Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana

The increasing prevalence of dementia has necessitated the introduction and use of healthcare wearable devices to augment the healthcare services delivered to people with dementia (PWDs). Unfortunately, evidence on user feedback and the real impact of the actual use of these devices on the quality o...

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Main Authors: Ebenezer Larnyo, Baozhen Dai, Abigail Larnyo, Jonathan Aseye Nutakor, Sabina Ampon-Wireko, Edmund Nana Kwame Nkrumah, Ruth Appiah
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/2/275
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author Ebenezer Larnyo
Baozhen Dai
Abigail Larnyo
Jonathan Aseye Nutakor
Sabina Ampon-Wireko
Edmund Nana Kwame Nkrumah
Ruth Appiah
author_facet Ebenezer Larnyo
Baozhen Dai
Abigail Larnyo
Jonathan Aseye Nutakor
Sabina Ampon-Wireko
Edmund Nana Kwame Nkrumah
Ruth Appiah
author_sort Ebenezer Larnyo
collection DOAJ
description The increasing prevalence of dementia has necessitated the introduction and use of healthcare wearable devices to augment the healthcare services delivered to people with dementia (PWDs). Unfortunately, evidence on user feedback and the real impact of the actual use of these devices on the quality of life of PWDs has not been fully explored, especially in the context of developing countries. This study, therefore, seeks to evaluate the impact of actual use behavior (AUB) of healthcare wearable devices on the quality of life (QoL) of PWDs in Ghana by using constructs from the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) model and the SF-36 quality of life instrument. Data were collected from people with dementia and, in some cases, caregivers (acting as proxies) in three administrative regions of Ghana using structured questionnaires. Of the 420 questionnaires distributed, 356 were returned, giving a response rate of (356/420, 84.8%). Three hundred and twenty (320) responses were used for further analysis, employing the Partial Least Squares based on Structural Equation Modeling. The results showed a significant positive relationship between AUB and QoL (<i>p</i> < 0.001). Other predictors such as behavioral intention, facilitating conditions, effort expectancy and social influence were also found to significantly impact the actual use behavior of healthcare wearable devices among PWDs. The study also revealed that 4% (14) of patients rated their reported health transition associated with the use of healthcare wearable devices as excellent, 42.5% (136) as very good, and 39.4% (126) as good, respectively at the time of the study compared to a year ago. This study provided empirical evidence of the positive impact of the actual use of healthcare wearable devices on the quality of life of PWDs and further highlighted the factors that drive actual use behavior among PWDs in Ghana. Based on the findings of this study, stakeholders need to create the necessary conditions that will facilitate the adoption and use of healthcare wearable devices, as this will help improve the quality of life, reduce the burden of the disease on caregivers, and enable independent living of PWDs.
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spelling doaj.art-9359ba2fb4fa4406a62ff0cdbcf328e42023-11-23T20:09:18ZengMDPI AGHealthcare2227-90322022-01-0110227510.3390/healthcare10020275Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in GhanaEbenezer Larnyo0Baozhen Dai1Abigail Larnyo2Jonathan Aseye Nutakor3Sabina Ampon-Wireko4Edmund Nana Kwame Nkrumah5Ruth Appiah6Department of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, ChinaDepartment of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, ChinaSchool of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, ChinaDepartment of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, ChinaDepartment of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, ChinaSchool of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, ChinaDepartment of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, ChinaThe increasing prevalence of dementia has necessitated the introduction and use of healthcare wearable devices to augment the healthcare services delivered to people with dementia (PWDs). Unfortunately, evidence on user feedback and the real impact of the actual use of these devices on the quality of life of PWDs has not been fully explored, especially in the context of developing countries. This study, therefore, seeks to evaluate the impact of actual use behavior (AUB) of healthcare wearable devices on the quality of life (QoL) of PWDs in Ghana by using constructs from the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) model and the SF-36 quality of life instrument. Data were collected from people with dementia and, in some cases, caregivers (acting as proxies) in three administrative regions of Ghana using structured questionnaires. Of the 420 questionnaires distributed, 356 were returned, giving a response rate of (356/420, 84.8%). Three hundred and twenty (320) responses were used for further analysis, employing the Partial Least Squares based on Structural Equation Modeling. The results showed a significant positive relationship between AUB and QoL (<i>p</i> < 0.001). Other predictors such as behavioral intention, facilitating conditions, effort expectancy and social influence were also found to significantly impact the actual use behavior of healthcare wearable devices among PWDs. The study also revealed that 4% (14) of patients rated their reported health transition associated with the use of healthcare wearable devices as excellent, 42.5% (136) as very good, and 39.4% (126) as good, respectively at the time of the study compared to a year ago. This study provided empirical evidence of the positive impact of the actual use of healthcare wearable devices on the quality of life of PWDs and further highlighted the factors that drive actual use behavior among PWDs in Ghana. Based on the findings of this study, stakeholders need to create the necessary conditions that will facilitate the adoption and use of healthcare wearable devices, as this will help improve the quality of life, reduce the burden of the disease on caregivers, and enable independent living of PWDs.https://www.mdpi.com/2227-9032/10/2/275dementiahealthcare wearable devicesextended UTAUTactual use behaviorwell-beingquality of life
spellingShingle Ebenezer Larnyo
Baozhen Dai
Abigail Larnyo
Jonathan Aseye Nutakor
Sabina Ampon-Wireko
Edmund Nana Kwame Nkrumah
Ruth Appiah
Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana
Healthcare
dementia
healthcare wearable devices
extended UTAUT
actual use behavior
well-being
quality of life
title Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana
title_full Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana
title_fullStr Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana
title_full_unstemmed Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana
title_short Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana
title_sort impact of actual use behavior of healthcare wearable devices on quality of life a cross sectional survey of people with dementia and their caregivers in ghana
topic dementia
healthcare wearable devices
extended UTAUT
actual use behavior
well-being
quality of life
url https://www.mdpi.com/2227-9032/10/2/275
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