Computer acceptance of older adults

Even though computers play a massive role in everyday life of modern societies, older adults, and especially older women, are less likely to use a computer, and they perform fewer activities on it than younger adults. To get a better understanding of the factors affecting older adults' intention towards and usage of computers, the Unified Theory of Acceptance and Usage of Technology (UTAUT) was applied as part of a more extensive study with 52 users and non-users of computers, ranging in age from 50 to 90 years. The model covers various aspects of computer usage in old age via four key constructs, namely performance expectancy, effort expectancy, social influences, and facilitating conditions, as well as the variables gender, age, experience, and voluntariness it. Interestingly, next to performance expectancy, facilitating conditions showed the strongest correlation with use as well as with intention. Effort expectancy showed no significant correlation with the intention of older adults to use a computer.     

Mental Health Mobile Apps’ Instruction: Technology Adoption Theories Applied in a Mixed Methods Study of Counseling Faculty

This objective of this research was to determine factors influencing counselor educators’ behavioral intentions to teach counseling students about mental health mobile applications (MHMAs), factors influencing values of MHMAs as therapeutic tools, and to what extent counselor education programs are contributing to future counselors’ technological competence with regard to evaluating and integrating MHMAs. The conceptual basis was a theory triangulation approach using theories of technology use and acceptance and diffusion of innovations. Nine quantitative, two qualitative, and two mixed methods research questions served to guide the study. Participants were 132 faculty members from 99 university counseling programs. Participants completed an initial survey, an evaluation of an evidence-based mental health mobile application (app), and a postmeasure. Hierarchical multiple regression, analysis of covariance (ANCOVA), independent samples t-tests, and paired samples t-tests were used to analyze quantitative data. Results indicated that unified theory of acceptance and use of technology (UTAUT) variables along with anxiety/apprehension and ethical concerns are related to behavioral intentions to teach students about MHMAs. Semistructured video interviews were conducted and analyzed in the qualitative phase to add depth and explain quantitative findings. This study has implications for graduate counselor education programs and related accrediting agencies.     

Searching for Barriers to Adoption of the Videophone in a Hospice Setting

Hospice services care for millions of Americans at the end of their life. To improve this care, videophones have been introduced. However, the use of videophones is often not readily accepted by hospice nurses. This study used three theories, surveys, and focus groups with 25 hospice employees to investigate why there was a lack of acceptance. The survey predicted the videophones would be adopted. However, this was not the case, so focus groups were conducted to expand understanding of nonacceptance. This research demonstrates that leadership, context, and perceptions of the technology were key features effecting videophone acceptance. Future research should further examine these barriers and address the need for new survey instruments regarding nonutilization in this context.     

An Exploratory Study of Health Professionals' Attitudes about Robotic Telepresence Technology

This article presents the results from a video-based evaluation study of a social robotic telepresence solution for elderly. The evaluated system is a mobile teleoperated robot called Giraff that allows caregivers to virtually enter a home and conduct a natural visit just as if they were physically there. The evaluation focuses on the perspectives from primary healthcare organizations and collects the feedback from different categories of health professionals. The evaluation included 150 participants and yielded unexpected results with respect to the acceptance of the Giraff system. In particular, greater exposure to technology did not necessarily increase acceptance and large variances occurred between the categories of health professionals. In addition to outlining the results, this study provides a number of indications with respect to increasing acceptance for technology for elderly.     

Factors impacting donors’ intention to donate to charitable crowd-funding projects in China: a UTAUT-based model

The new and increasingly popular tool of crowd-funding is widely used by non-profit organizations in China to raise money online for their charitable projects. In order to use this tool effectively, it is essential to understand donors’ motivations for supporting charitable projects. This study investigates the impact of performance expectancy (PE), effort expectancy (EE), social influence (SI), facilitating conditions (FC), sense of trust, and experience expectation on donors’ intention to donate to charitable crowd-funding projects, using a research model based on the Unified Theory of Acceptance and Use of Technology model. Empirical data were collected through a survey, and structural equation modeling was used to analyze 316 responses from users of the Tencent charitable crowd-funding platform in China. The results indicate that SI, sense of trust, EE, and PE significantly affect donors’ intention to donate to charitable crowd-funding projects. The impact of FC and experience expectation on donors’ intention is also positive; however, it is not very strong. Finally, this paper presents suggestions for how to increase users’ intention to donate money on charitable crowd-funding platforms.     

