Predictors of Patients’ Loyalty Toward Doctors on Web-Based Health Communities: Cross-Sectional Study

Wu, Tailai; Deng, Zhaohua; Zhang, Donglan; Wu, Xiang; Wang, Ruoxi

doi:10.2196/14484

Cited by 14 publications

(14 citation statements)

References 41 publications

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“…The emotional connection to the clinician is equally important in telehealth adoption. Knowing that the consultation focuses not only on the immediate health care needs but also the emotional support is critical to gaining loyalty from the patient [62]. This same issue of trust was highlighted in this study by both LLA and P&O respondents.…”

Section: Patientmentioning

confidence: 52%

Leveraging Digital Technology to Overcome Barriers in the Prosthetic and Orthotic Industry: Evaluation of its Applicability and Use During the COVID-19 Pandemic (Preprint)

Binedell¹,

Wong²,

Blessing³

2020

Preprint

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BACKGROUND The prosthetic and orthotic (P&O) industry typically provides an artisan "hands-on" approach to assessment and fitting of orthopedic devices. Despite growing interest in digital technology for P&O service provision, little is known of the quantum of use and the extent to which the current pandemic has accelerated the adoption. OBJECTIVE This study's objective is to assess the use of digital technology in P&O and whether its use can help overcome challenges posed by the current COVID-19 pandemic. METHODS A Web-based survey of working Prosthetists/Orthotists and lower limb patients was conducted between June-July 2020 and divided into three sections: Lower limb amputees, Prosthetist/Orthotist currently using digital technologies in their practice and Prosthetist/Orthotist not using any digital technology. The input was sought from industry and academia experts for the development of the survey. Descriptive analyses were performed for both qualitative (open-ended questions) and quantitative data. RESULTS In total, 113 individuals responded to the Web-based survey. 83 surveys were included in the analysis (patients: 15%; prosthetists/orthotists: 85%). 30 surveys were excluded because less than 10% of the questions were answered. 44% of the prosthetist/orthotists utilizes digital technologies. 3D scanning and imaging were the leading digital technologies being used, primarily for footwear, AFOs, transtibial and transfemoral sockets. Digital technology is particularly suitable for scanning of prosthetics during COVID-19. The use of virtual care was reported by the prosthetists/orthotists to be beneficial. However, the technology could not overcome inherent barriers such as the lack of details normally obtained during a physical assessment. Virtual care could be useful for education, monitoring, or triaging purposes or in rural settings. CONCLUSIONS Digital technology is transforming healthcare. The current pandemic highlights its usefulness, but digital technology must be implemented thoughtfully and designed to address issues that are barriers to current adoption. Technology advancements utilizing virtual platforms, digitalization methods, and improved connectivity will continue to change the future healthcare delivery. The prosthetic and orthotic industry should keep an open mind and move towards creating the required infrastructure to support this digital transformation, even if the world returns to pre-COVID-19 days.

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Section: Patientmentioning

confidence: 52%

Leveraging Digital Technology to Overcome Barriers in the Prosthetic and Orthotic Industry: Evaluation of its Applicability and Use During the COVID-19 Pandemic (Preprint)

Binedell¹,

Wong²,

Blessing³

2020

Preprint

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show abstract

“…In a telehealth consumer study in the United States, the authors found that 66% of patients were willing to use telemedicine in 2019, but only 8% had used it previously. The authors suggest that the main reasons were the lack of familiarity with the new technology and a lack of trust in the clinician whom they have not met in person [ 61 ]. The emotional connection to the clinician is equally important in telehealth adoption.…”

Section: Discussionmentioning

confidence: 99%

Leveraging Digital Technology to Overcome Barriers in the Prosthetic and Orthotic Industry: Evaluation of its Applicability and Use During the COVID-19 Pandemic

