Abstract:
BACKGROUND:Poor quality primary health care is a major issue in China, particularly in blindness prevention. Artificial intelligence (AI) could provide early screening and accurate auxiliary diagnosis to improve primary care services and reduce unnecessary referrals, but the application of AI in medical settings is still an emerging field. OBJECTIVE:This study aimed to investigate the general public's acceptance of ophthalmic AI devices, with reference to those already used in China, and the interrelated influencing factors that shape people's intention to use these devices. METHODS:We proposed a model of ophthalmic AI acceptance based on technology acceptance theories and variables from other health care-related studies. The model was verified via a 32-item questionnaire with 7-point Likert scales completed by 474 respondents (nationally random sampled). Structural equation modeling was used to evaluate item and construct reliability and validity via a confirmatory factor analysis, and the model's path effects, significance, goodness of fit, and mediation and moderation effects were analyzed. RESULTS:Standardized factor loadings of items were between 0.583 and 0.876. Composite reliability of 9 constructs ranged from 0.673 to 0.841. The discriminant validity of all constructs met the Fornell and Larcker criteria. Model fit indicators such as standardized root mean square residual (0.057), comparative fit index (0.915), and root mean squared error of approximation (0.049) demonstrated good fit. Intention to use (R2=0.515) is significantly affected by subjective norms (beta=.408; P<.001), perceived usefulness (beta=.336; P=.03), and resistance bias (beta=-.237; P=.02). Subjective norms and perceived behavior control had an indirect impact on intention to use through perceived usefulness and perceived ease of use. Eye health consciousness had an indirect positive effect on intention to use through perceived usefulness. Trust had a significant moderation effect (beta=-.095; P=.049) on the effect path of perceived usefulness to intention to use. CONCLUSIONS:The item, construct, and model indicators indicate reliable interpretation power and help explain the levels of public acceptance of ophthalmic AI devices in China. The influence of subjective norms can be linked to Confucian culture, collectivism, authoritarianism, and conformity mentality in China. Overall, the use of AI in diagnostics and clinical laboratory analysis is underdeveloped, and the Chinese public are generally mistrustful of medical staff and the Chinese medical system. Stakeholders such as doctors and AI suppliers should therefore avoid making misleading or over-exaggerated claims in the promotion of AI health care products.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Ye T,Xue J,He M,Gu J,Lin H,Xu B,Cheng Ydoi
10.2196/14316subject
Has Abstractpub_date
2019-10-17 00:00:00pages
e14316issue
10eissn
1439-4456issn
1438-8871pii
v21i10e14316journal_volume
21pub_type
杂志文章abstract:BACKGROUND:Those who go online regarding their sexual health are potential users of new Internet-based sexual health interventions. Understanding the size and characteristics of this population is important in informing intervention design and delivery. OBJECTIVE:We aimed to estimate the prevalence in Britain of recen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4373
更新日期:2016-01-20 00:00:00
abstract:BACKGROUND:Syringe service programs (SSPs) are safe, highly effective programs for promoting health among people who inject drugs. However, resource limitations prevent the delivery of a full package of prevention services to many clients in need. Computer-tailored interventions may represent a promising approach for p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/19703
更新日期:2020-09-29 00:00:00
abstract:BACKGROUND:In March 2012, the US Centers for Disease Control and Prevention (CDC) launched the first-ever paid national tobacco education campaign. At a cost of US $54 million, "Tips from Former Smokers" (Tips) ran for 3 months across multiple media, depicting the suffering experienced by smokers and their families in ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3645
更新日期:2015-01-20 00:00:00
abstract:BACKGROUND:The past few decades saw considerable advances in research and dissemination of evidence-based psychotherapies, yet available treatment resources are not able to meet the high need for care for individuals suffering from depression or anxiety. Blended care psychotherapy, which combines the strengths of thera...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18723
更新日期:2020-07-06 00:00:00
abstract:BACKGROUND:Evaluation of online health interventions should investigate the function of theoretical mechanisms of behavior change in this new milieu. OBJECTIVES:To expand our understanding of how Web-based interventions influence behavior, we examined how changes at 6 months in participants' psychosocial characteristi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1614
更新日期:2011-03-04 00:00:00
