and low-income populations. Findings underscore the importance of raising awareness of telehealth and promoting eHealth literacy as a key step in fostering positive attitudes toward telehealth and furthering interest in its use.

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Decision-making Factors Associated With Telehealth Adoption by Patients With Heart Failure at Home

Cited by 21 publications

References 30 publications

Application of the unified theory of acceptance and use of technology model to predict dental students’ behavioral intention to use teledentistry

Application of the unified theory of acceptance and use of technology model to predict dental students’ behavioral intention to use teledentistry

Telehealth to the Rescue During COVID-19: A Convergent Mixed Methods Study Investigating Patients' Perception

Understanding the Intention to Use Telehealth Services in Underserved Hispanic Border Communities: Cross-Sectional Study

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