Technology Acceptance Model Questionnaire Research Articles

Android-based Kasih Ibu application for postpartum mothers using the research and development method

Endorphin massage is a light massage technique performed to help milk production. The purpose of this study is to develop the application of Kasih Ibu as a medium of education that can support the application of Endorphin Massage. The method used in this study is Research and Development (RnD) with Brog and Gall models. The subjects of the research are two media experts, two material experts, and 40 postpartum mothers. The results showed that the validation test results from material experts averaged 92% and validation results from media experts averaged 87%, which showed that the Kasih Ibu application was very feasible to use. Test user validity using a TAM (Technology Acceptance Model) questionnaire. Small-scale trials resulted in 95% and large-scale trials resulted in 96% with the very Worth it category. The Kasih Ibu application as a medium of Education and Communication is very worthy of use and can be accepted by postpartum mothers.

Barriers to and Facilitators of Key Stakeholders Influencing Successful Digital Implementation of Remote Monitoring Solutions: Mixed Methods Analysis.

Implementation of remote monitoring solutions and digital alerting tools in health care has historically been challenging, despite the impetus provided by the COVID-19 pandemic. To date, a health systems-based approach to systematically describe barriers and facilitators across multiple domains has not been undertaken. We aimed to undertake a comprehensive mixed methods analysis of barriers and facilitators for successful implementation of remote monitoring and digital alerting tools in complex health organizations. A mixed methods approach using a modified Technology Acceptance Model questionnaire and semistructured interviews mapped to the validated fit among humans, organizations, and technology (HOT-fit) framework was undertaken. Likert frequency responses and deductive thematic analyses were performed. A total of 11 participants responded to the questionnaire and 18 participants to the interviews. Key barriers and facilitators could be mapped onto 6 dimensions, which incorporated aspects of digitization: system use (human), user satisfaction (human), environment (organization), structure (organization), information and service quality (technology), and system quality (technology). The recommendations proposed can enhance the potential for future remote sensing solutions to be more successfully integrated in health care practice, resulting in more successful use of "virtual wards." ClinicalTrials.gov NCT05321004; https://www.clinicaltrials.gov/study/NCT05321004.

Using mHealth to Improve Communication in Adult Day Services Around the Needs of People With Dementia: Mixed Methods Assessment of Acceptability and Feasibility.

Adult day services (ADS) provide community-based health care for older adults with complex chronic conditions but rely on outdated methods for communicating users' health information with providers. CareMOBI, a novel mobile health (mHealth) app, was developed to address the need for a technological platform to improve bidirectional information exchange and communication between the ADS setting and providers. This study aims to examine the feasibility and acceptability of CareMOBI in the ADS setting. A concurrent-triangulation mixed methods design was used, and participants were client-facing ADS staff members, including direct care workers (paid caregivers), nurses, and social workers. Interviews were conducted to describe barriers and facilitators to the adoption of the CareMOBI app. The acceptability of the app was measured using an adapted version of the Technology Acceptance Model questionnaire. Data were integrated into 4 themes as anchors of an informational matrix: ease of use, clinical value, fit within workflow, and likelihood of adoption. A mix of ADS staff (N=22) participated in the study. Participants reported high levels of acceptability across the 4 domains. Qualitative findings corroborated the questionnaire results; participants viewed the app as useful and were likely to implement CareMOBI in their practice. However, participants expressed a need for proper training and technical support throughout the implementation process. The CareMOBI app has the potential to improve care management in the ADS setting by promoting effective communication through an easy-to-use and portable method. While the integration of CareMOBI is acceptable and feasible, developing role-specific training modules and technical assistance programs is imperative for successful implementation within the ADS setting.

PillHarmonics: An Orchestrated Pharmacogenetics Medication Clinical Decision Support Service.

