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

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posted on 30.07.2021, 06:48 by Emma MacdonaldEmma Macdonald, Byron PerrinByron Perrin, Nerida HyettNerida Hyett, Michael KingsleyMichael Kingsley
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. 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. Results: The multiple regression model that best predicted intention to adopt the smart insole (adjusted R = 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. 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. 2

Funding

This work was supported by an Australian Government Research Training Program Scholarship.

History

Publication Date

01/01/2019

Journal

Journal of Foot and Ankle Research

Volume

12

Issue

1

Article Number

29

Pagination

9p.

Publisher

Springer Nature

ISSN

1757-1146

Rights Statement

The Authors reserves all moral rights over the deposited text and must be credited if any re-use occurs.