J. Med. Internet Res. - Bringing loyalty to e-Health: theory validation using three internet-delivered interventions.


{ use(2086) technolog(871) perceiv(783) }
{ intervent(3218) particip(2042) group(1664) }
{ high(1669) rate(1365) level(1280) }
{ system(1050) medic(1026) inform(1018) }
{ assess(1506) score(1403) qualiti(1306) }
{ risk(3053) factor(974) diseas(938) }
{ inform(2794) health(2639) internet(1427) }
{ age(1611) year(1155) adult(843) }
{ studi(2440) review(1878) systemat(933) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ state(1844) use(1261) util(961) }
{ analysi(2126) use(1163) compon(1037) }
{ can(774) often(719) complex(702) }
{ data(1737) use(1416) pattern(1282) }
{ bind(1733) structur(1185) ligand(1036) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ chang(1828) time(1643) increas(1301) }
{ clinic(1479) use(1117) guidelin(835) }
{ visual(1396) interact(850) tool(830) }
{ time(1939) patient(1703) rate(768) }
{ use(976) code(926) identifi(902) }
{ implement(1333) system(1263) develop(1122) }
{ process(1125) use(805) approach(778) }
{ take(945) account(800) differ(722) }
{ problem(2511) optim(1539) algorithm(950) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ studi(1119) effect(1106) posit(819) }
{ model(3480) simul(1196) paramet(876) }
{ health(1844) social(1437) communiti(874) }
{ drug(1928) target(777) effect(648) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }


CKGROUND: Internet-delivered interventions can effectively change health risk behaviors, but the actual use of these interventions by the target group once they access the website is often very low (high attrition, low adherence). Therefore, it is relevant and necessary to focus on factors related to use of an intervention once people arrive at the intervention website. We focused on user perceptions resulting in e-loyalty (ie, intention to visit an intervention again and to recommend it to others). A background theory for e-loyalty, however, is still lacking for Internet-delivered interventions.OBJECTIVE: The objective of our study was to propose and validate a conceptual model regarding user perceptions and e-loyalty within the field of eHealth.METHODS: We presented at random 3 primary prevention interventions aimed at the general public and, subsequently, participants completed validated measures regarding user perceptions and e-loyalty. Time on each intervention website was assessed by means of server registrations.RESULTS: Of the 592 people who were invited to participate, 397 initiated the study (response rate: 67%) and 351 (48% female, mean age 43 years, varying in educational level) finished the study (retention rate: 88%). Internal consistency of all measures was high (Cronbach alpha > .87). The findings demonstrate that the user perceptions regarding effectiveness (beta(range) .21-.41) and enjoyment (beta(range) .14-.24) both had a positive effect on e-loyalty, which was mediated by active trust (beta(range) .27-.60). User perceptions and e-loyalty had low correlations with time on the website (r(range) .04-.18).CONCLUSIONS: The consistent pattern of findings speaks in favor of their robustness and contributes to theory validation regarding e-loyalty. The importance of a theory-driven solution to a practice-based problem (ie, low actual use) needs to be stressed in view of the importance of the Internet in terms of intervention development. Longitudinal studies are needed to investigate whether people will actually revisit intervention websites and whether this leads to changes in health risk behaviors.

Resumo Limpo

ckground internetdeliv intervent can effect chang health risk behavior actual use intervent target group access websit often low high attrit low adher therefor relev necessari focus factor relat use intervent peopl arriv intervent websit focus user percept result eloyalti ie intent visit intervent recommend other background theori eloyalti howev still lack internetdeliv interventionsobject object studi propos valid conceptu model regard user percept eloyalti within field ehealthmethod present random primari prevent intervent aim general public subsequ particip complet valid measur regard user percept eloyalti time intervent websit assess mean server registrationsresult peopl invit particip initi studi respons rate femal mean age year vari educ level finish studi retent rate intern consist measur high cronbach alpha find demonstr user percept regard effect betarang enjoy betarang posit effect eloyalti mediat activ trust betarang user percept eloyalti low correl time websit rrang conclus consist pattern find speak favor robust contribut theori valid regard eloyalti import theorydriven solut practicebas problem ie low actual use need stress view import internet term intervent develop longitudin studi need investig whether peopl will actual revisit intervent websit whether lead chang health risk behavior

Resumos Similares

Telemed J E Health - Measurement of self-monitoring web technology acceptance and use in an e-health weight-loss trial. ( 0,805542778366873 )
J. Med. Internet Res. - Efficacy of a computerized simulation in promoting walking in individuals with diabetes. ( 0,777083495976106 )