Effects of mobile information-seeking on the intention to obtain reproductive cancer screening among chinese women: testing an integrative model

Because the cognitive perspective has often been used in health behavior research, the influence of information and communication technology has been neglected although it plays a significant role in healthcare in the increasingly mobile age. The aim of this study is to test an integrative model including technological and cognitive variables to demonstrate that perceived usefulness and ease of mobile media use, health consciousness, and risk perception predict reproductive cancer information-seeking through mobile media and the intention to obtain cancer screening. The analyses of data collected in a survey of 1,065 young and middle-aged women in Nanjing, China showed that the cognitive variables of health consciousness and risk perception directly predicted cancer screening. In addition, the cognitive variables and the technological variables (i.e., perceived usefulness and ease of mobile media use, respectively) indirectly predicted cancer screening through mobile information-seeking. The implications of these results are discussed.     

Predicting Indonesian Journalists' Use of Public Relations-Generated News Material

Abstract

The news media are the main channel for public relations practitioners to get messages across to their publics. In recent years, little research was conducted on predicting journalists' use of public relations news material. As the largest Southeast Asian and the world's most populous Muslim nation, Indonesia presents a complex media and public relations environment. This study found fundamental tenets in journalism, however, which remain the most important factors in predicting the use and acceptance of public relations-generated news materials. At the same time, however, business interests have highly significant effect on journalists. Informal relations can also influence their use.     

Enabling informal digital guanxi for rural doctors in Shaanxi,China

In China, rural healthcare systems have been neglected in favor of the development of market-driven, largely urban health information systems (HIS). We investigated the effective use of information and communication technologies (ICTs) to develop a healthcare model within the rural healthcare system. We investigated information needs, existing healthcare structure, and the use of informal networks – guanxi – to acquire health information mediated by technology. Qualitative interviews (N = 74) were conducted in Shaanxi province of China. Respondents included village doctors (30), rural patients (10), urban doctors (17), and 17 other healthcare stakeholders. We found benefits of the use of ICT in informal networks for village doctors, including the facilitation of communication, greater time efficiency, and better access to medical information, particularly in mobile phone and QQ online social network usage. Guanxi relationships were established at proximate, distant, and virtual levels. Emergent communicative practices, such as Internet-driven medical research by village doctors, led to negotiations in established relationships. As suggested by the theoretical model, infrastructural, economic, socio-cultural, and technological vulnerabilities were also observed. We caution against the drawbacks of replication of the closed guanxi system in the digital ICT healthcare arena, and discuss the implications for research and policy-making.     

How user diversity and country of origin impact the readiness to adopt E-health technologies: an intercultural comparison

In recent years, due to the demographical change and the resulting overload of healthcare systems, there has been an increasing interest focusing on the global proliferation of assistive medical technologies (=E-health) in home environments. The present study examines how users' diversity influences the readiness to adopt novel medical technologies, comparing users' attitudes in terms of perceived advantages and disadvantages in three technically and culturally different countries: Germany, Poland and Turkey. This investigation also intended to verify if acceptance of information and communication technologies is associated with the sensitive acceptance of E-health. Results revealed overall a considerably higher motivation to use medical technology compared to perceived barriers, with Polish users more willing to use E-health, higher than German or Turkish ones. Older participants showed a highly positive attitude, comparable to young and middle-aged respondents' receptiveness, differing from the latter in terms of greater appreciation of the advantage of higher independency when being supported by medical technology. With respect to gender, woman showed higher motivation to use E-health technology than men, although utilization barriers were not gendered. Following these results, an unconditional transfer of acceptance from information and communication to medical technology is not justified.     

A suggestion for future research on interface design of an Internet-based telemedicine system for the elderly

Telemedicine has emerged as an effective tool for providing high quality healthcare service and health-related information, especially in rural areas. Rural areas often have a larger elderly population with greater rates of preventable disease. These areas also have fewer medical resources and specialists, and have limited access to health services, all of which can influence overall health. An Internet-based telemedicine system can be one solution to provide the rural elderly with the proper health information when needed. The elderly obviously have limited capabilities compared with younger adults in the use of internet technology. However, the interfaces of the currently existing Internet-based telemedicine systems are not specifically developed for elderly users. This paper suggests future interface design research for an Internet-based telemedicine system specifically for the elderly.     

Exploring user experience and technology acceptance for a fall prevention system: results from a randomized clinical trial and a living lab

Background

Falls are common in older adults and can result in serious injuries. Due to demographic changes, falls and related healthcare costs are likely to increase over the next years. Participation and motivation of older adults in fall prevention measures remain a challenge. The iStoppFalls project developed an information and communication technology (ICT)-based system for older adults to use at home in order to reduce common fall risk factors such as impaired balance and muscle weakness. The system aims at increasing older adults’ motivation to participate in ICT-based fall prevention measures. This article reports on usability, user-experience and user-acceptance aspects affecting the use of the iStoppFalls system by older adults.

