Renal transplant patient acceptance of a self-management support system

Renal transplant patient acceptance of a self-management support system

Wang, W. (TU Delft Interactive Intelligence; TNO)
van Lint, Celine L. (Leiden University Medical Center)
Brinkman, W.P. (TU Delft Interactive Intelligence)
Rövekamp, Ton J.M. (TNO)
van Dijk, Sandra (Leiden University Medical Center)
van der Boog, Paul J.M. (Leiden University Medical Center)
Neerincx, M.A. (TU Delft Interactive Intelligence; TNO)

2017

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.

Technology acceptance
e-health
Renal transplant patient
Self-management
Survey

http://resolver.tudelft.nl/uuid:8b35a6d0-001e-46ca-acc6-7c6874b6c5d6

https://doi.org/10.1186/s12911-017-0456-y

1472-6947

BMC Medical Informatics and Decision Making, 1-11

Institutional Repository

journal article

© 2017 W. Wang, Celine L. van Lint, W.P. Brinkman, Ton J.M. Rövekamp, Sandra van Dijk, Paul J.M. van der Boog, M.A. Neerincx