Pharmacogenetics (PGx) is increasingly important in individualizing therapeutic management plans, but is often implemented apart from other types of medication clinical decision support (CDS). The lack of integration of PGx into existing CDS may result in incomplete interaction information, which may pose patient safety concerns. We sought to develop a cloud-based orchestrated medication CDS service that integrates PGx with a broad set of drug screening alerts and evaluate it through a clinician utility study. We developed the PillHarmonics service for implementation per the CDS Hooks protocol, algorithmically integrating a wide range of drug interaction knowledge using cloud-based screening services from First Databank (drug-drug/allergy/condition), PharmGKB (drug-gene), and locally curated content (drug-renal/hepatic/race). We performed a user study, presenting 13 clinicians and pharmacists with a prototype of the system's usage in synthetic patient scenarios. We collected feedback via a standard questionnaire and structured interview. Clinician assessment of PillHarmonics via the Technology Acceptance Model questionnaire shows significant evidence of perceived utility. Thematic analysis of structured interviews revealed that aggregated knowledge, concise actionable summaries, and information accessibility were highly valued, and that clinicians would use the service in their practice. Medication safety and optimizing efficacy of therapy regimens remain significant issues. A comprehensive medication CDS system that leverages patient clinical and genomic data to perform a wide range of interaction checking and presents a concise and holistic view of medication knowledge back to the clinician is feasible and perceived as highly valuable for more informed decision-making. Such a system can potentially address many of the challenges identified with current medication-related CDS.

Exploring AI-mediated informal digital learning of English (AI-IDLE): a mixed-method investigation of Chinese EFL learners’ AI adoption and experiences

Recent advancements in natural language processing and large language models have ushered language learning into the age of artificial intelligence (AI). Recognizing the affordances of generative AI tools, this paper aims to examine the degree to which L2 learners accepted and leveraged large language model platforms (e.g. ChatGPT, Bing Chat) for the informal digital learning of English (IDLE) purposes. Employing an explanatory sequential mixed-method design, this study draws on the technology acceptance model (TAM) and collects data via an adapted TAM questionnaire and an interview guide. A total of 867 Chinese EFL (English as a foreign language) learners answered the online survey, while 20 attended the post-survey interviews. Drawing on a validated structural model that elucidates the inter-factor relationships of perceived ease of use, perceived usefulness, intention to use, and actual use, the quantitative analysis provides statistical accounts for EFL learners’ adoption of Generative Pre-trained Transformer (GPT) technologies. The qualitative findings, derived from the interview data, reveal three key themes: (1) how perceived usefulness of chatbots for IDLE emerges from hands-on experimentation with these tools; (2) how intention to use increases as learners negotiate chatbot affordances and constraints; and (3) how actual use of chatbots for IDLE involves using these tools as tutors or conversation partners. Connections between quantitative and qualitative findings enhance our understanding of how EFL learners negotiate the affordances and constraints of highly capable AI technologies to participate in creative IDLE practices. By understanding these practices, this study draws attention to the attitudes and practices that constitute AI literacies, ultimately offering implications for future classroom practices and research.

Involving Patients and Clinicians in the Design of Wireframes for Cancer Medicines Electronic Patient Reported Outcome Measures in Clinical Care: Mixed Methods Study.