J. Med. Internet Res. - Characterizing periodic messaging interventions across health behaviors and media: systematic review. ( 0,775175242324067 )
J. Med. Internet Res. - Online prevention aimed at lifestyle behaviors: a systematic review of reviews. ( 0,769421019967502 )
J. Med. Internet Res. - Supporting health care professionals to improve the processes of shared decision making and self-management in a web-based intervention: randomized controlled trial. ( 0,748490916354769 )
J. Med. Internet Res. - Motivators and motivations to persist with online psychological interventions: a qualitative study of treatment completers. ( 0,739373030920593 )
BMC Med Inform Decis Mak - User acceptance of a picture archiving and communication system (PACS) in a Saudi Arabian hospital radiology department. ( 0,737372436756503 )
Int J Med Inform - Do hospital physicians' attitudes change during PACS implementation? A cross-sectional acceptance study. ( 0,728406919788201 )
Med Decis Making - Participation in cancer clinical trials: why are patients not participating? ( 0,728297702537429 )
BMC Med Inform Decis Mak - Process evaluation of a web-based intervention aimed at empowerment of disability benefit claimants. ( 0,72766375132153 )
J. Med. Internet Res. - The role of user control in adherence to and knowledge gained from a website: randomized comparison between a tunneled version and a freedom-of-choice version. ( 0,727220034492942 )
Health Informatics J - Provider impressions of the use of a mobile crowdsourcing app in medical practice. ( 0,726520140241287 )
J. Med. Internet Res. - Website quality, expectation, confirmation, and end user satisfaction: the knowledge-intensive website of the Korean National Cancer Information Center. ( 0,716813149242726 )
J. Med. Internet Res. - Internet-based interventions to promote mental health help-seeking in elite athletes: an exploratory randomized controlled trial. ( 0,716045737991198 )
Telemed J E Health - Change of patients' perceptions of telemedicine after brief use. ( 0,715937786781793 )
J. Med. Internet Res. - Factors associated with intention to use internet-based testing for sexually transmitted infections among men who have sex with men. ( 0,712201522092641 )
Int J Med Inform - An exploratory study of ageing women's perception on access to health informatics via a mobile phone-based intervention. ( 0,711083153323559 )
Methods Inf Med - Information technology acceptance in health information management. ( 0,710036204331992 )
J Am Med Inform Assoc - Factors affecting home care patients' acceptance of a web-based interactive self-management technology. ( 0,706813858155624 )
Int J Med Inform - Physicians' acceptance of electronic medical records exchange: an extension of the decomposed TPB model with institutional trust and perceived risk. ( 0,705616427154574 )
AMIA Annu Symp Proc - An empirical study of opinion leader effects on mobile information technology adoption in healthcare. ( 0,702338277423636 )
J. Med. Internet Res. - Health care professionals' beliefs about using wiki-based reminders to promote best practices in trauma care. ( 0,700468959922422 )
Telemed J E Health - Text messaging for enhancement of testing and treatment for tuberculosis, human immunodeficiency virus, and syphilis: a survey of attitudes toward cellular phones and healthcare. ( 0,697436362139501 )
BMC Med Inform Decis Mak - Determinants of use and non-use of a web-based communication system in cerebral palsy care: evaluating the association between professionals' system use and their a priori expectancies and background. ( 0,694262046090797 )
AMIA Annu Symp Proc - Clinical information system post-adoption evaluation at the georges pompidou university hospital. ( 0,6900132048771 )
J Am Med Inform Assoc - Modeling nurses' acceptance of bar coded medication administration technology at a pediatric hospital. ( 0,689044459492783 )
Int J Med Inform - Technology-enabled academic detailing: computer-mediated education between pharmacists and physicians for evidence-based prescribing. ( 0,687038797993725 )
Neural Comput - Coenzyme Q10 benefits symptoms in Gulf War veterans: results of a randomized double-blind study. ( 0,684480610709567 )
J. Med. Internet Res. - Patient perceptions of a personal health record: a test of the diffusion of innovation model. ( 0,67937949455851 )
J Med Syst - Engagement in E-learning opportunities: an empirical study on patient education using expectation confirmation theory. ( 0,678625230424543 )
Int J Med Inform - The Australian general public's perceptions of having a personally controlled electronic health record (PCEHR). ( 0,678254428879619 )
J. Med. Internet Res. - Program completion of a web-based tailored lifestyle intervention for adults: differences between a sequential and a simultaneous approach. ( 0,677731684941273 )
Med Decis Making - Physicians' tacit and stated policies for determining patient benefit and referral to cardiac rehabilitation. ( 0,676748850003639 )
J Med Syst - Barriers to physicians' adoption of healthcare information technology: an empirical study on multiple hospitals. ( 0,67426135472955 )
J. Med. Internet Res. - Speech perception benefits of internet versus conventional telephony for hearing-impaired individuals. ( 0,673565566157223 )