Methods

In the course of a 16-week international multicenter study, 153 community-dwelling older adults aged 65+ participated in the iStoppFalls randomized controlled trial, of which half used the system in their home to exercise and assess their risk of falling. During the study, 60 participants completed questionnaires regarding the usability, user experience and user acceptance of the iStoppFalls system. Usability was measured with the System Usability Scale (SUS). For user experience the Physical Activity Enjoyment Scale (PACES) was applied. User acceptance was assessed with the Dynamic Acceptance Model for the Re-evaluation of Technologies (DART). To collect more detailed data on usability, user experience and user acceptance, additional qualitative interviews and observations were conducted with participants.

Results

Participants evaluated the usability of the system with an overall score of 62 (Standard Deviation, SD 15.58) out of 100, which suggests good usability. Most users enjoyed the iStoppFalls games and assessments, as shown by the overall PACES score of 31 (SD 8.03). With a score of 0.87 (SD 0.26), user acceptance results showed that participants accepted the iStoppFalls system for use in their own home. Interview data suggested that certain factors such as motivation, complexity or graphical design were different for gender and age.

Conclusions

The results suggest that the iStoppFalls system has good usability, user experience and user acceptance. It will be important to take these along with factors such as motivation, gender and age into consideration when designing and further developing ICT-based fall prevention systems.

     

Reducing latent errors, drift errors, and stakeholder dissonance

Healthcare information technology (HIT) is being offered as a transformer of modern healthcare delivery systems. Some believe that it has the potential to improve patient safety, increase the effectiveness of healthcare delivery, and generate significant cost savings. In other industrial sectors, information technology has dramatically influenced quality and profitability - sometimes for the better and sometimes not. Quality improvement efforts in healthcare delivery have not yet produced the dramatic results obtained in other industrial sectors. This may be that previously successful quality improvement experts do not possess the requisite domain knowledge (clinical experience and expertise). It also appears related to a continuing misconception regarding the origins and meaning of work errors in healthcare delivery. The focus here is on system use errors rather than individual user errors. System use errors originate in both the development and the deployment of technology. Not recognizing stakeholders and their conflicting needs, wants, and desires (NWDs) may lead to stakeholder dissonance. Mistakes translating stakeholder NWDs into development or deployment requirements may lead to latent errors. Mistakes translating requirements into specifications may lead to drift errors. At the sharp end, workers encounter system use errors or, recognizing the risk, expend extensive and unanticipated resources to avoid them.     

Rural homelessness: its effect on healthcare access,healthcare outcomes,mobility, and perspectives of novel technologies

Rural homelessness is an undeniable public health issue that is understudied in the research literature. The purpose of this study was to determine the sociodemographics, physical and mental health status, barriers to access to care, and perspectives on potential technological advances of homeless individuals. A structured 45–90?min interview was utilized to gather demographic, physical health, mental health, mobility, and technology use data from a sample of 75 homeless individuals within three shelters in three micropolitan Nebraska cities. Individuals in this region were more likely to be white, unmarried, and mobile who have various physical and mental health disorders. Adherence to treatment of mental health disorders ranged from 43–60 percent. This population had increased employment, access to healthcare services, and use of technology than predicted. Leaders from all over the country can use these data to help improve state and local efforts to better cater to this vulnerable population's needs.     

What Difference Does Difference Make? The Persistence of Inequalities in Healthcare Delivery

Scholars across many disciplines have amassed a mountain of research documenting how social differences along lines of race, class, gender, and sexuality shape how those who need medical attention are cared for in the US healthcare system. Here, we aim to succinctly review a selection of studies that have considered the many ways both patients' and healthcare providers' social identities can impact care delivery. After establishing how these differences influence patient–provider interactions and patient diagnosis, treatment, and outcomes, we argue that a critical sociological perspective can help us to better understand why these inequities persist despite decades of research calling attention to them. Specifically, we suggest that research guided by symbolic interactionist and intersectional frameworks can generate more comprehensive analyses of inequality in healthcare delivery and help researchers delve deeper into the complex interactional processes undergirding disparities in care provision. We conclude by highlighting recent work that illustrates the value of this approach.     

Attitudinal and normative predictors of alcohol use by older adolescents and young adults

A model of alcohol use based on the theory of planned behavior, expectancy theory, and the developmental literature on the influence of parents and peers was examined with 87 eleventh grade students, 105 college freshmen, and 107 college juniors. Specifically, the influence of attitudes about the positive and negative consequences of drinking, perceived parental and peer norms about alcohol consumption, and perceived control over drinking predicted self-reported alcohol use. The results suggest that, during adolescence, decisions to consume alcohol are rational, based on the consideration of the positive consequences of alcohol use and perceptions of control over drinking; however, the negative consequences of alcohol use are discounted. While perceived peer norms predicted alcohol consumption in all three age groups, the influence of perceived parental norms varied such that they predicted alcohol use only among the college juniors. Implications and avenues for future research are discussed.     

