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Factors affecting wearable ECG device adoption by general practitioners for atrial fibrillation screening: cross-sectional study
INTRODUCTION: Atrial fibrillation (AF) is a challenging cardiovascular disease worldwide. Wearable electrocardiograph devices (WEDs) have great potential to improve the detection rate of AF in primary care. However, the factors that influence general practitioners’ (GPs) perception and acceptance of...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196261/ https://www.ncbi.nlm.nih.gov/pubmed/37213597 http://dx.doi.org/10.3389/fpubh.2023.1128127 |
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author | Yao, Yi Li, Zhichao He, Yi Zhang, Yalin Guo, Zhaoxia Lei, Yi Zhao, Qian Li, Dongze Zhang, Zhi Zhang, Yonggang Liao, Xiaoyang |
author_facet | Yao, Yi Li, Zhichao He, Yi Zhang, Yalin Guo, Zhaoxia Lei, Yi Zhao, Qian Li, Dongze Zhang, Zhi Zhang, Yonggang Liao, Xiaoyang |
author_sort | Yao, Yi |
collection | PubMed |
description | INTRODUCTION: Atrial fibrillation (AF) is a challenging cardiovascular disease worldwide. Wearable electrocardiograph devices (WEDs) have great potential to improve the detection rate of AF in primary care. However, the factors that influence general practitioners’ (GPs) perception and acceptance of WEDs are not well understood. To identify factors that influence the intention of GPs to utilize WEDs in a clinical setting to screen patients for AF. METHOD: The research hypotheses and questionnaire items were designed and developed based on the unified theory of acceptance and technology (UTAUT) framework. We used stratified sampling and obtained the data through an online survey. Structural equation modeling was used to analyze the collected data.Results: A total of 1,004 valid questionnaires from GPs across Sichuan province in China were collected. Three factors increased GPs’ intention to utilize WEDs to screen patients for AF, including performance expectancy (β = 0.121, p = 0.004), social influence (β = 0.356, p < 0.001), and price perception (β = 0.587, p < 0.001). Perception risk (β = −0.059, p < 0.001) decreased usage intention, while effort expectancy (β = −0.079, p = 0.155) and facilitating conditions (β = −0.014, p = 0.868) did not affect usage intention. Gender (β = −0.022, p = 0.179), age (β = 0.006, p = 0.699), education level (β = −0.22, p = 0.184) and training (β = 0.007, p = 0.69) were not significantly correlated with usage intention, and these four factors had no moderating effect on the path coefficients. DISCUSSION: GPs’ intention to utilize WEDs is affected by performance expectancy, price perception, perception risk and social influence. Researcher should improve the usability and perception of WEDs for screening and carry out studies to provide high-quality evidence for the security and efficacy of wearable devices. |
format | Online Article Text |
id | pubmed-10196261 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101962612023-05-20 Factors affecting wearable ECG device adoption by general practitioners for atrial fibrillation screening: cross-sectional study Yao, Yi Li, Zhichao He, Yi Zhang, Yalin Guo, Zhaoxia Lei, Yi Zhao, Qian Li, Dongze Zhang, Zhi Zhang, Yonggang Liao, Xiaoyang Front Public Health Public Health INTRODUCTION: Atrial fibrillation (AF) is a challenging cardiovascular disease worldwide. Wearable electrocardiograph devices (WEDs) have great potential to improve the detection rate of AF in primary care. However, the factors that influence general practitioners’ (GPs) perception and acceptance of WEDs are not well understood. To identify factors that influence the intention of GPs to utilize WEDs in a clinical setting to screen patients for AF. METHOD: The research hypotheses and questionnaire items were designed and developed based on the unified theory of acceptance and technology (UTAUT) framework. We used stratified sampling and obtained the data through an online survey. Structural equation modeling was used to analyze the collected data.Results: A total of 1,004 valid questionnaires from GPs across Sichuan province in China were collected. Three factors increased GPs’ intention to utilize WEDs to screen patients for AF, including performance expectancy (β = 0.121, p = 0.004), social influence (β = 0.356, p < 0.001), and price perception (β = 0.587, p < 0.001). Perception risk (β = −0.059, p < 0.001) decreased usage intention, while effort expectancy (β = −0.079, p = 0.155) and facilitating conditions (β = −0.014, p = 0.868) did not affect usage intention. Gender (β = −0.022, p = 0.179), age (β = 0.006, p = 0.699), education level (β = −0.22, p = 0.184) and training (β = 0.007, p = 0.69) were not significantly correlated with usage intention, and these four factors had no moderating effect on the path coefficients. DISCUSSION: GPs’ intention to utilize WEDs is affected by performance expectancy, price perception, perception risk and social influence. Researcher should improve the usability and perception of WEDs for screening and carry out studies to provide high-quality evidence for the security and efficacy of wearable devices. Frontiers Media S.A. 2023-05-05 /pmc/articles/PMC10196261/ /pubmed/37213597 http://dx.doi.org/10.3389/fpubh.2023.1128127 Text en Copyright © 2023 Yao, Li, He, Zhang, Guo, Lei, Zhao, Li, Zhang, Zhang and Liao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Yao, Yi Li, Zhichao He, Yi Zhang, Yalin Guo, Zhaoxia Lei, Yi Zhao, Qian Li, Dongze Zhang, Zhi Zhang, Yonggang Liao, Xiaoyang Factors affecting wearable ECG device adoption by general practitioners for atrial fibrillation screening: cross-sectional study |
title | Factors affecting wearable ECG device adoption by general practitioners for atrial fibrillation screening: cross-sectional study |
title_full | Factors affecting wearable ECG device adoption by general practitioners for atrial fibrillation screening: cross-sectional study |
title_fullStr | Factors affecting wearable ECG device adoption by general practitioners for atrial fibrillation screening: cross-sectional study |
title_full_unstemmed | Factors affecting wearable ECG device adoption by general practitioners for atrial fibrillation screening: cross-sectional study |
title_short | Factors affecting wearable ECG device adoption by general practitioners for atrial fibrillation screening: cross-sectional study |
title_sort | factors affecting wearable ecg device adoption by general practitioners for atrial fibrillation screening: cross-sectional study |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196261/ https://www.ncbi.nlm.nih.gov/pubmed/37213597 http://dx.doi.org/10.3389/fpubh.2023.1128127 |
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