Willingness Of Use Research Articles

Priorities, needs and willingness of use of nerve stimulation devices for bladder and bowel function in people with spinal cord injury (SCI): an Australian survey

Study designAnonymous online surveyObjectivesTo investigate the priorities, needs and willingness to adopt nerve stimulation devices for managing neurogenic bladder and bowel function in people with spinal cord injury (SCI) living in Australia.SettingOnline survey of people living with SCI in Australia.MethodsThis anonymous online survey used Qualtrics and was advertised via standard communication channels, such as advocacy groups representing the SCI community in Australia, social media, attending SCI sporting events and by word-of-mouth.ResultsResponses from 62 individuals (32% female, 68% male) were included. Bladder emptying through urethra without catheter was the highest priority for bladder function. Reducing time required for bowel routines and constipation were the top priorities regarding bowel function. The highest concern for internal/implanted devices was the 4% chance of device surgical removal, while wearing wires under the clothes was the main concern for external devices. 53% of respondents were willing to trial an implanted nerve stimulation device, while 70% would trial an external device to improve and gain independence in bladder and bowel function.ConclusionThe findings of this study highlighted the potential role in which nerve stimulation can have in addressing bladder and bowel dysfunction in people with SCI, and have also identified that there was a need for Australian physiotherapists to evaluate their role in bladder and bowel dysfunction. Results from this study can help guide further research in nerve stimulation devices for bladder and bowel dysfunction in people with SCI.Sponsorshipn/a

Willingness to Use and Pay for Digital Health Care Services According to 4 Scenarios: Results from a National Survey

Smartphones and their associated technology have evolved to an extent where these devices can be used to provide digital health interventions. However, few studies have been conducted on the willingness to use (WTU) and willingness to pay (WTP) for digital health interventions. The purpose of this study was to investigate how previous service experience, the content of the services, and individuals' health status affect WTU and WTP. We conducted a nationwide web-based survey in 3 groups: nonusers (n=506), public service users (n=368), and private service users (n=266). Participants read scenarios about an imagined health status (such as having a chronic illness) and the use of digital health intervention models (self-management, expert management, and medical management). They were then asked to respond to questions on WTU and WTP. Public service users had a greater intention to use digital health intervention services than nonusers and private service users: scenario A (health-risk situation and self-management), nonusers=odd ratio [OR] .239 (SE .076; P<.001) and private service users=OR .138 (SE .044; P<.001); scenario B (health-risk situation and expert management), nonusers=OR .175 (SE .040; P<.001) and private service users=OR .219 (SE .053; P<.001); scenario C (chronic disease situation and expert management), nonusers=OR .413 (SE .094; P<.001) and private service users=OR .401 (SE .098; P<.001); and scenario D (chronic disease situation and medical management), nonusers=OR .480 (SE .120; P=.003) and private service users=OR .345 (SE .089; P<.001). In terms of WTP, in scenarios A and B, those who used the public and private services had a higher WTP than those who did not (scenario A: β=-.397, SE .091; P<.001; scenario B: β=-.486, SE .098; P<.001). In scenario C, private service users had greater WTP than public service users (β=.264, SE .114; P=.02), whereas public service users had greater WTP than nonusers (β=-.336, SE .096; P<.001). In scenario D, private service users were more WTP for the service than nonusers (β=-.286, SE .092; P=.002). We confirmed that the WTU and WTP for digital health interventions differed based on individuals' prior experience with health care services, health status, and demographics. Recently, many discussions have been made to expand digital health care beyond the early adapters and fully into people's daily lives. Thus, more understanding of people's awareness and acceptance of digital health care is needed.

Measuring sustainable development of intelligent tourism service system: analysis on the user's intention.