abstract:BACKGROUND:Nowadays, digital self-tracking devices offer a plethora of possibilities to both healthy and chronically ill users who want to closely examine their body. This study suggests that self-tracking in a private setting will lead to shifting understandings in professional care. To provide more insight into these...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8040
更新日期:2018-01-12 00:00:00
abstract:BACKGROUND:Emergency physicians face the challenge of relieving acute pain daily. While opioids are a potent treatment for pain, the opioid epidemic has ignited a search for nonopioid analgesic alternatives that may decrease the dose or duration of opioid exposure. While behavioral therapies and complementary medicine ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/18537
更新日期:2020-05-20 00:00:00
abstract:BACKGROUND:Children's participation in health care is one of the most important components in the management of their disease. Electronic health (eHealth) services that are adapted to the needs of children have the potential for restructuring how children and professionals work together. Therefore, a digital interactiv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/14271
更新日期:2019-11-15 00:00:00
abstract:BACKGROUND:Effective lifestyle interventions targeting high-risk adults that are both practical for use in ambulatory care settings and scalable at a population management level are needed. OBJECTIVE:Our aim was to examine the potential effectiveness, feasibility, and acceptability of delivering an evidence-based Elec...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5143
更新日期:2016-05-27 00:00:00
abstract:BACKGROUND:Caring for a family member with dementia puts caregivers at risk of overburdening. Electronic health (eHealth) support for caregivers offers an opportunity for accessible tailored interventions. The blended care self-management program "Partner in Balance" (PiB) for early-stage dementia caregivers was execut...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.7666
更新日期:2017-12-19 00:00:00
abstract::In this viewpoint we describe the architecture of, and design rationale for, a new software platform designed to support the conduct of digital phenotyping research studies. These studies seek to collect passive and active sensor signals from participants' smartphones for the purposes of modelling and predicting healt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16399
更新日期:2019-11-06 00:00:00
abstract::Health care systems worldwide have been influenced by the globally growing trend toward a sharing economy and will likely advance with these trends in the near future. Therefore, based on peer-to-peer relationships between individuals, sharing health care works by renting medical staff, facilities, and other medical r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13469
更新日期:2019-10-15 00:00:00
abstract:BACKGROUND:Adolescents present many challenges in providing them effective preventive services and health care. Yet, they are typically the early adopters of new technology (eg, the Internet). This creates important opportunities for engaging youths via eHealth. OBJECTIVE:To describe how adolescents use technology for...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5.4.e32
更新日期:2003-12-18 00:00:00
abstract:BACKGROUND:As breast cancer survival rates improve and structural health resources are increasingly being stretched, health providers require people living with and beyond breast cancer (LwBBC) to self-manage aspects of their care. OBJECTIVE:This study aimed to explore how women use and experience social media to self...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16902
更新日期:2020-05-25 00:00:00
abstract:BACKGROUND:A clinical algorithm (Algo) in paper form is used in Quebec, Canada, to allow health care workers other than occupational therapists (OTs) to make bathroom adaptation recommendations for older adults. An integrated knowledge transfer process around Algo suggested an electronic version of this decision suppor...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16175
更新日期:2020-08-10 00:00:00
abstract:BACKGROUND:Many health information providers on the Internet and doctors with email accounts are confronted with the phenomenon of receiving unsolicited emails from patients asking for medical advice. Also, a growing number of websites offer "ask-the-doctor" services, where patients can ask questions to health professi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2.1.e1
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Given the recognized importance of preventing poor dietary behaviors during adolescence, we need a better understanding of college students' dietary behaviors. Studies have found that individual factors and electronic health (eHealth) literacy may affect one's dietary behaviors. However, few studies have ful...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13140
更新日期:2019-11-26 00:00:00
abstract:BACKGROUND:Disparities in access to specific technologies within gender groups have not been investigated. Slum settings provide an ideal population to investigate the contributing factors to these disparities. OBJECTIVE:This study aimed to examine gender differences in mobile phone ownership, internet access, and kno...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14714
