Exploring behavioral intention to use telemedicine services post COVID-19: a cross sectional study in Saudi Arabia

IntroductionWhile telemedicine offers significant benefits, there remain substantial knowledge gaps in the literature, particularly regarding its use in Saudi Arabia. This study aims to explore health consumers’ behavioral intention to use telemedicine examining the associated factors such as eHealt...

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Main Authors: Raniah N. Aldekhyyel, Faisal Alshuaibi, Osama Alsaaid, Faisal Bin Moammar, Talal Alanazy, Abdulmajeed Namshah, Kholood Altassan, Reem Aldekhyyel, Amr Jamal
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1385713/full
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author Raniah N. Aldekhyyel
Faisal Alshuaibi
Osama Alsaaid
Faisal Bin Moammar
Talal Alanazy
Abdulmajeed Namshah
Kholood Altassan
Reem Aldekhyyel
Amr Jamal
author_facet Raniah N. Aldekhyyel
Faisal Alshuaibi
Osama Alsaaid
Faisal Bin Moammar
Talal Alanazy
Abdulmajeed Namshah
Kholood Altassan
Reem Aldekhyyel
Amr Jamal
author_sort Raniah N. Aldekhyyel
collection DOAJ
description IntroductionWhile telemedicine offers significant benefits, there remain substantial knowledge gaps in the literature, particularly regarding its use in Saudi Arabia. This study aims to explore health consumers’ behavioral intention to use telemedicine examining the associated factors such as eHealth literacy and attitudes toward telemedicine services.MethodsA cross-sectional observational study was conducted to collect data on demographics, health status, internet skills, attitudes toward telemedicine, and eHealth literacy. An online survey was administered at two large public gatherings in Riyadh. The eHEALS-Pl scale was used to measure perceived eHealth literacy levels, and data analysis was performed using SPSS (IBM Corp. United States).ResultsThere were 385 participants, with an equal distribution of genders. The largest age group was 18–20 years old (57%). Nearly half of the participants were neither employed nor students, while 43% had access to governmental hospitals through employment. 71% reported proficiency in using the internet. Health-wise, 47% rated their health as excellent, and 56% did not have medical insurance. 87% expressed a high likelihood of using telemedicine if offered by a provider. Participants were categorized based on their eHealth Literacy scores, with 54% scoring low and 46% scoring high. Overall, participants showed positive attitudes toward telemedicine, with 82% agreeing that it saves time, money, and provides access to specialized care. About half of the participants perceived the process of seeing a doctor through telemedicine video as complex. Both eHealth Literacy and attitudes toward telemedicine showed a statistically significant association with the intention to use telemedicine (p < 0.001). There was a positive and significant correlation between eHealth Literacy and attitudes (ρ =0.460; p < 0.001). Multivariate ordinal regression analysis revealed that the odds for a high likelihood of intention to use telemedicine significantly increased with positive attitudes (p < 0.001). Mediation analysis confirmed the significant mediating role of attitudes toward telemedicine in the relationship between eHealth Literacy and the intention to use telemedicine.ConclusionThe findings underline the importance of enhancing health literacy and consumer attitudes toward telemedicine, particularly during the healthcare digital transformation we are experiencing globally. This is crucial for promoting increased acceptance and utilization of telemedicine services beyond the COVID-19 pandemic.
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spelling doaj.art-2b49a95d71e14a8e8877f66cd8f6bab32024-04-16T04:45:35ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-04-011210.3389/fpubh.2024.13857131385713Exploring behavioral intention to use telemedicine services post COVID-19: a cross sectional study in Saudi ArabiaRaniah N. Aldekhyyel0Faisal Alshuaibi1Osama Alsaaid2Faisal Bin Moammar3Talal Alanazy4Abdulmajeed Namshah5Kholood Altassan6Reem Aldekhyyel7Amr Jamal8Medical Informatics and E-learning Unit, Medical Education Department, College of Medicine, King Saud University, Evidence-Based Health Care & Knowledge Translation Research Chair, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Family & Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of English Literature, College of Languages, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaEvidence-Based Health Care & Knowledge Translation Research Chair, Family & Community Medicine Department, King Saud University, Riyadh, Saudi ArabiaIntroductionWhile telemedicine offers significant benefits, there remain substantial knowledge gaps in the literature, particularly regarding its use in Saudi Arabia. This study aims to explore health consumers’ behavioral intention to use telemedicine examining the associated factors such as eHealth literacy and attitudes toward telemedicine services.MethodsA cross-sectional observational study was conducted to collect data on demographics, health status, internet skills, attitudes toward telemedicine, and eHealth literacy. An online survey was administered at two large public gatherings in Riyadh. The eHEALS-Pl scale was used to measure perceived eHealth literacy levels, and data analysis was performed using SPSS (IBM Corp. United States).ResultsThere were 385 participants, with an equal distribution of genders. The largest age group was 18–20 years old (57%). Nearly half of the participants were neither employed nor students, while 43% had access to governmental hospitals through employment. 71% reported proficiency in using the internet. Health-wise, 47% rated their health as excellent, and 56% did not have medical insurance. 87% expressed a high likelihood of using telemedicine if offered by a provider. Participants were categorized based on their eHealth Literacy scores, with 54% scoring low and 46% scoring high. Overall, participants showed positive attitudes toward telemedicine, with 82% agreeing that it saves time, money, and provides access to specialized care. About half of the participants perceived the process of seeing a doctor through telemedicine video as complex. Both eHealth Literacy and attitudes toward telemedicine showed a statistically significant association with the intention to use telemedicine (p < 0.001). There was a positive and significant correlation between eHealth Literacy and attitudes (ρ =0.460; p < 0.001). Multivariate ordinal regression analysis revealed that the odds for a high likelihood of intention to use telemedicine significantly increased with positive attitudes (p < 0.001). Mediation analysis confirmed the significant mediating role of attitudes toward telemedicine in the relationship between eHealth Literacy and the intention to use telemedicine.ConclusionThe findings underline the importance of enhancing health literacy and consumer attitudes toward telemedicine, particularly during the healthcare digital transformation we are experiencing globally. This is crucial for promoting increased acceptance and utilization of telemedicine services beyond the COVID-19 pandemic.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1385713/fulltelemedicineattitudesbehavioral intentioneHealth literacypost COVID-19Saudi Arabia
spellingShingle Raniah N. Aldekhyyel
Faisal Alshuaibi
Osama Alsaaid
Faisal Bin Moammar
Talal Alanazy
Abdulmajeed Namshah
Kholood Altassan
Reem Aldekhyyel
Amr Jamal
Exploring behavioral intention to use telemedicine services post COVID-19: a cross sectional study in Saudi Arabia
Frontiers in Public Health
telemedicine
attitudes
behavioral intention
eHealth literacy
post COVID-19
Saudi Arabia
title Exploring behavioral intention to use telemedicine services post COVID-19: a cross sectional study in Saudi Arabia
title_full Exploring behavioral intention to use telemedicine services post COVID-19: a cross sectional study in Saudi Arabia
title_fullStr Exploring behavioral intention to use telemedicine services post COVID-19: a cross sectional study in Saudi Arabia
title_full_unstemmed Exploring behavioral intention to use telemedicine services post COVID-19: a cross sectional study in Saudi Arabia
title_short Exploring behavioral intention to use telemedicine services post COVID-19: a cross sectional study in Saudi Arabia
title_sort exploring behavioral intention to use telemedicine services post covid 19 a cross sectional study in saudi arabia
topic telemedicine
attitudes
behavioral intention
eHealth literacy
post COVID-19
Saudi Arabia
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1385713/full
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