Lynch Kathleen A, Atkinson Thomas M, Omisore Adeleye D, Famurewa Olusola, Olasehinde Olalekan, Odujoko Oluwole, Alatise Olusegun I, Egberongbe Adedeji, Kingham T Peter, Morris Elizabeth A, Sutton Elizabeth
Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria.
JMIR Form Res. 2022 Apr 20;6(4):e34035. doi: 10.2196/34035.
Technology acceptability and usage surveys (TAUS) are brief questionnaires that measure technology comfort, typical daily use, and access in a population. However, current measures are not adapted to low- and middle-income country (LMIC) contexts.
The objective of this pilot study was to develop a TAUS that could be used to inform the implementation of a mobile health (mHealth) intervention in Nigeria.
A literature review of validated technology comfort and usage scales was conducted to identify candidate items. The draft measure was reviewed for face validity by an expert panel comprised of clinicians and researchers with cultural, methodological, and clinical expertise. The measure was piloted by radiologists at an oncology symposium in Nigeria.
After expert review, the final measure included 18 items organized into 3 domains: (1) comfort with using mobile applications, (2) reliability of internet or electricity, and (3) attitudes toward using computers or mobile applications in clinical practice. The pilot sample (n=16) reported high levels of comfort and acceptability toward using mHealth applications in the clinical setting but faced numerous infrastructure challenges.
Pilot results indicate that the TAUS may be a feasible and appropriate measure for assessing technology usage and acceptability in LMIC clinical contexts. Dedicating a domain to technology infrastructure and access yielded valuable insights for program implementation.
技术可接受性与使用情况调查（TAUS）是一种简短的问卷，用于衡量人群对技术的舒适度、日常使用情况以及获取途径。然而，目前的测量方法并不适用于低收入和中等收入国家（LMIC）的情况。
本试点研究的目的是开发一种TAUS，可用于为尼日利亚移动健康（mHealth）干预措施的实施提供信息。
对经过验证的技术舒适度和使用量表进行文献综述，以确定候选项目。由具有文化、方法学和临床专业知识的临床医生和研究人员组成的专家小组对该测量草案进行了表面效度审查。该测量方法在尼日利亚的一次肿瘤学研讨会上由放射科医生进行了试点。
经过专家评审，最终的测量方法包括18个项目，分为3个领域：（1）使用移动应用程序的舒适度，（2）互联网或电力的可靠性，以及（3）在临床实践中使用计算机或移动应用程序的态度。试点样本（n = 16）报告在临床环境中使用移动健康应用程序的舒适度和可接受性较高，但面临众多基础设施挑战。
试点结果表明，TAUS可能是评估低收入和中等收入国家临床环境中技术使用情况和可接受性的一种可行且合适的测量方法。专门设置一个技术基础设施和获取途径的领域，为项目实施提供了有价值的见解。
