{"title":"Adoption of contact tracing app during pandemic: Users’ resistance behavior","authors":"Yogesh Bhatt, Karminder Ghuman, Safiya Mukhtar Alshibani, Usama Awan","doi":"10.1016/j.hlpt.2024.100901","DOIUrl":null,"url":null,"abstract":"The study investigates the key issues influencing different barriers resulting in user resistance toward adopting contact tracing smartphone apps launched to track COVID-19 infections. Indian users’ experiences regarding the Aarogya Setu app for preventing the spread of COVID-19 were examined in two phases. In Phase I, online users’ comments available at the Google Play Store were qualitatively analyzed using open and axial coding. These codes were then used to create an implication matrix and hierarchical value maps to illustrate and interpret the relationships between issues, barriers, and user behavior. In Phase II, a supplementary empirical study, data was collected from users and non-users of the app through semi-structured telephone interviews and then qualitatively analyzed. By drawing on innovation resistance theory, the current study mapped a set of adoption barriers with three types of user resistance, i.e., postponement, opposition, and rejection. Rejection emerged as the most prominent consumer resistance behavior; usage barriers, functional risk, and value barriers related to the app's usage were the key drivers of this behavior. Postponement was the second most observed consumer resistance behavior. If usage barriers, functional risk, and value barriers of the app resulted in functional barriers toward adoption of the app, then image barrier was the key reason behind the psychological barrier. Administrators and developers of future interventions need to be conscious of usage barriers, functional risks, and value barriers related to the app's usage through stakeholder engagement to secure broader and faster adoption of such apps to improve health information systems.","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":"31 3 1","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Policy and Technology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.hlpt.2024.100901","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
The study investigates the key issues influencing different barriers resulting in user resistance toward adopting contact tracing smartphone apps launched to track COVID-19 infections. Indian users’ experiences regarding the Aarogya Setu app for preventing the spread of COVID-19 were examined in two phases. In Phase I, online users’ comments available at the Google Play Store were qualitatively analyzed using open and axial coding. These codes were then used to create an implication matrix and hierarchical value maps to illustrate and interpret the relationships between issues, barriers, and user behavior. In Phase II, a supplementary empirical study, data was collected from users and non-users of the app through semi-structured telephone interviews and then qualitatively analyzed. By drawing on innovation resistance theory, the current study mapped a set of adoption barriers with three types of user resistance, i.e., postponement, opposition, and rejection. Rejection emerged as the most prominent consumer resistance behavior; usage barriers, functional risk, and value barriers related to the app's usage were the key drivers of this behavior. Postponement was the second most observed consumer resistance behavior. If usage barriers, functional risk, and value barriers of the app resulted in functional barriers toward adoption of the app, then image barrier was the key reason behind the psychological barrier. Administrators and developers of future interventions need to be conscious of usage barriers, functional risks, and value barriers related to the app's usage through stakeholder engagement to secure broader and faster adoption of such apps to improve health information systems.
期刊介绍:
Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments.
HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology.
Topics covered by HPT will include:
- Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems
- Cross-national comparisons on health policy using evidence-based approaches
- National studies on health policy to determine the outcomes of technology-driven initiatives
- Cross-border eHealth including health tourism
- The digital divide in mobility, access and affordability of healthcare
- Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies
- Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies
- Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making
- Stakeholder engagement with health technologies (clinical and patient/citizen buy-in)
- Regulation and health economics