Manual handling risks associated with the care, treatment and transportation of bariatric (severely obese) clients in Australia

Carers of bariatric (morbidly obese) clients are exposed to manual handling injury risk throughout the journey that such clients take within the healthcare system. To identify the factors that affect risks associated with bariatric clients and the subsequent adoption of risk control measures focus groups were conducted in two Australian state capitals: a suburban region of Melbourne and a large regional Victorian town. Participants, were recruited from within the primary health care sector, ambulance services, fire services and funeral businesses. It was found that the risks to which nurses, ambulance officers, fire fighters, and funeral industry employees are exposed are significant. The injury risk is influenced by the nature and design of the range of environments within which client movement is undertaken; the limited range of handling equipment available for use with bariatric clients; and the efficacy of organisational procedures and training. Adoption of risk controls is hampered by the absence of a standard definition of the term ``bariatric' and the gaps in information flow during the bariatric client journey through the health care system. Various definitions of bariatric are applied in different sectors and there are limitations to the use of both weight and body mass index in those definitions.     

Direct and Indirect Influences of Fate Control Belief,Gambling Expectancy Bias,and Self-Efficacy on Problem Gambling and Negative Mood Among Chinese College Students: A Multiple Mediation Analysis

A multiple mediation model was proposed to integrate core concepts of the social axioms framework and the social cognitive theory in order to understand gambling behavior. It was hypothesized that the influence of general fate control belief on problem gambling and negative mood would be mediated by gambling-specific beliefs. Data from 773 Chinese college recreational gamblers were collected. The bootstrapping procedure was used to test the multiple mediation hypotheses. Significant indirect effects of fate control belief on problem gambling and negative mood through two gambling-specific mediators were found. Gambling expectancy bias was a more salient mediator than gambling self-efficacy. Fate control belief was also found to have a significant direct effect on negative mood. In general, a high level of general fate control belief was related to greater gambling expectancy bias and lower self-efficacy in resisting gambling, which were in turn related to problem gambling and negative mood. Limitations and implications of the study were discussed.     

Acceptance of Online Health Services for Self-Help in the Context of Mental Health: Understanding Young Adults’ Experiences

ABSTRACT

This article explores the understanding of the acceptance of online health services from a self-help perspective in the context of mental health. By examining the experiences of young adults, this article develops a framework to leverage the current understanding of the factors that would support the acceptance and use of these types of services. To this end, a multidisciplinary perspective incorporating knowledge from the service marketing, health, and information systems literature is used. The results suggest that the production of online services that are meant for self-help purposes necessitates a focus on the acceptance of technology and, more importantly, instrumental value creation, as the purpose of using these types of services should be better understood and supported by technological solutions. This study also identifies several technological features supporting both the acceptance of technology and users’ ability to achieve well-being. Furthermore, when developing services for health self-help purposes, the issue of branding to increase acceptance should be assessed. From a user perspective, there appears to be a difference regarding whether the services are positioned as health services or as wellness services.     

Can we predict device use? An investigation into mobile device use in surveys

In this study, we investigate whether mobile device use in surveys can be predicted. We aim to identify possible motives for device use and build a model by drawing on theory from technology acceptance research and survey research. We then test this model with a Structural Equation Modeling approach using data of seven waves of the GESIS panel. We test whether our theoretical model fits the data by focusing on measures of fit, and by studying the standardized effects of the model. Results reveal that intention to use a particular device can predict actual use quite well. Ease of smartphone use is the most meaningful variable: if people use a smartphone for specific tasks, their intention to use a smartphone for survey completion is also more likely. In conclusion, investing in ease of use of mobile survey completion could encourage respondents to use mobile devices. This can foremost be established by building well-designed surveys for mobile devices.     

Computer Acceptance by Social Workers

Summary

Much has been said and written concerning the influence of intrinsic personal and professional factors on the use of computers in general and in the social services in particular. For example, much has been made of the negative attitudes of professional personnel towards computer use. Little data however has been forthcoming to demonstrate the accuracy of this viewpoint. Theoretical analyses of the computerization process have mentioned three general issues in overcoming the imputed outcomes of these negative attitudes.

An ex post facto study on computer acceptance by social workers, employed in municipal social service agencies (MSSA) in Israel, where a computerized case management system was implemented, was conducted. The impact of (1) intrinsic attitudes towards computer utilization in Human Services; (2) organizational factors; and (3) system design related factors on system acceptance was explored. It was found that readiness to computerize was related mainly to organizational and system design factors and not, contrary to expectations, to intrinsic attitudes of social workers. Implications of these findings on system implementation are discussed.