BMC Med Inform Decis Mak - Stages of use: consideration, initiation, utilization, and outcomes of an internet-mediated intervention.

Tópicos

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

Resumo

CKGROUND: Attrition, or nonuse of the intervention, is a significant problem in e-health. However, the reasons for this phenomenon are poorly understood. Building on Eysenbach's "Law of Attrition", this study aimed to explore the usage behavior of users of e-health services. We used two theoretical models, Andersen's Behavioral Model of Health Service Utilization and Venkatesh's Unified Theory of Acceptance and Use of Technology, to explore the factors associated with uptake and use of an internet-mediated intervention for caregivers taking care of a family member with dementia.METHODS: A multiphase, longitudinal design was used to follow a convenience sample of 46 family caregivers who received an e-health intervention. Applying the two theories, usage behavior was conceptualized to form four stages: consideration, initiation, utilization (attrition or continuation), and outcome. The variables and measurement scales were selected based on these theories to measure the sociodemographic context, technology aptitudes, and clinical needs of the caregivers.RESULTS: In the Consideration Stage, caregivers who felt that the information communication technology (ICT)-mediated service was easy to use were more likely to consider participating in the study (p = 0.04). In the Initiation Stage, caregivers who showed greater technology acceptance were more likely to initiate service earlier (p = 0.02). In the Utilization Stage, the frequent users were those who had a more positive attitude toward technology (p = 0.04) and a lower perceived caregiver competence (p = 0.04) compared with nonusers. In the Outcome Stage, frequent users experienced a decline in perceived burden compared with an escalation of perceived burden by nonusers (p = 0.02).CONCLUSIONS: We illustrate a methodological framework describing how to develop and expand a theory on attrition. The proposed framework highlighted the importance of conceptualizing e-health "use" and "adoption" as dynamic, continuous, longitudinal processes occurring in different stages, influenced by different factors to predict advancement to the next stage. Although usage behavior was influenced mainly by technological factors in the initial stages, both clinical and technological factors were equally important in the later stages. Frequency of use was associated with positive clinical outcomes. A plausible explanation was that intervention benefits motivated the caregivers to continue the service and regular use led to more positive clinical outcome.

Resumo Limpo

ckground attrit nonus intervent signific problem ehealth howev reason phenomenon poor understood build eysenbach law attrit studi aim explor usag behavior user ehealth servic use two theoret model andersen behavior model health servic util venkatesh unifi theori accept use technolog explor factor associ uptak use internetmedi intervent caregiv take care famili member dementiamethod multiphas longitudin design use follow conveni sampl famili caregiv receiv ehealth intervent appli two theori usag behavior conceptu form four stage consider initi util attrit continu outcom variabl measur scale select base theori measur sociodemograph context technolog aptitud clinic need caregiversresult consider stage caregiv felt inform communic technolog ictmedi servic easi use like consid particip studi p initi stage caregiv show greater technolog accept like initi servic earlier p util stage frequent user posit attitud toward technolog p lower perceiv caregiv compet p compar nonus outcom stage frequent user experienc declin perceiv burden compar escal perceiv burden nonus p conclus illustr methodolog framework describ develop expand theori attrit propos framework highlight import conceptu ehealth use adopt dynam continu longitudin process occur differ stage influenc differ factor predict advanc next stage although usag behavior influenc main technolog factor initi stage clinic technolog factor equal import later stage frequenc use associ posit clinic outcom plausibl explan intervent benefit motiv caregiv continu servic regular use led posit clinic outcom

