Patient’s Acceptance of IT-Assisted Self-Monitoring: A Multiple-Case Study

ABSTRACT

A qualitative study was conducted to examine patients’ acceptance of self-monitoring devices. The Unified Theory of Acceptance and Use of Technology (UTAUT) was adapted to this context. The initial elements of the theory were functional performance, medical benefit expectancy, effort expectancy, social influence, and facilitating conditions. The study not only confirmed the presence of these elements but also revealed the existence of two additional elements, namely, the attending doctor and information technology expert. Furthermore, the research revealed the moderators of the influences of the elements on the acceptance. The most important moderator was the patients’ perceived need for the device. Two significant contributions of the research are the theoretical extensions of the UTAUT to a new context and the practical implications which the makers of self-monitoring devices can utilize the results to prepare educational and marketing materials for the benefit of the patients and the medical professionals.     

Integrating context-awareness and UTAUT to explain Alipay user adoption

Due to its advantages, Alipay has become one of the largest third-party payment platforms in China. However, Alipay is also confronted with dual challenges from inherent technology to external competition. In fact, Alipay user adoption is determined not only by perception of the technology but also by the context-awareness. In other words, even though a technology may be perceived as being advanced, if it cannot use the context to provide relevant information or services, they may not adopt it. By integrating the context-awareness and the unified theory of acceptance and usage of technology (UTAUT), this paper proposes a model of Alipay user adoption. We found that the relationship between the context and Alipay user adoption is mediated by performance expectancy and effort expectancy. While the relationship between the ubiquity and Alipay user adoption is only mediated by the performance expectancy.     

User acceptance of mobile commerce: an empirical study in Macau

This study aims to examine the positive and negative factors that can significantly explain user acceptance of mobile commerce (m-commerce) in Macau. A technology acceptance model for m-commerce with five factors is constructed. The proposed model is tested using data collected from 219 respondents. Confirmatory factor analysis is performed to examine the reliability and validity of the model, and structural equation modelling is performed to access the relationship between behaviour intention and each factor. The acceptance of m-commerce is influenced by factors including performance expectancy, social influence, facilitating conditions and privacy concern; while effort expectancy is insignificant in this case. The results of the study are useful for m-commerce service providers to adjust their strategies for promoting m-commerce services. This study contributes to the practice by providing a user technology acceptance model for m-commerce that can be used as a foundation for future research.     

Training data selection with user’s physical characteristics data for acceleration-based activity modeling

This paper proposes an activity recognition method that models an end user’s activities without using any labeled/unlabeled acceleration sensor data obtained from the user. Our method employs information about the end user’s physical characteristics such as height and gender to find and select appropriate training data obtained from other users in advance. Then, we model the end user’s activities by using the selected labeled sensor data. Therefore, our method does not require the end user to collect and label her training sensor data. In this paper, we propose and test two methods for finding appropriate training data by using information about the end user’s physical characteristics. Moreover, our recognition method improves the recognition performance without the need for any effort by the end user because the method automatically adapts the activity models to the end user when it recognizes her unlabeled sensor data. We confirmed the effectiveness of our method by using 100 h of sensor data obtained from 40 participants.     

The effects of education compatibility and technological expectancy on e-learning acceptance

Discerning what influences a student’s acceptance of e-learning is still unclear and has not been well investigated. On the basis of the expectancy-value theory, much effort has been put into identifying the effectual factors regarding the technological expectancy of students. However, aside from technological usage, the adoption of an e-learning system still must consider learning behavior. Thus, researchers should take into consideration both technological and learning expectancies of students while investigating e-learning acceptance. Following mainstream literature on information system acceptance, this study postulates that a student’s behavioral intention to accept an e-learning system is determined both by his or her technological expectancy and educational compatibility. Four primary factors, that is, performance expectancy, effort expectancy, social influence, and facilitating conditions, specified in the Unified Theory of Acceptance and Use of Technology (UTAUT) are used to reflect the technological expectancy of students. Further, educational compatibility, which refers the congruence of e-learning systems with the unique leaning expectancies of students, is integrated with the UTAUT to form a new theoretical model for e-learning acceptance. An empirical survey is conducted to examine the proposed model. A total of 626 valid samples were collected from the users of an e-learning system. The findings show that both technological expectancy and educational compatibility are important determinants of e-learning acceptance. However, educational compatibility reveals a greater total effect on e-learning acceptance than does technological expectancy. Implications and practical guidelines for both e-learning developers and practitioners are subsequently presented.     

