This study investigated population characteristics that influencing treatment service use of people who are voluntarily using drug dependency treatment services by using logistic and hierarchical regression analysis. The research model of the current study was driven by the framework of the 'the Behavioral Model of Health Services Use(the Andersen model)' that has been broadly applied to study on health behavior. This study used data from a sample group of 80 adults by using purposive sampling. This study found that some predisposing factors, enabling factors and need factors have direct effects on service use. In detail, individuals who graduated from high school use drug dependency treatment utilities more than those who did not. Further, individuals who were given more support from family, peers, or others, use the treatment utilities more frequently and were more willing to use the utilities continuously. Furthermore, the greater the perceived need felt by the dependent, the greater the tendency to enter hospitals or shelters. The important implications of this study for social work practice and social policy can be summarized as follows: first, this study supports the idea that intervention for drug dependents in Korea should be focused on environment resources rather than population characteristics; and government must support drug dependent treatment systems; the present study was the first to investigate Korean drug dependents through taking a more positive view, as well as the first to apply 'the Behavioral Model of Health Services Use', and as such represents an example of how studies could be productively conducted in the future. Despite these implications, there remain some limitations in this study. These include the following: limitation in generalizability of the results; the cross-sectional nature of the study design; survey research through the questionnaire method; using foreign scales; and the difficulty of classifying treatment settings.
Contact-tracing applications have significantly contributed to mitigating the spread of coronavirus disease 2019 (COVID-19), yet the extensive use of these location-based applications raises serious privacy concerns. Drawing on the Information-Motivation-Behavioral (IMB) skills model, our study investigated factors that influence users' protective behaviors toward location privacy, elucidating the privacy paradox and the mediating role of implementation intention. Through an online survey conducted in China with 311 participants, we found that privacy concerns and privacy awareness positively affected the use of mobile location service settings, with privacy concerns mediating the relationship between privacy awareness and the intention to protect privacy. Furthermore, our study demonstrated the privacy paradox, revealing the pivotal mediating role of implementation intentions in bridging the gap between users' intentions and their actual behaviors. This study offers new perspectives on the privacy paradox, particularly through the lens of implementation intention, and provides valuable insights for motivating greater use of contact-tracing applications. It offers both theoretical and practical guidance for stakeholders to address privacy concerns during global pandemics like COVID-19, thereby encouraging a more widespread and responsible engagement with technology in public health.
KIM, Han-Kyoul;Kim, Sung Kuk;Shim, Hyun-Jin;Lee, Hee Myung;Rhee, Hyunsill
Journal of Digital Convergence
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v.15
no.4
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pp.327-337
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2017
The purpose of this study is to identify the current state of paid care services and to identify the factors that affect the utilization of private nursing services. This study constructed and utilized the Korean Health Panel data (2011-2014) in the form of panel data, and selected 5,110 patients who had experience using one or more hospitalization services per year. STATA 12.0 SE was used for data processing and analysis of this study. Frequency analysis was performed to confirm basic characteristics of hospitalized patients. Cross-analysis and t-test were conducted to confirm the status of paid care services according to characteristics. Respectively. Finally, panel logistic regression was performed by applying a hierarchical method to stepwise modeling the three categories of Andersen's Behavioral Model to identify factors affecting the use of paid care services for inpatients. The results showed that the use of paid nursing services was higher in women, elderly, long - term hospitalized and disabled. On the other hand, significant household income variables in private employment did not show significant results. The results of this study are expected to be used as basic data for the selection of the nursing care integrated services under discussion. In addition, detailed discussions on the selection of subjects should be made in the future.
KSII Transactions on Internet and Information Systems (TIIS)
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v.18
no.10
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pp.2857-2871
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2024
The research studied college students who are potential telemedicine users but have been relatively under-researched. Considering the characteristics of telemedicine technology and traditional medical services, we developed a research model that used UTAUT and the Behavioral Model of Health Service Use as a theoretical framework and added trust and privacy concerns that reflect the unique characteristics of telemedicine. To examine the research model, we conducted a survey, and the respondents were recruited from the online community for college students. The survey questionnaire included performance expectancy (usefulness, convenience, cost-saving), effort expectancy, social influence, trust, privacy concerns, health status, health anxiety, and demographic information. 166 data were collected, and we used SPSS Statistics and SmartPLS to analyze the measurement and structural models. Determinants of telemedicine acceptance were analyzed as usefulness, convenience, cost-saving, social influence, and trust. In addition, we conducted a multi-group analysis by gender and found that social influence had a stronger effect on female students' intention to accept telemedicine. Based on the results, this study investigates college students' motivations and personal characteristics affecting telemedicine acceptance and the mechanisms involved in how these factors lead to stronger acceptance intention.
The purpose of this study is to identify the major predictive factors of intention of drug users to use treatment services. The theoretical framework was used extended Behavioral Model of Health Services Use which integrates the Andersen model and the Theory of Planned Behavior. Thus, this study examined the effects of individual characteristics(predisposing, enabling, need factor) and attitude, subjective norm, perceived behavior control on drug users' intention to use treatment services. Factors with a statistically significant effect were as follows: from the individual characteristics - gender and past treatment experiences of the predisposing factors along with psychiatric diagnosis, anxiety and depression, and severity of drug abuse of need factors. From the Theory of Planned Behavior - subjective norm and perceived behavior control turned out to have impacts on their intention to use treatment services. The study emphasizes that a concern of women, increasing positive experiences of treatment, efforts to change the subjective norms and perceived behavior control of drug users to promote their determination to get treatment.
