Renal transplant patient acceptance of a self-management support system

BMC Medical Informatics and Decision Making

Research Article

Paul J. M. van der Boog¹  Céline L. van Lint¹  Sandra van Dijk²  Willem-Paul Brinkman³  Wenxin Wang⁴  Mark A. Neerincx⁴  Ton J. M. Rövekamp⁵ 

[1] Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands;Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands;Faculty of Social and Behavioral Sciences, Health, Medical and Neuropsychology Unit, Leiden University, Leiden, The Netherlands;Interactive Intelligence Group, Delft University of Technology, Mekelweg 4, 2628 CD, Delft, The Netherlands;Interactive Intelligence Group, Delft University of Technology, Mekelweg 4, 2628 CD, Delft, The Netherlands;TNO, the Hague, The Netherlands;TNO, the Hague, The Netherlands;

关键词: Technology acceptance;    e-health;    Renal transplant patient;    Self-management;    Survey;   

DOI  :  10.1186/s12911-017-0456-y

 received in 2016-11-05, accepted in 2017-04-28,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundSelf-management support systems (SMSS) have been proposed for renal transplant patients to increase their autonomy and reduce the number of hospital visits. For the design and implementation of such systems, it is important to understand factors influencing patients’ acceptance of a SMSS. This paper aims to identify these key factors.MethodsFrom literature, possible factors and related questionnaire items were identified. Afterwards, focus groups with experts and patients were conducted to adapt the items to the application domain. To investigate acceptance of a SMSS and the influencing factors, fifty renal transplant patients answered the questionnaire before and after using the SMSS for 4 months.ResultsAll the questionnaire constructs had a satisfactory or higher level of reliability. After using the SMSS for 4 months, trust and performance expectancy could explain part of the variation in behavioural intention of using the SMSS, but not beyond the explanation given by patients’ affect towards the system, which accounted for 26% of the variance.ConclusionsWe anticipate that in future caregivers implementing a SMSS will benefit from taking steps to improve patients’ affect as this was found to correlate with patients use intention.Trial registrationThe study was registered in ToetsingOnline, a registry held by the Dutch Central Committee on Research Involving Human Subjects. The registration number is NL33387.058.11, and the date of registration is 31st July 2012.

【 授权许可】

CC BY   
© The Author(s). 2017