ArticlePsychology research and behavior management2022
Self-Efficacy, Internet Self-Efficacy, and Proxy Efficacy as Predictors of the Use of Digital Social and Health Care Services Among Mental Health Service Users in Finland: A Cross-Sectional Study.
Article in Psychology research and behavior management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 40 citations in OpenAlex.
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- The intention to adopt mental mHealth services in emergencies: pre-engagement social determinants of PTSD-Coach app use.Frontiers in digital health · 2026Article
- Health Motivation as a Predictor of mHealth Engagement Across BMI: Cross-Sectional Survey.JMIR mHealth and uHealth · 2025Article
- Use of Online Tools for Mental Health Among Racially and Ethnically Diverse College Students: Mixed Methods Study.JMIR human factors · 2025Article
- Enablers and Barriers to Medication Self-Management in Patients With Type 2 Diabetes: A Qualitative Study Using the COM-B Model.Patient preference and adherence · 2025Article
- Rethinking the digital divide in health: a critical interpretive synthesis of research literature.Frontiers in digital health · 2025Review
- Remote mental health services during the COVID-19 pandemic in Finland and the Netherlands: a qualitative study.Discover mental health · 2024Article
- User Experience of Persons Using Ingestible Sensor-Enabled Pre-Exposure Prophylaxis to Prevent HIV Infection: Cross-Sectional Survey Study.JMIR mHealth and uHealth · 2024Article
- Learning digital skills online: empowering older adults through one-to-one, online digital training provision.Frontiers in psychology · 2023Article
- The Effect of Critical Thinking on Translation Technology Competence Among College Students: The Chain Mediating Role of Academic Self-Efficacy and Cultural Intelligence.Psychology research and behavior management · 2023Article
- What Determines the Acceptance and Use of eHealth by Older Adults in Poland?International journal of environmental research and public health · 2022Article
- The behavioral intention to adopt mobile health services: The moderating impact of mobile self-efficacy.Frontiers in public health · 2022Article
- Prediction of self-efficacy in recognizing deepfakes based on personality traits .F1000Research · 2022Article
- Digitization in health-related self-help - Results of an online survey among self-help organizations in Germany.Digital healthArticle
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic has accelerated the digitalization of services, but at the same time, some user groups are excluded due to a lack of digital skills. One of the vulnerable groups is people with mental health problems. It has previously been found that self-efficacy beliefs explain the use of digital technology, but the role of social support is largely unexamined. Bandura's concept of proxy agency provides a useful concept to investigate the role of social support in using digital services.
objectiveThe study investigates sources of social support and the effect of proxy agency, Internet efficacy, and self-efficacy beliefs on the intention to use digital health and social care services.
methodsParticipants (N = 121) were users in community-based mental health services who were recruited through four organizations in southern Finland for a cross-sectional study. The scales for proxy agency and intention to use services were developed for purpose of the study. The questionnaire also comprised self-efficacy and Internet efficacy scales. Quantitative data were analyzed using descriptive statistics and linear regression analysis.
resultsBoth Internet self-efficacy and proxy efficacy (
conclusionInternet self-efficacy and proxy efficacy are important contributors to the intention to use digital health and social care services. Proxy agents may serve as facilitators to reduce the digital divide and promote the use of digital services by complementing individuals' self-efficacy and Internet self-efficacy beliefs. It is important to develop different forms of social support, such as peer support, to enhance the quality of proxy agency. The limitations of proxy agency are discussed.
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