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Article
Publication date: 19 October 2015

Yiwen Gao, He Li and Yan Luo

The purpose of this paper is to investigate the factors associated with consumer’s intention to adopt wearable technology in healthcare, and to examine the moderating…

Abstract

Purpose

The purpose of this paper is to investigate the factors associated with consumer’s intention to adopt wearable technology in healthcare, and to examine the moderating effects of product type on consumer’s adoption intention.

Design/methodology/approach

An integrated acceptance model was developed based on unified theory of acceptance and use of technology 2 (UTAUT2), protection motivation theory (PMT), and privacy calculus theory. The model was tested with 462 respondents using a survey.

Findings

Consumer’s decision to adopt healthcare wearable technology is affected by factors from technology, health, and privacy perspectives. Specially, fitness device users care more about hedonic motivation, functional congruence, social influence, perceived privacy risk, and perceived vulnerability, but medical device users pay more attention to perceived expectancy, self-efficacy, effort expectancy, and perceived severity.

Originality/value

This study is among the first to investigate healthcare wearable device from behavioral perspective. It also helps to comprehensively understand emerging health information technology (HIT) acceptance from technology, health, and privacy perspectives.

Details

Industrial Management & Data Systems, vol. 115 no. 9
Type: Research Article
ISSN: 0263-5577

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Abstract

Details

SDG3 – Good Health and Wellbeing: Re-Calibrating the SDG Agenda: Concise Guides to the United Nations Sustainable Development Goals
Type: Book
ISBN: 978-1-78973-709-7

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Article
Publication date: 12 August 2019

Stefanie Paluch and Sven Tuzovic

Commercial entities (e.g. health and life insurance, airlines and supermarkets) in different countries have recently begun to introduce wearable technology as part of the…

Abstract

Purpose

Commercial entities (e.g. health and life insurance, airlines and supermarkets) in different countries have recently begun to introduce wearable technology as part of the consumer journey and as a means of enhancing the business value chain. While a firm’s decision to adopt such new technologies as wearable devices is often based on financial factors such as return on investment, costs and impact on profits, consumers may hold a different attitude toward the value of using smart wearables and sharing their personal data as part of their business-client relationships. The purpose of this paper is to investigate consumer perceptions of and reactions to persuaded self-tracking (PST) – a practice in which businesses actively encourage consumers to monitor, collect and share personal biometric data through wearable technologies in exchange for personalized incentives and rewards.

Design/methodology/approach

Using a qualitative research approach and a purposeful sampling method, the authors conducted personal in-depth interviews with 24 consumers (both users and non-users of wearable devices). Interviews were recorded and transcribed, resulting in 600 pages of transcripts comprising more than 203,000 words. Data coding and analysis were facilitated by using NVivo.

Findings

Consumers’ assessment of PST is based on perceived value-in-use, privacy/security concerns and perceived fairness/justice, resulting in four types of reactions to adopt or use PST (embracing, considering, debating and avoiding). Specifically, the authors identified two individual determinants (intrinsic motivation and extrinsic motivation) and four firm-related determinants (design of wearable device, assurance, transparency and controllability) that influence consumer perceptions of PST.

Research limitations/implications

Results of this study have implications for both vendors of wearable devices and firms trying to leverage smart wearables in their value chains. Identifying consumers’ perceptions, as well as barriers and enablers of acceptance, will help firms to more effectively design and develop wearable device-based services, thus gaining consumer support for using fitness trackers. The primary limitation of the study is that using a thematic analysis method diminishes the generalizability of our findings.

Originality/value

This study addresses an under-researched area: the integration of wearable technologies in a firm’s value chain through the lens of the consumers. This study is one of the first, according to authors’ knowledge, to investigate consumer perceptions of PST.

