Patients' Adoption of WSN-Based Smart Home Healthcare Systems: An Integrated Model of Facilitators and Barriers
Patients' Adoption of WSN-Based Smart Home Healthcare Systems: An Integrated Model of Facilitators and Barriers
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DOI：
10.1109/tpc.2016.2632822
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发表时间：
2017-03-01
影响因子：
1.7
通讯作者：
Zhou, Lina
中科院分区：
文献类型：
--
作者：
Alaiad, Ahmad;Zhou, Lina
背景资料：以病人为中心的护理强调通过病人、家属、医生和其他专业人员的积极参与来改善决策的协调和沟通。智能电信技术和物联网，如基于无线传感器网络的智能家庭医疗保健系统（WSN-SHHS），促进了这些不同角色之间的通信和协作。研究问题：尽管这种系统在提高质量和体验以及降低医疗成本方面具有巨大潜力，但该技术尚未被广泛采用，部分原因是对用户期望，需求和偏好的理解不足。本研究通过识别重要的社会技术，认知，情感和上下文因素，解决了促进者和障碍WSN-SHHS采用。研究问题：患者采用WSN-SHHS的主要促进因素和障碍是什么？我们如何才能将考虑到该领域独特特征的WSN-SHHS通用技术采用模型结合起来？文献综述：我们调查了WSN-SHHS的研究和应用，技术采用理论和愉悦-唤醒-支配情绪状态模型的文献。我们发现WSN-SHHS的研究主要集中在技术开发上，但很少关注患者采用的问题。方法：我们使用了一种混合方法设计，结合了两项研究的访谈和调查。参与者是从美国东部的家庭医疗机构招募的。在半结构化访谈中，我们收集了15个家庭医疗保健患者和医疗专业人员的数据，并使用Kvale的方法分析数据。在我们的在线和纸质调查中，我们使用偏最小二乘法分析了140名受访者的数据。结果与结论：我们确定了几个与WSN-SHHS采用相关的新结构，包括人类分离问题，隐私问题，生活质量预期和成本问题。此外，我们确认了一般采用模型的结构。根据定性研究的结果，研究人员创建了一个研究模型。定量研究为模型提供了实证支持，该模型具有相当大的预测能力，占WSN-SHHS采用方差的一半以上。特别是，我们的研究结果表明，人类分离的关注，而不是性能预期是最强的预测患者的采用WSN-SHHS。
Background: Patient-centered care emphasizes care coordination and communication through active involvement of patients, their families, physicians, and other professionals to improve decision making. Smart telecommunication technology and the Internet of Things, such as wireless-sensor-network-based smart home healthcare systems (WSN-SHHS) facilitate communication and collaboration among these different roles. Research problem: Despite the great potential of such systems to improve the quality and experience, and lower the cost of health care, the technology has not been widely adopted partly due to an inadequate understanding of user expectations, needs, and preferences. This study addresses facilitators and barriers with regard to WSN-SHHS adoption by identifying important sociotechnical, cognitive, affective, and contextual factors. Research questions: What are the main facilitators and barriers of patients' adoption of WSN-SHHS? How can we contextualize a generic technology adoption model for WSN-SHHS that takes into account unique characteristics of the domain? Literature review: We surveyed the literature in WSN-SHHS research and application, technology adoption theories, and the pleasure-arousal-dominance emotional state model. We discovered that WSN-SHHS research has focused on technology development but has given little attention to the issue of patients' adoption. Methodology: We used a mixed method design that combined an interview and survey over two studies. Participants were recruited from home healthcare agencies in the eastern US. In semistructured interviews, we collected data from 15 home healthcare patients and medical professionals, and analyzed the data using Kvale's approach. In our online-and paper-based surveys, we analyzed the data from 140 respondents using partial least square. Results and conclusions: We identified several new constructs in relation to WSN-SHHS adoption, including human detachment concerns, privacy concerns, life-quality expectancy and cost concerns. In addition, we confirmed the constructs from the general adoption model. Based on the findings of the qualitative study, the researchers created a research model. The quantitative study provided empirical support for the model, which has substantial predictive power accounting for more than half of the variance in WSN-SHHS adoption. In particular, our findings reveal that human detachment concerns rather than performance expectancy is the strongest predictor of patients' adoption of WSN-SHHS.