Introduction: The healthcare industry continues to adopt and integrate smart
technology into its operations. However, the adoption of the eHealth solutions
has not been smooth in the Kingdom of Saudi Arabia (KSA) due to negative
beliefs about the technology, lack of awareness and motivation and resistance
to change. Thus, this study was developed to investigate the knowledge and
perceptions of hospital care staff towards the Medical Internet of Things and
to explore the role of awareness videos in changing negative perceptions. Methods: One group pre-test post-test quasi-experimental study design was incorporated,
and 116 participants from Ministry of Health hospitals in Riyadh, KSA, were
included. A series of four videos were developed to observe their influence on
the knowledge and perceptions of mIoT. Results: The findings showed that
participants had more knowledge about the individual components of mIoT
(particularly wearable devices) compared to the processes or functions of mIoT.
Similarly, just over half (56.0%) of the individuals think that the current
systems in the hospital are enough to deliver mIoT. However, 90% think mIoT is
the future of digital health. Similarly, PE, SI, BI, EE and CESE were
considered facilitators and PTA and CC were considered grave barriers to mIoT
adoption. The awareness videos positively influenced knowledge and perceptions
of PE, EE, CESE and SI. Conclusion: The study concludes that hospital
staff in Riyadh (excluding doctors) possess basic mIoT knowledge, consider various adoption factors
as enablers, and awareness video can play a critical role in effectively
introducing the technology to the hospital care staff.
References
[1]
Bah, S., Alharthi, H., El Mahalli, A.A., Jabali, A., Al-Qahtani, M. and Al-kahtani, N. (2011) Annual Survey on the Level and Extent of Usage of Electronic Health Records in Government-Related Hospitals in Eastern Province, Saudi Arabia. Perspectives in Health Information Management, 8, 1b. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193507/
[2]
Aldosari, B. (2014) Rates, Levels, and Determinants of Electronic Health Record System Adoption: A Study of Hospitals in Riyadh, Saudi Arabia. International Journal of Medical Informatics, 83, 330-342. https://doi.org/10.1016/j.ijmedinf.2014.01.006
[3]
ElMahalli, A.A., El-Khafif, S.H. and Al-Qahtani, M.F. (2012) Successes and Challenges in the Implementation and Application of Telemedicine in the Eastern Province of Saudi Arabia. Perspectives in Health Information Management, 9, 1f. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3510649/
[4]
Kramp, T., van Kranenburg, R. and Lange, S. (2013) Introduction to the Internet of Things. In: Bassi, A., et al. Eds., Enabling Things to Talk, Springer, Berlin, 1-10. https://doi.org/10.1007/978-3-642-40403-0_1
[5]
Ashton, K. (2009) That “Internet of Things” Thing. RFID Journal, 22, 97-114.
[6]
Chakraborty, S. and Bhatt, V. (2019) Mobile IoT Adoption as Antecedent to Care-Service Efficiency and Improvement: Empirical Study in Healthcare-Context. Journal of International Technology and Information Management, 28, 101-120. https://doi.org/10.58729/1941-6679.1430
[7]
Borycki, D. (2017) Programming for the Internet of Things: Using Windows 10 IoT Core and Azure IoT Suite. https://books.google.com.au/books?id=1_skDwAAQBAJ&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false
[8]
Singh, R.P., Javaid, M., Haleem, A. and Suman, R. (2020) Internet of Things (IoT) Applications to Fight against COVID-19 Pandemic. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14, 521-524. https://doi.org/10.1016/j.dsx.2020.04.041
[9]
Yassein, M.B., Hmeidi, I., Al-Harbi, M., Mrayan, L., Mardini, W. and Khamayseh, Y. (2019) IoT-Based Healthcare Systems: A Survey. Proceedings of the Second International Conference on Data Science, E-Learning and Information Systems, Dubai, 2-5 December 2019, 1-9. https://doi.org/10.1145/3368691.3368721
[10]
Ahmadi, H., Arji, G., Shahmoradi, L., Safdari, R., Nilashi, M. and Alizadeh, M. (2018) The Application of Internet of Things in Healthcare: A Systematic Literature Review and Classification. Universal Access in the Information Society, 18, 837-869. https://doi.org/10.1007/s10209-018-0618-4