Resumos Similares

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. ( 0,863709057117771 )
AMIA Annu Symp Proc - Study of the factors that promoted the implementation of electronic medical record on iPads at two emergency departments. ( 0,859436483970461 )
J Am Med Inform Assoc - Modeling nurses' acceptance of bar coded medication administration technology at a pediatric hospital. ( 0,847258616734529 )
AMIA Annu Symp Proc - An empirical study of opinion leader effects on mobile information technology adoption in healthcare. ( 0,847089808896517 )
Int J Med Inform - Do hospital physicians' attitudes change during PACS implementation? A cross-sectional acceptance study. ( 0,846805862544611 )
J. Med. Internet Res. - Website quality, expectation, confirmation, and end user satisfaction: the knowledge-intensive website of the Korean National Cancer Information Center. ( 0,845181255059318 )
J Biomed Inform - The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records. ( 0,8434813251915 )
BMC Med Inform Decis Mak - User acceptance of a picture archiving and communication system (PACS) in a Saudi Arabian hospital radiology department. ( 0,84224514835302 )
J Am Med Inform Assoc - Factors affecting home care patients' acceptance of a web-based interactive self-management technology. ( 0,841517882525906 )
Int J Med Inform - Understanding physicians' acceptance of the Medline system for practicing evidence-based medicine: a decomposed TPB model. ( 0,841463623831237 )
AMIA Annu Symp Proc - Clinical information system post-adoption evaluation at the georges pompidou university hospital. ( 0,840928940678825 )
J. Med. Internet Res. - Patient perceptions of a personal health record: a test of the diffusion of innovation model. ( 0,835965364015349 )
J Med Syst - Assessing the relationship between technology readiness and continuance intention in an E-appointment system: relationship quality as a mediator. ( 0,835580839759678 )
Methods Inf Med - Information technology acceptance in health information management. ( 0,834202583991376 )
Perspect Health Inf Manag - The effects of innovation factors on smartphone adoption among nurses in community hospitals. ( 0,827313449833065 )
Telemed J E Health - Physicians' perceptions and use of a health information exchange: a pilot program in South Korea. ( 0,823344645091265 )
J Med Syst - Barriers to physicians' adoption of healthcare information technology: an empirical study on multiple hospitals. ( 0,81099076631381 )
BMC Med Inform Decis Mak - Healthcare professional acceptance of telemonitoring for chronic care patients in primary care. ( 0,806455867591819 )
Int J Med Inform - Predictive factors of telemedicine service acceptance and behavioral intention of physicians. ( 0,803540941562765 )
J Telemed Telecare - Evaluation of teledermatology adoption by health-care professionals using a modified Technology Acceptance Model. ( 0,802140551054379 )
Med Decis Making - Decision to adopt medical technology: case study of breast cancer radiotherapy techniques. ( 0,797493620666578 )
Int J Med Inform - Physicians' acceptance of electronic medical records exchange: an extension of the decomposed TPB model with institutional trust and perceived risk. ( 0,796128487063061 )
Telemed J E Health - Predicting medical staff intention to use an online reporting system with modified unified theory of acceptance and use of technology. ( 0,795322159425588 )
J Med Syst - Engagement in E-learning opportunities: an empirical study on patient education using expectation confirmation theory. ( 0,792892405808158 )
Med Decis Making - Physicians' tacit and stated policies for determining patient benefit and referral to cardiac rehabilitation. ( 0,790874910236741 )
Telemed J E Health - An empirical study of physicians' acceptance of hospital information systems in Taiwan. ( 0,790667088802866 )
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. ( 0,785458352931582 )
J. Med. Internet Res. - If we offer it, will they accept? Factors affecting patient use intentions of personal health records and secure messaging. ( 0,78062133301318 )
J. Med. Internet Res. - A comparison of physician pre-adoption and adoption views on electronic health records in Canadian medical practices. ( 0,77689195552689 )
Int J Med Inform - An exploratory study of ageing women's perception on access to health informatics via a mobile phone-based intervention. ( 0,773880887613472 )
Med Decis Making - Getting ahead of illness: using metaphors to influence medical decision making. ( 0,772930481144461 )
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. ( 0,767334760022109 )
J. Med. Internet Res. - Speech perception benefits of internet versus conventional telephony for hearing-impaired individuals. ( 0,766383796968967 )