The intelligent tourism service system will help strengthen the management of scenic spots, improve tourism efficiency, and help improve the tourism ecological environment. At present, there are few researches on intelligent tourism service system. This paper attempts to sort out the literature and build structural equation model based on UTAUT2 model (UTAUT is short for Unified Theory of Acceptance and Use of Technology) to analyze the factors that affect the users' willingness of use the intelligent tourism service system (ITSS) in scenic spots. The results show that (1) the effects of the factors affecting the users' intention to use the ITSS of tourist attractions are facilitating conditions (FC), social influence (SI), performance expectation (PE), and effort expectation (EE), (2) Both PE and EE can directly affect the user's intention to use ITSS, while EE indirectly affects the user's intention through PE. (3) SI and FC have a direct impact on the UI of ITSS. The simplicity of use on intelligent tourism application system products can significantly affect the user satisfaction index and product loyalty of the users. In addition, the usefulness factor of perception system and the risk factor of user perception system coexist, with the synergistic effect positively affects the ITSS and use behavior of the whole scenic spot. The main results provide theoretical basis and empirical support for the sustainable and efficient development of ITSS.

Business Perceptions of e-Government Services in Hungary

The outbreak of Covid-19 pandemic emphasized the importance of electronic governance. Citizens and business actors, two main groups of electronic public administration service users, can effectively and without any personal contacts handle their official duties with public administration bodies. E-governance improves efficiency, transparency and generates economic growth. Perceptions of end-users about services influence their willingness of use, satisfactions and also determine the chosen channel (personal, online, phone) to administer. In general, the main focus of analyzing satisfaction with e-government services is on citizens and business actors are pushed into the background. This paper analyses the satisfaction of business actors with public administration services. Hungarian small and medium enterprises are responsible for the majority of employment in Hungary. Their competitiveness and improving innovation ability are key to break out of the middle-income trap. According to the international comparisons, Hungary is lagging behind in performance of e-governmental services. Based on the survey with 1270 entries, Hungarian businesses are mainly satisfied with public administration services. Further improvements in the quality of public administration services can be carried out based on the evaluation of businesses’ perception.

Willingness to Use and Appropriate Payable Cost for Visiting Nurse Service for the Elderly in the Community

This study aimed to measure willingness to use (WTU) and appropriate payable cost of visiting nurse service for the elderly and explore their impact factors. The study included 752 participants selected from data that were completed in 2017 for the elderly aged over 60 nationwide. Logit and Tobit regression analysis were performed to confirm the influencing factors. The study found that 39.1% of the elderly in the community were WTU the visiting nurse service, and they reported that the cost per visit was 12,650 Korean Won. The factors influencing WTU were having less than moderate subjective health status (OR = 1.63, p = .011), being part of a social participating groups (OR = 1.50, p = .046), or participation in senior health promotion programs (SHPPs) (OR = 1.96, p =.003). The cost was also influenced by less than moderate subjective health status (β = 4.37, p = .021), being part of a social participating groups (β = 4.41, p = .028), or participation in SHPPs (β = 4.87, p = .023). Additionally, elderly people living alone who were used as covariates were highly WTU (OR = 2.20, p = .029). This study provides evidence to predict demand for visiting nurse service and reflects consumer value in setting the service cost. This is the first study to derive cost from consumers' perspective regarding the service for the elderly. As it is the result of an open-ended survey, follow-up studies are needed to estimate more reliable and reasonable results.

COVID-19 Pandemic Influence on Medical Oncology Provider Perceptions of Telehealth Video Visits.

The COVID-19 pandemic necessitated a rapid expansion of telehealth use in oncology, a specialty in which prior utilization was low in part because of barriers perceived by providers. Understanding the changing perceptions of medical oncology providers during the pandemic is critical for continued expansion and improvement of telehealth in cancer care. This study was designed to identify medical oncology providers' perceptions of telehealth video visits as influenced by the COVID-19 pandemic. We conducted semi-structured interviews with medical oncology providers from November 20, 2020, to January 27, 2021, at the Sidney Kimmel Cancer Center at Thomas Jefferson University, a National Cancer Institute-designated cancer center in an urban, academic health system in Philadelphia, PA. We assessed provider perceptions of the impact of the COVID-19 pandemic on (1) provider-level comfort and willingness for telehealth, (2) provider-perceived patient comfort and willingness to engage in telehealth, and (3) continued barriers to successful telehealth use. Volunteer and convenience sampling resulted in the participation of 25 medical oncology providers, including 18 physicians and seven advanced practice providers, in semi-structured interviews. Of the 25 participants, 13 (52%) were female and 19 (76%) were White, with an average age of 48.5 years (standard deviation = 12.6). Respondents largely stated an increased comfort level and willingness for use of video visits. In addition, respondents perceived a positive change in patient comfort and willingness, mostly driven by convenience, accessibility, and reduced risk of COVID-19 exposure. However, several reported technologic issues and limited physical examination capability as remaining barriers to telehealth adoption. The rapid adoption of telehealth necessitated by the COVID-19 pandemic has increased provider-level and provider-perceived patient comfort and willingness to engage in video visits for cancer care. As both providers and patients increasingly accept telehealth across many use cases, future work should focus on further addressing technology and physical examination barriers and ensuring continued reimbursement for telehealth as a routine part of covered care.