Int J Med Inform - Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT. ( 0,672555283916022 )
Telemed J E Health - An empirical study of physicians' acceptance of hospital information systems in Taiwan. ( 0,672372469043423 )
BMC Med Inform Decis Mak - Comparative evaluation of different medication safety measures for the emergency department: physicians' usage and acceptance of training, poster, checklist and computerized decision support. ( 0,671660777408374 )
J. Med. Internet Res. - Determinants of engagement in face-to-face and online patient support groups. ( 0,67091983056595 )
J. Med. Internet Res. - Exploratory study of web-based planning and mobile text reminders in an overweight population. ( 0,668223287365995 )
J. Med. Internet Res. - Initial design of culturally informed behavioral intervention technologies: developing an mHealth intervention for young sexual minority men with generalized anxiety disorder and major depression. ( 0,666737385562773 )
J. Med. Internet Res. - Motivational interviewing in a Web-based physical activity intervention with an avatar: randomized controlled trial. ( 0,665429087549266 )
J. Med. Internet Res. - A web-based sexual violence bystander intervention for male college students: randomized controlled trial. ( 0,665205613587244 )
J Am Med Inform Assoc - The impact of computer self-efficacy, computer anxiety, and perceived usability and acceptability on the efficacy of a decision support tool for colorectal cancer screening. ( 0,664909686085588 )
J. Med. Internet Res. - Differences in reach and attrition between Web-based and print-delivered tailored interventions among adults over 50 years of age: clustered randomized trial. ( 0,663235868481307 )
J. Med. Internet Res. - On supplementing Foot in the door incentives for eHealth program engagement. ( 0,661450735654846 )
Perspect Health Inf Manag - The effects of innovation factors on smartphone adoption among nurses in community hospitals. ( 0,659737995890153 )
Int J Med Inform - Understanding physicians' acceptance of the Medline system for practicing evidence-based medicine: a decomposed TPB model. ( 0,656308166911139 )
J. Med. Internet Res. - Evaluation of a Web-based intervention to promote hand hygiene: exploratory randomized controlled trial. ( 0,656136283252906 )
J. Med. Internet Res. - Engagement and retention: measuring breadth and depth of participant use of an online intervention. ( 0,65577704754791 )
Telemed J E Health - Physicians' perceptions and use of a health information exchange: a pilot program in South Korea. ( 0,654546722392865 )
J Med Syst - Assessing the relationship between technology readiness and continuance intention in an E-appointment system: relationship quality as a mediator. ( 0,652092209099228 )
J. Med. Internet Res. - Predictors of participant retention in a guided online self-help program for university students: prospective cohort study. ( 0,651133284953095 )
AMIA Annu Symp Proc - Study of the factors that promoted the implementation of electronic medical record on iPads at two emergency departments. ( 0,650137751233199 )
BMC Med Inform Decis Mak - Users' perspectives of key factors to implementing electronic health records in Canada: a Delphi study. ( 0,64929269051959 )
BMC Med Inform Decis Mak - Stages of use: consideration, initiation, utilization, and outcomes of an internet-mediated intervention. ( 0,647126715381889 )
J. Med. Internet Res. - Improving adherence to antiretroviral therapy for youth living with HIV/AIDS: a pilot study using personalized, interactive, daily text message reminders. ( 0,645896862124046 )
J Telemed Telecare - Use of mobile phone text messaging to deliver an individualized smoking behaviour intervention in Chinese adolescents. ( 0,643725208613816 )
J. Med. Internet Res. - Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition. ( 0,641708295426938 )
Int J Med Inform - Determinants of physicians' technology acceptance for e-health in ambulatory care. ( 0,641340005005296 )
Inform Health Soc Care - AmI in good care? Developing design principles for ambient intelligent domotics for elderly. ( 0,639793105651353 )
J. Med. Internet Res. - How is an electronic screening and brief intervention tool on alcohol use received in a student population? A qualitative and quantitative evaluation. ( 0,638545983915838 )
J. Med. Internet Res. - If we offer it, will they accept? Factors affecting patient use intentions of personal health records and secure messaging. ( 0,638419324863961 )
J. Med. Internet Res. - Initial outcomes from a 4-week follow-up study of the Text4baby program in the military women's population: randomized controlled trial. ( 0,634863125483678 )
Med Decis Making - Getting ahead of illness: using metaphors to influence medical decision making. ( 0,633357421427734 )
J. Med. Internet Res. - Economic evaluation of a web-based tailored lifestyle intervention for adults: findings regarding cost-effectiveness and cost-utility from a randomized controlled trial. ( 0,631566984299754 )
J. Med. Internet Res. - Effectiveness of different Web-based interventions to prepare co-smokers of cigarettes and cannabis for double cessation: a three-arm randomized controlled trial. ( 0,62858789482022 )