[11]
Sareen, S., Sood, S.K. and Gupta, S.K. (2017) Secure Internet of Things-Based Cloud Framework to Control Zika Virus Outbreak. International Journal of Technology Assessment in Health Care, 33, 11-18. https://doi.org/10.1017/S0266462317000113
[12]
Kollu, P.K., Kumar, K., Kshirsagar, P.R., Islam, S., Naveed, Q.N., Hussain, M.R. and Sundramurthy, V.P. (2022) Development of Advanced Artificial Intelligence and IoT Automation in the Crisis of COVID-19 Detection. Journal of Healthcare Engineering, 2022, e1987917. https://doi.org/10.1155/2022/1987917
[13]
Farooq, M. and Shaker, H.A.S. (2013) Computer Literacy of Physicians among the Hospitals of Makkah Region. Journal of Family and Community Medicine, 20, 173-178. https://doi.org/10.4103/2230-8229.121998
[14]
El Mahalli, A. (2015) Electronic Health Records: Use and Barriers among Physicians in Eastern Province of Saudi Arabia. Saudi Journal for Health Sciences, 4, 32-41. https://doi.org/10.4103/2278-0521.151407
[15]
Hasanain, R.A., Vallmuur, K. and Clark, M. (2015) Electronic Medical Record Systems in Saudi Arabia: Knowledge and Preferences of Healthcare Professionals. Journal of Health Informatics in Developing Countries, 9. https://www.jhidc.org/index.php/jhidc/article/view/135
[16]
Hasanain, R., Vallmuur, K. and Clark, M. (2014) Progress and Challenges in the Implementation of Electronic Medical Records in Saudi Arabia: A Systematic Review. Health Informatics—An International Journal, 3, 1-14. https://doi.org/10.5121/hiij.2014.3201
[17]
Alsadan, M., Metwally, A.E., Ali, A., Jamal, A., Khalifa, M. and Househ, M. (2015) Health Information Technology (HIT) in Arab Countries: A Systematic Review Study on HIT Progress. Journal of Health Informatics in Developing Countries, 9. https://www.jhidc.org/index.php/jhidc/article/view/138
[18]
Masmali, F.H. and Miah, S.J. (2019) Adoption of IoT Based Innovations for Healthcare Service Delivery in Saudi Arabia. 2019 IEEE Asia-Pacific Conference on Computer Science and Data Engineering (CSDE), Melbourne, 9-11 December 2019, 1-9. https://doi.org/10.1109/CSDE48274.2019.9162390
[19]
Al Otaibi, M.N. (2019) Internet of Things (IoT) Saudi Arabia Healthcare Systems: State-of-the-Art, Future Opportunities and Open Challenges. Journal of Health Informatics in Developing Countries, 13. https://www.jhidc.org/index.php/jhidc/article/view/234
[20]
Harris, A.D., McGregor, J.C., Perencevich, E.N., Furuno, J.P., Zhu, J., Peterson, D.E. and Finkelstein, J. (2006) The Use and Interpretation of Quasi-Experimental Studies in Medical Informatics. Journal of the American Medical Informatics Association, 13, 16-23. https://doi.org/10.1197/jamia.M1749
[21]
Yuan, Y.S. and Cheah, T.C. (2020) A Study of Internet of Things Enabled Healthcare Acceptance in Malaysia. Journal of Critical Reviews, 7, 25-32. https://doi.org/10.31838/jcr.07.03.04
[22]
Dixon, R.F. (2010) Enhancing Primary Care through Online Communication. Health Affairs, 29, 1364-1369. https://doi.org/10.1377/hlthaff.2010.0110
[23]
Dinev, T. and Hu, Q. (2007) The Centrality of Awareness in the Formation of User Behavioral Intention toward Protective Information Technologies. Journal of the Association for Information Systems, 8, 386-408. https://doi.org/10.17705/1jais.00133
[24]
Top, E., Yukselturk, E. and Cakir, R. (2011) Gender and Web 2.0 Technology Awareness among ICT Teachers. British Journal of Educational Technology, 42, E106-E109. https://doi.org/10.1111/j.1467-8535.2011.01208.x
[25]
AlKuwaiti, A., Al Muhanna, F.A. and Al Amri, S. (2018) Implementation of Digital Health Technology at Academic Medical Centers in Saudi Arabia. Oman Medical Journal, 33, 367-373. https://doi.org/10.5001/omj.2018.69
[26]
Taryudi, T., Lindayani, L., Mutiar, A. and Purnama, H. (2022) Perceptions of Indonesian Nurses toward the Application of the Internet of Things in the Future. 5th International Conference in Nursing (IVCN), Bandung, 8 September 2021, 974-981. https://doi.org/10.18502/kls.v7i2.10398
[27]