Input control and its signalling effects for complementors' intention to join digital platforms

Existing information systems (IS) research on platform control has largely focused on examining how input control (i.e., the mechanisms used to control platform access) affects complementors' intentions and behaviours after their decision to join a digital platform. Yet, our understanding of how input control is perceived before this decision and how such perceptions influence prospective complementors' intention to join a platform is still nascent. In this regard, our study views input control as a salient signal that shapes prospective complementors' expected benefits and costs (i.e., their performance and effort expectancy), and ultimately their decision to join a digital platform. Drawing on signalling theory and the antecedent-benefit-cost (ABC) framework, we conducted a randomized online experiment in the context of donation-based crowdfunding. The experiment results offer empirical support for this view by showing that input control has distinct and complex signalling effects for prospective complementors. In particular, our findings reveal curvilinear and competing signalling effects, with perceived input control increasing both performance expectancy (at a decreasing rate) and effort expectancy (at an increasing rate). Also, we find that performance expectancy linearly increases prospective complementors' intention to join a platform, whereas effort expectancy linearly decreases their intention to do so. These findings imply that the overall relationship between perceived input control and intention to join follows an inverted U-shape curve, which means that neither a low nor a high, but a moderate degree of perceived input control maximizes prospective complementors' intention to join. In sum, the results of our study provide novel and important insights into the signalling role that perceived input control plays in shaping prospective complementors' decision to join a digital platform.     

Case-based analysis in user requirements modelling for knowledge construction

ContextLearning can be regarded as knowledge construction in which prior knowledge and experience serve as basis for the learners to expand their knowledge base. Such a process of knowledge construction has to take place continuously in order to enhance the learners’ competence in a competitive working environment. As the information consumers, the individual users demand personalised information provision which meets their own specific purposes, goals, and expectations.ObjectivesThe current methods in requirements engineering are capable of modelling the common user’s behaviour in the domain of knowledge construction. The users’ requirements can be represented as a case in the defined structure which can be reasoned to enable the requirements analysis. Such analysis needs to be enhanced so that personalised information provision can be tackled and modelled. However, there is a lack of suitable modelling methods to achieve this end. This paper presents a new ontological method for capturing individual user’s requirements and transforming the requirements onto personalised information provision specifications. Hence the right information can be provided to the right user for the right purpose.MethodAn experiment was conducted based on the qualitative method. A medium size of group of users participated to validate the method and its techniques, i.e. articulates, maps, configures, and learning content. The results were used as the feedback for the improvement.ResultThe research work has produced an ontology model with a set of techniques which support the functions for profiling user’s requirements, reasoning requirements patterns, generating workflow from norms, and formulating information provision specifications.ConclusionThe current requirements engineering approaches provide the methodical capability for developing solutions. Our research outcome, i.e. the ontology model with the techniques, can further enhance the RE approaches for modelling the individual user’s needs and discovering the user’s requirements.     

Agency modulates interactions with automation technologies

The increasing presence of automation between operators and automated systems tends to disrupt operators from action outcomes, leading them to leave the control loop. The theoretical framework of agency suggests that priming the operator about the system’s upcoming behaviour could help restore an appropriate sense of control and increase user acceptance of what the system is doing. In a series of two experiments, we test whether providing information about what the system is about to do next leads to an increase in the level of user acceptance, concomitant with an increase in control and performance. Using an aircraft supervision task, we demonstrated the benefit of prime messages regarding system acceptance and performance. Taken together, our results indicate that the principles proposed by this framework could be used to improve human–machine interaction and maintain a high level of sense of control in supervisory tasks.