Details

Journal of Services Marketing, vol. 33 no. 4
Type: Research Article
ISSN: 0887-6045

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Article
Publication date: 9 April 2018

Xiao-Liang Shen, Yang-Jun Li and Yongqiang Sun

Wearable health information systems (IS) open up a new era for personal health self-management, and bring about disruptive changes to individual lives. However, prior…

Abstract

Purpose

Wearable health information systems (IS) open up a new era for personal health self-management, and bring about disruptive changes to individual lives. However, prior studies on IS post-adoptive behavior primarily focused on either continuance or discontinuance, neglecting the mutual transformation process between IS usage and rejection behavior. This behavior is expressed as intermittent discontinuance in the current study. By revising and extending the expectation-disconfirmation model, the purpose of this paper is to understand the factors affecting information system intermittent discontinuance in the context of wearable eHealth.

Design/methodology/approach

This study proposes a revised expectation-disconfirmation model by incorporating four new theoretical constructs, i.e. neutral disconfirmation, attitudinal ambivalence, neutral satisfaction, and intermittent discontinuance. An online survey was used to validate the research model, and 428 wearable health device users were recruited in this study.

Findings

Empirical results demonstrate that neutral disconfirmation exerts positive effects on neutral satisfaction and attitudinal ambivalence, both of which further have positive effects on intermittent discontinuance. In addition, attitudinal ambivalence also has a positive and significant effect on neutral satisfaction.

Originality/value

This study extends the current understanding on IS post-adoption usage behavior by introducing a new concept, i.e., intermittent discontinuance. In particular, post-adoption usage behavior is viewed as a dynamic process within a changing environment in this study. Some unique features specific to intermittent discontinuance are also identified. In this regard, neutral and conflicting constructs further add new values to IS adoption and diffusion literature. In addition, the integration of eHealth and wearable devices provides a fruitful research context for future research, and this study represents one of the first attempts to empirically explore the intermittent usage problems encountered within this emerging phenomenon.

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Article
Publication date: 14 January 2021

Md. Shahinur Rahman, Samir Das, Gazi Md. Shakhawat Hossain and Tajia Tajrin

The purpose of this study is to investigate the factors, which drive teenagers’ behavioural intention to adopt wearable technologies and their behavioural intention to…

Abstract

Purpose

The purpose of this study is to investigate the factors, which drive teenagers’ behavioural intention to adopt wearable technologies and their behavioural intention to recommend others.

Design/methodology/approach

This study proposes a new adoption model combining two different models including the extended unified theory of acceptance and use of technology and the theory of planned behaviour, which provided relevant contributions for understanding the adoption of wearable technologies. A structural equation modelling approach using analysis of a moment structures 23 software was used to analyse the data collected from 318 respondents.

Findings

Findings of this study reveals that performance expectancy (β = 0.28; t = 2.049), facilitating conditions (β = 0.28; t = 1.989), social influence (β = 0.23; t = 3.150) and attitude (β = 0.18; t = 3.246) have a statistically significant impact on behavioural intention. Additionally, behavioural intention (β = 0.15; t = 2.543) and attitude (β = 0.15; t = 3.261) have a statistically significant impact on intention to recommend others. However, effort expectancy, price value, hedonic motivation and habit did not have a significant influence on behavioural intention.

Practical implications

In this study, the understanding of the determinants contributing to teenagers’ behavioural intention to use wearable technologies and driving their intention to recommend others to adopt these devices will provide insights to practitioners and decision makers to customize the features of wearable devices to promote sustainable use of these technologies.

Originality/value

This study is among the first to investigate wearable technologies from behavioural perspectives especially on teenagers in Bangladesh. Hence, the findings of this study will help to comprehensively explain teenagers’ behavioural intention to adopt wearable technologies and their intention to recommend others.

Details

Journal of Science and Technology Policy Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2053-4620

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Article
Publication date: 1 April 2019

Woo-Chul Cho, Kyung Young Lee and Sung-Byung Yang

The purpose of this paper is to answer the question of whether smartwatches will survive and gain their own niche within the consumer electronics market. Based on the…

Abstract

Purpose

The purpose of this paper is to answer the question of whether smartwatches will survive and gain their own niche within the consumer electronics market. Based on the stimulus–organism–response (S–O–R) framework, this study identifies and validates the impacts of both technological and fashion-related factors (interactivity, autonomy, visual aesthetics and self-expression) on product attachment towards smartwatches through user satisfaction and pleasure derived from their smartwatches.

