The Use of a Technology Acceptance Model (TAM) to Predict Patients’ Usage of a Personal Health Record System

The Role of Security, Privacy, and Usability

Bibliographic Data

ID15475103
AuthorsAdi Alsyouf (0000-0002-4672-8991, King Abdulaziz University, corresponding author), Abdalwali Lutfi (0000-0002-3928-7497, Applied Science Private University, corresponding author), Nizar Alsubahi (0000-0001-9978-1721, King Abdulaziz University), Fahad Nasser Alhazmi (0000-0002-0271-7166, King Abdulaziz University), Khalid Al‐Mugheed (0000-0001-9727-7804), Khalid Al-Mugheed (0000-0002-8437-977X, Riyadh Elm University), Rami J Anshasi (0000-0001-5122-2875, Jordan University of Science and Technology), Nora Ibrahim Alharbi (University of Business and Technology), Moteb Ayesh Albugami (0000-0002-5831-7970, King Abdulaziz University), Moteb Albugami (King Abdulaziz University)
Year2023
Volume20
Issue2
Pages1347-1347
Publication date2023-01-11
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20021347
PMID36674105
OpenAlexW4315652456
LanguageEN
Citations received14
References cited141

Personal health records (PHR) systems are designed to ensure that individuals have access and control over their health information and to support them in being active participants rather than passive ones in their healthcare process. Yet, PHR systems have not yet been widely adopted or used by consumers despite their benefits. For these advantages to be realized, adoption of the system is necessary. In this study, we examined how self-determination of health management influences individuals' intention to implement a PHR system, i.e., their ability to actively manage their health. Using an extended technology acceptance model (TAM), the researchers developed and empirically tested a model explaining public adoption of PHRs. In total, 389 Saudi Arabian respondents were surveyed in a quantitative cross-sectional design. The hypotheses were analysed using structural equation modelling-partial least squares (SEM-PLS4). Results indicate that PHR system usage was influenced by three major factors: perceived ease of use (PEOU), perceived usefulness (PU), and security towards intention to use. PHR PEOU and PHR intention to use were also found to be moderated by privacy, whereas usability positively moderated PHR PEOU and PHR intention to use and negatively moderated PHR PU and PHR intention to use. For the first time, this study examined the use of personal health records in Saudi Arabia, including the extension of the TAM model as well as development of a context-driven model that examines the relationship between privacy, security, usability, and the use of PHRs. Furthermore, this study fills a gap in the literature regarding the moderating effects of privacy influence on PEOU and intention to use. Further, the moderating effects of usability on the relationship between PEOU, PU, and intention to use. Study findings are expected to assist government agencies, health policymakers, and health organizations around the world, including Saudi Arabia, in understanding the adoption of personal health records

Context (archaeology · Human–computer interaction · Internet privacy · Knowledge management · Structural equation modeling · Technology Acceptance Model · Usability · Applied Psychology · Computer Science · Mobile Health and mHealth Applications · Privacy, Security, and Data Protection · Psychology · Technology Adoption and User Behaviour

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