Practitioner Summary: The out-of-the-loop performance problem is a major potential consequence of automation, leaving operators helpless to takeover automation in case of failure. Using an aircraft supervision task, the following article illustrates how the psychological approach of agency can help improving human–system interactions by designing more acceptable and more controllable automated interfaces     

The effect of information availability in a user interface (UI) on in-vehicle task performance: A pilot study

When performing an in-vehicle operation, the information display is a crucial element that decides the operator's control behaviors. The interaction between information presentation and operator's in-vehicle task performance is critical for vehicle safety. The question arises: What is the optimum availability of information? The aim of this study is to investigate the relationships between different information availabilities and operation performances as operators interact with an in-vehicle user interface (UI) to complete a simulated train driving task. The results show that some types of information significantly affect the operator's task performance. Information that improved the task performances were closely associated with specific task requirements. The participants' task performance indicated that they had a better awareness of a task situation and were better at controlling their virtual vehicle when completing time and process-restricted tasks with limited, relevant information. These results support the conclusion that more information does not always promote accuracy and safety during the task completion.Relevance to industryThis study presents a unique insight into the information display of in-vehicle UI design for vehicle control. The information available within an in-vehicle interface should be optimized by performance assessments to provide more useful information; this has significant positive effect on operator performance from an accuracy and safety perspective. Thus, this study provides advice for designing an in-vehicle UI.     

Hand-adaptive user interface: improved gestural interaction in virtual reality

Most interactive user interfaces (UIs) for virtual reality (VR) applications are based on the traditional eye-centred UI design principle, which primarily considers the user’s visual searching efficiency and comfort, but the hand operation performance and ergonomics are relatively less considered. As a result, the hand interaction in VR is often criticized as being less efficient and precise. In this paper, the user’s arm movement features, such as the choice of the hand being used and hand interaction position, are hypothesized to influence the interaction results derived from a VR study. To verify this, we conducted a free hand target selection experiment with 24 participants. The results showed that (a) the hand choice had a significant effect on the target selection results: for a left hand interaction, the targets located in spaces to the left were selected more efficiently and accurately than those in spaces to the right; however, in a right hand interaction, the result was reversed, and (b) the free hand interactions at lower positions were more efficient and accurate than those at higher positions. Based on the above findings, this paper proposes a hand-adaptive UI technique to improve free hand interaction performance in VR. A comprehensive comparison between the hand-adaptive UI and traditional eye-centred UI was also conducted. It was shown that the hand-adaptive UI resulted in a higher interaction efficiency and a lower physical exertion and perceived task difficulty than the traditional UI.

     

Drivers of mobile payment acceptance: The impact of network externalities

Mobile payment is an attractive option that has recently boomed because of the advent of smart phones and their applications. Despite the great potential of such technology in simplifying our lives, its uptake remains limited. As the technology acceptance fails to meet expectations, this study aims at providing a better understanding of the factors influencing mobile payment acceptance. Through an empirical investigation that couples the traditional technology acceptance factors with “network externalities” effect. This study hypothesized that performance expectancy, effort expectancy; social influence, trust, and network externality are major factors that influence the intention to use mobile payment. Results indicated that while the traditional acceptance drivers still impact customers’ willingness to adopt mobile payment, network externalities was the most influential driver of mobile payment acceptance. Results also failed to support the influence of effort expectancy. Conclusions and future work propositions are stated at the end.     

