Acceptance of Mobile Health Apps for Disease Management Among People With Multiple Sclerosis: Web-Based Survey Study
- Publikationstyp:
- Zeitschriftenaufsatz
- Metadaten:
-
- Autoren
- Jennifer Apolinário-Hagen
- Mireille Menzel
- Severin Hennemann
- Christel Salewski
- DOI
- 10.2196/11977
- eISSN
- 2561-326X
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- JMIR Formative Research
- Sprache
- en
- Online publication date
- 2018
- Paginierung
- e11977 - e11977
- Status
- Published online
- Herausgeber
- JMIR Publications Inc.
- Herausgeber URL
- http://dx.doi.org/10.2196/11977
- Datum der Datenerfassung
- 2018
- Titel
- Acceptance of Mobile Health Apps for Disease Management Among People With Multiple Sclerosis: Web-Based Survey Study
- Ausgabe der Zeitschrift
- 2
Datenquelle: Crossref
- Andere Metadatenquellen:
-
- Abstract
- <h4>Background</h4>Mobile health (mHealth) apps might have the potential to promote self-management of people with multiple sclerosis (MS) in everyday life. However, the uptake of MS apps remains poor, and little is known about the facilitators and barriers for their efficient utilization, such as technology acceptance.<h4>Objective</h4>The aim of this study was to examine the acceptance of mHealth apps for disease management in the sense of behavioral intentions to use and explore determinants of utilization among people with MS based on the Unified Theory of Acceptance and Use of Technology (UTAUT).<h4>Methods</h4>Participants for this Web-based cross-sectional study were recruited throughout Germany with the support of regional MS associations and self-help groups. To identify determinants of intention to use MS apps, a measure based on the UTAUT was adapted with 4 key determinants (performance expectancy, effort expectancy, social influence, and facilitating conditions) and extended by Intolerance of Uncertainty (IU) and electronic health literacy. Potential influencing effects of both MS and computer self-efficacy (C-SE) as mediators and fatigue as a moderator were analyzed using Hayes's PROCESS macro (SPSS version 3.0) for IBM SPSS version 24.0.<h4>Results</h4>A total of 98 participants (mean age 47.03 years, SD 10.17; 66/98, 67% female) with moderate fatigue levels completed the survey. Although most participants (91/98, 92%) were daily smartphone users, almost two-thirds (62/98, 63%) reported no experience with MS apps. Overall, the acceptance was moderate on average (mean 3.11, SD 1.31, minimum=1 and maximum=5), with lower scores among persons with no experience (P=.04) and higher scores among current users (P<.001). In multiple regression analysis (R<sup>2</sup>=63% variance explained), performance expectancy (beta=.41) and social influence (beta=.33) were identified as significant predictors of acceptance (all P<.001). C-SE was confirmed as a partial mediator in the relationship between IU and acceptance (indirect effect: B=-.095, 95% CI -0.227 to -0.01). Furthermore, a moderated mediation by C-SE was shown in the relationship between IU and behavioral intentions to use MS apps for low (95% CI -0.42 to -0.01) and moderate levels (95% CI -0.27 to -0.01) of fatigue.<h4>Conclusions</h4>Overall, this exploratory pilot study indicates for the first time that positive expectations about the helpfulness for self-management purposes and social support might be important factors to be considered for improving the acceptance of MS apps among smartphone users with MS. However, given some inconsistent findings, especially regarding the role of effort expectancy and IU and self-efficacy, the conceptual model needs replication with a larger sample of people with MS, varying more in fatigue levels, and a longitudinal assessment of the actual usage of MS apps predicted by acceptance in the sense of behavioral intentions to use.
- Addresses
- Department of Health Psychology, Faculty of Psychology, University of Hagen, Hagen, Germany.
