Key result
Digital discharge management shows high acceptance in post-bariatric patients, driven primarily by effort expectancy.
Why the study?
Relapse rates remain high after bariatric surgery and digital interventions can enhance care, but research on the intention to use digital discharge management interventions is lacking.
What are the key drivers and barriers for the behavioral intention to use digital discharge management interventions in patients after bariatric surgery?
Cross-Sectional (n=514)
What are the key drivers and barriers for the behavioral intention to use digital discharge management interventions in patients after bariatric surgery?
Patients after bariatric surgery show high behavioral intention to use digital discharge management interventions, driven primarily by effort expectancy, social influence, and performance expectancy.
May inform design of user-friendly digital tools post-bariatric surgery; leaves open whether adoption improves outcomes in prospective trials.
Bariatric surgery is an effective long-term treatment for severe obesity, but relapse rates remain high. Digital interventions can enhance patient care, yet research on the intention to use digital discharge management interventions is lacking. This study aims to assess the behavioral intention to use digital discharge management interventions after bariatric surgery and to identify differences in sociodemographic and medical characteristics, as well as potential key drivers and barriers. A cross-sectional study with N = 514 patients was conducted using the Unified Theory of Acceptance and Use of Technology (UTAUT). Mean scores for behavioral intention and predictors were calculated. Group differences were analyzed with independent t-tests and analyses of variance with post hoc tests. Drivers and barriers were assessed through multiple hierarchical regression analysis. The behavioral intention to use digital discharge management interventions was high. Significant predictors included age (β = −0.17, p < 0.001), eHealth literacy (β = 0.10, p = 0.037), internet anxiety (β = −0.15, p = 0.003), and time since bariatric operation (β = −0.13, p = 0.005). The predictors performance expectancy (β = 0.23, p < 0.001), effort expectancy (β = 0.36, p < 0.001), and social influence (β = 0.26, p < 0.001) were significantly positive key factors. These results confirm the need for implementing digital discharge interventions after bariatric surgery, with various drivers and barriers identified for application usage.
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Peters et al. (2024) conducted a cross-sectional in Severe obesity (post-bariatric surgery) (n=514). Digital discharge management interventions was evaluated on Behavioral intention to use digital discharge management interventions. Digital discharge management interventions showed high acceptance among post-bariatric surgery patients, with effort expectancy (β = 0.36, p < 0.001) identified as the strongest positive predictor.
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