School of Human Sciences, University of Western Australia, Crawley, 35 Stirling Highway, Crawley, WA 6009, Australia.
School of Nursing and Midwifery, Curtin University, Building 405, Bentley, WA 6102, Australia.
Aust Health Rev. 2023 Oct;47(5):545-552. doi: 10.1071/AH23110.
Objectives This study aimed to address the acceptance of mHealth applications for a dental screening app that facilitates patient information entry and captures dental photos remotely to assist in caries diagnosis in preschool children in Australia. Methods All participants were recruited through the ORIGINS Project, a community-based interventional birth cohort study in Western Australia. Forty-two primary caregivers, who were the users of a teledental screening app, were given a questionnaire with 17 questions; these were constructed based on the theme of the Technology Acceptance Model: perceived ease of use (PE), perceived usefulness (PU), behavioural intention to adopt (BI), anxiety (ANX), attitude toward a behaviour (ATB), and self-efficacy (SE). Cronbach's alpha was estimated to determine internal consistency. Path analysis was employed to quantify the relationship between each theme. Results The mean values for most themes indicated high satisfaction with the intervention among caregivers (scores out of 5): PE (4.54 ± 0.55), PU (4.65 ± 0.49), BI (4.40 ± 0.65), ATB (4.23 ± 0.70), SE (4.36 ± 0.64). Results indicated high consistency in response in the PE, PU, ATB, and SE (α = 0.74-0.84) and moderate consistency was observed in ANX and BI (α = 0.50-0.62). The overall intention of using the dental screening app was significantly related to both PU and ATB (P Conclusion The perceived usefulness and attitude toward behaviours influenced the overall behavioural intention of the participants to use the telehealth model in dental screening. Recognising these relationships indicates community readiness for implementing the telehealth application in the dental program and enables identification of areas for improving its diffusion.
目的 本研究旨在探讨移动健康应用程序在澳大利亚儿童牙科筛查中的接受度,该应用程序方便患者远程录入信息并拍摄口腔照片,以辅助龋齿诊断。
方法 所有参与者均通过 ORIGINS 项目招募,该项目是西澳大利亚州的一项基于社区的干预性出生队列研究。42 名主要照护者(即远程牙科筛查应用程序的使用者)接受了一份包含 17 个问题的问卷;这些问题是基于技术接受模型的主题构建的:感知易用性(PE)、感知有用性(PU)、采用行为意向(BI)、焦虑(ANX)、行为态度(ATB)和自我效能感(SE)。采用克朗巴赫 α 系数来确定内部一致性。路径分析用于量化每个主题之间的关系。
结果 大多数主题的平均值表明,照护者对干预措施的满意度较高(评分范围为 1-5 分):PE(4.54±0.55)、PU(4.65±0.49)、BI(4.40±0.65)、ATB(4.23±0.70)、SE(4.36±0.64)。结果表明,PE、PU、ATB 和 SE 的反应一致性较高(α值为 0.74-0.84),而 ANX 和 BI 的一致性为中等(α值为 0.50-0.62)。使用牙科筛查应用程序的总体意向与 PU 和 ATB 显著相关(P<0.001)。
结论 感知有用性和行为态度会影响参与者使用远程医疗模型进行牙科筛查的总体行为意向。认识到这些关系表明社区已准备好将远程医疗应用程序应用于牙科项目,并能够确定需要改进的领域以促进其推广。