Evidence map›Paper›PMID 36674105›Full record

ArticleInternational journal of environmental research and public health2023

The Use of a Technology Acceptance Model (TAM) to Predict Patients' Usage of a Personal Health Record System: The Role of Security, Privacy, and Usability.

Adi Alsyouf, Abdalwali Lutfi, Nizar Alsubahi, Fahad Nasser Alhazmi, Khalid Al-Mugheed, Rami J Anshasi, Nora Ibrahim Alharbi, Moteb Albugami

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
92.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 168 citations in OpenAlex.

  1. Pooled it
  2. Getting Connected to M-Health Technologies through a Meta-Analysis.International journal of environmental research and public health · 2023
    Pooled it
  3. Trial
  4. Observational
  5. Article
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  7. Virtual reality as a viable alternative to cadaveric dissection for temporal bone surgical training: a pilot crossover trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Adi AlsyoufDepartment of Managing Health Services & Hospitals, Faculty of Business Rabigh, College of Business (COB), King Abdulaziz University, Jeddah 21991, Saudi Arabia.ORCID 0000-0002-4672-8991
Abdalwali LutfiDepartment of Accounting, College of Business (COB), King Faisal University, Al-Ahsa 31982, Saudi Arabia.ORCID 0000-0002-3928-7497
Nizar AlsubahiDepartment of Health Services and Hospitals Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Fahad Nasser AlhazmiDepartment of Health Services and Hospitals Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah 21589, Saudi Arabia.ORCID 0000-0002-0271-7166
Khalid Al-MugheedNursing College, Riyadh Elm University, Riyadh 13244, Saudi Arabia.ORCID 0000-0002-8437-977X
Rami J AnshasiProsthodontics Department, Faculty of Dentistry, Jordan University of Science and Technology, Irbid 22110, Jordan.
Nora Ibrahim AlharbiDepartment of Business Administration, College of Business Administration (CBA), University of Business and Technology (UBT), Jeddah 23435, Saudi Arabia.
Moteb AlbugamiDepartment of Management Information Systems, College of Business (COB) Rabigh, King Abdulaziz University, P.O. Box 344, Jeddah 21991, Saudi Arabia.
King Abdulaziz University · SAApplied Science Private University · JOJordan University of Science and Technology · JORiyadh Elm University · SAUniversity of Business and Technology · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Personal health records (PHR) systems are designed to ensure that individuals have access and control over their health information and to support them in being active participants rather than passive ones in their healthcare process. Yet, PHR systems have not yet been widely adopted or used by consumers despite their benefits. For these advantages to be realized, adoption of the system is necessary. In this study, we examined how self-determination of health management influences individuals' intention to implement a PHR system, i.e., their ability to actively manage their health. Using an extended technology acceptance model (TAM), the researchers developed and empirically tested a model explaining public adoption of PHRs. In total, 389 Saudi Arabian respondents were surveyed in a quantitative cross-sectional design. The hypotheses were analysed using structural equation modelling-partial least squares (SEM-PLS4). Results indicate that PHR system usage was influenced by three major factors: perceived ease of use (PEOU), perceived usefulness (PU), and security towards intention to use. PHR PEOU and PHR intention to use were also found to be moderated by privacy, whereas usability positively moderated PHR PEOU and PHR intention to use and negatively moderated PHR PU and PHR intention to use. For the first time, this study examined the use of personal health records in Saudi Arabia, including the extension of the TAM model as well as development of a context-driven model that examines the relationship between privacy, security, usability, and the use of PHRs. Furthermore, this study fills a gap in the literature regarding the moderating effects of privacy influence on PEOU and intention to use. Further, the moderating effects of usability on the relationship between PEOU, PU, and intention to use. Study findings are expected to assist government agencies, health policymakers, and health organizations around the world, including Saudi Arabia, in understanding the adoption of personal health records.

Indexed as

Health Records, PersonalPrivacyCross-Sectional StudiesHumansSaudi ArabiaTechnologyadoptioneHealtheHealth applicationperceived ease of useperceived usefulnessprivacySaudi Arabiasecuritytechnology acceptancetechnology acceptance modelusability

Identifiers

PMID36674105
PMCPMC9859518
OpenAlexW4315652456

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.