Dafni, B.A. and Haiman, L. (2016) Physicians’ Attitudes toward the Use of IoT Medical Devices as Part of Their Practice. The Online Journal of Applied Knowledge Management, 4, 128-145. https://doi.org/10.36965/OJAKM.2016.4(2)128-145
[28]
Abdullah, R. and Fakieh, B. (2020) Perception of Healthcare Employees toward Utilizing AI Applications in Software Engineering Domain in Saudi Arabia. Journal of Medical Internet Research. https://doi.org/10.2196/17620
[29]
Alnobani, O., Zakaria, N., Temsah, M.H., Jamal, A.A., Alkamel, N. and Tharkar, S. (2021) Knowledge, Attitude, and Perception of Health Care Personnel Working in Intensive Care Units of Mass Gatherings toward the Application of Telemedicine Robotic Remote-Presence Technology: A Cross-Sectional Multicenter Study. Telemedicine and E-Health, 27, 1423-1432. https://doi.org/10.1089/tmj.2020.0469
[30]
Albarrak, A.I., Mohammed, R., Almarshoud, N., Almujalli, L., Aljaeed, R., Altuwaijiri, S. and Albohairy, T. (2021) Assessment of Physician’s Knowledge, Perception and Willingness of Telemedicine in Riyadh Region, Saudi Arabia. Journal of Infection and Public Health, 14, 97-102. https://doi.org/10.1016/j.jiph.2019.04.006
[31]
Thapa, S., Nielsen, J.B., Aldahmash, A.M., Qadri, F.R. and Leppin, A. (2021) Willingness to Use Digital Health Tools in Patient Care among Health Care Professionals and Students at a University Hospital in Saudi Arabia: Quantitative Cross-Sectional Survey. JMIR Medical Education, 7, e18590. https://doi.org/10.2196/18590
[32]
Altulaihi, B.A., Alharbi, K.G., Alhassan, A.M., Altamimi, A.M. and Al Akeel, M.A. (2021) Physician’s Perception toward Using Telemedicine during COVID-19 Pandemic in King Abdulaziz Medical City, Riyadh, Saudi Arabia. Cureus, 13, e16107. https://doi.org/10.7759/cureus.16107
[33]
Alrawashdeh, M., Keikhosrokiani, P., Belaton, B., Alawida, M. and Zwiri, A. (2022) IoT Adoption and Application for Smart Healthcare: A Systematic Review. Sensors, 22, Article 5377. https://doi.org/10.3390/s22145377
[34]
Meigs, S.L. and Solomon, M. (2016) Electronic Health Record Use a Bitter Pill for Many Physicians. Perspectives in Health Information Management, 13, 1d. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739443/
[35]
Idriss, S., Aldhuhayyan, A., Alasaadi, W., Alanazi, A., Alharbi, R., Alshahwan, G. and Baitalmal, M. (2022) Physicians’ Perceptions of Telemedicine Use during the COVID-19 Pandemic in Riyadh, Saudi Arabia: Cross-sectional Study. JMIR Formative Research, 6, e36029. https://doi.org/10.2196/36029
[36]
Alqahtani, M. (2021) IoT within the Saudi Healthcare Industry during COVID-19. In: Al-Emran, M., Al-Sharafi, M.A., Al-Kabi, M.N. and Shaalan, K., Eds., ICETIS 2021: Proceedings of International Conference on Emerging Technologies and Intelligent Systems, Springer, Cham, 469-483. https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/covidwho-1391779?lang=en
[37]
Aldraehim, M., Edwards, S.L., Watson, J. and Chan, T. (2013) Cultural Impact on E-Service Use in Saudi Arabia: The Role of Nepotism. International Journal for Infonomics, 5, 655-662. https://doi.org/10.20533/iji.1742.4712.2012.0075
[38]
Alanezi, F. (2021) Factors Affecting the Adoption of E-Health System in the Kingdom of Saudi Arabia. International Health, 13, 456-470. https://doi.org/10.1093/inthealth/ihaa091
[39]
Carcary, M., Maccani, G., Doherty, E. and Conway, G. (2018) Exploring the Determinants of IoT Adoption: Findings from a Systematic Literature Review. In: Zdravkovic, J., Grabis, J., Nurcan, S. and Stirna, J., Eds., BIR 2018: Perspectives in Business Informatics Research, Springer, Cham, 113-125. https://doi.org/10.1007/978-3-319-99951-7_8
[40]
Alsulame, K., Khalifa, M. and Househ, M. (2015) eHealth in Saudi Arabia: Current Trends, Challenges and Recommendations. Studies in Health Technology and Informatics, 213, 233-236. https://pubmed.ncbi.nlm.nih.gov/26153002/
[41]
Qurashi, A.A., Alanazi, R.K., Alhazmi, Y.M., Almohammadi, A.S., Alsharif, W.M. and Alshamrani, K.M. (2021) Saudi Radiology Personnel’s Perceptions of Artificial Intelligence Implementation: A Cross-Sectional Study. Journal of Multidisciplinary Healthcare, 14, 3225-3231. https://doi.org/10.2147/JMDH.S340786
[42]
