Roger's Diffusion Research Articles

Physicians' perception toward non-invasive prenatal testing through the eye of the Rogers' diffusion of innovation theory in China.

Physicians' attitudes and adoption behavior toward the delivery of prenatal tests take vital significance for its influence on their professional practice and patient acceptance. This study aimed to identify how physicians have perceived the diffusion of non-invasive prenatal testing (NIPT) in China. A cross-sectional study was conducted from July 2016 to October 2016 in Shanghai, and Fujian and Sichuan Provinces in China. Physicians working on prenatal screening completed a self-report questionnaire. Following Roger's diffusion of innovation model, multivariable logistic regressions were performed separately for the following key elements of the theory which influence diffusion: physician-perceived attributes of NIPT, communication channels, the nature of the social system, the extent of change agent (who introduces innovations into a society), promotion efforts, and physicians' benefits from adopting NIPT. Most specialists had a positive attitude (53.2 percent) toward NIPT, whereas 58.9 percent of physicians had already adopted NIPT in their clinical practice. Physician adoption of NIPT was positively associated with the strength of HTA evidence (p = .03), perceived communication frequency with colleagues (p = .04), adoption by other physicians (p = .07), hospital competition (p = .06), hospital teaching status (p = .02), perceived for-profit genetic testing company's promotion (p < .001), and perceived clinical practice skill improvement (p = .02). However, the adoption behavior toward NIPT may be negatively associated with physician-perceived ethical concerns of NIPT (p = .06). Obstetricians and gynecologists' positive perceptions facilitate the adoption of NIPT. Combined with cost-effectiveness analysis of prenatal screening methods, health policy makers can promote the adoption of appropriate, cost-effective prenatal screening in pregnant women.

Exploring Producer Innovation Adoption Using an Extension-Led Trialing Program

On-farm bacteriologic culturing (OFBC) provides quick and inexpensive mastitis diagnosis, but commercial adoption of this innovation has been low in Mississippi. We implemented an Extension-led trialing program to identify reasons for producers' lack of OFBC adoption, explore change in producers' knowledge and perceptions of OFBC, and assess the effectiveness of the program relative to OFBC adoption. Most producers were unaware of OFBC initially but identified several benefits after trialing it for 30 days. The methodology for designing and implementing a trialing program based on Rogers's diffusion of innovation framework was effective and could be replicated easily in other contexts.

LMS Augmentation to Encourage Pro-Digital Training in Smart Cities - The Case of Dubai

Despite using all kinds of digital instruments, Smart Learning Suites (SLS) do not reflect their effectiveness where delivered contents need a methodology, motivation mechanisms, automated follow-up, such as engineering and IT discipline to name a few. In this work we examine the teacher-paced, student-paced lesson delivery framework augmenting web-based progressive and natural methodology into an open source LMS, widely known as Moodle. The thesis explores student’s adaptation as a cooperative learning tool to the e-learning environment. Our qualitative approach analyze forum contents available online and profiling 150 multi-ethnic undergraduates at different Dubai universities. Response is collected over two-folds, either interactive or social groups presenting students with immersion and perceived reinforcement developed in subjects. Roger Diffusion Innovation Model (RDIM) is used to tag the attitude on the part of student use case over core discipline subjects.

Show Me the Money! Process Modeling in Pharma from the Investor’s Point of View

Process modeling in pharma is gradually gaining momentum in process development but budget restrictions are growing. We first examine whether and how current practices rationalize within a decision process framework with a fictitious investor facing a decision problem subject to incomplete information. We then develop an algorithmic procedure for investment evaluation on both monetary and diffusion-of-innovation fronts. Our methodology builds upon discounted cash flow analysis and Bayesian inference and utilizes the Rogers diffusion of innovation paradigm for computing lower expected returns. We also introduce a set of intangible metrics for quantifying the level of diffusion of process modeling within an organization.

