| Literature DB >> 35627647 |
Ardvin Kester S Ong1, Thanatorn Chuenyindee1,2,3, Yogi Tri Prasetyo1,4, Reny Nadlifatin5, Satria Fadil Persada6, Ma Janice J Gumasing1,2, Josephine D German1,2, Kirstien Paola E Robas1, Michael N Young1, Thaninrat Sittiwatethanasiri3.
Abstract
The continuous rise of the COVID-19 Omicron cases despite the vaccination program available has been progressing worldwide. To mitigate the COVID-19 contraction, different contact tracing applications have been utilized such as Thai Chana from Thailand. This study aimed to predict factors affecting the perceived usability of Thai Chana by integrating the Protection Motivation Theory and Technology Acceptance Theory considering the System Usability Scale, utilizing deep learning neural network and random forest classifier. A total of 800 respondents were collected through convenience sampling to measure different factors such as understanding COVID-19, perceived severity, perceived vulnerability, perceived ease of use, perceived usefulness, attitude towards using, intention to use, actual system use, and perceived usability. In total, 97.32% of the deep learning neural network showed that understanding COVID-19 presented the most significant factor affecting perceived usability. In addition, random forest classifier produced a 92% accuracy with a 0.00 standard deviation indicating that understanding COVID-19 and perceived vulnerability led to a very high perceived usability while perceived severity and perceived ease of use also led to a high perceived usability. The findings of this study could be considered by the government to promote the usage of contact tracing applications even in other countries. Finally, deep learning neural network and random forest classifier as machine learning algorithms may be utilized for predicting factors affecting human behavior in technology or system acceptance worldwide.Entities:
Keywords: contact tracing; deep learning neural network; human behavior; machine learning algorithm; random forest classifier
Mesh:
Year: 2022 PMID: 35627647 PMCID: PMC9141929 DOI: 10.3390/ijerph19106111
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 4.614
Figure 1Theoretical Framework.
Construct and measurement items.
| Construct | Items | Measures | Supporting References |
|---|---|---|---|
| Understanding of COVID-19 | U1 | I do understand the transmission of COVID-19 | Prasetyo et al. [ |
| U2 | I do understand the incubation period of COVID-19 | Li and Lin [ | |
| U3 | I do understand the general symptom of COVID-19 | Munzert et al. [ | |
| U4 | I do understand the protocol if I have the symptoms that might lead to COVID-19 | ||
| U5 | I do understand which hospital can treat COVID-19 patients | ||
| U6 | I do understand when I can get the vaccine for COVID-19 from Thai Government | ||
| Perceived Vulnerability | PV1 | I think I am vulnerable to COVID-19 | Prasetyo et al. [ |
| PV2 | I think my area is very vulnerable to COVID-19 | Kowalski and Black [ | |
| PV3 | I think there is a chance that my family will be infected by COVID-19 | ||
| PV4 | I think my friends/colleague is vulnerable to COVID-19 | Ong et al. [ | |
| PV5 | I think Thailand is more vulnerable than ASEAN countries | ||
| Perceived Severity | PS1 | I find COVID-19 is a serious disease | Prasetyo et al. [ |
| PS2 | I find COVID-19 can lead to sudden death | ||
| PS3 | I find COVID-19 is more severe than other diseases | Kowalski and Black [ | |
| PS4 | I find COVID-19 can affect my mental health | Ong et al. [ | |
| PS5 | I think it’s very expensive to pay the medical expenses for COVID-19 | Lewis [ | |
| PS6 | I think the COVID-19 outbreak will continue until the middle of 2021 | Walrave et al. [ | |
