Assessing patient and caregiver intent to use mobile device videoconferencing for remote mechanically-ventilated patient management

<p>The Michigan Medicine adult Assisted Ventilation Clinic (AVC) supports patients with neuromuscular disorders and spinal cord injuries and their caregivers at home, helping them avoid expensive emergency department visits, hospitalization, and unnecessary or excessive treatments. Mobile device videoconferencing provides an effective capability for remote mechanically-ventilated patient management but must rely upon an unknown infrastructure comprising patient and caregiver mobile device ownership, connectivity, and experience—and <em>intent to use</em> the service if provided. The purpose of this study was to measure the extent of this infrastructure and the <em>perceived ease of use, perceived usefulness</em>, and <em>intent to use</em> this mobile device capability using a questionnaire based on the technology acceptance model (TAM).</p> <p>Of 188 patients and caregivers asked, 153 (<em>n</em> = 153) respondents completed a questionnaire comprised of 14 demographic and 24 Likert-type questions. Inferential results indicated a significant correlation between <em>perceived ease of use</em> (PEU) and <em>perceived usefulness</em> (PU) of mobile devices in remote care and their <em>intent to use</em> them (sig. < .001). Also, mobile device <em>own/access</em> significantly correlated with PEU and PU (p = .003 & .004, respectively), but not <em>intent to use</em>. No single demographic variable (age, distance to AVC, diagnoses, mobile device experience, tracheostomy, etc.) significantly correlated with <em>intent to use</em>. Descriptive results indicated a significant patient/caregiver provided infrastructure: 96% have cellular/WiFi/Internet access, 91% own or have access to mobile devices, 77% have downloaded apps, 68% have used videoconferencing, and 80% own between two and five ICT devices.</p>

Name thesis:degree_name

Doctor of Psychology (PsyD)

Level thesis:degree_level

Open Access Dissertation

Discipline thesis:degree_discipline

College of Technology

Year dc:date.available

2017

Author dc:creator

• Smith, Brian R.

Contributors dc:contributor

• John C. Dugger III, PhD, Co-Chair
• Dorothy K. McAllen, PhD, Co-Chair
• Bilquis J. Ferdousi, PhD

• mechanically-ventilated
• m-health
• mobile devices
• neuromuscular diseases
• spinal cord
• telemedicine
• Information Security
• Medicine and Health Sciences
• Science and Technology Studies

Repository record dc:identifier

https://commons.emich.edu/theses/723

OAI identifier oai:identifier

oai:commons.emich.edu:theses-2102