Environmental sustainability innovations in the accommodation sub-sector: Views from Lilongwe, Malawi

ABSTRACTRising calls on sustainable practices ignited the need for hotels to develop innovative and sustainable ideas and approached to conserve the environment. This paper examines and discusses the existence and application of innovative sustainable environmental practices within Malawi hotels. Qualitative approaches were adopted to collect the data from public and private actors in the accommodation sub-sector. The Rogers Diffusion of Innovation Theory was used to determine the most prevalent reason for adopting an innovation strategy within some of the hotels in Lilongwe. It is reviewed that to a lesser extent some hotels adopted innovative strategies in water and energy use, waste management and hotel design. The collaborative effort between the government and private sector and the strengthening of the implementation of sustainability policies is recommended to promote environmental sustainability innovation. These views have been discussed within the broader discourse on environmental sustainability and innovations within hotels, in the Sub – Saharan African context.

Collaborative Innovation in Professional Sport Stadium Construction: An Event History Analysis

This study identifies and empirically tests a variety of potentially important deter-minants influencing new stadium construction adoption from both a team and government perspective, while also accounting for the role of diffusion effects in new stadium construction. The sample consists of 28 Major League Baseball (MLB) franchises in 26 cities in the U.S. Given the longitudinal nature of the stadium con-struction process, event history analysis (EHA) was employed as the primary sta-tistical method. Overall, 48% of the variance was explained by the research model. Diffusion effects (measured as divisional diffusion and regional diffusion) were found to be the most meaningful to construction adoption. The significance of this study rests in its focus on identifying and empirically testing factors influencing the adoption of sport stadium construction from the perspectives of professional sport teams and governing bodies. The empirical results support Rogers (2003) diffusion of innovation theory and provide useful information to both sport managers and governments officials on key factors (e.g., diffusion effects) that may increase the prospect of stadium construction adoption.

Modeling the Diffusion of Private Pension Provision

Abstract The purpose of this paper is threefold: to adapt the innovation diffusion models to describe and predict the diffusion of private pension provision; to evaluate the suitability of diffusion models based on the historical data from the Romanian and Ukrainian voluntary pension systems; and to compare the diffusion parameters of private pension provision in these countries. The study proven that diffusion models, such as the Rogers model and the Bass model, can reproduce the diffusion of innovations in the field of pensions. The Rogers diffusion parameters for Romania and Ukraine are almost identical; this gives grounds for a conclusion about the similar behavioral patterns in post-socialist countries. However, some limitations on models use are noted. During the crisis and when using the nudge mechanism, models are not always well-fitting, but when new pension schemes are introduced or new pension funds are opened, models can be used in “guessing by analogy”.

Empirical Investigation of Islamic Banking Adoption in Brunei

The main objective of this study is to explore the understanding level of various Islamic banking concepts and determine the factors that impact the adoption of Islamic banking services in Brunei. The impact of thelevel of understanding, relative advantage, compatibility, complexity, observability, uncertainty, and service quality was examined through Rogers (2003) Diffusion of Innovation. The study adopted quantitative approach; data were collected through a self-administrated questionnaire from 245 bank customers located in Brunei’s Muara district.The findings predicted that understanding level of various Islamic banking concepts was below average among Islamic bank customers. The multiple regression analysis predicted that understanding, relative advantage,compatibility, complexity, observability, uncertainty and service quality has apositive impact on theadoption of Islamic banking services.

Impact of a Professional Development Experience Focused on Extension Educators as Change Agents

Extension educators should think of themselves as change agents, yet many act as information dispensers. Accordingly, we sought to determine whether we could change perceptions of county Extension educators in Oklahoma regarding their function as change agents. Educators participated in a two-part (two-treatment) professional development experience involving a workshop and a computer simulation. The experience was grounded in Rogers's diffusion of innovations theory and addressed nine established Extension educator change-agent roles. Participants ranked the importance of the roles prior to the experience and again following each treatment. Their perceptions changed regarding only the "Alternative Delivery Systems" role. We explore the imperative to improve Extension agents' understanding of how to be change agents.

Evaluating the adoption of evidence-based practice using Rogers's diffusion of innovation theory: a model testing study.