Design/methodology/approach

The authors collected the survey data via online surveys from 198 respondents and tested measurement and structural models with the partial least square technique.

Findings

The authors found that both technological characteristics (interactivity and autonomy) and fashion-related characteristics (visual aesthetics and self-expression) have an impact on product attachment through pleasure.

Research limitations/implications

Several other important characteristics of traditional wrist-watches such as durability or workmanship are not considered in this study, but should be included in future studies. The three-item measure of autonomy may be insufficient for more sophisticated wearable devices in the future. In future studies, the impact of product attachment on users’ continued usage should be examined.

Practical implications

This study provides important practical implications for smartwatch makers interested in product development, as users were found to consider fashion-related characteristics to be as important as technological characteristics.

Originality/value

This study is the first study that considers both aesthetic and technological factors for IT acceptance in the context of wearable devices. Also, instead of traditional IT acceptance measures such as continued use, this study investigates users’ product attachment, which is more relevant to the case of wearable devices.

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Article
Publication date: 17 December 2018

Brijesh Sivathanu

The purpose of this paper is to utilize the novel approach of applying the behavioral reasoning theory (BRT) to examine the adoption of internet of things (IoT) based…

Abstract

Purpose

The purpose of this paper is to utilize the novel approach of applying the behavioral reasoning theory (BRT) to examine the adoption of internet of things (IoT) based wearables for the healthcare of older adults and it aims to understand the relative effect of “reasons for” and “reasons against” adoption of IoT-based wearables for health care among older adults.

Design/methodology/approach

The hypothesized relationships were established using the BRT and empirically tested using a representative sample of 815 respondents. The data were analyzed using the PLS-SEM method.

Findings

The findings of this study demonstrate that adoption intention of IoT-based wearables for the health care of older adults is influenced by “reason for” and “reason against” adoption. The finding shows that “reasons for” adoption are ubiquitous, relative advantage, compatibility and convenience and “reasons against” adoption are usage barrier, traditional barrier and risk barrier. Value of “openness to change” significantly influences the “reasons for” and “reasons against” adoption of IoT-based wearables.

Research limitations/implications

This cross-sectional study is conducted only in the Indian context and future research can be conducted in other countries to generalize the results.

Practical implications

This research highlighted both the adoption factors—“for” and “against,” which should be considered while developing marketing strategies for IoT-based wearables for health care of older adults. Adoption of IoT-based wearables for healthcare of older adults will increase when marketers endeavor to minimize the effects of the anti-adoption factors.

Originality/value

This is a unique study that examines the adoption of IoT-based wearables for healthcare among older people using the BRT, by probing the “reasons for” and “reasons against” adoption in a single framework.

Details

Journal of Enabling Technologies, vol. 12 no. 4
Type: Research Article
ISSN: 2398-6263

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Article
Publication date: 2 October 2017

Donghee Shin and Yujoing Hwang

The purpose of this paper is to conduct a dual-level (organizational and individual user) analysis of development related to the Internet of Medical Things (IoMT). It…

Abstract

Purpose

The purpose of this paper is to conduct a dual-level (organizational and individual user) analysis of development related to the Internet of Medical Things (IoMT). It examines the organizational dynamics of IoMT and develops a conceptual model for quality of experience (QoE) in user acceptance.

Design/methodology/approach

This study uses the information systems success model of quality factor as an analytical framework and extends it beyond the individual user experience (UX) to include an organization-level perspective. Interviews are conducted with relevant stakeholders for sociotechnical inquiries; a survey identifies user factors in IoMT.

Findings

The sociotechnical analysis sheds light on how IoMT has been accepted and stabilized in the healthcare sector. It shows the complex interaction between the social and technical aspects of IoMT by highlighting the co-evolution, interaction, and interface of devices that constitute the next-generation network environment. The UX model conceptualizes QoE specific to medical informatics.

