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Factors influencing behavioural intention to use a smart shoe insole in regionally based adults with diabetes: a mixed methods study.

Authors :
Macdonald EM
Perrin BM
Hyett N
Kingsley MIC
Source :
Journal of foot and ankle research [J Foot Ankle Res] 2019 May 20; Vol. 12, pp. 29. Date of Electronic Publication: 2019 May 20 (Print Publication: 2019).
Publication Year :
2019

Abstract

Background: Smart insole technologies that provide biofeedback on foot health can support foot-care in adults with diabetes. However, the factors that influence patient uptake and acceptance of this technology are unclear. Therefore, the aim of this mixed-methods study was to use an established theoretical framework to determine a model of psychosocial factors that best predicts participant intention to use smart insoles.<br />Methods: Fifty-three adults with diabetes from regional Australia completed the validated Unified Theory of Acceptance and Use of Technology (UTAUT) questionnaire. Multiple regression analysis was used to determine the psychosocial factors that best predict behavioural intention to adopt a smart insole. Additionally, a focus group was conducted and thematic analysis was performed to explore barriers and enablers to adopting this technology.<br />Results: The multiple regression model that best predicted intention to adopt the smart insole (adjusted R <superscript>2</superscript>  = 0.51, p  < 0.001) identified that self-efficacy (β = 0.67, p  = 0.001) and attitude (β = 0.72, p < 0.001) were significant predictors of behavioural intention, while effort expectancy (β = - 0.52, p  = 0.003) and performance expectancy (β = - 0.40, p  = 0.040) were moderating factors. Thematic analysis illustrates the importance of attitude and self-efficacy on participants' behavioural intentions, influenced by participant's belief in the device's clinical efficacy and anticipated effort expectancy.<br />Conclusions: This mixed-methods study demonstrates that attitude, self-efficacy, performance expectancy and effort expectancy combine to predict intention to adopt smart insole technology. Clinicians should consider these psychosocial factors when they prescribe and implement smart soles with patients at high risk of foot ulceration.<br />Competing Interests: Competing interestsThe authors declare that they have no competing interests.

Details

Language :
English
ISSN :
1757-1146
Volume :
12
Database :
MEDLINE
Journal :
Journal of foot and ankle research
Publication Type :
Academic Journal
Accession number :
31139261
Full Text :
https://doi.org/10.1186/s13047-019-0340-3