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:There has been a rapid rise in the popularity of electronic cigarettes (e-cigarettes) over the last decade, with growth predicted to continue. The uptake of these devices has escalated despite inconclusive evidence of their efficacy as a smoking cessation device and unknown long-term health consequences. As ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/11953
更新日期:2019-02-05 00:00:00
abstract:BACKGROUND:Social media, mobile and wearable technology, and connected devices have significantly expanded the opportunities for conducting biomedical research online. Electronic consent to collecting such data, however, poses new challenges when contrasted to traditional consent processes. It reduces the participant-r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5662
更新日期:2016-07-20 00:00:00
abstract:BACKGROUND:The benefits of electronic patient reported outcomes (PRO) questionnaires have been demonstrated in many settings, including in hospitals and patient homes. However, it remains to be investigated how melanoma patients and their treating clinicians experience the electronic self-reporting of side effects and ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14896
更新日期:2020-04-09 00:00:00
abstract:BACKGROUND:Web-based programs for smoking prevention are being increasingly used with some success among adolescents. However, little is known about the mechanisms that link the experience of such programs to intended nicotine or tobacco control outcomes. OBJECTIVE:Based on the experiential learning theory and extende...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.7174
更新日期:2017-02-16 00:00:00
abstract:BACKGROUND:Clinical documentation has undergone a change due to the usage of electronic health records. The core element is to capture clinical findings and document therapy electronically. Health care personnel spend a significant portion of their time on the computer. Alternatives to self-typing, such as speech recog...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5072
更新日期:2015-11-03 00:00:00
abstract:BACKGROUND:Over the past decade, the emergence of several large federated clinical data networks has enabled researchers to access data on millions of patients at dozens of health care organizations. Typically, queries are broadcast to each of the sites in the network, which then return aggregate counts of the number o...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18735
更新日期:2020-11-03 00:00:00
abstract:BACKGROUND:Cognitive impairment is one of the most debilitating manifestations of multiple sclerosis. Currently, the assessment of cognition relies on a time-consuming and extensive neuropsychological examination, which is only available in some centers. OBJECTIVE:To enable simpler, more accessible cognitive screening...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/24356
更新日期:2021-01-20 00:00:00
abstract:BACKGROUND:Point-of-care international normalized ratio (INR) monitoring devices simplify warfarin management by allowing selected patients to monitor their own therapy in their homes. Patient self-testing (PST) has been shown to improve the clinical outcomes of warfarin therapy compared to usual care. OBJECTIVE:To co...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2255
更新日期:2013-07-12 00:00:00
abstract:BACKGROUND:Patients attempt to make appropriate decisions based on their own knowledge when choosing a doctor. In this process, the first question usually faced is that of how to obtain useful and relevant information. This study investigated the types of information sources that are used widely by patients in choosing...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20910
更新日期:2020-09-16 00:00:00
abstract:BACKGROUND:Preexposure prophylaxis (PrEP) is available as a daily pill for preventing infection with the human immunodeficiency virus (HIV). Innovative methods of administering PrEP systemically or topically are being discussed and developed. OBJECTIVE:The objective of our study was to assess attitudes toward differen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5713
更新日期:2016-05-19 00:00:00
abstract:BACKGROUND:Different studies have reported the effectiveness of Web-based computer-tailored lifestyle interventions, but economic evaluations of these interventions are scarce. OBJECTIVE:The objective was to assess the cost-effectiveness and cost-utility of a sequential and a simultaneous Web-based computer-tailored l...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3159
更新日期:2014-03-20 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) describes the use of portable electronic devices with software applications to provide health services and manage patient information. With approximately 5 billion mobile phone users globally, opportunities for mobile technologies to play a formal role in health services, particularly...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2130
更新日期:2013-01-25 00:00:00