Search results

Prior researches on the adoption of mobile health services (MHS) concentrate on the subjective cognitive appraisals resulting in technology adoption, while ignoring how to shape those cognitive appraisals by the objective message design strategies which are easier to operate in practice. Based on protection motivation theory (PMT), the current research aims to explore the antecedents of cognitive appraisals by focusing on message design strategies of fear appeal and coping appeal.

A two-stage scenario-based survey of 204 participants was conducted to collect data. The authors chose SPSS and covariance-based structural equation modeling (CB-SEM) approach with the software LISREL 8.8 to test our model.

The results show that the relationship between fear appeal and fear arousal is inverted U-shaped such that the degree of fear arousal is the greatest when the fear appeal is at a moderate level. Perceived usefulness for the message with negative framing is higher than that with positive framing. Furthermore, fear appeal and coping appeal have a significant interaction on the adoption of MHS at different stages.

The sample data of this study come from a special health service of a special group in China, which limits the universality of our research results for other groups or health care services. Therefore, future researchers can validate the model in other research scenarios and sample populations.

This study shows how fear appeal and coping appeal work together to influence individuals' adoption intention. The authors’ findings expand the theoretical depth of PMT and fear theory, enriching the theoretical connotation of framing effect in mobile health technology adoption context, which add new insights to design more persuasive messages through fear appeal and coping appeal for researchers and MHS providers in mobile health communication or propaganda.

Mobile health service (MHS) can provide users with convenient health services and information to reduce their medical costs from aging or other health issues. Previous studies confirm the underdevelopment of the Chinese MHS. The purpose of this paper is to analyze the factors that affect the intention to use MHS.

This paper develops a research model that integrates personal health differences with theory of planned behavior (TPB) and protection motivation theory (PMT). This model is empirically tested using data from 494 valid questionnaires. Structural equation modeling is used to test the hypotheses.

Perceived vulnerability to disease, perceived severity of disease, response efficacy and self-efficacy positively affect attitude, thereby exerting a positive influence on the behavioral intention to use MHS. Subjective norms also influence users’ behavioral intention. Personal health status and personal health value have quasi-moderating effects on the relationship between attitude and behavioral intention.

This paper presents an early attempt to conceptualize and validate a research model of MHS acceptance by integrating TPB and PMT in a complementary manner. The integrated model provides a holistic view of people’s intention to use MHS by considering health threat beliefs, individual role (i.e. attitude and self-efficacy) and social influences (i.e. subjective norms). Furthermore, this research highlights the role of two individual health characteristics (i.e. personal health status and personal health value) in MHS adoption. These new findings are beneficial toward an in-depth understanding of technology adoption in the MHS context.

This study investigated the underlying influence mechanism between mHealth service quality (SQ) and users' adoption intention and compared the differences of consumer individual decision-making behaviors between the pre-adoption stage and the post-adoption stages.

This study built the pre-adoption and post-adoption models based on the stimulus-organism-response (S-O-R) model. Besides, this study collected 14,221 independent samples from 40 studies of pre-adoption intention to use and 12,876 independent samples from 36 studies of post-adoption intention to continue using and used meta-analysis structural equation modeling (MASEM) method to explore the formation of mHealth service quality influence on consumers toward adoption intention.

The results showed that (1) service quality positively trigger users' cognition response (i.e. perceived usefulness, perceived ease of use and perceived trust) and further positively drove the adoption and continuance intention; (2) there are similarities and differences in the relative importance of users' cognitive response between service quality and adoption intention at pre-adoption and post-adoption stages; (3) perceived trust (PTRU) played the most significant mediator in predicting users' adoption intention in both two stages; (4) perceived usefulness had a stronger influence than perceived ease of use (PEOU) on the adoption intention in pre-adoption while the result was just opposite in post-adoption stage.

This study could help service providers effectively allocate their limited resources to improve user adoption intention.

This study is the first one to open the black box of the underlying influence mechanisms between mHealth service quality and individual adoption intention in mHealth services and show differences in consumer decision-making according to the adoption stage. It provides a new perspective to the research in mHealth.

