Willingness to use computerized systems for the diagnosis of dementia: testing a theoretical model in an Israeli sample.

The aim of the study was to examine factors associated with the expressed willingness to use computerized systems (CSs) for dementia diagnosis. The conceptual model proposed that expressed willingness to use a CS would be directly associated with attitudes toward computerized programs, patient-physician relationship, and satisfaction with current health care. In addition, it was hypothesized that technology anxiety and past behavior with CS for dementia diagnosis would affect the expressed willingness to use a CS. Interviews were conducted with a convenience sample of 420 Israeli adults (mean age, 64 y). Structural equation modeling was used to examine the hypothesized relationships. Expressed willingness to use a CS for dementia diagnosis was moderate, although significantly higher when performed by a professional than when performed alone. Overall, the expressed willingness to use a CS for dementia diagnosis was affected by attitudes toward computerized programs, toward patient-physician relationship, and by the level of technology anxiety. Participants with lower socioeconomic status and female participants reported lower levels of intention to use a CS for dementia diagnosis. Findings of the study encourage the development of educational interventions aimed at promoting the use of CS for dementia diagnosis. These programs should target potential users' attitudes, feelings of uneasiness, and anxiety regarding technology.