Cancer treatment is a key component of health care systems, and the increasing number of cancer medicines is expanding the treatment landscape. However, evidence of the impact on patients has been focused more on chemotherapy toxicity and symptom control and less on the effect of cancer medicines more broadly on patients' lives. Evolving electronic patient-reported outcome measures (ePROMs) presents the opportunity to secure early engagement of patients and clinicians in shaping the collection of quality-of-life metrics and presenting these data to better support the patient-clinician decision-making process. The aim of this study was to obtain initial feedback from patients and clinicians on the wireframes of a digital solution (patient app and clinician dashboard) for the collection and use of cancer medicines ePROMs. We adopted a 2-stage, mixed methods approach. Stage 1 (March to June 2019) consisted of interviews and focus groups with cancer clinicians and patients with cancer to explore the face validity of the wireframes, informed by the technology acceptance model constructs (perceived ease of use, perceived usefulness, and behavioral intention to use). In stage 2 (October 2019 to February 2020), the revised wireframes were assessed through web-based, adapted technology acceptance model questionnaires. Qualitative data (stage 1) underwent a framework analysis, and descriptive statistics were performed on quantitative data (stage 2). Clinicians and patients with cancer were recruited from NHS Greater Glasgow & Clyde, the largest health board in Scotland. A total of 14 clinicians and 19 patients participated in a combination of stage 1 interviews and focus groups. Clinicians and patients indicated that the wireframes of a patient app and clinician dashboard for the collection of cancer medicines ePROMs would be easy to use and could focus discussions, and they would be receptive to using such tools in the future. In stage 1, clinicians raised the potential impact on workload, and both groups identified the need for adequate IT skills to use each technology. Changes to the wireframes were made, and in stage 2, clinicians (n=8) and patients (n=16) indicated it was "quite likely" that the technologies would be easy to use and they would be "quite likely" to use them in the future. Notably, clinicians indicated that they would use the dashboard to enable treatment decisions "with around half" of their patients. This study emphasizes the importance of consulting both patients and clinicians in the design of digital solutions. The wireframes were perceived positively by patients and clinicians who were willing to use such technologies if available in the future as part of routine care. However, challenges were raised, and some differences were identified between participant groups, which warrant further research.

An Impact-Centered, Sustainable, Positive Experience Design Model

The pursuit of sustainable well-being is one of the research objectives of positive experience design. Therefore, this paper aims to provide an impact-centered, sustainable, positive experience design model. First, the literature review method was used to define the research status and concept of impact-centered, sustainable design. Second, an impact-centered, sustainable, positive experience design model was constructed, and relevant formulas for concept generation and evaluation were proposed. Third, design verification was conducted through a workshop. Finally, the technology acceptance model questionnaire was used to evaluate and discuss the design model. An impact-centered sustainable positive design model was proposed, which included the important impact dimensions of sensory experience and meaningful experience on users’ qualities of life at different levels: healthy living (pleasure index and health behavior), harmonious community (social connectivity and social contribution), and livable environment (living environment and environmental contribution). Based on positive experience-related theory, this study takes long-term impacts as the starting point for a sustainable, positive experience design, which helps designers generate design concepts from a systematic and long-term perspective.

Measuring EFL learners’ use of ChatGPT in informal digital learning of English based on the technology acceptance model

ABSTRACT Purpose: This study aims to generate empirical insights into the extent to which ChatGPT, a highly capable AI chatbot building on OpenAI's GPT family, is perceived and leveraged by EFL learners beyond the classroom. Design/Methodology: This quantitative cross-sectional investigation draws upon the technology acceptance model (TAM) as developed by (Davis, F. D. 1989. “Perceived Usefulness, Perceived Ease of use, and User Acceptance of Information Technology.” Management Information System Quarterly 13 (3): 983–1003) to conceptualize EFL learners’ attitudes, intentions, and actual behaviors of using ChatGPT in their informal digital learning of English. A total of 405 EFL learners answered the revised TAM questionnaire with scales including Perceived Ease of Use, Perceived Usefulness, Attitude, Behavioral Intention, and Actual Use. Findings: The results of structural equation modeling analyses indicated that while Perceived Ease of Use fails to predict learners’ Attitude directly, it can influence Attitude through the full mediator Perceived Usefulness. It was also found that learners who take positive attitudes toward the usefulness of ChatGPT tend to demonstrate a higher level of Behavioral Intention, which positively and strongly predicts their Actual Use of ChatGPT in English learning outside the classroom. Originality/value: This study provides empirical evidence that supports the potential of ChatGPT as a powerful language-learning tool that EFL learners should utilize to participate in the ecological CALL creatively and productively.