Walter, Z. and Lopez, M.S. (2008) Physician Acceptance of Information Technologies: Role of Perceived Threat to Professional Autonomy. Decision Support Systems, 46, 206-215. https://doi.org/10.1016/j.dss.2008.06.004
[43]
Esmaeilzadeh, P. and Sambasivan, M. (2012) Healthcare Professionals’ Adoption of Clinical IT in Hospital: A View of Relationship between Healthcare Professionals and Hospital. Management, 2, 161-170. https://doi.org/10.5923/j.mm.20120205.04
[44]
Almuayqil, S., Atkins, A.S. and Sharp, B. (2016) Ranking of E-Health Barriers Faced by Saudi Arabian Citizens, Healthcare Professionals and IT Specialists in Saudi Arabia. Health, 8, 1004-1013. https://doi.org/10.4236/health.2016.810104
[45]
Booth, R., Strudwick, G., McMurray, J., Chan, R., Cotton, K. and Cooke, S. (2021) The Future of Nursing Informatics in a Digitally-Enabled World. In: Hussey, P. and Kennedy, M.A., Eds., Introduction to Nursing Informatics, Springer, Cham, 395-417. https://doi.org/10.1007/978-3-030-58740-6_16
[46]
Weakley, A., Tam, J.W., Van Son, C. and Schmitter-Edgecombe, M. (2019) Effectiveness of a Video-Based Aging Services Technology Education Program for Health Care Professionals. Gerontology & Geriatrics Education, 40, 339-356. https://doi.org/10.1080/02701960.2017.1281805
[47]
Ng, Y.P., Rashid, A. and O’Brien, F. (2017) Determining the Effectiveness of a Video-Based Contact Intervention in Improving Attitudes of Penang Primary Care Nurses towards People with Mental Illness. PLOS ONE, 12, e0187861. https://doi.org/10.1371/journal.pone.0187861
[48]
Venkatesh, V., Thong, J.Y.L. and Xu, X. (2012) Consumer Acceptance and Use of Information Technology: Extending the Unified Theory of Acceptance and Use of Technology. MIS Quarterly, 36, 157-178. https://doi.org/10.2307/41410412
[49]
AlJarullah, A., Crowder, R., Wald, M. and Wills, G. (2018) Factors Affecting the Adoption of EHRs by Primary Healthcare Physicians in the Kingdom of Saudi Arabia: An Integrated Theoretical Framework. International Journal of E-Healthcare Information Systems, 5, 126-138. https://doi.org/10.20533/ijehis.2046.3332.2018.0018
[50]
Wu, I.L., Li, J.Y. and Fu, C.Y. (2011) The Adoption of Mobile Healthcare by Hospital’s Professionals: An Integrative Perspective. Decision Support Systems, 51, 587-596. https://doi.org/10.1016/j.dss.2011.03.003
[51]
Safi, S., Thiessen, T. and Schmailzl, K.J. (2018) Acceptance and Resistance of New Digital Technologies in Medicine: Qualitative Study. JMIR Research Protocols, 7, e11072. https://doi.org/10.2196/11072
[52]
Li, H., Gupta, A., Zhang, J. and Sarathy, R. (2014) Examining the Decision to Use Standalone Personal Health Record Systems as a Trust-Enabled Fair Social Contract. Decision Support Systems, 57, 376-386. https://doi.org/10.1016/j.dss.2012.10.043
[53]
Wixom, B.H. and Todd, P.A. (2005) A Theoretical Integration of User Satisfaction and Technology Acceptance. Information Systems Research, 16, 1-106. https://doi.org/10.1287/isre.1050.0042
[54]
Hailikari, T., Katajavuori, N. and Lindblom-Ylanne, S. (2008) The Relevance of Prior Knowledge in Learning and Instructional Design. American Journal of Pharmaceutical Education, 72, Article 113.
[55]
Brame, C.J. (2016) Effective Educational Videos: Principles and Guidelines for Maximizing Student Learning from Video Content. CBE—Life Sciences Education, 15, es6. https://doi.org/10.1187/cbe.16-03-0125
[56]
AlHogail, A. and AlShahrani, M. (2018) Building Consumer Trust to Improve Internet of Things (IoT) Technology Adoption. In: Ayaz, H. and Mazur, L., Eds., AHFE 2018: Advances in Neuroergonomics and Cognitive Engineering, Springer, Cham, 325-334. https://doi.org/10.1007/978-3-319-94866-9_33
[57]
Hepp, S.L., Tarraf, R.C., Birney, A. and Arain, M.A. (2018) Evaluation of the Awareness and Effectiveness of IT Security Programs in a Large Publicly Funded Health Care System. Health Information Management Journal, 47, 116-124. https://doi.org/10.1177/1833358317722038
[58]
Arain, M.A., Tarraf, R. and Ahmad, A. (2019) Assessing Staff Awareness and Effectiveness of Educational Training on IT Security and Privacy in a Large Healthcare Organization. Journal of Multidisciplinary Healthcare, 12, 73-81. https://doi.org/10.2147/JMDH.S183275