To improve the frequency of adoption of mobile health services (MHSs) by users (consumers), it is critical to understand users' MHS adoption behaviors. However, the literature primarily focuses on MHS adoption-related factors and lacks consideration of the joint impacts of reasons for (RF) and reasons against (RA) on users' attitudes and adoption behaviors regarding MHSs. To fill this gap, this study integrates behavioral reasoning theory (BRT) and protective motivation theory (PMT) to develop a research model by uncovering the reasoning process of personal values, RF and RA, adoption attitudes and behavior toward MHSs. In particular, health consciousness (HC) is selected as the value. Comparative advantage, compatibility and perceived threat severity are considered the RF subconstructs; value barriers, risk barriers and tradition and norm barriers are deemed the RA subconstructs.

A total of 281 responses were collected to examine the model with the partial least squares structural equation modeling (PLS-SEM) method.

The results show that HC positively affects attitude through RA and RF. Additionally, RF partially mediates the relationship between HC and adoption behavior. This study contributes to a deeper understanding of user adoption behavior in MHS and provides practical guidance for the health services industry.

This study contributes to the existing MHS literature by understanding the joint influences of personal values, RF and RA on user attitude, which eventually determines users' adoption decisions regarding MHSs.

Pervasive computing environments such as a pervasive campus domain, shopping, etc. will become commonplaces in the near future. The key to enhance these system environments with services relies on the ability to effectively model and represent contextual information, as well as spontaneity in downloading and executing the service interface on a mobile device. The system needs to provide an infrastructure that handles the interaction between a client device that requests a service and a server which responds to the client's request via Web service calls. The system should relieve end‐users from low‐level tasks of matching services with locations or other context information. The mobile users do not need to know or have any knowledge of where the service resides, how to call a service, what the service API detail is and how to execute a service once downloaded. All these low‐level tasks can be handled implicitly by a system. The aim of this paper is to investigate the notion of context‐aware regulated services, and how they should be designed, and implemented.

The paper presents a detailed design, and prototype implementation of the system, called mobile hanging services (MHS), that provides the ability to execute mobile code (service application) on demand and control entities' behaviours in accessing services in pervasive computing environments. Extensive evaluation of this prototype is also provided.

The framework presented in this paper enables a novel contextual services infrastructure that allows services to be described at a high level of abstraction and to be regulated by contextual policies. This contextual policy governs the visibility and execution of contextual services in the environment. In addition, a range of contextual services is developed to illustrate different types of services used in the framework.

The main contribution of this paper is a high‐level model of a system for context‐aware regulated services, which consists of environments (domains and spaces), contextual software components, entities and computing devices.

This paper aims to explore the determinants of maternal healthcare services (MHS) utilisation in Ghana.

In this paper, logit and negative binomial regressions were used to model data from a recent nationally representative survey (the 2017 Ghana Maternal Health Survey). The analysis is observational, without causal implications. The authors measure MHS utilisation by four indicators: antenatal care (ANC) use, the number of ANC clinic visits, choice of health facility delivery and postnatal care (PNC) use.

Age, parity, education, marital status, wealth, residence and health facilities concentration proved to be significant predictors of MHS use in Ghana. Specifically, older, married and educated women; women of lower parity; those living in urban areas and women from wealthier households were more likely to use MHS. The authors also find that health facilities and personnel predicted higher MHS use. Lastly, women with frequent stillbirths had higher MHS use.

The results for health facilities and personnel suggest that increasing the supply of health centres and workers may enhance MHS use. The authors conclude that women of lower socio-economic status have worse MHS use, meaning empowering such women might increase such women's MHS use.

Existing data suggest falling MHS use in Ghana. Yet, the extant works are based on relatively old data or lack external validity (besides using limited MHS indicators). This paper provides recent and generalisable evidence for public health policies. Additionally, this paper tests the statistical significance of some supply-side factors that have yet to be emphasised in the literature.

The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2022-0199.