The Role of Technology in English Language Learning in Online Classes at Tertiary Level

The primary objective of the study is to investigate the relationship between the TAM (Technology Acceptance Model) factors and online applications usage for language learning. Additionally, the influence of gender and prior technology use practice have been investigated by the study. In order to comprehend the user's responses to the technology used for language learning, this study used a quantitative approach and a TAM questionnaire to collect data. The study's participants are one hundred undergraduate English as a second language students who took online courses during the COVID-19 pandemic. Students' behavioral intentions, attitudes, and app use were found to be significantly positively correlated in the research results. Besides, a positive affiliation exists between the factors; seen usability, perceived use, genuine use, and behavior. In addition, the experience has been found to be positively correlated with TAM factors, whereas gender does not appear to be associated with any TAM factors. The study suggested using technology in the classroom to make learning a second language more fun for students.

Perceived Usefulness and Perceived Ease of Use of Online Learning for Islamic Religious Education Teacher

The primary objective of this study is to examine how the perceived ease of use and usefulness of online learning, specifically using the SPACE (Sistem Pembelajaran Agama Cara Elektronik/Electronic Way of Religion Learning System) platform, impact the effectiveness of teaching professional education students. The study employs a mixed-methods approach, combining both qualitative and quantitative methods, and utilizes descriptive techniques. The research instruments utilized include interview forms and the TAM (technology acceptance model) questionnaire, which assess the participants' perceptions of the ease of use and usefulness of online learning. The research sample was selected using purposive sampling. Data analysis involved the utilization of multiple linear regression analysis. The findings of the study indicate a notable and significant influence of the perceived ease of use and usefulness of online learning. This is supported by the observation that the graduation rate of professional education students who acquire teacher professional certificates increased by 14.77% as a result.

The Effectiveness of Quizlet.com in Arabic Vocabulary Learning; Students’ Perception and Acceptance of Technology

The increasingly massive development of technology makes language learning no longer limited to only being in the classroom, but can be done anywhere using digital devices. Vocabulary is one of the important parts of language acquisition because vocabulary is the initial stage of mastering the four language skills. This study aims to determine the influence of the use of Quizlet in mastering the Arabic vocabulary of Arabic Language and Literature students, student perceptions of the use of the application in learning Arabic vocabulary, and acceptance of the technology used in quizlet.com. This study used an experimental design and was conducted on 25 Arabic Language and Literature students. This study used several data collection techniques, including pretest-posttest, perception questionnaires, and Technology Acceptance Model (TAM) questionnaires. The results of this study explained that the value of the posttest was greater than the pretests and the results of the T-Test showed a significant difference. These results are supported by a perception questionnaire that shows that students consider the use of the quizlet.com application to be effectively used in learning Arabic vocabulary. As well as the results of the TAM questionnaire showed that students were satisfied with the use of quizlet.com in learning Arabic vocabulary. The results of this study can be a recommendation for Arabic teachers, that quizlet.com can be used as a medium for learning Arabic vocabulary both in the classroom and outside the classroom.

The Relationship between the Adoption of ICT and the Attitude of Senor High School Students in Davao City

The study aims to investigate if the Adoption of ICT in schools has a connection to the Attitude of Senior High School Students. The study utilized the Simple Random Sampling technique, gaining 203 respondents. In measuring the adoption of ICT, the researchers utilized the Technology Implementation Questionnaire. To measure the Attitude of senior high school students, the Technology Acceptance Model Questionnaire was used. Pearson R was employed to test the significant relationship between the adoption of ICT and the attitude of senior high school students. The findings of this study communicated that ICT is highly adopted in MMCM, and senior high school students have a neutral attitude toward the adoption of ICT. Furthermore, there is a significant relationship between the adoption of ICT and the attitude of senior high school students. It is recommended that teachers adapt to the changes in ICT and for the school administrators to take advantage of the high level of ICT adoption. Keywords: Student Attitude, ICT Adoption, Senior High School Students, correlational research, Pearson R

An Immersive Virtual Field Experience Structuring Method for Geoscience Education

