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http://hdl.handle.net/11375/20108
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DC Field | Value | Language |
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dc.contributor.advisor | Archer, Norm | - |
dc.contributor.author | Cocosila, Mihail | - |
dc.date.accessioned | 2016-08-11T12:48:31Z | - |
dc.date.available | 2016-08-11T12:48:31Z | - |
dc.date.issued | 2007-03 | - |
dc.identifier.uri | http://hdl.handle.net/11375/20108 | - |
dc.description.abstract | <p> This work is an investigation of user acceptance of a prototype solution utilizing wireless text messaging (or SMS - i.e., short messaging service) to improve people's adherence. Insufficient adherence, also known as medical non-compliance, is a major cause of failure in self-management programs, causing significant losses to all healthcare stakeholders.</p> <p> Innovative mobile healthcare solutions, based on portable devices like cell phones, may address some non-adherence aspects by helping outpatients to follow treatments agreed with their health providers. Although this seems a win-win situation, a verdict on the overall usefulness of such an approach cannot be formulated before exploring outpatient acceptance, as this is a novel technology that targets a new area of implementation. Accordingly, this research investigates key factors that may influence the acceptance of a mobile healthcare solution based on SMS to support improved adherence to healthy behaviour, with special attention to motivation (the 'pro' factors) and perceived risk (the 'con' factors).</p> <p> As a means of investigation, a one-month longitudinal experiment with two groups of subjects (an intervention group and a control group) was utilized. Data were analyzed with quantitative and qualitative techniques: descriptive statistics, partial least squares modelling, and content analysis.</p> <p> Findings show that users are aware of the potential usefulness of such a pioneering application. However, enjoyment is the unique reason for adopting, and perceived financial and psychological risks the main obstacles against adopting, an SMS-based solution for improving adherence to healthy behaviour. Furthermore, a business analysis shows that users are concerned about usefulness features, even when asked about financial aspects.</p> <p> These results, together with encouraging findings about the effectiveness of the application, open the way for medical-led research to investigate if long-term mobile healthcare initiatives customized to patient needs are also beneficial for outpatient adherence and health outcomes.</p> | en_US |
dc.language.iso | en_US | en_US |
dc.subject | user acceptance, wireless, text messaging, Telehealth, adherence | en_US |
dc.title | User Acceptance of Wireless Text Messaging in Telehealth: A Case for Adherence | en_US |
dc.type | Thesis | en_US |
dc.contributor.department | Business Administration | en_US |
dc.description.degreetype | Thesis | en_US |
dc.description.degree | Doctor of Philosophy (PhD) | en_US |
Appears in Collections: | Open Access Dissertations and Theses |
Files in This Item:
File | Description | Size | Format | |
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Cocosila_Mihail_2007Mar_Ph.D..pdf | 18.05 MB | Adobe PDF | View/Open |
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