J. Med. Internet Res. - Collecting maternal health information from HIV-positive pregnant women using mobile phone-assisted face-to-face interviews in Southern Africa. ( 0,628558250490396 )
J. Med. Internet Res. - Adolescents just do not know what they want: a qualitative study to describe obese adolescents' experiences of text messaging to support behavior change maintenance post intervention. ( 0,628501763008059 )
J. Med. Internet Res. - The influence of user characteristics and a periodic email prompt on exposure to an internet-delivered computer-tailored lifestyle program. ( 0,62486371789289 )
J Biomed Inform - The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records. ( 0,624818652670236 )
J. Med. Internet Res. - Short-term effects of a smoking prevention website in American Indian youth. ( 0,623549428327128 )
BMC Med Inform Decis Mak - Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients. ( 0,623344299844873 )
Telemed J E Health - Increasing access to chronic disease self-management programs in rural and remote communities using telehealth. ( 0,62311964753512 )
Telemed J E Health - The impact of user's perceived ability on online health information acceptance. ( 0,622360936077843 )
J. Med. Internet Res. - A comparison of physician pre-adoption and adoption views on electronic health records in Canadian medical practices. ( 0,621590017143725 )
Telemed J E Health - Predicting medical staff intention to use an online reporting system with modified unified theory of acceptance and use of technology. ( 0,620633753153334 )
J. Med. Internet Res. - Web-based intervention to promote physical activity by sedentary older adults: randomized controlled trial. ( 0,618324812697456 )
BMC Med Inform Decis Mak - Barriers to the use of reminder/recall interventions for immunizations: a systematic review. ( 0,617616416314433 )
J. Med. Internet Res. - Development of a health information technology acceptance model using consumers' health behavior intention. ( 0,616984919019248 )
J. Med. Internet Res. - A text messaging-based smoking cessation program for adult smokers: randomized controlled trial. ( 0,614862152787131 )
Int J Med Inform - Predictive factors of telemedicine service acceptance and behavioral intention of physicians. ( 0,614726470535154 )
Int J Med Inform - Comparison of the middle-aged and older users' adoption of mobile health services in China. ( 0,613516697686672 )
J. Med. Internet Res. - Hospital-based nurses' perceptions of the adoption of Web 2.0 tools for knowledge sharing, learning, social interaction and the production of collective intelligence. ( 0,613012761761395 )
Med Decis Making - Decision to adopt medical technology: case study of breast cancer radiotherapy techniques. ( 0,611930673826606 )
J. Med. Internet Res. - Web-based risk communication and planning in an obese population: exploratory study. ( 0,611821959054123 )
J. Med. Internet Res. - A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. ( 0,611486586293318 )
Comput. Biol. Med. - Innovative health care delivery system--a questionnaire survey to evaluate the influence of behavioral factors on individuals' acceptance of telecare. ( 0,610961200090802 )
J Med Syst - The adoption of mobile health management services: an empirical study. ( 0,610126705352281 )
J. Med. Internet Res. - Multilevel growth curve analyses of treatment effects of a Web-based intervention for stress reduction: randomized controlled trial. ( 0,607920339616634 )
Telemed J E Health - Using a modified technology acceptance model to evaluate healthcare professionals' adoption of a new telemonitoring system. ( 0,607904645134602 )
Telemed J E Health - Can an evidence-based book club intervention delivered via a tablet computer improve physical activity in middle-aged women? ( 0,606945815662948 )
J Telemed Telecare - Evaluation of teledermatology adoption by health-care professionals using a modified Technology Acceptance Model. ( 0,606455862842131 )
J. Med. Internet Res. - Do email and mobile phone prompts stimulate primary school children to reuse an Internet-delivered smoking prevention intervention? ( 0,606319521830643 )
Telemed J E Health - The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): rationale for a tailored behavioral and educational pharmacist-administered intervention for achieving cardiovascular disease risk reduction. ( 0,605507373696401 )
J. Med. Internet Res. - Use of a text message program to raise type 2 diabetes risk awareness and promote health behavior change (part II): assessment of participants' perceptions on efficacy. ( 0,605415673508554 )
Telemed J E Health - Including men in prenatal health: the potential of e-health to improve birth outcomes. ( 0,605225636684639 )
J. Med. Internet Res. - Influence of delivery strategy on message-processing mechanisms and future adherence to a Dutch computer-tailored smoking cessation intervention. ( 0,604852272262841 )
J. Med. Internet Res. - Comparison of text and video computer-tailored interventions for smoking cessation: randomized controlled trial. ( 0,602843607422534 )
J. Med. Internet Res. - Identifying factors for optimal development of health-related websites: a delphi study among experts and potential future users. ( 0,601832034928923 )