| PS7 | I think COVID-19 in Thailand is more severe than ASEAN countries | ||
| Perceived Ease of Use | PEU1 | I think Thai Chana can provide information related to COVID-19 that I want | Prasetyo et al. [ |
| PEU2 | Information provided by Thai Chana is very clear and understandable | Kurniasih et al. [ | |
| PEU3 | I can use Thai Chana successfully every time | ||
| PEU4 | I believe the information provided by Thai Chana is correct | Camacho-Rivera et al. [ | |
| PEU5 | It would be easy for me to become skillful at using Thai Chana | ||
| Perceived Usefulness | PU1 | Using Thai Chana would protect me from COVID-19 | Prasetyo et al. [ |
| PU2 | Using Thai Chana can enhance my health | Kurniasih et al. [ | |
| PU3 | The COVID-19 spread map can enhance my awareness and preparedness | Camacho-Rivera et al. [ | |
| PU4 | Safety guidelines in Thai Chana is useful | ||
| PU5 | Announcement in Thai Chana is useful | Gumasing et al. [ | |
| PU6 | Hotline number in Thai Chana is responsive | ||
| PU7 | Using Thai Chana can safe my community from COVID-19 | ||
| Attitude towards using | A1 | Thai Chana is beneficial for me | Prasetyo et al. [ |
| A2 | Thai Chana makes me feel safe from COVID-19 | Kurniasih et al. [ | |
| A3 | Thai Chana can reduce my stress due to COVID-19 | Velicia-Martín et al. [ | |
| A4 | Thai Chana gives the community a sense of security | ||
| A5 | I feel I have to use Thai Chana for the sake of my health | ||
| Intention to Use | IU1 | I will be willing to use Thai Chana in the future | Prasetyo et al. [ |
| IU2 | I will continue to use Thai Chana in the future | Kurniasih et al. [ | |
| IU3 | I will promote Thai Chana to other people in the future | Chuenyindee et al. [ | |
| IU4 | I will follow the announcement by the government in Thai Chana | ||
| IU5 | I will follow the health protocol in Thai Chana | ||
| Actual System Use | AU1 | I intend to install Thai Chana on my device | Prasetyo et al. [ |
| AU2 | Most people in my community are using Thai Chana | ||
| AU3 | I feel insecure if I don’t use Thai Chana | Pal and Vanijja [ | |
| AU4 | I often read announcement in Thai Chana | ||
| AU5 | I follow the safety guidelines provided by Thai Chana | ||
| AU6 | I feel satisfied with Thai Chana | ||
| Perceived Usability | PUS1 | I think I would use this system frequently | Prasetyo et al. [ |
| PUS2 | I think Thai Chana is unnecessarily complex | Orfanou et. al. [ | |
| PUS3 | I think Thai Chana is easy to use | German et al. [ | |
| PUS4 | I think I can operate Thai Chana by myself without the technical support | Pal and Vanijja [ | |
| PUS5 | I find that various functions in Thai Chana are well integrated | Kuo and Zulvia [ | |
| PUS6 | I think Thai Chana system is consistent | ||
| PUS7 | I would imagine many people in Thailand will use Thai Chana | ||
| PUS8 | I think it is comfortable using Thai Chana | ||
| PUS9 | I feel confident using Thai Chana | ||
| PUS10 | I do not need to learn many things before using Thai Chana |
Figure 2Methodological Flowchart.
Demographic Profile of Respondents (n = 800).
| Characteristics | Category | N | % |
|---|---|---|---|
| Gender | Male | 365 | 45.62 |
| Female | 415 | 51.88 | |
| Other | 20 | 2.50 | |
| Age | 15–24 | 623 | 77.87 |
| 25–34 | 84 | 10.50 | |
| 35–44 | 34 | 4.250 | |
| 45–54 | 31 | 3.870 | |
| 55–64 | 27 | 3.380 | |
| More than 64 | 1 | 0.130 | |
| Monthly Salary/Allowance | THB < 15,000 | 330 | 41.25 |
| THB 15,000–30,000 | 345 | 43.12 | |
| THB 30,000–45,000 | 65 | 8.130 | |
| THB 45,000–60,000 | 30 | 3.750 | |
| THB 60,000–75,000 | 12 | 1.500 | |
| THB > 75,000 | 18 | 2.250 | |
| Enrolled in a health insurance? | Yes | 484 | 60.50 |
| No | 316 | 39.50 |
Descriptive Statistics of the Indicators.