The Effect of Workplace Incentives with Regards to the Well-Being of the Employees

Nowadays, health is not only valued for the individual, but many jobs have recognized that a healthy workforce contributes to a company’s productivity and reduces health care costs, meaning that the value of human resources is an important pillar of the competitiveness of businesses and organizations (Nyitrainé Garaj, 2015; Péter, 2018; Bácsné et al., 2017). The main focus of our research was to examine the effect of incentives used in workplace health promotion on the well-being of the employees and on promoting healthy lifestyle. The data for our primary research was collected via questionnaire. The survey has been designed to provide information about the lifestyle of the average Hungarian employees, the fringe benefits as the incentives of physical activity and their utilization. Beyond this we were interested in finding out if there should be an initiation on the employers’ side regarding physical activity would there be an inclination within the employees for its usage. The result of the survey (N=133) shows that since white collar workers spend the majority of their days with little to no physical activity while working, sough out more sporting activities outside work. The data also suggest a health conscious behaviour among the respondents with high scoring driving factors for physical activity such as the importance of health, stress relief etc. Furthermore, results showed that after receiving these incentives employees engaged more frequently in sporting activities and that there is a willingness for use among those not receiving it.

Impact of Brand Trust and Technology Readiness on the Willingness to Use Autonomous Cars in Brazil

This study sought to analyse whether brand trust and technology readiness influence the willingness to use (WTU) autonomous vehicles (AVs) in Brazil. A survey was applied with potential consumers, and the results, based on 213 respondents, indicated that there is a strong correlation between brand trust and WTU AVs of the same brand as well as between technology readiness and WTU AVs. When confronted through multiple linear regression, brand trust played a more relevant role than technology readiness over WTU AVs for the 11 brands tested. When comparing information technology companies (ITCs) and automobile manufacturers, while the first have a higher level of average brand trust, the preference in WTU AVs rests on traditional automakers. Thus, the results of this study may contribute on how brand managers could explore their brands strengths in regard to consumer's trust when such products become available in the future.

Recycled and desalinated water: Consumers’ associations, and the influence of affect and disgust on willingness to use

Traditional water sources are increasingly coming under pressure from urbanization, population and industrial growth as well as climate variability and alternatives such as desalinated and recycled water will need to be considered in the future. However, available data indicate that consumers are apprehensive about these alternative water sources, with many reactions centered on disgust. It is not clear though, whether trait or state disgust is responsible for these disgust reactions. Secondly, the associations the public has with desalinated and recycled water are not well described, even though knowledge of these associations would provide the holistic understanding required for addressing perceptions. Using respondents from Australia and South Africa, therefore, this study investigated the associations people have with recycled and desalinated water, as well as the influence of affect, institutional trust, cultural/religious beliefs, water scarcity, and demographic variables, on willingness to use (WTU) these waters. The results show that whereas recycled water is associated with negative affect from notions of disgust, desalinated water is often thought of in terms of minerals, or as “simply water”. We also found that affect was the most significant predictor, and that state disgust as well as trait disgust influenced WTU. Together these data suggest that disgust-related rejection of is likely due to the disgust elicited by the waters rather than disgust-proneness of individuals. It is plausible, therefore, that efforts to induce positive affect through making salient positive associations e.g. NEWater in Singapore, may increase WTU.