Predicting different conceptualizations of system use: Acceptance in hedonic volitional context (Facebook)

This research examines the relationship between the predictors of use and the different conceptualizations of system use in a hedonic volitional setting (Facebook). Using the unified theory of acceptance and use of technology (UTAUT) model, an investigation into the three aspects of system use: the user, system and task were carried out. Results from a cross-sectional survey of 449 students show that behavioral intention has a significant influence on all aspects and dimensions of system use including cognitive absorption and deep structure use. Performance expectancy, effort expectancy and social influence are significantly related to system use. From the component model, performance expectancy is only significant with deep structure use. Hedonic performance expectancy is found to be significantly related to cognitive absorption. Results also demonstrate that predictors of usage have a significant relationship with the user aspect of system use. The variance explained in usage conceptualized as the user/task aspects is much higher than that of the system/task aspects or one-dimensional measures. Overall, conceptualizing system use using the user/task aspects offers greater explanatory power in Facebook use.     

Charismatic leadership and user acceptance of information technology

Although there is widespread agreement that leadership has important effects on information technology (IT) acceptance and use, relatively little empirical research to date has explored this phenomenon in detail. This paper integrates the unified theory of acceptance and use of technology (UTAUT) with charismatic leadership theory, and examines the role of project champions influencing user adoption. PLS analysis of survey data collected from 209 employees in seven organizations that had engaged in a large-scale IT implementation revealed that project champion charisma was positively associated with increased performance expectancy, effort expectancy, social influence and facilitating condition perceptions of users. Theoretical and managerial implications are discussed, and suggestions for future research in this area are provided.     

Factors affecting the acceptance of information systems supporting emergency operations centres

Despite the recognition that information system acceptance is an important antecedent of effective emergency management, there has been comparatively very little research examining this aspect of technology acceptance. The current research responded to this gap in literature by adapting and integrating existing models of technology acceptance. This was done in order to examine how a range of technology acceptance factors could affect the acceptance of emergency operations centre information systems. Relationships between several of these factors were also examined. Questionnaire data from 383 end-users of four different emergency operations centre information systems were analysed using structural equation modelling. This analysis concluded that technology acceptance factors of performance expectancy, effort expectancy, social influence and information quality explained 65 percent of variance in symbolic adoption, which is a combination of mental acceptance and psychological attachment towards an information system. A number of moderating effects of age, gender, experience of use and domain experience were also identified. A mediating component, of performance expectancy, explained 49 percent of variance between facilitating conditions, information quality, effort expectancy, and resulting symbolic adoption. These findings highlight a need to re-focus technology acceptance research on both mediating and moderating effects and the importance of considering domain specific factors. Applied recommendations are also made, for successfully implementing relevant information systems.     

Use of a Modified UTAUT Model to Investigate the Perspectives of Internet Access Device Users

This study integrates perceived enjoyment and cyberloafing with the unified theory of acceptance and use of technology (UTAUT) and uses a modified UTAUT model to investigate the behavioral intention and user behavior of access internet device users. The research results show that perceived enjoyment can be used as the antecedence variable of performance expectancy (PE) and effort expectancy (EE). In addition, PE, EE, and social influence will all lead to the occurrence of cyberloafing behavior and increased internet browsing time; however, the hypothesis of the moderator is not fully supported. The results can be provided as reference for subsequent researchers to re-modify the model.     

Intention to Use a Mobile-Based Information Technology Solution for Tuberculosis Treatment Monitoring – Applying a UTAUT Model

There are 2.2 million cases of tuberculosis (TB) in India, with an economic burden of $3 billion per year. Efficient monitoring of TB treatment is critical and the Indian Government’s current reliance on a pen and paper system for monitoring patients’ adherence to treatment is neither effective nor scalable. Employing the unified theory of acceptance and use of technology model (UTAUT) as its theoretical foundation, this study investigates the factors influencing the acceptance and use of a mobile-based IT solution for TB treatment monitoring. Data was collected from a survey of healthcare professionals working in TB treatment clinics and analysed using partial least squares structural equation modelling. Four constructs in the UTAUT model, effort expectancy (EE), facilitating conditions (FC), performance expectancy (PE) and social influence (SI) – were found to significantly and positively influence healthcare professionals’ behavioral intention to use the proposed mobile-based IT solution, and explained 56% of the variance. Importantly, our study validates the predictive capabilities of the UTAUT model in public health service delivery context in a developing country.     

