학술논문

Acceptance of smart sensing: a barrier to implementation—results from a randomized controlled trial
Document Type
article
Source
Frontiers in Digital Health, Vol 5 (2023)
Subject
smart sensing
digital health
acceptance
implementation
unified theory of acceptance and use of technology acceptance of smart sensing
Medicine
Public aspects of medicine
RA1-1270
Electronic computers. Computer science
QA75.5-76.95
Language
English
ISSN
2673-253X
Abstract
BackgroundAccurate and timely diagnostics are essential for effective mental healthcare. Given a resource- and time-limited mental healthcare system, novel digital and scalable diagnostic approaches such as smart sensing, which utilizes digital markers collected via sensors from digital devices, are explored. While the predictive accuracy of smart sensing is promising, its acceptance remains unclear. Based on the unified theory of acceptance and use of technology, the present study investigated (1) the effectiveness of an acceptance facilitating intervention (AFI), (2) the determinants of acceptance, and (3) the acceptance of adults toward smart sensing.MethodsThe participants (N = 202) were randomly assigned to a control group (CG) or intervention group (IG). The IG received a video AFI on smart sensing, and the CG a video on mindfulness. A reliable online questionnaire was used to assess acceptance, performance expectancy, effort expectancy, facilitating conditions, social influence, and trust. The self-reported interest in using and the installation of a smart sensing app were assessed as behavioral outcomes. The intervention effects were investigated in acceptance using t-tests for observed data and latent structural equation modeling (SEM) with full information maximum likelihood to handle missing data. The behavioral outcomes were analyzed with logistic regression. The determinants of acceptance were analyzed with SEM. The root mean square error of approximation (RMSEA) and standardized root mean square residual (SRMR) were used to evaluate the model fit.ResultsThe intervention did not affect the acceptance (p = 0.357), interest (OR = 0.75, 95% CI: 0.42–1.32, p = 0.314), or installation rate (OR = 0.29, 95% CI: 0.01–2.35, p = 0.294). The performance expectancy (γ = 0.45, p