E-health/m-health adoption and lifestyle improvements: Exploring the roles of technology readiness, the expectation-confirmation model, and health-related information activities

Leung, Louis; Chen, Cheng

doi:10.1016/j.telpol.2019.01.005

Cited by 112 publications

(87 citation statements)

References 46 publications

(50 reference statements)

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“…Moreover, several studies have reported that health literacy is positively related to health promoting behavior as PA in Patients with T2D [70,71]. Due to reliance on digital solutions to promote PA (app and EMA’s), generalizability to primary care may be precluded if patients in primary differs in the level of digital readiness and/or health literacy [72–74]. However, Bergner et al found that patients with limited health literacy were as likely to respond to bi-directional text-messages as patients with adequate health literacy [75,76].…”

Section: Discussionmentioning

confidence: 99%

Effect of ecological momentary assessment, goal-setting and personalized phone-calls on adherence to interval walking training using the InterWalk application among patients with type 2 diabetes—A pilot randomized controlled trial

et al. 2019

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ObjectivesThe objective was to investigate the feasibility and usability of electronic momentary assessment, goal-setting and personalized phone-calls on adherence to a 12-week self-conducted interval walking training (IWT) program, delivered by the InterWalk smartphone among patients with type 2 diabetes (T2D).MethodsIn a two-arm pilot randomized controlled trial (Denmark, March 2014 to February 2015), patients with T2D (18–80 years with a Body Mass Index of 18 and 40 kg/m2) were randomly allocated to 12 weeks of IWT with (experimental) or without additional support (control). The primary outcome was the difference between groups in accumulated time of interval walking training across 12 weeks. All patients were encouraged to use the InterWalk application to perform IWT for ≥90 minute/week. Patients in the experimental group made individual goals regarding lifestyle change. Once a week inquiries about exercise adherence was made using an ecological momentary assessment (EMA). In case of consistent self-reported non-adherence, the patients would receive a phone-call inquiring about the reason for non-adherence. The control group did not receive additional support. Information about training adherence was assessed objectively. Usability of the EMA was assessed based on response rates and self-reported satisfaction after 12-weeks.ResultsThirty-seven patients with T2D (66 years, 65% female, hemoglobin 1Ac 50.3 mmol/mol) where included (n = 18 and n = 19 in experimental and control group, respectively). The retention rate was 83%. The experimental group accumulated [95%CI] 345 [-7, 698] minutes of IWT more than the control group. The response rate for the text-messages was 83% (68% for males and 90% for females). Forty-one percent of the experimental and 25% of the control group were very satisfied with their participation.ConclusionThe combination inquiry about adherence using EMA, goal-setting with the possibility of follow-up phone calls are considered feasible interventions to attain training adherence when using the InterWalk app during a 12-week period in patients with T2D. Some uncertainty about the effect size of adherence remains.Trial registrationClinicaltrials.gov NCT02089477

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Section: Discussionmentioning

confidence: 99%

Effect of ecological momentary assessment, goal-setting and personalized phone-calls on adherence to interval walking training using the InterWalk application among patients with type 2 diabetes—A pilot randomized controlled trial

et al. 2019

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“…The ECM is used to illustrate users' consciousness of the congruence between the actual performance of an IS and their expectation of using it. The ECM contains four post-consumption variables (see Figure 1): perceived usefulness, confirmation, satisfaction, and IS continuance intention (Leung & Chen, 2019). Perceived usefulness describes users' perceptions of the benefits of using an IS.…”

Section: Ecmmentioning

confidence: 99%

“…Finally, users' extent of confirmation has a positive influence on their perceived usefulness of IS use. (Bhattacherjee, 2001, p. 356) Up until now, researchers have used the ECM to explore and explain users' intentions to continue using and behaviours towards continuing use in various contexts, such as mobile applications and web-based services (Malik & Rao, 2019), social network sites (Ambalov, 2018), online reviews (Vijay, Prashar, & Gupta, 2018), and the e-health and m-health field (Leung & Chen, 2019). In e-learning contexts, the ECM has also been used to explore and explain learners' intentions to continue employing e-learning systems or tools.…”

