Drivers and barriers to acceptance of Web-based aftercare of patients in inpatient routine care : a cross-sectional survey

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • Severin Hennemann
  • Manfred E Beutel
  • Rüdiger Zwerenz
Sammlungen
  • metadata
ISSN
1438-8871
Ausgabe der Veröffentlichung
12
Zeitschrift
Journal of medical internet research
Schlüsselwörter
  • 610 Medizin
  • 610 Medical sciences
Sprache
eng
Paginierung
e337
Datum der Veröffentlichung
2016
Herausgeber
Healthcare World
Herausgeber URL
http://dx.doi.org/10.2196/jmir.6003
Datum der Datenerfassung
2020
Datum, an dem der Datensatz öffentlich gemacht wurde
2020
Zugang
Public
Titel
Drivers and barriers to acceptance of Web-based aftercare of patients in inpatient routine care : a cross-sectional survey
Ausgabe der Zeitschrift
18

Datenquelle: METADATA.UB

Andere Metadatenquellen:
Autoren
  • Severin Hennemann
  • Manfred E Beutel
  • Ruediger Zwerenz
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000391065600006&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.2196/jmir.6003
Externe Identifier
  • Clarivate Analytics Document Solution ID: EG5EF
  • PubMed Identifier: 28011445
ISSN
1438-8871
Ausgabe der Veröffentlichung
12
Zeitschrift
JOURNAL OF MEDICAL INTERNET RESEARCH
Schlüsselwörter
  • eHealth
  • attitude to health
  • aftercare
  • rehabilitation
  • survey
Artikelnummer
ARTN e337
Datum der Veröffentlichung
2016
Status
Published
Titel
Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey
Sub types
  • Article
Ausgabe der Zeitschrift
18

Datenquelle: Web of Science (Lite)

Autoren
  • Severin Hennemann
  • Manfred E Beutel
  • Rüdiger Zwerenz
DOI
10.2196/jmir.6003
eISSN
1438-8871
Ausgabe der Veröffentlichung
12
Zeitschrift
Journal of Medical Internet Research
Sprache
en
Online publication date
2016
Paginierung
e337 - e337
Status
Published online
Herausgeber
JMIR Publications Inc.
Herausgeber URL
http://dx.doi.org/10.2196/jmir.6003
Datum der Datenerfassung
2017
Titel
Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey
Ausgabe der Zeitschrift
18

Datenquelle: Crossref

Abstract
<h4>Background</h4>Web-based aftercare can help to stabilize treatment effects and support transition after inpatient treatment, yet uptake by patients seems limited in routine care and little is known about the mechanisms of adoption and implementation.<h4>Objective</h4>The aim of this study was to (1) determine acceptance of Web-based aftercare and (2) explore its drivers and barriers in different subgroups of a mixed inpatient sample.<h4>Method</h4>In a cross-sectional design, 38.3% (374/977) of the inpatients from a broad spectrum of diagnostic groups (psychosomatic, cardiologic, orthopedic, pediatric, and substance-related disorders) filled out a self-administered questionnaire prior to discharge. Drivers and barriers to patients' acceptance of Web-based aftercare were examined based on an extension to the "unified theory of acceptance and use of technology" (UTAUT). In total, 16.7% (59/353) of the participants indicated prior use of eHealth interventions.<h4>Results</h4>Acceptance (min 1, max 5) was low (mean 2.56, SD 1.22) and differed between diagnostic groups (Welch F<sub>4,133.10</sub> =7.77, P<.001), with highest acceptance in adolescent patients (mean 3.46, SD 1.42). Acceptance was significantly predicted by 3 UTAUT predictors: social influence (beta=.39, P<.001), performance expectancy (beta=.31, P<.001), and effort expectancy (beta=.22, P<.001). Furthermore, stress due to permanent availability (beta=-.09, P=.01) was negatively associated with acceptance.<h4>Conclusion</h4>This study demonstrated a limited acceptance of Web-based aftercare in inpatients. Expectations, social environment's attitude, and negative experience with permanent availability influence eHealth acceptance. Improving implementation, therefore, means increasing eHealth experience and literacy and facilitating positive attitudes in patients and health professionals through education and reduction of misconceptions about effectiveness or usability.
Addresses
  • Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Gutenberg University Mainz, Mainz, Germany.
Autoren
  • Severin Hennemann
  • Manfred E Beutel
  • Rüdiger Zwerenz
DOI
10.2196/jmir.6003
eISSN
1438-8871
Externe Identifier
  • PubMed Identifier: 28011445
  • PubMed Central ID: PMC5219589
Open access
true
ISSN
1439-4456
Ausgabe der Veröffentlichung
12
Zeitschrift
Journal of medical Internet research
Schlüsselwörter
  • Humans
  • Aftercare
  • Hospitalization
  • Cross-Sectional Studies
  • Telemedicine
  • Internet
  • Adolescent
  • Middle Aged
  • Inpatients
  • Patient Acceptance of Health Care
  • Female
  • Male
  • Surveys and Questionnaires
Sprache
eng
Medium
Electronic
Online publication date
2016
Open access status
Open Access
Paginierung
e337
Datum der Veröffentlichung
2016
Status
Published
Publisher licence
CC BY
Datum der Datenerfassung
2016
Titel
Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey.
Sub types
  • research-article
  • Journal Article
Ausgabe der Zeitschrift
18

