Impact of the Moderating Effect of National Culture on Adoption Intention in Wearable Health Care Devices: Meta-analysis

Zhang, Zhenming; Xia, Enjun; Huang, Jieping

doi:10.2196/30960

Cited by 10 publications

(3 citation statements)

References 76 publications

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“…Modifications of the intervention to enable success in these settings might be considered, such as enabling accessibility on low‐specification (and hence low‐cost) phones or networks. Different cultures can influence adoption of digital health interventions 51 and hence cultural adaptation of the NEON Intervention should be considered to enhance adoption 52 .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and cost‐effectiveness of online recorded recovery narratives in improving quality of life for people with non‐psychotic mental health problems: a pragmatic randomized controlled trial

Slade,

Rennick‐Egglestone,

Elliott

et al. 2024

World Psychiatry

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Narratives describing first‐hand experiences of recovery from mental health problems are widely available. Emerging evidence suggests that engaging with mental health recovery narratives can benefit people experiencing mental health problems, but no randomized controlled trial has been conducted as yet. We developed the Narrative Experiences Online (NEON) Intervention, a web application providing self‐guided and recommender systems access to a collection of recorded mental health recovery narratives (n=659). We investigated whether NEON Intervention access benefited adults experiencing non‐psychotic mental health problems by conducting a pragmatic parallel‐group randomized trial, with usual care as control condition. The primary endpoint was quality of life at week 52 assessed by the Manchester Short Assessment (MANSA). Secondary outcomes were psychological distress, hope, self‐efficacy, and meaning in life at week 52. Between March 9, 2020 and March 26, 2021, we recruited 1,023 participants from across England (the target based on power analysis was 994), of whom 827 (80.8%) identified as White British, 811 (79.3%) were female, 586 (57.3%) were employed, and 272 (26.6%) were unemployed. Their mean age was 38.4±13.6 years. Mood and/or anxiety disorders (N=626, 61.2%) and stress‐related disorders (N=152, 14.9%) were the most common mental health problems. At week 52, our intention‐to‐treat analysis found a significant baseline‐adjusted difference of 0.13 (95% CI: 0.01‐0.26, p=0.041) in the MANSA score between the intervention and control groups, corresponding to a mean change of 1.56 scale points per participant, which indicates that the intervention increased quality of life. We also detected a significant baseline‐adjusted difference of 0.22 (95% CI: 0.05‐0.40, p=0.014) between the groups in the score on the “presence of meaning” subscale of the Meaning in Life Questionnaire, corresponding to a mean change of 1.1 scale points per participant. We found an incremental gain of 0.0142 quality‐adjusted life years (QALYs) (95% credible interval: 0.0059 to 0.0226) and a £178 incremental increase in cost (95% credible interval: –£154 to £455) per participant, generating an incremental cost‐effectiveness ratio of £12,526 per QALY compared with usual care. This was lower than the £20,000 per QALY threshold used by the National Health Service in England, indicating that the intervention would be a cost‐effective use of health service resources. In the subgroup analysis including participants who had used specialist mental health services at baseline, the intervention both reduced cost (–£98, 95% credible interval: –£606 to £309) and improved QALYs (0.0165, 95% credible interval: 0.0057 to 0.0273) per participant as compared to usual care. We conclude that the NEON Intervention is an effective and cost‐effective new intervention for people experiencing non‐psychotic mental health problems.

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Section: Discussionmentioning

confidence: 99%

Effectiveness and cost‐effectiveness of online recorded recovery narratives in improving quality of life for people with non‐psychotic mental health problems: a pragmatic randomized controlled trial

Slade,

Rennick‐Egglestone,

Elliott

et al. 2024

World Psychiatry

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“…But the positive impact of perceived ease of use on perceived usefulness cannot be ignored. Patients may doubt the usefulness of mobile medical technology if they find it inconvenient or challenging to use, which can affect their attitude toward using it ( 48 , 49 ).…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the willingness of patients with type 2 diabetes to use digital disease management applications: a cross-sectional study

