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Cited by 30Mobile Health and mHealth ApplicationsTechnology Adoption and User BehaviourElectronic Health Records Systems

Renal transplant patient acceptance of a self-management support system

Open access
Wang, Wenxin, van Lint, Céline L., Brinkman, Willem-Paul, Rövekamp, Ton J. M., van Dijk, Sandra, van der Boog, Paul J. M., Neerincx, Mark A.·2017·BMC Medical Informatics and Decision Making
DOI 10.1186/s12911-017-0456-yPMC PMC5423007
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Abstract

BACKGROUND: Self-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. METHODS: From 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. RESULTS: All 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. CONCLUSIONS: We 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 REGISTRATION: The 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.

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  • Wang et al. found that positive feelings about the system outperformed traditional factors when explaining behavioral use among renal patients using a self-management support system.

    “Wang et al. [41] also found that the positive feelings about the system outperformed these traditional factors when explaining behavioral use among renal patients using a self-management support system.”

    From Factors Affecting User’s Behavioral Intention and Use of a Mobile-Phone-Delivered Cognitive Behavioral Therapy for Insomnia: A Small-Scale UTAUT Analysis (2021) · cites this paper as [41]

    The Discussion reports that patients’ affect explained more variation in their behavioural intention to use the system than trust or performance expectancy. The cited finding concerns intention after four months of use, not actual behavioural use, as the claim states. (LLM, conf=0.88)

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2 of the 59 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. [57]Sanches P, Kosmack Vaara E, Sjölinder M, Weymann C, Höök K. Affective Health–designing for empowerment rather than stress diagnosis. Know thyself: monitoring and reflecting on facets of one's life at CHI 2010, Atlanta, GA, USA. 2010.

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Authors
Wang, W., van Lint, C. L., Brinkman, W.-P., Rövekamp, T. J. M., van Dijk, S., van der Boog, P. J. M., & Neerincx, M. A.
Affiliations
  • Netherlands Organisation for Applied Scientific Research (NL)
  • Delft University of Technology (NL)
Corresponding author
Wang, Wenxin
ORCID
Venue
BMC Medical Informatics and Decision Making
Publisher
Springer Science and Business Media LLC
Published
2017-05-08
Volume
17
Issue
1
Pages
58-58
ISSN
1472-6947 (ISSN-L)
DOI
10.1186/s12911-017-0456-y
PMC
PMC5423007
OpenAlex
W2612105811
Cited by
30
References
59
Citations by year
2026: 3 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 1
FWCI
6.21
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Leiden Repository (Leiden University) (submittedVersion)
  • Leiden Repository (Leiden University) (submittedVersion, cc-by)
  • TNO Repository (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
  • Research Repository (Delft University of Technology) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders
ZonMw (300040004)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords
renal transplant patients, technology acceptance, patient acceptance, trust, performance expectancy, behavioral intention, patient autonomy, hospital visit reduction
MeSH terms
Self-Management, Adult, Aged, Female, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Social Support, Kidney Transplantation, Self Efficacy

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