Digital outcrop models (DOMs) have facilitated quantitative and qualitative studies in digital and virtual environments of source and reservoir rock analogs important to the oil industry. The use of immersive virtual reality (iVR) to extend field experiences has motivated several research groups to develop software integrating iVR techniques with tools to interpret and derive geological information from DOMs. This virtual approach can also contribute to the development of geological and spatial thinking skills taught in the classroom and during field trips. The immersive virtual field trips (iVFTs) can provide students access to outcrops and additional data restricted to field learning activities while allowing additional interactions impossible in the field. iVFTs have been developed recently; however, the structuring of iVFTs for geology classes has not been presented in a way that inexperienced iVR users can make use of such systems. In this scenario, our work proposes a method to structure an iVFT using georeferenced data containers and the virtual reality software Mosis LAB while evaluating users' perceptions during an iVFT study case. The evaluation using technology acceptance model questionnaires showed that users were positively impacted by the observational iVFT experience, effectively supporting e-learning, and class field learning activities and preparations. This approach allows field trip experiences in less accessible study sites, especially in less favorable conditions like the ones during the Coronavirus 2019 pandemic where many geoscience departments had their field trips hampered.

Teachers’ Preparedness in the Use of Information Communication Technology and School’s Licensure Passing Rate

Modern-day teaching entails the development of 21st-century skills, which include information and digital literacy, as well as technological skills. All educators face the challenge of keeping abreast of the ever-changing information communication technology and integrating available ICT facilities and tools in teaching. This study was conducted to find the correlation between the teachers’ preparedness, perception, and types of ICT facilities and tools used for instruction and the school’s licensure passing rate. Descriptive, quantitative, and correlational research designs were adopted with the modified questionnaire of Davis et al. (1989) on teachers’ preparedness and perceptions in using ICT, the Technology Acceptance Model Questionnaire (TAMQ) as the main instrument in gathering the needed data. The reliability coefficient of the instrument was established using Cronbach Alpha and yielded indices of 0.84 and 0.99. The questionnaire was administered through Google Form to the 50 teachers in the College of Education at the University of Morong and Antipolo Campus. The study found that female-dominated teachers in the College of Education in the URS are in their early adulthood stage and have been using ICT in teaching for a decade. Most of the teachers have attended one ICT training per year, and teachers are prepared for the use of ICT. An association exists between the teachers’ assessment of available ICT facilities and tools and their perception of the use of ICT. The URS performed well in the Licensure Examination for Teachers. Other findings showed that the younger the teachers, the better their perception of the use of ICT; the younger the teachers, the higher their performance in Licensure Examination for Teachers. It can also be concluded that the more prepared the teachers are, the better their school’s performance in Licensure Examination for Teachers. Likewise, the more prepared the teachers are, the better their perception of the use of ICT in teaching and vice versa. It can also be concluded that the better the teachers’ perception of the use of ICT, the higher the performance in the Licensure Examination for Teachers. The perception of the use of ICT and the performance in the LET is differentiated by age. With this, teachers and administrators must continually support the ICT professional development to keep abreast with the current updates in technology. Preparedness, availability, and perception of the use of ICT must be considered in the school’s overall plan, which eventually translates to better school performance.

Determinants of behavioral intention to use big data analytics (BDA) on the information and communication technologies (ICT) SMEs in Jordan

Big Data Analytics (BDA) provides an important resource for businesses seeking to enhance their performance and gain a competitive advantage, although not all organizations are adopting BDA techniques, and small and medium-sized enterprises (SMEs) in Jordan have been slow in this regard, despite being key players in any healthy economy, and the fact that BDA adoption can be facilitated by using the Technology Acceptance Model (TAM). The purpose of this study is to investigate the drivers of behavioral intention among managerial-level employees in Jordanian ICT SMEs to adopt BDA through a quantitative correlational research approach. The TAM questionnaire was used to gather data from 271 online survey participants in Jordan using Google Forms. The target group included management level staff working in small and medium-sized ICT firms (SMEs). Confirmatory factor analysis (CFA) was used to evaluate the research instrument's reliability and validity, and structural equation modeling (SEM) was utilized to test the study's hypotheses. The findings revealed that perceived usefulness, perceived ease of use, and perceived “privacy and security” significantly influenced managerial-level employees' behavioral intention to use BDA in their organizations. The research findings also supported the application of TAM, and the results of the investigation indicated that managerial-level employees would be willing to use BDA techniques providing they were perceived to be useful, user-effortless, and posed little concern about privacy and security. Overall, the current study's results demonstrate that the suggested model had good predictive power, 51% of the variance in behavioral intention, and was therefore capable of predicting managers' intentions to use BDA.