BMC Med Inform Decis Mak - Adoption of telemedicine: from pilot stage to routine delivery. ( 0,76635986168 )
J Biomed Inform - Electronic health record acceptance by physicians: testing an integrated theoretical model. ( 0,762951834387167 )
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. ( 0,756871763894893 )
Int J Med Inform - Factors influencing acceptance of technology for aging in place: a systematic review. ( 0,756683883027546 )
Int J Med Inform - Determinants of physicians' technology acceptance for e-health in ambulatory care. ( 0,754175893616278 )
Int J Med Inform - Comparison of the middle-aged and older users' adoption of mobile health services in China. ( 0,753907087290459 )
Int J Med Inform - The determinants of home healthcare robots adoption: an empirical investigation. ( 0,752161439990809 )
J. Med. Internet Res. - Development of a health information technology acceptance model using consumers' health behavior intention. ( 0,751594658246486 )
Methods Inf Med - Evaluation of the USE IT-questionnaire for the evaluation of the adoption of electronic patient records by healthcare professionals. ( 0,749760939298104 )
Comput. Biol. Med. - Innovative health care delivery system--a questionnaire survey to evaluate the influence of behavioral factors on individuals' acceptance of telecare. ( 0,7489008021274 )
Telemed J E Health - Older adults' perceptions of home telehealth services. ( 0,746942718906435 )
Int J Med Inform - An investigation on physicians' acceptance of hospital information systems: a case study. ( 0,74686503376874 )
Comput. Biol. Med. - Application of grey system theory in telecare. ( 0,743251275323565 )
Int J Med Inform - The Australian general public's perceptions of having a personally controlled electronic health record (PCEHR). ( 0,743018443343355 )
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. ( 0,739314482925186 )
Int J Med Inform - Impacts of second-generation electronic prescriptions on the medication management process in primary care: a systematic review. ( 0,735909047327848 )
BMC Med Inform Decis Mak - An investigation of the effect of nurses' technology readiness on the acceptance of mobile electronic medical record systems. ( 0,732278279863883 )
J. Med. Internet Res. - Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information. ( 0,7311239274957 )
Inform Health Soc Care - AmI in good care? Developing design principles for ambient intelligent domotics for elderly. ( 0,726790604439175 )
Perspect Health Inf Manag - Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the Southeastern United States. ( 0,724560938577647 )
J Med Syst - Health information technology adoption in U.S. acute care hospitals. ( 0,724181988242845 )
BMC Med Inform Decis Mak - Factors of accepting pain management decision support systems by nurse anesthetists. ( 0,723534571514053 )
BMC Med Inform Decis Mak - Differentiating innovation priorities among stakeholder in hospital care. ( 0,722919669272658 )
BMC Med Inform Decis Mak - Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya. ( 0,719124064111029 )
Health Informatics J - Provider impressions of the use of a mobile crowdsourcing app in medical practice. ( 0,718439418370146 )
J Med Syst - High-level managers' considerations for RFID adoption in hospitals: an empirical study in Taiwan. ( 0,712735474977312 )
J Med Syst - Understanding the mediating effects of relationship quality on technology acceptance: an empirical study of e-appointment system. ( 0,709569439675105 )
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. ( 0,706140551786906 )
J. Med. Internet Res. - Factors associated with intention to use internet-based testing for sexually transmitted infections among men who have sex with men. ( 0,703252072222922 )
BMC Med Inform Decis Mak - A socio-technical assessment of the success of Picture Archiving and Communication Systems: the radiology technologist's perspective. ( 0,700756243449945 )
Telemed J E Health - Using a modified technology acceptance model to evaluate healthcare professionals' adoption of a new telemonitoring system. ( 0,699436968780385 )
BMC Med Inform Decis Mak - Barriers to the use of reminder/recall interventions for immunizations: a systematic review. ( 0,696424809412686 )
Telemed J E Health - Understanding gender differences in m-health adoption: a modified theory of reasoned action model. ( 0,695647928592831 )
Telemed J E Health - The impact of user's perceived ability on online health information acceptance. ( 0,692428515201641 )
J Med Syst - Family physicians' perceptions and use of electronic clinical decision support during the first year of implementation. ( 0,690388699897734 )