Residents’ Willingness for Centralized Biogas Production in Hebei and Shandong Provinces

Nowadays, in the North China Plain (NCP), most counties and suburban rural regions are promoting the "coal to gas" program under the situation of strong government support of large and medium-sized centralized biogas production (CBP) projects. This paper is aimed at the CBP projects, focuses on rural residents’ “willingness to use (WTU)”, “willingness to buy (WTB)” and the influencing factors for WTU/WTB. Through the analysis of rural residents from Hebei and Shandong provinces that belong to NCP in this survey, we find that 85% of respondents support the CBP program and the WTB is 63.15 CNY/year per capita, which is much lower than the cost of rural CBP in existing survey regions. The participation of rural residents is not only a manifestation of personal and family characteristics; understanding of environmental knowledge, attitudes, and household energy practices are more important. These non-economic factors seriously affect WTU/WTB. Hence, it is necessary to appropriately increase the government revenue to such projects, strengthen government guidance and publicity, improve the environmental knowledge and attitude of rural residents and guide residents’ practice. Based on a fully understanding of residents’ consumption decision mechanism, we establish a financial support mechanism due to the demand response, adopt a correct calculation for financial support, such as a reasonable subsidy rate, and seek the greatest commonality of cost, financial support, and demand.

Enabling Community Health Worker Recognition and Referral of Surgical Diseases: Pilot Study Results of a Pictorial Guide.

Access to surgical care is a pressing challenge, particularly for vulnerable populations. Informal and formal community health workers (CHWs), including lay people, increasingly function in pivotal roles in primary care, however, remain disconnected from surgical care in most environments. This study examined the degree to which CHW understanding of surgical conditions could be improved through the use of a pictorially based manual. A manual and associated situational problem-solving questionnaire instrument were developed and contextualized through focus groups in Central America. A baseline assessment was obtained. In the program implementation, cohorts of formal and informal CHWs were introduced and trained to use the manual through a short curriculum. Assessment was repeated in program implementation, first with access to relevant manual content only, and then after the teaching session. Participants were also surveyed about manual scheme, usability, and utility. A total of 100 subjects (67% female) participated in baseline assessment, and 403 subjects (68% female) were assessed through the program implementation. Baseline problem-solving averaged 11.8 (SD 2.46) out of a possible 20 points. Mean score increased to 15.4 (SD 3.10) when participants had access to relevant surgical manual content and again to 15.9 (SD 3.09, p < 0.0001) following participation with an instructive curriculum. Participant score while utilizing the manual correlated with amount of education completed (r = 0.26), but baseline score did not. High readability 389 (96%) and high self-reported willingness for use 398 (96%) were noted. Baseline familiarity with surgically treatable conditions appears modest among rural Central American populations, and improves with access to a contextualized, pictorial manual focused on recognizing and appropriately referring surgical conditions.

Willingness to use and pay for smoking cessation service via text-messaging among Vietnamese adult smokers, 2017

ObjectivesTo examine willingness to use (WTU) and willingness to pay (WTP) for smoking cessation service via text-messaging among adult smokers in Vietnam in 2017; and to identify demographic and socioeconomic factors associated with the WTU and WTP. MethodsA cross-sectional study of 602 adult smokers who had intention to quit in the next 12 months was conducted in Vietnam in 2017. Participants were provided with the information about a mobile health (mHealth) smoking cessation service via text-messaging and asked about their willingness to use and pay for it. The contigent valuation method was used to estimate the WTP for the service, using single bound question format. Discrete choice model was applied to estimate the average WTP and its associated factors. ResultsSeventy-two percent of smokers expressed willingness to use smoking cessation service via text-messaging if it were available. The average willingness to pay among those interested in using the mHealth cessation service was 82,000 VND (US$3.5). Smoking status and quit attempts in the last twelve months were associated with WTU, whereas age of the smokers and monthly income were significant predictors of WTP. ConclusionA high proportion of Vietnamese smokers with intention to quit were interested in using smoking cessation services via text-messaging. The high level of smokers' willingness to use and pay for the text messaging cessation program indicates the mHealth methods could be a potential option for developing and delivering smoking cessation services in Vietnam.