Datenquelle: Europe PubMed Central

Abstract
BACKGROUND: Web-based aftercare can help to stabilize treatment effects and support transition after inpatient treatment, yet uptake by patients seems limited in routine care and little is known about the mechanisms of adoption and implementation. OBJECTIVE: The aim of this study was to (1) determine acceptance of Web-based aftercare and (2) explore its drivers and barriers in different subgroups of a mixed inpatient sample. METHOD: In a cross-sectional design, 38.3% (374/977) of the inpatients from a broad spectrum of diagnostic groups (psychosomatic, cardiologic, orthopedic, pediatric, and substance-related disorders) filled out a self-administered questionnaire prior to discharge. Drivers and barriers to patients' acceptance of Web-based aftercare were examined based on an extension to the "unified theory of acceptance and use of technology" (UTAUT). In total, 16.7% (59/353) of the participants indicated prior use of eHealth interventions. RESULTS: Acceptance (min 1, max 5) was low (mean 2.56, SD 1.22) and differed between diagnostic groups (Welch F4,133.10 =7.77, P<.001), with highest acceptance in adolescent patients (mean 3.46, SD 1.42). Acceptance was significantly predicted by 3 UTAUT predictors: social influence (beta=.39, P<.001), performance expectancy (beta=.31, P<.001), and effort expectancy (beta=.22, P<.001). Furthermore, stress due to permanent availability (beta=-.09, P=.01) was negatively associated with acceptance. CONCLUSION: This study demonstrated a limited acceptance of Web-based aftercare in inpatients. Expectations, social environment's attitude, and negative experience with permanent availability influence eHealth acceptance. Improving implementation, therefore, means increasing eHealth experience and literacy and facilitating positive attitudes in patients and health professionals through education and reduction of misconceptions about effectiveness or usability.
Date of acceptance
2016
Autoren
  • Severin Hennemann
  • Manfred E Beutel
  • Rüdiger Zwerenz
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/28011445
DOI
10.2196/jmir.6003
eISSN
1438-8871
Externe Identifier
  • PubMed Central ID: PMC5219589
Ausgabe der Veröffentlichung
12
Zeitschrift
J Med Internet Res
Schlüsselwörter
  • aftercare
  • attitude to health
  • eHealth
  • rehabilitation
  • survey
  • Adolescent
  • Aftercare
  • Cross-Sectional Studies
  • Female
  • Hospitalization
  • Humans
  • Inpatients
  • Internet
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care
  • Surveys and Questionnaires
  • Telemedicine
Sprache
eng
Country
Canada
Paginierung
e337
PII
v18i12e337
Datum der Veröffentlichung
2016
Status
Published online
Datum, an dem der Datensatz öffentlich gemacht wurde
2017
Titel
Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey.
Sub types
  • Journal Article
Ausgabe der Zeitschrift
18

Datenquelle: PubMed

Author's licence
CC-BY
Autoren
  • Severin Hennemann
  • Manfred E Beutel
  • Rüdiger Zwerenz
Hosting institution
Universitätsbibliothek Mainz
Sammlungen
  • DFG-OA-Publizieren (2012 - 2017)
Resource version
Published version
DOI
10.2196/jmir.6003
Funding acknowledgements
  • DFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin
File(s) embargoed
false
Open access
true
ISSN
1438-8871
Ausgabe der Veröffentlichung
12
Zeitschrift
Journal of medical internet research
Schlüsselwörter
  • 610 Medizin
  • 610 Medical sciences
Sprache
eng
Open access status
Open Access
Paginierung
e337
Datum der Veröffentlichung
2016
Public URL
https://openscience.ub.uni-mainz.de/handle/20.500.12030/7937
Herausgeber
Healthcare World
Herausgeber URL
http://dx.doi.org/10.2196/jmir.6003
Datum der Datenerfassung
2022
Datum, an dem der Datensatz öffentlich gemacht wurde
2022
Zugang
Public
Titel
Drivers and barriers to acceptance of Web-based aftercare of patients in inpatient routine care : a cross-sectional survey
Ausgabe der Zeitschrift
18

Files

drivers_and_barriers_to_accep-20220924205238309.pdf

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