Zhang,

Zhu

et al. 2023

Front. Public Health

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BackgroundThe global burden of type 2 diabetes has significantly increased, leading to a considerable impact on healthcare systems worldwide. While the advent of mobile healthcare has provided some relief by addressing the shortage of certain medical resources, its adoption among the Chinese population remains relatively low. To extend the benefits of mHealth to a greater number of Chinese diabetic patients, it is essential to investigate the factors that influence their willingness to utilize it and implement targeted interventions based on these influencing factors. The Technology Acceptance Model (TAM) is widely employed to examine users' ultimate usage behaviors, and previous studies have indicated the potential relevance of the Perceived Risk (PR) theory and the eHealth Literacy Theory to users' usage behaviors.ObjectiveOur objective was to investigate the determinants that affect the willingness of Chinese patients diagnosed with type 2 diabetes patients to utilize digital disease management applications (DDMAs).MethodsWe conducted a cross-sectional study of patients with type 2 diabetes in three tertiary general hospitals in Chengdu using questionnaires designed by the investigators. Participants were sampled using a convenience sampling method. The questionnaire comprised three sections: socio-demographic profile and medical history; current awareness and willingness to use digital disease management applications; and the current level of e-health literacy. Structural equation modeling was employed to assess the impact of patient awareness of DDMAs and e-health literacy on the willingness to use such DDMAs.Results(1) Patients' attitudes toward using DDMAs were significantly influenced by perceived ease of use (β = 0.380, P < 0.001) and perceived usefulness (β = 0.546, P < 0.001); (2) Electronic health literacy exerted a significant impact on patients' perceived usefulness (β = 0.115, P = 0.018) and perceived ease of use (β = 0.659, P < 0.001); (3) Patients' willingness to use was significantly influenced by perceived usefulness (β = 0.137, P < 0.001) and use attitude (β = 0.825, P < 0.001).ConclusionsThe present research findings hold both theoretical and practical significance, and can serve as a guide for healthcare practitioners and researchers to gain a deeper comprehension of the acceptance of digital disease management applications (DDMAs) among type 2 diabetes patients.

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“…Other scholars regarded it as level of difficulty in understanding and duration of use [36] . Scholars has examined the TAM constructs as predictors of purchase intention in various contexts, and they discovered that perceived ease of use and perceived usefulness are significantly influence purchase intention [12,15,[37][38][39][40][41] . The social commerce platform is embedded with comprehensive features of technology and user-friendly interface platform can fasten the shopping processes.…”

Section: Tam and Purchase Intentionmentioning

confidence: 99%

Impact of social support, TAM constructs and consumers’ purchase intentions in social commerce platforms: The pathway to post COVID-19

Makmor,

Mohd,

Hafiz

et al. 2023

Environ. Soc. Psychol.

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Online social supports empower consumers to communicate and share their knowledge and experiences with each other through social commerce platforms. The communication becomes more important for online communities during the COVID-19 pandemic. Existing scholars have studied social commerce; however, lack of studies has focused on social supports and TAM constructs. Also, a growing concern on the reliability and validity of comments of online consumers would jeopardize the success of social commerce business. Therefore, the research addresses the research gap by proposing a conceptual model. On the basis of the technology adoption model (TAM), this research considers social supports, consumers online purchase intentions and the role of trust as a mediator in Malaysian context. A total of 200 respondents participated. The data are collected via online platforms and analyzed using PLS-SEM software. The results reveal that the social support, perceived ease of use and perceived usefulness have significant effects toward purchase intention in social commerce platforms. Meanwhile, trust mediated the relationship of social support and purchase intention. The present study discusses the research implications, limitations, and future directions.

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Impact of the Moderating Effect of National Culture on Adoption Intention in Wearable Health Care Devices: Meta-analysis

Cited by 10 publications

References 76 publications

Effectiveness and cost‐effectiveness of online recorded recovery narratives in improving quality of life for people with non‐psychotic mental health problems: a pragmatic randomized controlled trial

Effectiveness and cost‐effectiveness of online recorded recovery narratives in improving quality of life for people with non‐psychotic mental health problems: a pragmatic randomized controlled trial

Factors affecting the willingness of patients with type 2 diabetes to use digital disease management applications: a cross-sectional study

Impact of social support, TAM constructs and consumers’ purchase intentions in social commerce platforms: The pathway to post COVID-19

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