How reliable are self-assessments using mobile technology in healthcare? The effects of technology identity and self-efficacy

Reychav, Iris; Beeri, Roni; Balapour, Ali; Raban, Daphne R.; Sabherwal, Rajiv; Azuri, Joseph

doi:10.1016/j.chb.2018.09.024

Cited by 77 publications

(56 citation statements)

References 58 publications

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“…These smart devices can be integrated into an individual’s sense of self, as one may spend a significant portion of their time interacting with the devices as a repeated behavior. This is consistent with the findings of Reychav et al [ 5 ] that repeated behaviors can directly contribute to identity construction.…”

Section: Introductionsupporting

confidence: 93%

The Role of Information Technology Mindfulness in the Postadoption Stage of Using Personal Health Devices: Cross-Sectional Questionnaire Study in Mobile Health

Esmaeilzadeh

2020

JMIR Mhealth Uhealth

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Background Although personal health devices (for example, smartwatches, fitness trackers and intelligent bracelets) offer great potential to monitor personal fitness and health parameters, many users discontinue using them after a few months. Thus, it is critical to study the postadoption behaviors of current users to enhance their engagement with personal health devices and use behaviors. However, there is little empirical research on the factors affecting users’ engagement in beneficial use behaviors. Mindfulness and identity are not new topics, but the applications of these concepts in the field of information systems are emerging themes. Information technology (IT) mindfulness has been conceptualized in previous studies; however, little is known about the antecedents and consequences of IT mindfulness in the mobile health (mHealth) context. Objective The main aim of this study is to explore both IT identity and IT mindfulness to develop a new ground for research in the domain of mHealth postadoption. Thus, we aim to explain why users should be fully mindful of their engagement with PHDs and what could be the consequences and implications. Methods This study proposes that IT mindfulness can play an important role in improving the use behaviors of users. Through a web-based survey with 450 current users of a personal health device, this paper tests the relationship between IT identity and IT mindfulness in the postadoption stage of using personal health devices. Results We found that IT identity significantly shapes IT mindfulness associated with PHDs. Moreover, the IT identity–IT mindfulness relationship is negatively moderated by individuals’ perceived health status (P=.003). Finally, the results of this study show that IT mindfulness can significantly predict automatic use behaviors (eg, continued intention to use), active use behaviors (eg, feature use and enhanced use behaviors), and commitment behaviors in using personal health devices (eg, positive word-of-mouth intention). Conclusions The findings of this study provide implications for both research and practice. This study can contribute to our current understanding of IT mindfulness by developing and empirically testing a research model that explains the determinants and outcomes of the IT mindfulness construct in the context of personal health devices. The results imply that IT mindfulness significantly helps individuals express their alertness, awareness, openness, and orientation in the present in their postadoption interactions with smart devices used for health care purposes. Finally, our findings may assist practitioners and IT developers in designing mindfulness-supporting PHDs. Owing to the impact of IT mindfulness on postadoption behaviors, its 4 dimensions could be used for developing PHD technologies. Moreover, PHD developers may need to direct their efforts toward increasing IT mindfulness by reinforcing IT identity to serve and retain a wide range of target users.

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Section: Introductionsupporting

confidence: 93%

The Role of Information Technology Mindfulness in the Postadoption Stage of Using Personal Health Devices: Cross-Sectional Questionnaire Study in Mobile Health

Esmaeilzadeh

2020

JMIR Mhealth Uhealth

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“…Technological advancements has the ability to improve the efficiency and accuracy of reports, thereby making it reliable. 13 …”

Section: Resultsmentioning

confidence: 99%

Reinforcement of Human Resources in Implementing Healthy Indonesian Program with Family Approach

Widiarini

Chalidyanto²,

Rusdianah

2020

Journal of Public Health Research

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Background: The Healthy Indonesia Program is a government program implemented with the Family Approach (HIP-FA) through a survey on healthy families. However, the quality of the program depend on the performance of the Human Resources (HR). This study aims to examine various aspects of HR in implementing the program at health centers. Design and methods: Data were collected through in-depth interviews, Focus Group Discussions, and document review on eight informants at the Health Office center. Results: Four themes revealed from the study: being burdened, feeling overwhelmed, feeling incompetent, and confused managing technology. The results showed that the implementation of the HIP-FA survey is an additional burden for health center staff. Conclusions: It is necessary to strengthen the implementation of all programs through continuous training and education, positive affirmation, recalculating employee workload and remunerations.

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“…Selfreported information is limited by the fact that it can rarely be independently veri ed. However, this factor has a lower weighting in individuals with high levels of education (21). In addition, the fact that it makes use of the Internet may have facilitated participation from younger professionals (22) and the need to be registered physician ensured the suitability of respondents.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a questionnaire to describe behaviours and attitudes of physicians towards their own process of falling ill.

Peña¹,

Boyero²,

Marco³

et al. 2020

Preprint

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Background: Physicians have not learned their role as patients. Medical associations focused mainly on mental health programs for doctors in different countries. Nevertheless, the anomalous behaviours of ill doctors exist independently of their health problem. We described the development and validation of a questionnaire to describe Behaviours and Attitudes of Doctors towards their Own Illness (BADOI).Methods: Development of the questionnaire and appearance and content validation (ACV) by experts’ debriefings; construct validation by exploratory (EFA) and confirmatory factor analysis (CFA); reliability by Cronbach's alpha index (CAI) and feasibility by completion time (CT), accessibility to questionnaire platform and % of not answer items.Results: A Questionnaire with 56 items was developed with 3 sections: 1) socio-demographic, professional and work-related data. 2) Activities for self-care and work impact (sick leaves and presenteeism) and physicians’ healthcare pathways (Self-management and use of healthcare services). 3) Doctors of ill doctors and the role of medical associations. The validation sample size was of 4308 physicians’ answers. The factorial model presented 5 factors explaining 78.08% variance, a high value. Factor 1 explained 26.75% of the model describing the relationship between illness and work; Factor 2 explained 16.68%, with items regarding the negative impact of mental issues, toxic habits and the use of healthcare services; Factor 3 explained 15.06%, with items considering presenteeism and sick leaves; Factor 4 explained 9.95% regarding the handling of an ill colleague and medical associations. Finally, Factor 5 explained 9.64%, with items describing healthcare given to ill physicians and the revalidation of medical profession. Discussion: The factors grouped together items relating to self-care, impact on work and physicians’ healthcare pathways (F1-F2-F3) and the role of doctors of ill doctors and of the professional associations (F4-F5), being consistent with the 2 main perspectives: personal experience and caring for ill colleagues.Conclusion: A reliable Multidimensional Questionnaire on the process of physicians becoming ill has been validated in a large sample of registered doctors. It will help to identify and quantify physicians’ healthcare pathways allowing healthcare managers to set evidence-based interventions and formulate policies and ethical recommendations regarding the management of sick doctors.

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How reliable are self-assessments using mobile technology in healthcare? The effects of technology identity and self-efficacy

Cited by 77 publications

References 58 publications

The Role of Information Technology Mindfulness in the Postadoption Stage of Using Personal Health Devices: Cross-Sectional Questionnaire Study in Mobile Health

The Role of Information Technology Mindfulness in the Postadoption Stage of Using Personal Health Devices: Cross-Sectional Questionnaire Study in Mobile Health

Reinforcement of Human Resources in Implementing Healthy Indonesian Program with Family Approach

Development and Validation of a questionnaire to describe behaviours and attitudes of physicians towards their own process of falling ill.

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