笔式用户界面交互信息模型研究

笔式用户界面是Post-WIMP界面的重要形态,在许多领域得到广泛应用.笔式界面设计需要设计者和用户的共同参与.捕获用户使用意图是设计笔式用户界面的前提,连接交互信息的表示与控制则是成功构造界面的关键.依据笔式交互信息连续性及模糊性特征,从设计参与者与交互信息管理两个维度建立了笔式用户界面交互信息模型OICM(orthogonal interaction information architecture coordinate model).从问题知识域、交互任务、规则集合以及上下文关联4个不同的象限对模型进行了详细的描述,并给出了基于XML的实现方法.在对模型进行分析后,介绍了基于OICM模型的开发平台和应用系统实例.     

Factors influencing the acceptance of healthcare information technologies: A meta-analysis

Healthcare information technologies (HIT) can address several challenges faced by healthcare systems. To benefit from the advantages HIT offer, users must first accept them. This meta-analysis synthesizes previous research on HIT acceptance. It uses data from 214 independent samples reported in 193 articles and 83,619 technology users from 33 countries. The study contributes to the HIT literature by (1) synthesizing the empirical findings on technology acceptance factors and combining them in a comprehensive model, (2) testing the mediating mechanisms of health technology acceptance, and (3) examining contextual differences. The study finds that HIT acceptance depends on various predictors proposed by the technology acceptance model and the unified theory of acceptance and use of technology. These factors displayed strong indirect effects through effort expectancy, perceptions of the technology, performance expectancy, and attitudes toward using HIT. Studies overlooking these effects may underestimate the importance of various acceptance factors. Finally, the results suggest that technology acceptance varies across healthcare technologies (remote information systems [IS], wearables), users (staff/patients, age, voluntariness, experience), and locations (hospitals, healthcare systems, life expectancy in country). We also provide IS managers with guidance for improving technology acceptance in the healthcare industry to ensure efficient, high-quality services.     

On the search behaviour of users in the context of interactive social book search

ABSTRACT

Understanding the search behaviour of online users is among the long-tail practices of Interactive Information Retrieval that helps identify the user information needs. The Interactive Social Book Search (SBS), under the umbrella of Interactive Information Retrieval (IIR), aims to understand the user interactions with book collections and the associated professionally-curated and socially-constructed metadata on the baseline and multistage user interfaces (UIs). This paper reports on the book search behaviour of users by reviewing research publications related to the Interactive SBS published during the last two decades. It presents a holistic view of the overall progress of Interactive SBS by summarising and visualising the experimental structure, search systems, datasets, demographics of participants, and findings to identify the research trends and possible future directions. Based on the collected evidence, it attempts to answer how the search system, user interface (UI), and the nature of tasks affect the book search behaviour of users. The article is the first of its kind that attempts to understand the book search behaviour of users in the context of Social Book Search with implications for usability experts and others working in UI design, web search engines, book search engines, digital libraries, collaborative social cataloguing websites, and e-Commerce applications.     

Differentiated management strategies on cloud computing data security driven by data value

ABSTRACT

Data security is a primary concern for the enterprise moving data to cloud. This study attempts to match the data of different values with the different security management strategies from the perspective of the enterprise user. With the help of core ideas on data value evaluation in information lifecycle management, this study extracts usage features and user features from the operating data of the enterprise information system, and applies K-means to cluster the data according to its value. A total of 39,348 records of logon log and 120 records of users from the information system of a ship-fitting manufacturer in China were collected for an empirical study. The functional modules of the manufacturer’s information system are divided into five classes according to their value, which is proven reasonable by the discriminant function obtained via discriminant analysis. The differentiated data security management strategies on cloud computing are formulated for a case study with five types of data to enhance the enterprise’s active cloud computing data security defense.