PDF(Pubmed)
Abstract：
BACKGROUND: The escalating prevalence of diabetes, with its multifaceted complications, poses a pressing challenge for healthcare systems globally. In response, the advent of continuous glucose monitoring (CGM) systems, offering technological solutions for daily diabetes management, presents significant opportunities. However, the widespread adoption faces several barriers, linked both to the technological configuration of the devices and to the psychological dimension of patients. Therefore, this study aims to apply and test a theoretical model that investigates the antecedents of the intention to use Continuous Glucose Monitoring systems.
METHODS: The research model was built to unveil the impacts of psychological factors, functional components and rational constructs derived from the Technology Acceptance Model (TAM) on CGM systems sustained adoption. To ensure the comparability of results, we have collected data from people who had used Dexcom ONE Dexcom (San Diego, CA) for the first time for at least one month. Employing Structural Equation Modelling (SEM) techniques, the hypothesized relationships among constructs were assessed.
RESULTS: The analyses confirmed the positive correlation of rational factors to the Intention to Use. Subjective Norm, intended as the physicians\' influence, is positively correlated with the Perceived Usefulness. Trend Arrows, albeit being negatively correlated with Perceived Usefulness, have a positive correlation on Perceived Ease Of Use, reinforcing its mediating effect towards Perceived Usefulness. Among psychological factors, Trust in the CGM technology positively correlates with Intention to Use. Health Literacy is negatively correlated to the Intention to Use.
CONCLUSIONS: These findings contribute to theoretical and managerial understanding, providing recommendations to enhance the adoption of CGM systems like Dexcom ONE.
METHODS: The research model was built to unveil the impacts of psychological factors, functional components and rational constructs derived from the Technology Acceptance Model (TAM) on CGM systems sustained adoption. To ensure the comparability of results, we have collected data from people who had used Dexcom ONE Dexcom (San Diego, CA) for the first time for at least one month. Employing Structural Equation Modelling (SEM) techniques, the hypothesized relationships among constructs were assessed.
RESULTS: The analyses confirmed the positive correlation of rational factors to the Intention to Use. Subjective Norm, intended as the physicians\' influence, is positively correlated with the Perceived Usefulness. Trend Arrows, albeit being negatively correlated with Perceived Usefulness, have a positive correlation on Perceived Ease Of Use, reinforcing its mediating effect towards Perceived Usefulness. Among psychological factors, Trust in the CGM technology positively correlates with Intention to Use. Health Literacy is negatively correlated to the Intention to Use.
CONCLUSIONS: These findings contribute to theoretical and managerial understanding, providing recommendations to enhance the adoption of CGM systems like Dexcom ONE.
摘要：
背景：糖尿病患病率不断上升，由于其多方面的并发症，对全球医疗保健系统构成了紧迫的挑战。作为回应,连续葡萄糖监测（CGM）系统的出现，为日常糖尿病管理提供技术解决方案，提供了重要的机会。然而,广泛采用面临几个障碍，与设备的技术配置和患者的心理维度有关。因此,本研究旨在应用和测试一个理论模型，该模型研究了使用连续葡萄糖监测系统的意图。
方法：建立研究模型，揭示心理因素的影响，从CGM系统持续采用的技术接受模型(TAM)中得出的功能组件和合理结构。为了确保结果的可比性，我们从使用DexcomONEDexcom(圣地亚哥，CA)首次至少一个月。采用结构方程建模(SEM)技术，评估了构建体之间的假设关系.
结果：分析证实理性因素与使用意向呈正相关。主观规范,作为医生的影响，与感知有用性呈正相关。趋势箭头,尽管与感知有用性负相关，与感知的易用性呈正相关，加强其对感知有用性的中介作用。在心理因素中，对CGM技术的信任与使用意图呈正相关。健康素养与使用意向呈负相关。
结论：这些发现有助于理论和管理理解，提供建议，以加强像DexcomONE这样的CGM系统的采用。
方法：建立研究模型，揭示心理因素的影响，从CGM系统持续采用的技术接受模型(TAM)中得出的功能组件和合理结构。为了确保结果的可比性，我们从使用DexcomONEDexcom(圣地亚哥，CA)首次至少一个月。采用结构方程建模(SEM)技术，评估了构建体之间的假设关系.
结果：分析证实理性因素与使用意向呈正相关。主观规范,作为医生的影响，与感知有用性呈正相关。趋势箭头,尽管与感知有用性负相关，与感知的易用性呈正相关，加强其对感知有用性的中介作用。在心理因素中，对CGM技术的信任与使用意图呈正相关。健康素养与使用意向呈负相关。
结论：这些发现有助于理论和管理理解，提供建议，以加强像DexcomONE这样的CGM系统的采用。
