Acceptance of health services on mobile phones: A study of consumer perceptions

2 "The cracks can be fixed – it's your cholesterol level that worries me." Committee Dissertation

3 Mobile phone health services Facilitating interactions with health professionals Assisting health actions Delivering health information Managing health care services

4 Collecting and sharing health measurements

5 Facilitating healthy behavior & sending reminders

6 Delivering health status updates

7 Scheduling appointments & delivering medical test results

8 Promising technology million mobile phone subscribers (87%) the ubiquitous computer Recent research How can this technology be implemented? Pilot and feasibility studies from a health professional’s perspective Research deficiency Would health consumers want to use this technology?

9 Purpose examine health consumers’ attitudes towards the technology – focusing on technology acceptance the intention to use a technology by an individual health consumer seal of approval

10 Research questions What are their intentions to use this technology? What are health consumers’ perceptions of the technology? How do health consumers come to their adoption intention?

11 Significance Justify development Understand patients’ concerns, expectations and needs for development

12 Methods: Theoretical foundation Emphasis on the subjective (Venkatesh et al., 2003)

13 Quantitative Qualitative

14 Background questionnaire Watch introductory video Data collection Semi-standardized interviews

15 Questions about Perceptions Experiences Intentions Suggestions Transcription and Qualitative coding

16 Participants 40 participants chronic conditions 24 healthy 16 health IT experience 16 no health IT experience 8 health IT experience 10 no health IT experience 6 Recruitment Poster Listserv Second Life Google Ads

17 Findings

18 Acceptance

19 Acceptance decision Health context Health status, health environment, cost Personality factors Readiness Emotional tolerance Perspective Desire for proof Perceived helpfulness Determine by considering: Positive perceptions Negative perceptions Safety Usability Few differences observed between groups

20 Positive perceptions Improving quality of care Less restrictive contact Computer oversight Preventing mistakes Improving efficiency of care Faster communication Cost reductions Health care administration Preference for mobile phone platform mobile and digital communications preference

21 Negative perceptions Overwhelm the patient Disrupt established practices. Immense skills and finances Lead to stress Attention on health issues Emotionally uncomfortable Unwanted information Distractions and annoyances Hurt the social dimension Minimize personal interactions Dependence

22 Encourage healthy behaviors Computer-assisted support for health awareness contact with health professionals decision making behavioral change medical regiments health monitoring Remove barriers to health information Reducing barriers through mobile, asynchronous and multimedia communication

23 Adoption experiences Different adoption motivations Different adoption sources Different responses to technology Personalization to the health consumer is important Complex to simple Self-directed to professional oversight Comprehensive program to individual applications

24 Technology development Proposed services self-care support, resolving time barriers, health data mobility Important practices Awareness, technology skills, social interactions Safety, choices, simplicity Multiplatform and multi-stakeholder

25 Implications for theory Underlying activitiesUnique health care context

26 Implications for practice Participation in decision making Patient-driven services Demand for greater attention Personalized options IT administration

27 Future research Examine IT experiences and behaviors  New opportunities to infuse health services Supporting interpersonal interactions with health teams Point where potential risks are overlooked?

28 Conclusions Acceptance decisions are influenced by health context, personality, and perceptions of helpfulness Diverse motivations and pathways guide technology adoption Interests for safe, responsive and inclusive mobile health systems

29 Health is easier to care for on the go – still let us know it helps. 盧德耀 盧德耀

30 “We’re running a bit short of time tonight, so let’s skip the questions and go right to the answers.” “The phrase you’re groping for is ‘Thank you’”.