International Journal of Computer Science & Network Security
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v.21
no.4
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pp.313-324
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2021
This study empirically investigates the factors influencing the intention to accept mobile technology in Saudi healthcare service delivery using the extended unified theory of acceptance and use of technology model (UTAUT) with perceived reliability and price value. Accordingly, a conceptual model combining behavioral constructs with those linked to the technology acceptance model is developed. This model aims to identify factors that predict patients' acceptance of mobile technology healthcare service delivery. The developed model is examined using responses obtained from a survey on 545 participants receiving healthcare services in Saudi Arabia. Thus, we have conceptualized the developed model and validated seven hypotheses involving key constructs. Results suggest that performance expectancy, effort expectancy, social influence, facilitating conditions, price value, and perceived reliability are direct predictors of user behavior to accept mobile technology in healthcare service delivery. The results provide empirical evidence to the literature on the effect of facilitating conditions and effort expectancy on mobile health (mHealth) adoption. The results show that the COVID-19 pandemic has significantly increased the adoption of mHealth services in Saudi Arabia.
The purpose of this study was to comprehensively investigate predictive factors influencing on geriatric depression of the elderly by applying the Andersen's Behavioral Model of Health Service Use,. The research data was focused on the final analysis of 3,585 elderly population aged 65 or older among 21,724 participants in the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. Hierarchical logistic regression analysis was conducted to multivariate analysis method of the variables for possible depression by the Andersen's Behavioral Model of Health Service Use. As a result of hierarchical regression analysis, there was a negative correlation of 0.49 times(0.31-0.78) for males. In addition, there was a positive correlation of pain 1.56 times(1.05-2.31), stress 0.55 times(1.10-2.19), walking exercise 1.44 times(1.03-2.00) and outpatient use 1.48 times(1.10-1.98). Therefore, differentiated support according to the gender of the community residents is necessary, and stress intervention or additional support for exercise is required.
Objectives: Recent studies have shown that tailored messages for cancer screening to the beliefs and stage of cancer screening behavior of individual women increases the take-up probability. Many studies on cancer screening have used the Transtheoretical Model (TTM) to identify variables associated with cancer screening behavior. This study was carried out to identify the cognitive-behavioral factors associated with stomach cancer screening among women aged 40 years and over, and to develop and evaluate a tailored educational program for stomach cancer screening by stages of change. Methods: Building on the TTM constructs, we conducted a quasi-experimental study(N=283) to test the effectiveness of a tailored educational program for endoscopic stomach cancer screening. We carried out pre and post tests in the experimental group(N=162) and the control group(N=121), and the experimental group was subdivided into an on-line group(N=81) and an off-line group(N=81) by educational methodology using e-mail and the postal service. We used the chi-square test, trend test, and paired t-test to test the effectiveness of the program for stomach cancer using a tailored stage-matched messages. Results: To examine the effectiveness of the program for stomach cancer screening by the tailored stage-matched messages, the stage-matched materials were offered to the experimental group(N=162) four times for 4 weeks. The stage-matched materials consisted of the four types for stomach cancer. The tailored message was effective in changing the cognitive-behavioral factors, such as experience process, behavior process, con opinion for stomach cancer, self-efficacy, and the behavioral stages for stomach cancer screening. The stomach cancer screening adherence was higher for the stage-matched materials using postal mail than for those using e-mail. Conclusion: To improve the stomach cancer screening rate, the use of tailored messages for stomach cancer screening will be generated using an expert system. Therefore the implementation of tailored educational program will be supported a partnership between public and private health organizations and increasing awareness of the necessity of community-based interventions.
This study investigates the school resources and programs for health promotion services, especially in areas of smoking cessation and acohol-reducing. The health of students is very important because of students' long life-span remained and their impacts on the community. A three-stage survey model was established. Three stages include a current status of school health resources and programs, an attitude to get rid of health risks at school, and a behavioral intention to provide health promotion programs in the near future. Three hundred and thirty-six schools filled up and returned the questionnaire by mail. The results showed that the facility and personnel for health management are equipped sufficiently in general, except in rural area located, small sized, or middle schools. But provided programs are not good enough in both quantity and quality. Frequently, schools provide the programs such as advertisement, mass education by internal lecturers, and individual. counselling. The programs of special lectures, group activities or rather active use of suppresants are provided rarely, because of the lack of special knowledge or financial supports at school. However, behavioral intention to provide such programs was high. Therefore, the role of health department at school should be fortified. The health teachers need to be trained as a consultant, and the education materials need to be provided to them The school also need to be supported with external experts for special lectures or group activities. In conclusion, schools need to pay more attention to the health risk of students and develop the effective and efficient school health programs for students' health.
This study empirically analyzed the factors affecting satisfaction and consistent use of 'home training' on personal media service YouTube based on Post-Acceptable Model. To this purpose, data were collected from adult men and women with personal media service using experience. As for data analysis, frequency analysis, correlation analysis, confirmatory factor analysis, reliability analysis and path analysis were performed by using SPSS 21.0 and AMOS 21.0. The results of the study were as followed. First, using motivation of YouTube home training had a positive effect on usefulness. Second, health literacy had a positive effect on usefulness. Third, it was found that the expectation confirmation of the home training on personal media service positively influenced usefulness. Forth, expectation confirmation of the home training on personal media service had a positive effect on satisfaction. Fifth, usefulness had a positive effect on satisfaction. Sixth, usefulness had no significant effect on consistent use intention. Seventh, satisfaction had a positive effect on consistent use intention. Behavioral analysis with collective demographic factors and diverse analysis considering the differentiation of the personal media service are suggested for further research.
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