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Influence Mechanism of the Affordances of Chronic Disease Management Apps on Continuance Intention

Influence Mechanism of the Affordances of Chronic Disease Management Apps on Continuance Intention | healthcare technology | Scoop.it

Mobile health apps are becoming increasingly popular, and they provide opportunities for effective health management.

 

Existing chronic disease management (CDM) apps cannot meet users’ practical and urgent needs, and user adhesion is poor. Few studies, however, have investigated the factors that influence the continuance intention of CDM app users.

 

Objective: Starting from the affordances of CDM apps, this study aimed to analyze how such apps can influence continuance intention through the role of health empowerment.

 

Methods: Adopting a stimulus-organism-response framework, an antecedent model was established for continuance intention from the perspective of perceived affordances, uses and gratifications theory, and health empowerment. Perceived affordances were used as the “stimulus,” users’ gratifications and health empowerment were used as the “organism,” and continuance intention was used as the “response.” Data were collected online through a well-known questionnaire survey platform in China, and 323 valid questionnaires were obtained. The theoretical model was tested using structural equation modeling.

 

Results: Perceived connection affordances were found to have significant positive effects on social interactivity gratification (t717=6.201, P<.001) and informativeness gratification (t717=5.068, P<.001).

 

Perceived utilitarian affordances had significant positive effects

  • on informativeness gratification (t717=7.029, P<.001),
  • technology gratification (t717=8.404, P<.001),
  • and function gratification (t717=9.812, P<.001).

 

Perceived hedonic affordances had

  • significant positive effects on function gratification (t717=5.305, P<.001)
  • and enjoyment gratification (t717=13.768, P<.001).

 

Five gratifications (t717=2.767, P=.005; t717=4.632, P<.001; t717=7.608, P<.001; t717=2.496, P=.012; t717=5.088, P<.001) had significant positive effects on health empowerment.

 

Social interactivity gratification, informativeness gratification, and function gratification had significant positive effects on continuance intention.

 

Technology gratification and enjoyment gratification did not have a significant effect on continuance intention.

 

Health empowerment had a significant positive effect on continuance intention. Health empowerment and gratifications play mediating roles in the influence of affordances on continuance intention.

 

Conclusions: Health empowerment and gratifications of users’ needs are effective ways to promote continuance intention. The gratifications of users’ needs can realize health empowerment and then inspire continuance intention. Affordances are key antecedents that affect gratifications of users’ needs, health empowerment, and continuance intention.

 

The results indicated that users’ perceptions of an app’s affordances can promote the gratification of needs, and the gratification of key needs (ie, social interactivity, informativeness, technology, and function gratification) can stimulate users’ continuance intention. At the same time, the gratification of users’ needs can promote users’ cognitions of health empowerment, thus stimulating continuance intention. Health empowerment was found to play a mediating role in the influence of gratification on continuance intention. From a practical perspective, app service providers should design apps from the perspective of social interaction (eg, providing social networks), utilitarian functions (eg, health self-management), and hedonic functions (eg, enhancing the user’s interest). By meeting users’ various needs, app developers can improve the user’s ability to control his or her own health, thus achieving the purpose of extending the life of the app.

 

more at https://mhealth.jmir.org/2021/5/e21831/

 

 

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New tool helps doctors determine which patients are most likely to forget or skip their appointments

New tool helps doctors determine which patients are most likely to forget or skip their appointments | healthcare technology | Scoop.it

Patients who don't show up for their scheduled medical appointments drain health care providers' time and resources, reducing appointment availability, increasing wait times, and reducing patient satisfaction.

 

In an effort to solve this problem, a team of researchers from the Johns Hopkins University's Malone Center for Engineering in Healthcare has developed a new algorithm that can reduce no-show rates and increase appointment availability.

 

The model, in use by two JHCP clinics since September 2017, has already provided helpful insights into which factors play the biggest role in no-show appointments.

 

For example, it indicates that patients who visit emergency departments more frequently are more likely to fail to attend scheduled appointments.

In contrast, patients who use the online patient portal to schedule their own appointments are more likely to keep appointments.

 

read the original unedited story at https://hub.jhu.edu/2018/10/04/algorithm-predicts-patient-no-shows/

 

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Do Doctors, Patients Take mHealth Seriously?

Do Doctors, Patients Take mHealth Seriously? | healthcare technology | Scoop.it

A survey conducted by Nielsen on behalf of the Council of Accountable Physician Practices (CAPP) finds that, at most, 52 percent of primary care physicians have recommended that their patients use an mHealth app or device to track their health. Yet only 4 percent to 5 percent of consumers surveyed say their PCP has made such a recommendation

 

This means that either physicians are making the effort but their patients are ignoring the advice, or patients are looking for that guidance but it isn’t coming from their doctors.

 

 

the survey reached a familiar conclusion in how each generation perceives mHealth and telehealth.