Conocimientos y preferencias sobre los recursos existentes al final de la vida en una muestra de la Comunidad de Madrid

ObjectiveThe Law (4/2017) on rights and guarantees of persons in the process of dying in Community of Madrid regulates the exercise of the rights of the person during this process. The main objective of this study was to determine the knowledge and preferences about palliative sedation (PS), euthanasia, physician-assisted suicide (PAS), and adequacy of the therapeutic effort (ATE). Materials and methodsA questionnaire was designed to collect knowledge about definition and legality of detailed resources, and disposition for themselves or for a relative. The questionnaire was completed by a total of 192 palliative care Conference attendees (October 2017). ResultsOf those that completed the questionnaire, 160 (83.3%) were women, and the mean age was of 39 years (SD=15.8). More than two-thirds (131; 68.2%) did not know that the law existed. The definition with the highest rate of knowledge was on PS (89.1%; 171) and the lowest was ATE (50.5%; 97). On legality, the most successful was euthanasia (94.8%; 182) and the lowest was ATE (63.5%; 122). PS was considered the most appropriate resource (93.2%; 179), and the greater willingness of use in both relatives (91.7%; 176) as well as by themselves (90.6%; 174). PAS was the least suitable (34.4%; 66), and that less might resort in case of end-of-life of a relative (29.7%; 57), and themselves (33.3%; 64). ConclusionsThere is a greater awareness of the condition of legality or illegality of each resource than of the definition of the terms. The use of the PAS and euthanasia is disapproved. It is important to clarify the meaning of ATE, and clarify its confusion with other measures such as PS and PAS.

How Water Bottle Refill Stations Contribute to Campus Sustainability: A Case Study in Japan

The purpose of this study was to explore the feasibility of installing Water bottle Refill Stations (WRSs) and their contributions to campus sustainability by means of encouraging pro-environmental behavior in students. Plastic waste is one of the most critical environmental issues. Therefore, we investigated how WRS can deter students from using disposable plastic bottles. We conducted a survey at a Japanese university to address (1) students’ Willingness To Pay (WTP) to install WRS, (2) their Willingness To Use (WTU) WRSs while acknowledging its environmental benefits, and (3) the impact of communicating information about points (1) and (2). We utilized Goal-Framing Theory (GFT) and the Integrated Framework for Encouraging Pro-Environmental Behavior (IFEP) as the theoretical background of our study. The results of our survey found that the mean WTP was 2211 JPY (1 JPY = 0.01 USD), an amount students would donate just once. This finding indicates students would be willing to pay to install a WRS at their university. The mean WTP students supported would be enough to cover the WRS installation and maintenance costs. According to our study, 58.82% of students stated that they would be willing to use WRS. In doing so, students would save 45,191 disposable plastic bottles and reduce 10,846 kg of related CO2 emissions every year. Our study also showed a statistically significant increase in WTP and WTU WRS as we introduced more and more information about pro-environmental behaviors to students. This finding indicates the importance of information campaigning and learning how to encourage pro-environmental behavior.

Are long-held beliefs and taboos on recycled water reducing in Southern Africa?1

Abstract A sample of 1,114 households in three countries located in the Limpopo River Basin was surveyed to investigate willingness to use (WTU) and willingness to pay (WTP) for different quality attributes of recycled water. The results indicate that 36% of the households are willing to use recycled water for potable uses and only 70% are willing to use it for non-potable use such as gardening. WTU recycled water was found to be associated with gender, age, education, occupation and perception of quality of water from the main source. Households are willing to pay 76% of the price of standard water for improved quality in recycled water with no colour.

Analysis of Driving Factors of Willingness to Use and Willingness to Pay for Existing Pharmacological Smoking Cessation Aids Among Young and Middle-Aged Adults in Germany.

Smoking cessation is a challenging task with a high risk of relapse. Depending on the choice of medication and duration of therapy, the costs of using a smoking cessation aid can be high. Additionally, these costs are not covered by health insurance in Germany. Information on willingness to use (WTU) and willingness to pay (WTP) for smoking cessation aids is valuable for developing different smoking cessation strategies. The study analyses WTU and WTP for three pharmacological smoking cessation aids (nicotine replacement therapy (NRT), bupropion and varenicline) among young and middle-aged adults in Germany and attempts to determine their major driving factors. Two cross-sectional internet-based surveys of smokers over 18 years of age were conducted in 2014 and 2015 in Germany. Respondents were asked about smoking-related issues and WTU and WTP for each therapy. The contingent valuation method with payment cards was used to measure WTP. Descriptive statistics, logistical regression and accelerated failure-time regression models were performed. The total sample size is 505. Half of the respondents are willing to use NRT and one-third are willing to use bupropion and/or varenicline. WTU induces positive WTP; however, the magnitude of WTP is beneath the market price. WTU significantly increases with a higher addiction level and if smokers have previously heard about the therapy. This study indicates different points to be considered for policy development. Promotion information and improving awareness about medication aids might increase WTU, and development of monetary incentives for young smokers could create a better chance for successful smoking cessation.