J Med Syst - The adoption of mobile health management services: an empirical study. ( 0,688679458738054 )
Int J Med Inform - The impact of electronic medical record systems on outpatient workflows: a longitudinal evaluation of its workflow effects. ( 0,688645091802659 )
J Am Med Inform Assoc - Professional and geographical network effects on healthcare information exchange growth: does proximity really matter? ( 0,687864192404806 )
Med Decis Making - On averages and peaks: how do people integrate attitudes about multiple diseases to reach a decision about multiplex genetic testing? ( 0,686407728941842 )
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. ( 0,686009003469778 )
Telemed J E Health - Impact of information technology reliance and innovativeness on rural healthcare services: study of dindigul district in Tamilnadu, India. ( 0,685589167127074 )
J. Med. Internet Res. - Factors affecting mobile diabetes monitoring adoption among physicians: questionnaire study and path model. ( 0,67979874326928 )
J. Med. Internet Res. - Health care professionals' beliefs about using wiki-based reminders to promote best practices in trauma care. ( 0,677935148261816 )
J Med Syst - Provider stakeholders' perceived benefit from a nascent health information exchange: a qualitative analysis. ( 0,67655034392149 )
Telemed J E Health - Analysis of health consumers' behavior using self-tracker for activity, sleep, and diet. ( 0,674446556545696 )
Med Decis Making - Divergent intentions to use antibiotic guidelines: a theory of planned behavior survey. ( 0,667308658025147 )
Telemed J E Health - Telemedicine for children with developmental disabilities: a more effective clinical process than office-based care. ( 0,665713739929908 )
Inform Health Soc Care - Team climate and attitudes toward information and communication technology among nurses on acute psychiatric wards. ( 0,664065950188976 )
Int J Med Inform - Theorizing the health service usage behavior of family caregivers: a qualitative study of an internet-based intervention. ( 0,66362543207017 )
J Med Syst - Determinants of telemedicine acceptance in selected public hospitals in Malaysia: clinical perspective. ( 0,66258289874633 )
J Biomed Inform - Modeling the acceptance of clinical information systems among hospital medical staff: an extended TAM model. ( 0,659615197712087 )
J Am Med Inform Assoc - Understanding the acceptability of a computer decision support system in pediatric primary care. ( 0,655759486186491 )
J Am Med Inform Assoc - Medication administration quality and health information technology: a national study of US hospitals. ( 0,654392847072385 )
J. Med. Internet Res. - Bringing loyalty to e-Health: theory validation using three internet-delivered interventions. ( 0,647126715381889 )
Int J Med Inform - Barriers to organizational adoption of EMR systems in family physician practices: a mixed-methods study in Canada. ( 0,646898318619202 )
J. Med. Internet Res. - Attitudes of patients toward adoption of 3D technology in pain assessment: qualitative perspective. ( 0,643597921746313 )
BMC Med Inform Decis Mak - Users' perspectives of key factors to implementing electronic health records in Canada: a Delphi study. ( 0,642049839514675 )
J Am Med Inform Assoc - Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions. ( 0,6415082607986 )
Telemed J E Health - Change of patients' perceptions of telemedicine after brief use. ( 0,641025258169796 )
Telemed J E Health - Self-reported communication technology usage in patients attending a cardiology outpatient clinic in a remote regional hospital. ( 0,636502353336517 )
J Am Med Inform Assoc - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? ( 0,634412563055759 )
Int J Med Inform - User evaluations of design complexity: the impact of visual perceptions for effective online health communication. ( 0,633645079294981 )
AMIA Annu Symp Proc - Understanding adoption of a personal health record in rural health care clinics: revealing barriers and facilitators of adoption including attributions about potential patient portal users and self-reported characteristics of early adopting users. ( 0,63135289217382 )
J Med Syst - Critical factors influencing hospitals' adoption of HL7 version 2 standards: an empirical investigation. ( 0,629980308482964 )
J Med Syst - Evaluating acceptance and user experience of a guideline-based clinical decision support system execution platform. ( 0,626548695556435 )
BMC Med Inform Decis Mak - Improving bone mineral density reporting to patients with an illustration of personal fracture risk. ( 0,623569812978901 )
Int J Med Inform - Healthcare professionals' adoption and use of a clinical information system (CIS) in primary care: insights from the Da Vinci study. ( 0,622699131100487 )