To explore the feasibility of utilizing the Bar-On mixed model of emotional–social intelligence as a framework for the competencies and traits needed for reference and information services librarians. Through a survey of the literature, the author created a baseline list of competencies, which was compared and contrasted with the abilities, traits, and competencies that comprise the Bar-On model of emotional–social intelligence. The author conducted a pilot study with a small group (n = 10) of reference and user services librarians who took the EQ-i 2.0. The competencies and traits of reference and user services librarians identified in the literature compare favorably with those measured by the EQ-i 2.0. Overall, a majority of the participants (70%) obtained a total score on the EQ-i 2.0 in the mid or high range. Composite scales with the highest overall mean scores were decision-making and self-perception. Subscales with the highest scores included the following: impulse control, self-actualization, social responsibility, problem solving, and reality testing. As a pilot study, it was conducted using a small population of academic reference and user services librarians. Further research should be conducted utilizing a larger population of reference and user services librarians or librarians who have been recognized as exemplary in reference librarianship. The findings of this study could assist pre-service and in-service reference and user services librarians in further developing their emotional–social intelligence competencies and abilities by identifying areas where improvements could occur.

It is difficult to replicate evidence-informed models of psychosocial and assertive care interventions in non-research settings, and means to determine workforce capability for psychosocial therapies have not been readily available. The purpose of this paper is to describe and provide a rationale for the Therapy Capability Framework (TCF) which aims to enhance access to, and quality of, evidence-informed practice for consumers of mental health services (MHSs) by strengthening workforce capabilities and leadership for psychosocial therapies.

Guided by literature regarding the inadequacies and inconsistencies of evidence-informed practice provided by publicly-funded MHSs, this descriptive paper details the TCF and its application to enhance leadership and provision of evidence-informed psychosocial therapies within multi-disciplinary teams.

The TCF affords both individual and strategic workforce development opportunities. Applying the TCF as a service-wide workforce strategy may assist publicly-funded mental health leaders, and other speciality health services, establish a culture that values leadership, efficiency, and evidence-informed practice.

This paper introduces the TCF as an innovation to assist publicly-funded mental health leaders to transform standard case management roles to provide more evidence-informed psychosocial therapies. This may have clinical and cost-effective outcomes for public MHSs, the consumers, carers, and family members.

The emergence of mobile health (mHealth) products has created a capability of monitoring and managing the health of patients with chronic diseases. These mHealth technologies would not be beneficial unless they are adopted and used by their target users. This study identifies key factors affecting the usage of mHealth apps based on user usage data collected from an mHealth app.

Using a dataset collected from an mHealth app named mPower, developed for patients with Parkinson's disease (PD), this paper investigated the effects of disease diagnosis, disease progression and mHealth app difficulty level on app usage, while controlling for user information. App usage is measured by five different activity counts of the app.

The results across five measures of mHealth app usage vary slightly. On average, previous professional diagnosis and high user performance scores encourage user participation and engagement, while disease progression hinders app usage.

The findings potentially provide insights into better design and promotion of mHealth products and improve the capability of health management of patients with chronic diseases.

Studies on the mHealth app usage are critical but sparse because large-scale and reliable mHealth app usage data are limited. Unlike earlier works based solely on survey data, this research used a large user usage data collected from an mHealth app to study key factors affecting app usage. The methods presented in this study can serve as a pioneering work for the design and promotion of mHealth technologies.

The main purpose of this study was to combine the extended technology acceptance model (TAM) with the innovation diffusion theory (IDT) to examine how learners' beliefs affected their usage intention of mobile learning (m-learning) and explore whether the relationships between learners' beliefs and their usage intention of m-learning changed under different levels of personal innovativeness regarding the new information technology (IT).

Sample data for this study were collected from Taiwanese mobile phone users, a total of 750 questionnaires were distributed, and 486 usable questionnaires were analyzed in this study, with a usable response rate of 64.80 per cent. Collected data were analyzed using structural equation modeling, multiple group analysis, and hierarchical moderated regression analysis.

Perceived usefulness (PU), perceived ease of use (PEOU), perceived enjoyment (PE), and compatibility can play essential roles in affecting learners' intention to use m-learning. Personal innovativeness can moderate the effects of PU, PEOU, and compatibility on intention to use m-learning except the effect of PE on intention to use m-learning.

Based on the views of the extended TAM with the IDT, this study incorporates intrinsic motivator (i.e. PE) along with conventional extrinsic motivators (i.e. PU and PEOU) into its analysis of m-learning acceptance for a more robust analysis and exhibits explicit results indicating that the effects of learners' beliefs on their usage intention of m-learning depend largely on their innovative predisposition regarding the new IT.