Background: Despite the emergence and development of evidence-based practice (EBP) in recent years, its adoption continues to be limited. This study used Rogers’s diffusion of innovation theory to identify the factors that advance EBP adoption, determine the process by which such adoption occurs, and develop an EBP adoption model.Methods: This descriptive correlational study with model testing design conducted in 2015.Data were collected from 482 individuals (322 nurses and 160 nursing students) applying a demographic information questionnaire, a standard scale for the perception EBP attributes, an EBP scale, and an individual innovation inventory. The relationships between variables we reexamined by path analysis.Results: The results showed that EBP adoption had a significant positive relationship with individual innovation (r = 0.578, P < 0.001), knowledge (r = 0.657, P < 0.001), attitude (r = 0.623,P < 0.001), and age (r = 0.357, P < 0.001). The findings of path analysis indicated that the goodness of fit indices such as goodness of fit index (GFI) = 0.999, comparative fit index (CFI)= 0.999, root mean square error of approximation (RMSEA) = 0.036 were in the ideal ranges.Knowledge (total effect=0.309, P < 0.001), attitude (total effect = 0.372, P = 0.002), and work experience (total effect=0.321, P = 0.003) had the highest coefficient in the model.Conclusion: The results suggested that EBP adoption was influenced by various factors, such as individual innovation, attitude, knowledge, and the perception of EBP attributes. Among these factors, attitude had the greatest effect on EBP adoption. The findings can serve as a guide for the identification of factors that effectively influence EBP adoption. They can also be used as bases for the design of training programs intended to enhance the adoption of EBP.

Factors predicting sustainability of the schoolwide positive behavior intervention support model

ABSTRACTThe Schoolwide Positive Behavior Intervention Support model (SWPBIS) continues to gain widespread use across schools in the United States and abroad. Despite its widespread implementation, little research has examined factors that influence its sustainability. Informed by Rogers's diffusion theory, this study examined school personnel's perceptions of the attributes of SWPBIS that predict its sustainability. These attributes include relative advantage, compatibility, complexity, trialability, and observability. Participants were school personnel employed in schools implementing SWPBIS. Results indicated that the relative advantage and observability of SWPBIS may predict its sustainability. These results led to some important implications for practitioners involved in the implementation of the SWPBIS. Limitations and recommendations for future research are also provided.

Can India get to 25 billion retail digital transactions in 2017–18?

The government of India has set a target of 25 billion retail digital transactions for the year 2017–18 and is pushing all agencies to work towards this goal. This is an ambitious goal when one considers that India had only 9.6 billion retail digital transactions in the year 2016–17. This paper examines the last 10 years of payment system data to establish trends and identify when India is likely to reach this target of 25 billion retail digital transactions. It also examines where India stands on the Rogers diffusion innovation curve with regard to the adoption of digital payments. Drawing on statistics from the Committee on Payments and Market Infrastructures, the paper discusses aspects that support the adoption of digital payments. It then proposes strategies for how India could meet the government’s goal more quickly, including pricing decisions, reducing taxation, widening access and tapping specific market segments. While this paper focuses on India, the strategies are applicable to any developing country interested in strengthening digital payments.

General Surgeon’s Antibiotic Stewardship: Climbing the Rogers Diffusion of Innovation Curve

General Surgeon’s Antibiotic Stewardship: Climbing the Rogers Diffusion of Innovation Curve

Modelling social influence and cultural variation in global low-carbon vehicle transitions

We present a unique and transparent approach for incorporating social influence effects into global integrated assessment models used to analyse climate change mitigation. We draw conceptually on Rogers (2003) diffusion of innovations, introducing heterogeneous and interconnected consumers who vary in their aversion to new technologies. Focussing on vehicle choice, we conduct novel empirical research to parameterise consumer risk aversion and how this is shaped by social and cultural influences. We find robust evidence for social influence effects, and variation between countries as a function of cultural differences. We then formulate an approach to modelling social influence which is implementable in both simulation and optimisation-type models. We use two global integrated assessment models (IMAGE and MESSAGE) to analyse four scenarios that introduce social influence and cultural differences between regions. These scenarios allow us to explore the interactions between consumer preferences and social influence. We find that incorporating social influence effects into global models accelerates the early deployment of electric vehicles and stimulates more widespread deployment across adopter groups. Incorporating cultural variation leads to significant differences in deployment between culturally divergent regions such as the USA and China. Our analysis significantly extends the ability of global integrated assessment models to provide policy-relevant analysis grounded in real world processes.