 

It found that consumers rarely use video visits (only 5 percent total), but those age 34 and younger are twice as likely to use and want them than those age 65 and older.

 

The same discrepancy was seen in the use of text reminders for medication and health measurements and online scheduling tools.

 

more at : http://mhealthintelligence.com/news/do-doctors-patients-take-mhealth-seriously

 

Pharma Guy's curator insight, November 3, 2016 10:21 AM

Someone's not being truthful :)

 

Related articles: “AMA Survey Finds That Many Physicians Are Enthusiastic About Digital Health Tools, But Few Currently Use Them”; http://sco.lt/8b9r97 and “Do Patients Rely on Mobile Healthcare Apps More Than Their Doctors?”; http://sco.lt/5HSTrN

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Bose Launches First FDA-Cleared DTC Hearing Aids

Bose Launches First FDA-Cleared DTC Hearing Aids | healthcare technology | Scoop.it

Bose is entering the digital health market launch of Bose SoundControl Hearing Aids – the first FDA-cleared, direct-to-consumer hearing aid.

 

Weighing 3 grams each, the new SoundControl™ Hearing Aids are developed for adults with perceived mild to moderate hearing loss. – Paired with the revolutionary Bose Hear app, users can fit, program, and control a SoundControl Hearing Aid for clinically proven, audiologist-quality results — without a doctor visit, hearing test, or prescription. And they can make setting adjustments themselves, in real-time and real-world environments, without assistance from a healthcare professional.

 

Clinical Study Outcomes/Results

In a clinical study with researchers at Northwestern University, Bose CustomTune technology yielded results that were as good if not better than those achieved by traditional prescription-fitting methods used by audiologists. The study’s participants were split into two groups with similar levels of hearing loss. One group used Bose CustomTune technology to self-tune a device, the other had the same device fit and tuned by an audiologist. Participants using Bose CustomTune technology reported being more satisfied with their sound quality than those whose devices were tuned by a hearing health professional.

 

read more at https://hitconsultant.net/2021/05/12/bose-launches-first-fda-cleared-dtc-hearing-aids/

 

 

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Mobile tools to serve as first lines of defense for concerned consumers  #dermatology #mHealth - VisualDx officially launches Aysa

A lot of startups are starting to offer mobile tools to serve as “first lines of defense” for concerned consumers. A natural extension to patient education, they serve as the first line of diagnosis.

 

Dermatology is a particularly attractive area for this because of a national shortage of dermatologists in the United States.

 

Clinical decision support tool maker VisualDx officially launched Aysa, its first consumer-facing app, last month at Health 2.0 in San Francisco. The app allows users to upload pictures of skin lesions or rashes, enter some additional information about themselves and receive suggestions of what condition they might have and what actions to take next.

 

VisualDx stands out as a company that’s moving from provider-focused clinical decision support into the consumer world, which should lend it more credibility to its platform.

 

The app uses machine learning to identify skin conditions and make treatment suggestions.

 

services like this are crucial, even acknowledging their limitations, because people are already looking online for medical answers, so they might as well have the best ones possible.

 

CEO Dr. Art Papier in conversation with MobiHealthNews said 

“We know that everybody searches Google with their symptoms or they go to WebMD and use a symptom checker,” he said. “So the real question is how do you develop something that’s an educational symptom checker that’s safe? The art of this is to do a better job of educating so people know on a weekend, do I need to run to urgent care on a weekend, or can I get some better information that will help me make some decisions and then I’ll see the doctor later if necessary.”

 

read the original story at https://www.mobihealthnews.com/content/visualdx-launches-aysa-consumer-facing-dermatology-app

 

nrip's insight:

Tech solutions which offer at-home services like this are crucial, because people are already looking online for medical answers, so they might as well have the best ones possible. It definitely helps one get an insight as to what to search for rather than search the whole world wide web and drive up paranoia.

 

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5 Myths About Consumer Use of Digital Healthcare Services

5 Myths About Consumer Use of Digital Healthcare Services | healthcare technology | Scoop.it

A recent international survey by the McKinsey & Company consulting firm addresses some myths about consumer use of digital healthcare services.


Many healthcare executives believe that, due to the sensitive nature of medical care, patients don’t want to use digital services except in a few specific situations. Decision makers often cite relatively low usage of digital healthcare services. Results of this survey however reveal something quite different. 


The 5 myths debunked by this survey are as follows

Myth 1: People don’t want to use digital services for healthcareMyth 2: Only young people want to use digital services

Myth 3: Mobile health is the game changer
Myth 4: Patients want innovative features and apps
Myth 5: A comprehensive platform of service offerings is a prerequisite for creating value

More at http://www.healthdatamanagement.com/gallery/5-myths-about-consumer-use-of-digital-healthcare-services-48388-1.html



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