Consumer Willingness to Use for Roasted Coffee: A Vietnamese Case Study

Coffee consumption in Vietnam has seen a significant rise in recent years. This study seeks to explore the determinants of coffee consumption in Vietnam with a specific focus on the roasted coffee trade and the consumer’s behavior. In this study, 7296 customers were surveyed from 19 districts in Ho Chi Minh City of Vietnam in randomly selected places, and consumers’ willingness to use (WTU) for roasted coffee was measured. This study uses an interval regression to investigate individual demographic and consumption characteristic impacts on WTU. Among the surveyed participants, 69.14% people use coffee. Results show that on average, consumers were willing to pay 78.49% more for roasted coffee compared with instant coffee. Unlike other chains, the consumers more often drink roasted coffee in the morning with friends or alone to relax. Most of them like to spend time to drink coffee at the quiet and nice place where they enjoy the view. The people usually chose coffee on the flavor (50.01%) and most of them prefer the price with 0.5US$/cup (56.79%).

Management of childhood pain and healthcare providers’ willingness to use topical anaesthetic cream for minor procedural pain in Nigeria

Objective: To determine providers’ willingness to use (WTU) topical anaesthetic cream (TAC) to alleviate childhood pain. This information will be useful for successful implementation of TAC in Nigeria.Subjects and Methods: The study was undertaken in hospitals in southeast Nigeria. Intervieweradministered questionnaire was used to collect information: on the providers’ preferred waiting time and their WTU TAC. Likert scale was used to assess the providers’ level of uneasiness when performing painful procedures and their WTU the TAC. Multiple regression analyses were performed to measure the relationship of WTU with the different independent variables, after creating a binary option for some variables.Results: Providers surveyed were 232. Majority (94.8%) wanted the pain alleviated and 87.9% had made some attempts to alleviate the pain. Only one respondent (1%) knew about TAC, but none had used it before. Over 94% of the respondents were WTU TAC. The mean maximum preferred waiting time was 37.03 minutes. Many (68.8%) were concerned about the prolonged waiting time required and 19.8% and 12.5% with its availability and affordability respectively. In linear multivariate analyses, WTU was not statistically associated with designation, age, average weekly procedure and scale-rating of the childhood pain (p &gt; 0.05).Conclusion: The WTU TAC was high, but the mean time willing to wait was lesser than mean recommended time of 45 minutes. If this latter limitation is circumvented, it may aid implementing the use of TAC in routine pediatric care.Keywords: Nigeria; Willingness to Use; Topical Anaesthetic Cream; Providers.

Home telehealth and quality of life: Comparison between the artificial neural network and regression method

The purpose of this research was to discuss users’ opinions on the use of a home telehealth system, its effect on their quality of life, and the relationship between perceived use and willingness of use. The results are provided as reference for future studies, developers, and policy-makers. This research adopted an Artificial Neural Network (ANN) and compared with the traditional regression analysis to propose a feasible and effective analysis method, which is different from the previous method. The results indicate that the Back-Propagation Network (BPN) methods of ANN are better than the regression analysis. In addition, the main factor of the willingness to use a home telehealth system is that: first, the users believe it can promote their health; second, the factor of high financial burden, which is negatively correlated with the willingness of use. These findings can serve as reference to companies for expansion of production and increase of usage rate, as well as to policy makers.

Young Consumers’ Knowledge of Compact Fluorescent Lamps: Energy, Sustainability and Willingness of Use

Young Consumers’ Knowledge of Compact Fluorescent Lamps: Energy, Sustainability and Willingness of Use