3-D Reconstruction of Rock Samples via Structure-From-Motion for Virtual Reality Applications: A Methodological Proposal

This article presents a methodological proposal for the three-dimensional reconstruction of rock samples via structure-from-motion. The presented methodological steps aimed to provide a reproducible workflow to create virtual rock samples to be applied in virtual applications. The proposed methodology works as a how-to guide as well as a preemptive troubleshooting guide for the complete process. Four geologists with different scholar levels volunteered to test this methodological proposal, applying it to three rock samples as the methodology steps were provided in an inverse-proportional manner to the graduate level. When analyzing the results of the performed reconstructions, all analyzed elements presented a proportional reduction due to the lack of information provided. An initial questionnaire was applied to verify the difficulties encountered, and subsequently, all volunteers received the complete methodology. In the second reconstruction, the results were equivalent to those obtained initially with the complete methodology. A technology acceptance model questionnaire was applied to determine the perception of utility and ease of use of the presented methodology. In both cases the results presented themselves in a positive way, indicating that the methodology was able to solve the problems found simply and objectively through a repeatable workflow.

Mobile Technology in Medicine: Development and Validation of an Adapted System Usability Scale (SUS) Questionnaire and Modified Technology Acceptance Model (TAM) to Evaluate User Experience and Acceptability of a Mobile Application in MRI Safety Screening.

Background Magnetic resonance imaging (MRI) safety screening is a crucial procedure for patient preparation before entering into MRI room. Many hospitals in Malaysia are still using the MRI safety checklist printed form. Besides, clinicians will not get a definite conclusion about whether the patient is contraindicated for MRI or not. Hence, we have created one mobile application named MagnetoSafe to overcome this issue. The application will provide an instant decision on whether the patient has no contraindication, relative contraindication, or absolute contraindicated for MRI. We need to check for acceptability and user experience for any newly created mobile application. Objective This study was designed to check the validity of the adapted Technology Acceptance Model (TAM) and System Usability Scale (SUS) Questionnaire. Method The validity and reliability of the questionnaire were investigated. Subsequently, 52 fully completed responses were collected. Results Face and content validity of the questionnaires are considered acceptable with only minor changes to Item 10 of SUS. The Cronbach's alpha for the SUS questionnaire (10 questions) is -0.49, which is not acceptable. The Cronbach's alpha for TAM questionnaire (3 domains; 14 questions) is acceptable, which is 0.910 for perceived usefulness, 0.843 for perceived ease of use, and 0.915 for intention to use. Conclusion Face validity of the adapted SUS and modified TAM questionnaires is acceptable with only minor changes to Item 10 in SUS. Content validity with experts is good. However, the reliability of the SUS questionnaire is not acceptable and therefore adapted SUS will not be used for assessing user experience. The reliability of the modified TAM questionnaire with the original three-factor structure is considered acceptable and can be used to evaluate the user's acceptability of MagnetoSafe.

The Importance of Receiving Training in Computerized Technology for Nurses to Maintain Sustainability in the Health System

