Technology Experience of Solid Organ Transplant Patients and Their Overall Willingness to Use Interactive Health Technology: Interactive Health Technology in Transplantation

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Abstract

<p class="first" id="d5693748e151">The use of interactive health technology (IHT) is a promising pathway to tackle self-management problems experienced by many chronically ill patients, including solid organ transplant (Tx) patients. Yet, to ensure that the IHT is accepted and used, a human-centered design process is needed, actively involving end users in all steps of the development process. A first critical, predevelopment step involves understanding end users' characteristics. This study therefore aims to (a) select an IHT platform to deliver a self-management support intervention most closely related to Tx patients' current use of information and communication technologies (ICTs), (b) understand Tx patients' overall willingness to use IHT for self-management support, and investigate associations with relevant technology acceptance variables, and (c) explore Tx patients' views on potential IHT features. </p>

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Most cited references 21

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An increasing number of interventions have been developed for patients to better manage their chronic illnesses. They are characterised by substantial responsibility taken by patients, and are commonly referred to as self-management interventions. We examine the background, content, and efficacy of such interventions for type 2 diabetes, arthritis, and asthma. Although the content and intensity of the programmes were affected by the objectives of management of the illness, the interventions differed substantially even within the three illnesses. When comparing across conditions, it is important to recognise the different objectives of the interventions and the complexity of the issues that they are attempting to tackle. For both diabetes and asthma, the objectives are concerned with the underlying control of the condition with clear strategies to achieve the desired outcome. By contrast, strategies to deal with symptoms of pain and the consequences of disability in arthritis can be more complex. The interventions that were efficacious provide some guidance as to the components needed in future programmes to achieve the best results. But to ensure that these results endure over time remains an important issue for self-management interventions.

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A systematic review of patient acceptance of consumer health information technology.

Calvin Or, Ben-Tzion Karsh (2015)

A systematic literature review was performed to identify variables promoting consumer health information technology (CHIT) acceptance among patients. The electronic bibliographic databases Web of Science, Business Source Elite, CINAHL, Communication and Mass Media Complete, MEDLINE, PsycArticles, and PsycInfo were searched. A cited reference search of articles meeting the inclusion criteria was also conducted to reduce misses. Fifty-two articles met the selection criteria. Among them, 94 different variables were tested for associations with acceptance. Most of those tested (71%) were patient factors, including sociodemographic characteristics, health- and treatment-related variables, and prior experience or exposure to computer/health technology. Only ten variables were related to human-technology interaction; 16 were organizational factors; and one was related to the environment. In total, 62 (66%) were found to predict acceptance in at least one study. Existing literature focused largely on patient-related factors. No studies examined the impact of social and task factors on acceptance, and few tested the effects of organizational or environmental factors on acceptance. Future research guided by technology acceptance theories should fill those gaps to improve our understanding of patient CHIT acceptance, which in turn could lead to better CHIT design and implementation.

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Author and article information

Journal

Title: Journal of Nursing Scholarship

Abbreviated Title: Journal of Nursing Scholarship

Publisher: Wiley

ISSN: 15276546

Publication date Created: March 2018

Publication date (Print): March 2018

Publication date (Electronic): November 28 2017

Volume: 50

Issue: 2

Pages: 151-162

Affiliations

[1 ]Academic Centre for Nursing and Midwifery; Department of Public Health and Primary Care; KU Leuven; Leuven Belgium

[2 ]Meaningful Interactions Lab (Mintlab); imec, KU Leuven; Leuven Belgium

[3 ]ITech; UC Leuven-Limburg; Leuven Belgium

[4 ]School of Nursing; Department of Acute and Tertiary Care; University of Pittsburgh; Pittsburgh USA

[5 ]Academic Centre for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium, and; Institute of Nursing Science, Department Public Health University of Basel; Basel Switzerland

[6 ]Academic Centre for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium, and Institute of Nursing Science, Department Public Health; University of Basel; Basel Switzerland