Ready or not? Pharmacist perceptions of a changing injection scope of practice before it happens.

Since 2012, Ontario pharmacists have been authorized to administer the influenza vaccine. In April 2016, the Ontario College of Pharmacists (OCP) proposed to expand the Pharmacy Act to allow pharmacists to vaccinate against 13 additional conditions. The OCP held an online public consultation and invited pharmacists, members of the public and organizations to weigh in on the proposed changes. Our objective was to explore the factors influencing how Ontario pharmacists may adopt or reject an expanding scope of practice, using data from the public consultation. We coded the responses to the public consultation in 2 ways: 1) sentiment analysis and 2) an integrative approach to coding using Rogers's diffusion of innovations theory across 5 domains: relative advantage, compatibility, complexity, trialability and observability. Responses from pharmacists, the public and organizations were moderately positive on average. Pharmacists most commonly mentioned relative advantages, including benefits for patients, pharmacists, physicians and the health system. Positive responses focused on accessibility for patients, improved vaccine coverage, lower health care spending and freed physician time but cited lack of prescribing privileges as a barrier to the proposed changes. Negative responses focused on increased workload, patient safety concerns and the complexity of travel medicine. The expanded immunization services are likely to be well received by most pharmacists. Convenience and accessibility for patients were commonly cited benefits, but the changes will be only a slight improvement over the current system unless pharmacists can prescribe these vaccines. Although employers responded positively, the question remains whether they will support pharmacists in a way that aligns with pharmacists' values and expectations. Decision makers must pay close attention to the pharmacy infrastructure and how this will affect uptake of these services. Recognition of this, combined with pharmacists' positive perceptions of the expanded scope, will facilitate smooth integration of this legislation into Ontario pharmacy practice.

Adoption of dental innovations: The case of a standardized dental diagnostic terminology

BackgroundStandardized dental diagnostic terminologies (SDDxTs) were introduced decades ago. Their use has been on the rise, accompanying the adoption of electronic health records (EHRs). One of the most broadly used terminologies is the Dental Diagnostic System (DDS). Our aim was to assess the adoption of SDDxTs by US dental schools by using the Rogers diffusion of innovations framework, focusing on the DDS. MethodsThe authors electronically surveyed clinic deans in all US dental schools (n = 61) to determine use of an EHR and SDDxT, perceived barriers to adoption of an SDDxT, and the effect of implementing an SDDxT on clinical productivity. ResultsThe response rate was 57%. Of the 35 responses, 91% reported using an EHR to document patient care, with 84% using axiUm; 41% used the DDS. Fifty-four percent of those who did not use an SDDxT had considered adopting the DDS, but 38% had not, citing barriers such as complexity and compatibility. ConclusionsAdoption of an SDDxT, particularly the DDS, is on the rise. Nevertheless, a large number of institutions are in the Rogers late majority and laggards categories with respect to adoption. Several factors may discourage adoption, including the inability to try out the terminology on a small scale, poor usability within the EHR, the fact that it would be a cultural shift in practice, and a perception of unclear benefits. However, the consolidation of the DDS and American Dental Association terminology efforts stands to encourage adoption. Practical ImplicationsThe successful adoption of dental innovation depends not only on the intrinsic merit of the innovation, as some useful innovations do not achieve widespread traction. As such, it is important for health care providers to understand how to disseminate their ideas in order to ensure traction and widespread adoption.

