Stichting ASVZ, Sliedrecht, Netherlands.
Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, Netherlands.
JMIR Form Res. 2024 Nov 12;8:e52788. doi: 10.2196/52788.
Acceptance of health care professionals is of paramount importance for the uptake and implementation of eHealth. The Unified Theory of Acceptance and Use of Technology (UTAUT) model is a widely used framework for studying health care professionals' acceptance and actual use of eHealth among general client populations. However, there is limited understanding of the eHealth acceptance of health care professionals working with people with intellectual disabilities (ID).
This study aimed to explore the applicability of the UTAUT model toward understanding the acceptance, intention to use, and actual use of eHealth among support staff and therapists working with people with ID.
A total of 2 cross-sectional survey studies were conducted among health care professionals from 5 health care organizations for people with ID in the Netherlands in 2018 (n=311) and in 2021 during the COVID-19 pandemic (n=326). In addition to confirmatory and exploratory factor analyses to evaluate both the original UTAUT model and an extended version, descriptive analysis was used to explore participants' characteristics, acceptance levels, and eHealth usage. Moderator analysis and multiple regression analysis were also used.
A confirmatory factor analysis indicated a poor fit for both the original 4-factor UTAUT model and the extended version. An exploratory factor analysis was then conducted, resulting in a more satisfactory 5-factor model after removing 1 item with a factor loading <.40. Internal consistency of the 5 factors ranged from acceptable to good (Cronbach α=.76-.85). Collectively, all factors predicted the intention to use eHealth in 2018 (R=0.47; F=54.885; P<.001) and in 2021 (R=0.43; F=49.32; P<.001). Participants scored moderately on all 5 acceptance factors in both 2018 and 2021. Moderator analysis indicated that age and voluntariness influence the relationship between factors that determined acceptance and intention to use eHealth.
The findings from 2 cross-sectional studies conducted in 2018 and 2021, using an extended UTAUT model, gave a deeper understanding of eHealth acceptance among health care professionals who work with people with ID.
医疗保健专业人员的接受程度对于电子健康的采用和实施至关重要。统一技术接受和使用理论（UTAUT）模型是一种广泛用于研究一般客户端人群中医疗保健专业人员对电子健康的接受程度和实际使用情况的框架。然而，对于从事智力残疾（ID）人士工作的医疗保健专业人员的电子健康接受程度，我们的了解有限。
本研究旨在探讨 UTAUT 模型在理解支持人员和治疗师对 ID 人士使用电子健康的接受程度、使用意图和实际使用方面的适用性。
2018 年和 2021 年期间，在荷兰的 5 家 ID 人士医疗保健机构中，对医疗保健专业人员进行了 2 项横断面调查研究（2018 年 n=311，2021 年 COVID-19 大流行期间 n=326）。除了对原始 UTAUT 模型和扩展版本进行验证性和探索性因子分析外，还使用描述性分析来探索参与者的特征、接受程度和电子健康使用情况。还进行了调节分析和多元回归分析。
验证性因子分析表明，原始的 4 因素 UTAUT 模型和扩展版本的拟合度均较差。然后进行了探索性因子分析，结果在删除 1 个因子负荷<0.40 的项目后，得到了一个更令人满意的 5 因素模型。5 个因素的内部一致性在可接受到良好之间（Cronbach α=0.76-0.85）。总体而言，所有因素均预测了 2018 年（R=0.47；F=54.885；P<.001）和 2021 年（R=0.43；F=49.32；P<.001）使用电子健康的意图。在 2018 年和 2021 年，所有参与者在所有 5 个接受因素方面的得分均为中等。调节分析表明，年龄和自愿性会影响决定接受程度和使用电子健康意图的因素之间的关系。
使用扩展的 UTAUT 模型进行的 2 项横断面研究（2018 年和 2021 年）的结果，更深入地了解了从事 ID 人士工作的医疗保健专业人员对电子健康的接受程度。