Binedell¹,

Wong²,

Blessing³

2020

JMIR Rehabil Assist Technol

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Background The prosthetic and orthotic industry typically provides an artisan “hands-on” approach to the assessment and fitting of orthopedic devices. Despite growing interest in digital technology for prosthetic and orthotic service provision, little is known of the quantum of use and the extent to which the current pandemic has accelerated the adoption. Objective This study’s aim is to assess the use of digital technology in prosthetics and orthotics, and whether its use can help overcome challenges posed by the current COVID-19 pandemic. Methods A web-based survey of working prosthetists, orthotists, and lower limb patients was conducted between June and July 2020 and divided into three sections: lower limb amputees, prosthetist and orthotist (P&O) currently using digital technologies in their practice, and P&O not using any digital technology. Input was sought from industry and academia experts for the development of the survey. Descriptive analyses were performed for both qualitative (open-ended questions) and quantitative data. Results In total, 113 individuals responded to the web-based survey. There were 83 surveys included in the analysis (patients: n=13, 15%; prosthetists and orthotists: n=70, 85%). There were 30 surveys excluded because less than 10% of the questions were answered. Out of 70 P&Os, 31 (44%) used digital technologies. Three dimensional scanning and digital imaging were the leading technologies being used (27/31, 88%), primarily for footwear (18/31, 58%), ankle-foot orthoses, and transtibial and transfemoral sockets (14/31, 45%). Digital technology enables safer care during COVID-19 with 24 out of 31 (77%) respondents stating it improves patient outcomes. Singapore was significantly less certain that the industry's future is digital (P=.04). The use of virtual care was reported by the P&O to be beneficial for consultations, education, patient monitoring, or triaging purposes. However, the technology could not overcome inherent barriers such as the lack of details normally obtained during a physical assessment. Conclusions Digital technology is transforming health care. The current pandemic highlights its usefulness in providing safer care, but digital technology must be implemented thoughtfully and designed to address issues that are barriers to current adoption. Technology advancements using virtual platforms, digitalization methods, and improved connectivity will continue to change the future of health care delivery. The prosthetic and orthotic industry should keep an open mind and move toward creating the required infrastructure to support this digital transformation, even if the world returns to pre–COVID-19 days.

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“…To test the model's reliability, we calculated Cronbach's alpha and composite reliability based on the score of each item. A value of 0.5 represents acceptable reliability, and 0.7 represents good reliability [39]. To verify the convergent validity, we calculated the project load and the value of average extracted variance (AVE).…”

Section: Measurement Modelmentioning

confidence: 99%

The Impact of Gamification-Induced Users' Feelings on the Continued Use of mHealth Apps: A Structural Equation Model With the Self-Determination Theory Approach

Wang¹,

Fan²,

Zheng³

et al. 2021

J Med Internet Res

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Background Continued use of mHealth apps can achieve better effects in health management. Gamification is an important factor in promoting users’ intention to continue using mHealth apps. Past research has rarely explored the factors underlying the continued use of mobile health (mHealth) apps and gamification’s impact mechanism or path on continued use. Objective This study aimed to explore the factors influencing mHealth app users’ intention to continue using mHealth apps and the impact mechanism and path of users’ feelings induced by gamification on continued mHealth app use. Methods First, based on the expectation confirmation model of information system continuance, we built a theoretical model for continued use of mHealth apps based on users’ feelings toward gamification. We used self-determination theory to analyze gamification’s impact on user perceptions and set the resulting feelings (competence, autonomy, and relatedness) as constructs in the model. Second, we used the survey method to validate the research model, and we used partial least squares to analyze the data. Results A total of 2988 responses were collected from mHealth app users, and 307 responses were included in the structural equation model after passing the acceptance criteria. The intrinsic motivation for using mHealth apps is significantly affected by autonomy (β=.312; P<.001), competence (β=.346; P<.001), and relatedness (β=.165; P=.004) induced by gamification. The intrinsic motivation for using mHealth apps has a significant impact on satisfaction (β=.311, P<.001) and continuance intention (β=.142; P=.045); furthermore, satisfaction impacts continuance intention significantly (β=.415; P<.001). Confirmation has a significant impact on perceived usefulness (β=.859; P<.001) and satisfaction (β=.391; P<.001), and perceived usefulness has a significant impact on satisfaction (β=.269; P<.001) and continuance intention (β=.273; P=.001). The mediating effect analysis showed that in the impact path of the intrinsic motivation for using the mHealth apps on continuance intention, satisfaction plays a partial mediating role (β=.129; P<.001), with a variance accounted for of 0.466. Conclusions This study explored the impact path of users’ feelings induced by gamification on the intention of continued mHealth app use. We confirmed that perceived usefulness, confirmation, and satisfaction in the classical continued use theory for nonmedical information systems positively affect continuance intention. We also found that the path and mechanism of users' feelings regarding autonomy, competence, and relatedness generated during interactions with different gamification elements promote the continued use of mHealth apps.

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Predictors of Patients’ Loyalty Toward Doctors on Web-Based Health Communities: Cross-Sectional Study

Cited by 14 publications

References 41 publications

Leveraging Digital Technology to Overcome Barriers in the Prosthetic and Orthotic Industry: Evaluation of its Applicability and Use During the COVID-19 Pandemic (Preprint)

Leveraging Digital Technology to Overcome Barriers in the Prosthetic and Orthotic Industry: Evaluation of its Applicability and Use During the COVID-19 Pandemic (Preprint)

Leveraging Digital Technology to Overcome Barriers in the Prosthetic and Orthotic Industry: Evaluation of its Applicability and Use During the COVID-19 Pandemic

The Impact of Gamification-Induced Users' Feelings on the Continued Use of mHealth Apps: A Structural Equation Model With the Self-Determination Theory Approach

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