The purpose of the study was to examine nurses’ perceptions regarding the usage of computerized technology and to understand the meaning of this technological change in nurses’ work in the context of sustainability. The study was designed as a mixed method and included the following research tools: questionnaires for data collection that were sent via email and semi-structured interviews of nurses, chosen voluntarily and randomly. The data were collected from 214 questionnaires in total, using technology acceptance model questionnaires, and the professional self-identity questionnaire (PSIQ). Moreover, data was collected from 10 in-depth interviews. Subsequently, the data was analyzed to understand the influence of personal, professional, and social factors concerning the usage of computer technology in nursing. The study was undertaken within the understanding that the participation of nurses is essential for the creation of sustainable developments, such as the use of computer technology, eventually leading to an improvement in the quality of care and the health of the community. Years of seniority in nursing, ease of use of technology, technology relevant to the job, and higher output quality, were associated with the most perceived benefits of using technology in a positive correlation. Relative to nurses’ sense of professionalism, there is an understanding that adopting new behavioral functions for their role will lead to promoting the quality of care and improving the health of the community. From the perspective of global sustainability, there is a need to develop methods involving multi-professional teamwork to implement computerized technologies within the country and between countries to improve sustainable conditions in the world.

Booming the Vocabulary Acquisition by Using Flipped Classroom on EFL Learners’ PPA (Performance, Perception and Acceptance)

With the advancement of technology, today’s language teaching and learning are no longer restricted to classroom face-to-face interaction, but it is going beyond a formal classroom. Drawing on this issue, this study sheds some light on the impact of flipped learning instruction on vocabulary acquisition of English learners as a foreign language, their perception of the practices of flipped learning, and their acceptance of the use of the WhatsApp smartphone application to assist the flipped learning activities. An experimental research design was employed by involving 60 EFL learners who were assigned into flipped (N=30) and conventional (N=30) groups. Learners of the flipped group were taught in combined learning activities before the class using WhatsApp and in-class active practices on vocabulary. This study used multiple data collection sources, including pre and post-tests on English vocabulary, a self-report survey, and a Technology Acceptance Model (TAM) questionnaire. The results demonstrated that the EFL learners in the flipped group scored higher in the post-test, and significantly outperformed their counterparts in the conventional group. Moreover, the results of the self-report survey showed that the EFL learners were at a positive perception of the flipped learning environment to study English vocabulary. Furthermore, finding on the TAM questionnaire portrayed that the EFL learners acknowledged WhatsApp as a satisfactory digital platform to assist the activities of English learning through flipped classrooms. This study offers insights for teachers and curriculum developers to begin acknowledging the promising role of digital learning of English beyond the classroom.

Exploring Feasibility of mHealth to Manage Hypertension in Rural Black Older Adults: A Convergent Parallel Mixed Method Study.

ObjectiveThe purpose of this study was to explore perceived ease of use, usability, and the feasibility of using mobile health applications to manage hypertension self-care in rural Black older adults with hypertension.MethodsA convergent parallel mixed method design was used to study a purposeful sample of 30 Black older adults (29 females, 1 male) from rural East Texas. Quantitative data included demographic characteristics and measured blood pressure, height, and weight, along with questionnaires: the Hill-Bone Compliance to High Blood Pressure Therapy Scale, the Krousel-Wood Medication Adherence Scale-4, and the Technology Acceptance Model Questionnaire (adapted). Qualitative data were obtained from five focus groups and analyzed using thematic analysis.ResultsMean age was 66.3 ± 9.6 years. Less than half of the participants (46.7%) had a systolic and/or diastolic blood pressure >130/80. Greater participant adherence was noted with the Hill-Bone Compliance scale (63.3%) than the Krousel-Wood scale (23.3%). With the Technology Acceptance Model, perceived ease of use was significantly correlated with behavioral intention (r = 0.654, p < 0.000) and perceived usefulness (r = 0.585, p < 0.001), while behavioral intention was negatively associated with age r = −0.047 (p=0.009). Focus group data revealed five themes: 1) useful, 2) counterintuitive, 3) communication, 4) comfort with the status quo, and 5) educate/show me how.ConclusionSmartphone technology and other health-related computer technologies were not preferred by older adults in this study due to limited digital literacy. Simplicity and easy navigation in the design of mHealth apps are needed to improve treatment adherence and blood pressure control in rural older adults with hypertension.Clinical RelevanceMobile health applications have the potential to increase self-management of chronic hypertension if users are digitally literate. Health-care providers need to assess older patients for digital literacy and offer educational support and assistance.