Authors:	Hennemann, Severin Beutel, Manfred E. Zwerenz, Rüdiger
Title:	Drivers and barriers to acceptance of Web-based aftercare of patients in inpatient routine care : a cross-sectional survey
Online publication date:	10-Oct-2022
Year of first publication:	2016
Language:	english
Abstract:	Background: Web-based aftercare can help to stabilize treatment effects and support transition after inpatient treatment, yet uptake by patients seems limited in routine care and little is known about the mechanisms of adoption and implementation. Objective: The aim of this study was to (1) determine acceptance of Web-based aftercare and (2) explore its drivers and barriers in different subgroups of a mixed inpatient sample. Method: In a cross-sectional design, 38.3% (374/977) of the inpatients from a broad spectrum of diagnostic groups (psychosomatic, cardiologic, orthopedic, pediatric, and substance-related disorders) filled out a self-administered questionnaire prior to discharge. Drivers and barriers to patients? acceptance of Web-based aftercare were examined based on an extension to the ?unified theory of acceptance and use of technology? (UTAUT). In total, 16.7% (59/353) of the participants indicated prior use of eHealth interventions. Results: Acceptance (min 1, max 5) was low (mean 2.56, SD 1.22) and differed between diagnostic groups (Welch F4,133.10 =7.77, P<.001), with highest acceptance in adolescent patients (mean 3.46, SD 1.42). Acceptance was significantly predicted by 3 UTAUT predictors: social influence (beta=.39, P<.001), performance expectancy (beta=.31, P<.001), and effort expectancy (beta=.22, P<.001). Furthermore, stress due to permanent availability (beta=?.09, P=.01) was negatively associated with acceptance. Conclusion: This study demonstrated a limited acceptance of Web-based aftercare in inpatients. Expectations, social environment?s attitude, and negative experience with permanent availability influence eHealth acceptance. Improving implementation, therefore, means increasing eHealth experience and literacy and facilitating positive attitudes in patients and health professionals through education and reduction of misconceptions about effectiveness or usability.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 02 Sozialwiss., Medien u. Sport FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-7922
Version:	Published version
Publication type:	Zeitschriftenaufsatz
License:	CC BY
Information on rights of use:	https://creativecommons.org/licenses/by/2.0/
Journal:	Journal of medical internet research 18 12
Pages or article number:	e337
Publisher:	Healthcare World
Publisher place:	Richmond, Va.
Issue date:	2016
ISSN:	1438-8871 1439-4456
Publisher URL:	http://dx.doi.org/10.2196/jmir.6003
Publisher DOI:	10.2196/jmir.6003
Appears in collections:	DFG-OA-Publizieren (2012 - 2017)