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Int. J. Environ. Res. Public Health 2014, 11(5), 4905-4925; doi:10.3390/ijerph110504905

Integrating Social Capital Theory, Social Cognitive Theory, and the Technology Acceptance Model to Explore a Behavioral Model of Telehealth Systems

Department of Health Administration, Tzu Chi College of Technology, 880, Section 2, Chien-Kuo Road, Hualien 970, Taiwan
Received: 27 February 2014 / Revised: 21 April 2014 / Accepted: 29 April 2014 / Published: 7 May 2014
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Abstract

Telehealth has become an increasingly applied solution to delivering health care to rural and underserved areas by remote health care professionals. This study integrated social capital theory, social cognitive theory, and the technology acceptance model (TAM) to develop a comprehensive behavioral model for analyzing the relationships among social capital factors (social capital theory), technological factors (TAM), and system self-efficacy (social cognitive theory) in telehealth. The proposed framework was validated with 365 respondents from Nantou County, located in Central Taiwan. Structural equation modeling (SEM) was used to assess the causal relationships that were hypothesized in the proposed model. The finding indicates that elderly residents generally reported positive perceptions toward the telehealth system. Generally, the findings show that social capital factors (social trust, institutional trust, and social participation) significantly positively affect the technological factors (perceived ease of use and perceived usefulness respectively), which influenced usage intention. This study also confirmed that system self-efficacy was the salient antecedent of perceived ease of use. In addition, regarding the samples, the proposed model fitted considerably well. The proposed integrative psychosocial-technological model may serve as a theoretical basis for future research and can also offer empirical foresight to practitioners and researchers in the health departments of governments, hospitals, and rural communities. View Full-Text
Keywords: telehealth; social trust; institutional trust; social participation; technology acceptance model; system self-efficacy telehealth; social trust; institutional trust; social participation; technology acceptance model; system self-efficacy
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Tsai, C.-H. Integrating Social Capital Theory, Social Cognitive Theory, and the Technology Acceptance Model to Explore a Behavioral Model of Telehealth Systems. Int. J. Environ. Res. Public Health 2014, 11, 4905-4925.

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