Technology Acceptance and Usability of a Mobile App to Support the Workflow of Health Care Aides Who Provide Services to Older Adults: Pilot Mixed Methods Study.
Technology Acceptance and Usability of a Mobile App to Support the Workflow of Health Care Aides Who Provide Services to Older Adults: Pilot Mixed Methods Study.
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作者：
Cruz, Antonio Miguel;Portillo, Hector Perez Lopez;Daum, Christine;Rutledge, Emily;King, Sharla;Liu, Lili
关键词：
卫生保健助理是未经许可的支持人员，他们为有健康状况的人提供直接护理，个人援助和支持。医护人员短缺的原因包括招聘困难、高流动率、人口老龄化、COVID-19疫情及低留用率。移动的应用程序是众多信息通信技术中的一种，这些技术为电子健康解决方案铺平了道路，通过增强医疗保健助理的工作流程来帮助解决劳动力短缺问题。我们与Clinisys EMR Inc.合作开发了一款移动的应用程序（移动的智能护理系统[mSCS]），以支持为长期护理机构的老年居民提供服务的医疗保健助理的工作流程。本研究的目的是调查移动的应用程序在现实环境中的技术接受度和可用性，同时为老年人提供服务的医疗保健助理使用该应用程序。本初步研究采用混合方法设计：序贯混合方法（定量、定性）。我们的研究包括一个前和后的纸为基础的问卷，没有对照组（全）。在研究结束时，进行了2个焦点小组与医疗保健助理的子样本（质量，定性描述设计）。技术接受度和可用性问卷采用5分制的Likert量表，从不同意（1）到同意（5）。在早期的研究中，问卷中的项目被验证为具有高水平的内部一致性的接受和使用技术的统一理论结构。共有60名医疗保健助理作为日常工作的一部分为老年人提供服务，他们使用移动的应用程序1个月。采用配对t检验（双尾）比较接受统一理论和技术使用结构在前测和后测的总结性得分。我们使用偏最小二乘结构回归模型来确定影响医疗保健助手对移动的应用程序接受度和可用性的因素。所有检验的α显著性水平设定为P≤.05（双侧）。我们发现，接受的mSCS是高的医疗保健助理，性能预期结构是最强的预测意图使用mSCS，意图使用mSCS预测的使用行为。定性数据支持定量结果，并显示医疗保健助理坚信mSCS有用、便携且可靠，但仍有改进的机会，尤其是在mSCS用户界面方面。总体而言，这些结果支持医疗保健助理对mSCS技术的接受度和可用性较高的论断。换句话说，医护人员认为，mSCS帮助他们解决他们的工作流程问题。
Health care aides are unlicensed support personnel who provide direct care, personal assistance, and support to people with health conditions. The shortage of health care aides has been attributed to recruitment challenges, high turnover, an aging population, the COVID-19 pandemic, and low retention rates. Mobile apps are among the many information communication technologies that are paving the way for eHealth solutions to help address this workforce shortage by enhancing the workflow of health care aides. In collaboration with Clinisys EMR Inc, we developed a mobile app (Mobile Smart Care System [mSCS]) to support the workflow of health care aides who provide services to older adult residents of a long-term care facility. The purpose of this study was to investigate the technology acceptance and usability of a mobile app in a real-world environment, while it is used by health care aides who provide services to older adults. This pilot study used a mixed methods design: sequential mixed methods (QUANTITATIVE, qualitative). Our study included a pre– and post–paper-based questionnaire with no control group (QUAN). Toward the end of the study, 2 focus groups were conducted with a subsample of health care aides (qual, qualitative description design). Technology acceptance and usability questionnaires used a 5-point Likert scale ranging from disagree (1) to agree (5). The items included in the questionnaires were validated in earlier research as having high levels of internal consistency for the Unified Theory of Acceptance and Use of Technology constructs. A total of 60 health care aides who provided services to older adults as part of their routine caseloads used the mobile app for 1 month. Comparisons of the Unified Theory of Acceptance and Use of Technology constructs’ summative scores at pretest and posttest were calculated using a paired t test (2-tailed). We used the partial least squares structural regression model to determine the factors influencing mobile app acceptance and usability for health care aides. The α level of significance for all tests was set at P≤.05 (2-tailed). We found that acceptance of the mSCS was high among health care aides, performance expectancy construct was the strongest predictor of intention to use the mSCS, intention to use the mSCS predicted usage behavior. The qualitative data support the quantitative findings and showed health care aides’ strong belief that the mSCS was useful, portable, and reliable, although there were still opportunities for improvement, especially with regard to the mSCS user interface. Overall, these results support the assertion that mSCS technology acceptance and usability are high among health care aides. In other words, health care aides perceived that the mSCS assisted them in addressing their workflow issues.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
5
作者：
Grossman, Molli R.;Zak, Deanah Kim;Zelinski, Elizabeth M.
通讯作者：
Zelinski, Elizabeth M.
DOI：
10.3758/bf03203630
发表时间：
1996-02-01
期刊：
BEHAVIOR RESEARCH METHODS INSTRUMENTS & COMPUTERS
影响因子：
--
作者：
Erdfelder, E;Faul, F;Buchner, A
通讯作者：
Buchner, A
影响因子：
2.2
作者：
Lim, Hooi Min;Dunn, Adam G.;Ng, Chirk Jenn
通讯作者：
Ng, Chirk Jenn
影响因子：
1.5
作者：
Liu, Lili;Miguel Cruz, Antonio;Juzwishin, Don
通讯作者：
Juzwishin, Don