General surgeon's antibiotic stewardship: Climbing the Rogers Diffusion of Innovation Curve-Prospective Cohort Study

IntroductionThe primary aim of this study was to establish concordance of general surgeon's prescribing practice with local IV-oral antibiotic guidelines. The secondary aim was to evaluate the effect of introducing educational antibiotic measures. The Rogers Diffusion of Innovation Model was used to explore the adoption of antibiotic stewardship practices. MethodsIn this prospective, cohort study, data was collected on 100 pre and 100 post awareness intervention programme patients. The educational intervention comprised raising awareness of a) the guidelines b) pre-intervention results c) introducing an IV-oral antibiotic prompt sheet. The concordance with local guidelines was compared between pre- and post-intervention groups using Fisher's Exact Test or Pearson's Chi Test (SPSS Statistics V22). ResultsThe concordance of general surgical doctors with local IV-oral antibiotic guidelines was poor and did not improve significantly following the awareness intervention programme. There was no uptake of the antibiotic prompt sheet. There was a trend towards increase in the number of patients switched from IV to oral antibiotics at 48–72 h and significant increase (p < 0.05) in number of patients with clearly documented intention to review IV antibiotics. ConclusionAntibiotic governance measures failed to inspire even an initial group of innovators to use the antibiotic prompt sheets. It appears educational measures are effective in improving prescribing behavior and intent amongst a group of early adopters, but this fails to reach a critical mass. In order to improve antibiotic governance and embark upon the Rogers Diffusion of Innovation Curve, more must be done to engage general surgical doctors in timely, judicious antibiotic prescribing.

Electronic word-of-mouth, box office revenue and social media

The influence of eWOM differs by period, based on the social media characteristics.Twitter is relatively influential on movie revenue in the initial stage of opening.Twitter shows high immediacy and diffusibility characteristics.Online review sites are relatively influential on movie revenue in the late stage.Online review sites show the characteristics of high persuasion. We investigate how electronic word-of-mouth through different types of social media impacts of box office revenue across different phases of movie screening based on Roger's innovation diffusion model. We collected daily electronic word-of-mouth for movies from February to October 2012 from Twitter, Yahoo!Movies, YouTube, and blogs. The results indicate that Twitter influences on box office revenue were greater in the initial stage of a movies opening, because of its high immediacy and diffusion characteristics. Yahoo!Movies was more influential in the late stage of a movies opening because of high persuasion characteristics. Since blogs and YouTube contain characteristics of mass media and interpersonal communication media, we found that there were no differences for the impacts of blogs and YouTube on box office revenue between the initial and later stages.

A Retrospective on the Vision for Progress in Community Health Partnerships: Research, Education, and Action.

The organizers founded Progress in Community Health Partnerships with a commitment to improving our understanding of community-based participatory research (CBPR) and its use in community-academic/institutional health partnerships. Following Rogers's Diffusion of Innovations, they reasoned that expanded adoption would occur through academic and community partner recognition of CBPR's relative advantage over previous approaches; its compatibility with the values, past experience and needs of potential adopters; its ease of understanding and use; its capacity for experimentation and refinement; and its production of observable results. We now assess the journal's progress toward realizing the vision, as well as issues and problems the organizers identified. We map the journal's content over its first decade onto the initial vision by examining the record of submissions and publications across the eight types of articles and the journal's record of rejections and publications. In remembering that Rogers's study of innovations requires both technical and social change, we discuss the difference between understanding how to do something and actually putting an innovation into action that becomes standard practice at both individual and systemic levels. We observe that the large number of Original Research and Works-in-Progress/Lessons Learned manuscripts, submitted and published, reflect traditional expectations for faculty research productivity. We suggest that sustainability, which rated of lower importance within the initial vision, has gained in importance among community and academic partners; however, it will gain added attention only with changed university expectations of researchers. We further suggest that the study of partnerships involved in researching and improving public health should be expanded beyond the current focus on CBPR.

Successful Implementation of New Technology Using an Interdepartmental Collaborative Approach

The implementation of new technology is vital to the success of health care organizations. New technology provides health care organizations an opportunity to obtain new patients, increase revenue, and stay competitive. In 2014, a union hospital in Southern California successfully implemented a bronchial thermoplasty program. To implement this new technology, the administration created a strategy, identified financial risks and benefits, created an implementation model, established a plan based on Lewin's change model and Roger's diffusion of innovations theory, and recognized adult learning needs through an interdepartmental, open communication, and collaborative approach. In addition, the implementation of the bronchial thermoplasty program allowed the organization to meet the goals, mission, and vision of the organization, which is key to remaining viable and marketable.