- Autoren
- Jennifer Apolinário-Hagen
- Mireille Menzel
- Severin Hennemann
- Christel Salewski
- DOI
- 10.2196/11977
- eISSN
- 2561-326X
- Externe Identifier
- PubMed Identifier: 30684408
- PubMed Central ID: PMC6334710
- Open access
- true
- ISSN
- 2561-326X
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- JMIR formative research
- Sprache
- eng
- Medium
- Electronic
- Online publication date
- 2018
- Open access status
- Open Access
- Paginierung
- e11977
- Datum der Veröffentlichung
- 2018
- Status
- Published
- Publisher licence
- CC BY
- Datum der Datenerfassung
- 2019
- Titel
- Acceptance of Mobile Health Apps for Disease Management Among People With Multiple Sclerosis: Web-Based Survey Study.
- Sub types
- research-article
- Journal Article
- Ausgabe der Zeitschrift
- 2
Datenquelle: Europe PubMed Central
- Abstract
- BACKGROUND: Mobile health (mHealth) apps might have the potential to promote self-management of people with multiple sclerosis (MS) in everyday life. However, the uptake of MS apps remains poor, and little is known about the facilitators and barriers for their efficient utilization, such as technology acceptance. OBJECTIVE: The aim of this study was to examine the acceptance of mHealth apps for disease management in the sense of behavioral intentions to use and explore determinants of utilization among people with MS based on the Unified Theory of Acceptance and Use of Technology (UTAUT). METHODS: Participants for this Web-based cross-sectional study were recruited throughout Germany with the support of regional MS associations and self-help groups. To identify determinants of intention to use MS apps, a measure based on the UTAUT was adapted with 4 key determinants (performance expectancy, effort expectancy, social influence, and facilitating conditions) and extended by Intolerance of Uncertainty (IU) and electronic health literacy. Potential influencing effects of both MS and computer self-efficacy (C-SE) as mediators and fatigue as a moderator were analyzed using Hayes's PROCESS macro (SPSS version 3.0) for IBM SPSS version 24.0. RESULTS: A total of 98 participants (mean age 47.03 years, SD 10.17; 66/98, 67% female) with moderate fatigue levels completed the survey. Although most participants (91/98, 92%) were daily smartphone users, almost two-thirds (62/98, 63%) reported no experience with MS apps. Overall, the acceptance was moderate on average (mean 3.11, SD 1.31, minimum=1 and maximum=5), with lower scores among persons with no experience (P=.04) and higher scores among current users (P<.001). In multiple regression analysis (R2=63% variance explained), performance expectancy (beta=.41) and social influence (beta=.33) were identified as significant predictors of acceptance (all P<.001). C-SE was confirmed as a partial mediator in the relationship between IU and acceptance (indirect effect: B=-.095, 95% CI -0.227 to -0.01). Furthermore, a moderated mediation by C-SE was shown in the relationship between IU and behavioral intentions to use MS apps for low (95% CI -0.42 to -0.01) and moderate levels (95% CI -0.27 to -0.01) of fatigue. CONCLUSIONS: Overall, this exploratory pilot study indicates for the first time that positive expectations about the helpfulness for self-management purposes and social support might be important factors to be considered for improving the acceptance of MS apps among smartphone users with MS. However, given some inconsistent findings, especially regarding the role of effort expectancy and IU and self-efficacy, the conceptual model needs replication with a larger sample of people with MS, varying more in fatigue levels, and a longitudinal assessment of the actual usage of MS apps predicted by acceptance in the sense of behavioral intentions to use.
- Date of acceptance
- 2018
- Autoren
- Jennifer Apolinário-Hagen
- Mireille Menzel
- Severin Hennemann
- Christel Salewski
- Autoren-URL
- https://www.ncbi.nlm.nih.gov/pubmed/30684408
- DOI
- 10.2196/11977
- eISSN
- 2561-326X
- Externe Identifier
- PubMed Central ID: PMC6334710
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- JMIR Form Res
- Schlüsselwörter
- eHealth
- mHealth, acceptability of health care
- multiple sclerosis
- patient preference
- Sprache
- eng
- Country
- Canada
- Paginierung
- e11977
- PII
- v2i2e11977
- Datum der Veröffentlichung
- 2018
- Status
- Published online
- Titel
- Acceptance of Mobile Health Apps for Disease Management Among People With Multiple Sclerosis: Web-Based Survey Study.
- Sub types
- Journal Article
- Ausgabe der Zeitschrift
- 2
Datenquelle: PubMed
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