Acceptance of mobile phone eHealth

1. Acceptance of mobile phone eHealth a study of health consumer perceptions

3. Devoted Jane Goodall Applied research methodologist

4. mobile phone eHealth + = Uses Interaction Helping with health actions Medical information Managing services

5. appointment on February 29 sexual health testing

7. Research problem Problem Understanding human behavior Will people want to use technology? Deficiencies in research base Little work on attitudes and experiences of users Little information science perspective Research has focused on feasibility, outcome, pilot studies Purpose Understand perceptions Understand health consumer acceptance

8. Significance • Understanding perceptions • Helps usability • Faciltiates design • Helps justify development • Facilitate health education • May help develop evaluationmetrics of devices

9. Research question • CENTRAL QUESTION • How do individual perceptions of mobile phone eHealth contribute to the acceptance of this technology? • ASSOCIATED SUBQUESTIONS REGARDING PERCEPTIONS • What perceptions are associated with mobile phone eHealth? • What perceptions are related to the technical characteristics of mobile phone eHealth? • What perceptions are related to health behavior change? • What perceptions are related to health information behavior? • There is an emphasis on health behavior change and health information behavior because of the lack in their examination and of my interest in information science. • ASSOCIATED SUBQUESTIONS EXPLORING THE PROCESS OF ACCEPTANCE • How do individuals describe their acceptance (or rejection) of mobile phone eHealth? • How do individuals explain the contribution of their perceptions towards their acceptance (or rejection) of mobile phone eHealth? • What types of perceptions contribute to the acceptance of mobile phone eHealth? • What types of perceptions contribute to the rejection of mobile phone eHealth?

10. It helps to have a framework • Looked at other dissertations • Looked for templates that work for me

11. Theory • Helped me shape my research questions • Analytics Generalizations helped me to work from • Theory: The common theme among the theories is that individual, subjective perceptions of innovations shape acceptance and adoption behavior. • Respectively, they include the Theory of Planned Behavior, Diffusion of Innovations theory, the Technology Acceptance Model and the Unified Theory of Acceptance and Use of Technology. http://research.jeffloo.com

12. Lit review • * Research prospectus (repro.doc) • 1. What is health information behavior? (infbe.doc) • 2. How does information influence health behavior change? (hebe.doc) • 3. What is cell phone eHealth? (ehe.doc) • 4. Mobile phone behavior, uses and features (mobe.doc) • 5. Individual acceptance of technology innovations: theory and perspectives (thepe.doc) • http://research.jeffloo.com

13. Writing • Parkinson’s law • Precondition to good writing is writing when you don’t feel like it … • “thinking on paper”

14. Methodology • Qualitative versus quanitative • Quantitative defined • Qualitative defined • Relevance to health research • Comprehending health beyond the clinical and objectively measured elements – advancing a holistic u derstanding of health • Complement quantiative research by proposing hypotheses for testing • Incrasingly peopular I health services andpolicy research • Anecdotes fit into how health prfoessionals learn • Relevance tomoble phone eHealth research • Exploratory • Holistic view is helpful to understanding new emerging technologies especially people’s responces to it

15. Question my biases • Understanding the question, it led to a methodology

16. Case study • Define case • A case study is "an empirical inquiry that: • investigates a contemporary phenomenon within its real-life context, especially when • the boundaries between phenomenon and context are not clearly evident" (Yin, 2003) • Creswell defines the "case" in case studies as the "bounded system or the object of study” (2007).  It may be an event, a process, a program, or several people" (Creswell, 2007).  • Boundaries and parameters • Subjective and individual perceptions of mobile phone eHealth can be studied in order to understand the acceptance of this innovation. • Different groups of health consumers based on criteria

17. Acknowledging researchers role • Biases  medical librarian, positive bias, but this can be used to my advantage • Ethics  IRB • Internationl  internaitonl perspective

18. Fostering research quality • Four markers of quality in empirical social research include (Yin, 2003): • Construct validity: Are operational measures correctly used for studying the key concepts? • Internal validity: In studies that explain or identify causality, it is important to identify causal relationship between conditions that are clearly distinguished from spurious relationships. • External validity: Examining the domains to which the findings may be generalized • Reliability: Can the study procedures be repeated with the same results? • Table 7 summarizes the tactics for research quality in this study. • Table 7 Case study tactics for research quality (adapted from the work of the COSMOS Corporation as interpreted by Yin (2003)) • <see table 7> TestsCase study tacticPhase of research in which tactic occursConstruct validityUse of multiple sources of evidenceEstablish chain of evidenceHave key informants review draft case study reportData collection and compositionInternal validityDo pattern-matchingDo explanation-buildingAddress rival explanationsData analysisExternal validityUse replication logic in multiple-case studiesResearch designReliabilityUse case study protocolDevelop case study databaseData collection • The tactics for construct validity and reliability are explained in section ‎12. • The tactics for internal validity are explained in section ‎19.1. • External validity is cultivated via replication logic.

19. Data to be collected • Documentation • Qualitative research studies • Poupular media • Interviews • Physical artifacts • Principles for data collection • Multiple sources of evidence • Case study database • Maintaining a chain of evidence

20. Participants • Case #Experience with mobile phone eHealth?Professionalwork experience in the information field?Professionalwork experience in the healthcare field?Clear indication of a medical or behavioral condition that stands to benefit from mobile phone eHealth?Number of participants1NoFlexibleFlexibleFlexibleUp to 5 undergraduate students2NoYesFlexibleFlexibleUp to 5 participants3NoFlexibleYesFlexibleUp to 5 participants4NoFlexibleFlexibleYesUp to 10 patients with chronic health or behavioral conditions (e.g., asthma, obesity, arthritis, mental illness, smoking, etc.)5NoFlexibleFlexibleFlexibleUp to 10 additional health consumers6YesFlexibleFlexibleFlexibleUp to 10 participants

21. Recruitment of participants • Purposeful • Canada • Online – google Ads

22. Financial compensation • PayPal

23. Interview • In-person: digital audio recorder • Email: no need for transcription • Telephone – skype, record on the computer • 2 protocols: with and without experience

24. Data analysis • Transcription 1 hour of tape takes me 4 hours • Coding • Organic process, • Representing this data • Miles and Huberman book, MaxQDA, Odum has classes

25. Writing • Wolcott, write as you go • Other dissertations • Templates • Memos, think on paper

26. Art break