Section: Ecmmentioning

confidence: 99%

Factors affecting Chinese university students’ intention to continue using virtual and remote labs

Zhang

et al. 2020

AJET

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Recently, virtual and remote labs (VRLs) have been developed to support students in conducting experiments in engineering and science education. However, little is known about the students’ intentions to continue using VRLs and their satisfaction with the experience. This study proposed an extended model embedded within the expectation confirmation model and two variables concerning flow experience (time distortion and focused attention) to predict Chinese university students’ satisfaction with and intention to continue using VRLs. A structural equation modelling technique based on covariance was conducted to evaluate survey questionnaire responses received from 238 students at a university located in central China. The results demonstrated that satisfaction was the most crucial determinant of the students’ intention to continue using VRLs, followed closely by perceived usefulness. Confirmation played an indirect role in predicting students’ intentions to continue using VRLs via satisfaction and perceived usefulness. Students’ flow experience while performing virtual experiments played a positive and direct role in confirming their expectations of VRLs.

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“…A healthy lifestyle is defined as the patients' changes in health conduct following the constant use of e-health [50]. For instance, a healthy lifestyle comprises exercising, controlling diet, modifying bedtime habits, controlling weight, and regular eating of fruits and vegetables among others [50]. The surfacing of e-health technologies provides extremely reachable and low-cost information to encourage healthy habits among patients [51].…”

Section: Healthy Lifestylementioning

confidence: 99%

“…For example, [52] submitted the link between users' intention to use ehealth and healthy lifestyle among young adults in Australia. Likewise, [53] submitted the link between users' intention to use ehealth and a healthy lifestyle [50] opined that a healthy lifestyle is an important concern of e-health adopters and concluded that people who are persistent and intend to use e-health services are more expected to experience a healthy lifestyle, as health habits necessitate sustained e-health use. Because of the above-reviewed literature, the following hypothesis is formulated: Proposition 9: Intention to use e-health has a positive significant effect on the healthy lifestyle…”

Section: Healthy Lifestylementioning

confidence: 99%

The Antecedents and Consequences of E-Health Literacy in the Pharmaceutical Industry: An Agenda for Future Research

et al. 2020

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As a promising area in healthcare research, electronic health (e-health) has received more research attention recently. The purpose of this paper is to develop and validate a proposed conceptual framework for digital health literacy. This conceptual framework is planned as a guide for future studies to use and validated as a foundation for quantitative studies to investigate the e-Health Literacy as perceived by citizens in Asia amid the outback of the world’s high-risk pandemic crisis such as Coronavirus (Covid19). This conceptual analysis applied Technology Acceptance Model as a basis to develop the antecedents of a healthy lifestyle among the citizens of Asian countries. This conceptual paper proposed that Information quality, system quality, and service quality will affect the citizens’ perceived ease of use and their perceived usefulness, which can affect their intention to use e-health and consequently results in a healthy lifestyle among the citizens. This conceptual paper submitted research hypotheses that will be a basis for future researches in Asia and if the framework is validated, recommendations will be offered to various stakeholders on how to improve a healthy lifestyle in Asia. Specifically, the proposed conceptual framework if validated will help policymakers to offer positive policies and procedures for the improvement of thriving healthcare industries in Asia.

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E-health/m-health adoption and lifestyle improvements: Exploring the roles of technology readiness, the expectation-confirmation model, and health-related information activities

Cited by 112 publications

References 46 publications

Effect of ecological momentary assessment, goal-setting and personalized phone-calls on adherence to interval walking training using the InterWalk application among patients with type 2 diabetes—A pilot randomized controlled trial

Effect of ecological momentary assessment, goal-setting and personalized phone-calls on adherence to interval walking training using the InterWalk application among patients with type 2 diabetes—A pilot randomized controlled trial

Factors affecting Chinese university students’ intention to continue using virtual and remote labs

The Antecedents and Consequences of E-Health Literacy in the Pharmaceutical Industry: An Agenda for Future Research

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