Research limitations/implications

Given the sociotechnical nature of this investigation, another approach to adoption of IoMT innovations was worth investigating to determine effective integration.

Practical implications

IoMT needs to be meaningful if they are to be sustainable and they need to offer quality of services and QoE no matter the location or demographic in which they are used.

Originality/value

With a dual-level analysis, the study provides a comprehensive view of the IoMT development process by investigating the organizational dynamics, in addition to the UX, of IoMT. The results provide a basis for developing future IoMT services with QoE requirements, as well as for clarifying sociotechnical dynamics.

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Article
Publication date: 13 May 2019

Bishwajit Nayak, Som Sekhar Bhattacharyya and Bala Krishnamoorthy

This study aims to explore the impact of the adoption of wearable technology products for Indian health insurance firms. It identifies the key dynamic capabilities that…

Abstract

Purpose

This study aims to explore the impact of the adoption of wearable technology products for Indian health insurance firms. It identifies the key dynamic capabilities that health insurance firms should build to manage big data generated by wearable technology so as to attain a competitive advantage.

Design/methodology/approach

A qualitative exploratory study using in-depth personal interviews with 53 Indian health insurance experts was conducted with a semi-structured questionnaire. The data were coded using holistic and pattern codes and then analyzed using the content analysis technique. The findings were based on the thematic and relational intensity analysis of the codes.

Findings

An empirical model was established where all the propositions were strongly established except for the moderate relationship between wearable technology adoption and product innovation. The study established the nature of the interaction of variables on technology policy, organizational culture, strategic philosophy, product innovation, knowledge management and customer service quality with wearable technology adoption and also ascertained its influence on firm performance and competitive advantage.

Research limitations/implications

From a dynamic capabilities perspective, this study deliberates on wearable technology adoption in the health insurance context. It also explicates the relationship between the variables on technology policy, organizational culture, strategic philosophy, product innovation, knowledge management and customer service quality with wearable technology adoption on firm performance.

Originality/value

This study is one of the first studies to add the context of wearable technology and health insurance to the existing body of knowledge on dynamic capabilities and sustainable competitive advantage for the service sector. It would help existing and prospective players in adopting or setting up appropriate business models.

Details

Journal of Systems and Information Technology, vol. 21 no. 2
Type: Research Article
ISSN: 1328-7265

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Article
Publication date: 6 June 2016

Ema Kusen and Mark Strembeck

Ever since Mark Weiser coined the term “ubiquitous computing” (ubicomp) in 1988, there has been a general interest in proposing various solutions that would support his…

Abstract

Purpose

Ever since Mark Weiser coined the term “ubiquitous computing” (ubicomp) in 1988, there has been a general interest in proposing various solutions that would support his vision. However, attacks targeting devices and services of a ubicomp environment have demonstrated not only different privacy issues, but also a risk of endangering user’s life (e.g. by modifying medical sensor readings). Thus, the aim of this paper is to provide a comprehensive overview of security challenges of ubicomp environments and the corresponding countermeasures proposed over the past decade.

Design/methodology/approach

The results of this paper are based on a literature review method originally used in evidence-based medicine called systematic literature review (SLR), which identifies, filters, classifies and summarizes the findings.

Findings

Starting from the bibliometric results that clearly show an increasing interest in the topic of ubicomp security worldwide, the findings reveal specific types of attacks and vulnerabilities that have motivated the research over the past decade. This review describes most commonly proposed countermeasures – context-aware access control and authentication mechanisms, cryptographic protocols that account for device’s resource constraints, privacy-preserving mechanisms, and trust mechanisms for wireless ad hoc and sensor networks.

Originality/value

To the best of our knowledge, this is the first SLR on security challenges in ubicomp. The findings should serve as a reference to an extensive list of scientific contributions, as well as a guiding point for the researchers’ novel to the security research in ubicomp.

Details

International Journal of Pervasive Computing and Communications, vol. 12 no. 2
Type: Research Article
ISSN: 1742-7371

Keywords

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