Lex van Velsen1, Monique Tabak2, Hermie Hermens3. 1. Roessingh Research and Development, Telemedicine cluster, P.O. box 310, 7500 AH, Enschede, The Netherlands; University of Twente, Biomedical Signals and Systems Group, P.O. box 217, 7500 AE, Enschede, The Netherlands. Electronic address: l.vanvelsen@rrd.nl. 2. Roessingh Research and Development, Telemedicine cluster, P.O. box 310, 7500 AH, Enschede, The Netherlands; University of Twente, Biomedical Signals and Systems Group, P.O. box 217, 7500 AE, Enschede, The Netherlands. Electronic address: m.tabak@rrd.nl. 3. Roessingh Research and Development, Telemedicine cluster, P.O. box 310, 7500 AH, Enschede, The Netherlands; University of Twente, Biomedical Signals and Systems Group, P.O. box 217, 7500 AE, Enschede, The Netherlands. Electronic address: h.hermens@rrd.nl.
Abstract
BACKGROUND: For many eServices, end-user trust is a crucial prerequisite for use. For the telemedicine context however, knowledge about the coming about and measurement of end-user trust is scarce. OBJECTIVE: To develop and validate the PAtient Trust Assessment Tool (PATAT): a survey instrument to quantitatively assess patient trust in a telemedicine service. METHODS: Informed by focus groups, we developed a survey that includes measurement scales for the following factors: trust in the care organization, care professional, treatment, and technology, as well as a scale that assesses a holistic view on trust in the telemedicine service. The survey was completed by 795 patients that use a telemedicine application to manage their anticoagulation treatment. Data were analyzed by means of Partial Least Squares Structural Equation Modeling (PLS-SEM). RESULTS: The measurement model yielded good to excellent quality measures, after the removal of one item. The causal model resulted in high explained variance (R2=0.68). Trust in healthcare professionals and the treatment had a small effect on overall trust, while trust in the technology displayed a large effect. Trust in the care organization did not result in a significant effect on overall trust. CONCLUSION: The PATAT is a valid means to assess patient trust in a telemedicine service and can be used to benchmark such a service or to elicit redesign input. Copyright Â
BACKGROUND: For many eServices, end-user trust is a crucial prerequisite for use. For the telemedicine context however, knowledge about the coming about and measurement of end-user trust is scarce. OBJECTIVE: To develop and validate the PAtient Trust Assessment Tool (PATAT): a survey instrument to quantitatively assess patient trust in a telemedicine service. METHODS: Informed by focus groups, we developed a survey that includes measurement scales for the following factors: trust in the care organization, care professional, treatment, and technology, as well as a scale that assesses a holistic view on trust in the telemedicine service. The survey was completed by 795 patients that use a telemedicine application to manage their anticoagulation treatment. Data were analyzed by means of Partial Least Squares Structural Equation Modeling (PLS-SEM). RESULTS: The measurement model yielded good to excellent quality measures, after the removal of one item. The causal model resulted in high explained variance (R2=0.68). Trust in healthcare professionals and the treatment had a small effect on overall trust, while trust in the technology displayed a large effect. Trust in the care organization did not result in a significant effect on overall trust. CONCLUSION: The PATAT is a valid means to assess patient trust in a telemedicine service and can be used to benchmark such a service or to elicit redesign input. Copyright Â
Authors: Matilda Hamlin; Steinn Steingrimsson; Itzhak Cohen; Victor Bero; Avishay Bar-Tl; Bruria Adini Journal: Int J Environ Res Public Health Date: 2020-07-20 Impact factor: 3.390