| Construct | Items | Mean | Standard Deviation |
|---|---|---|---|
| Understanding of COVID-19 | U1 | 4.4213 | 0.70493 |
| U2 | 4.2950 | 0.81934 | |
| U3 | 4.4150 | 0.70774 | |
| U4 | 4.4875 | 0.68588 | |
| U5 | 4.0800 | 0.97969 | |
| U6 | 3.6688 | 1.22919 | |
| Perceived Vulnerability | PV1 | 3.1050 | 1.38162 |
| PV2 | 3.3688 | 1.26284 | |
| PV3 | 2.9500 | 1.44486 | |
| PV4 | 3.2600 | 1.34058 | |
| PV5 | 3.7988 | 1.10670 | |
| Perceived Severity | PS1 | 4.3825 | 0.84385 |
| PS2 | 4.0563 | 1.03413 | |
| PS3 | 4.1263 | 0.93215 | |
| PS4 | 4.2138 | 0.94957 | |
| PS5 | 4.3475 | 0.88046 | |
| PS6 | 4.4350 | 0.76910 | |
| PS7 | 3.8688 | 1.09568 | |
| Perceived Ease of Use | PEU1 | 3.8750 | 1.18475 |
| PEU2 | 3.9000 | 1.08350 | |
| PEU3 | 3.8750 | 1.18897 | |
| PEU4 | 3.9050 | 1.07467 | |
| PEU5 | 3.9788 | 1.09421 | |
| Perceived Usefulness | PU1 | 3.7150 | 1.28680 |
| PU2 | 3.6850 | 1.26798 | |
| PU3 | 3.8913 | 1.13403 | |
| PU4 | 3.9050 | 1.13140 | |
| PU5 | 3.9100 | 1.16559 | |
| PU6 | 3.8013 | 1.17621 | |
| PU7 | 3.7950 | 1.22161 | |
| Attitude Towards Using | A1 | 3.9125 | 1.19546 |
| A2 | 3.7375 | 1.22289 | |
| A3 | 3.6963 | 1.23628 | |
| A4 | 3.8063 | 1.17065 | |
| A5 | 3.8100 | 1.17713 | |
| Intention to Use | IU1 | 3.9525 | 1.14319 |
| IU2 | 3.8600 | 1.15089 | |
| IU3 | 3.8250 | 1.16450 | |
| IU4 | 3.7688 | 1.24286 | |
| IU5 | 3.8500 | 1.18396 | |
| Actual System Use | AU1 | 3.8000 | 1.29019 |
| AU2 | 3.7025 | 1.28883 | |
| AU3 | 3.6650 | 1.30572 | |
| AU4 | 3.5500 | 1.35824 | |
| AU5 | 3.6850 | 1.25708 | |
| AU6 | 3.7225 | 1.21237 | |
| Perceived Usability | PUS1 | 3.8050 | 1.20781 |
| PUS2 | 3.6000 | 1.19866 | |
| PUS3 | 3.8975 | 1.05872 | |
| PUS4 | 3.8625 | 1.07006 | |
| PUS5 | 3.8163 | 1.08234 | |
| PUS6 | 3.8413 | 1.11696 | |
| PUS7 | 3.7475 | 1.14363 | |
| PUS8 | 3.8600 | 1.08599 | |
| PUS9 | 3.8313 | 1.17239 | |
| PUS10 | 3.8900 | 1.04368 |
Figure 3Optimum Random Forest Classifier.
Summary of Initial Deep Learning Neural Network.
| Latent | Nodes | Activation (H–Layer) | Activation (O–Layer) | Optimizer | Average Training | StDev | Average Testing | StDev |
|---|---|---|---|---|---|---|---|---|
| U | 30 | swish | sigmoid | adam | 32.29 | 2.063 | 91.63 | 3.662 |
| PS | 40 | swish | sigmoid | adam | 24.70 | 1.663 | 86.32 | 2.843 |
| PV | 30 | swish | sigmoid | adam | 13.10 | 5.032 | 83.62 | 4.633 |
| PEU | 50 | swish | softmax | SGD | 33.85 | 1.630 | 68.75 | 5.563 |
| PU | 50 | swish | softmax | adam | 31.11 | 2.368 | 36.25 | 4.478 |
| A | 40 | swish | softmax | adam | 24.21 | 3.654 | 48.75 | 5.001 |
| IU | 40 | swish | softmax | RMSProp | 27.66 | 1.635 | 40.23 | 2.658 |
| AU | 30 | tanh | softmax | SGD | 25.72 | 2.156 | 42.24 | 3.665 |
Figure 4Training and Validation Loss of Deep Learning Neural Network.
Figure 5Optimum Deep Learning Neural Network structure for Perceived Usability of Thai Chana COVID-19 Tracing Application.
Score of Importance.
| Latent | Importance | Score (%) |
|---|---|---|
| U | 0.213 | 100 |
| PS | 0.186 | 87.5 |
| PV | 0.164 | 77.2 |
| PEU | 0.140 | 66.0 |
| PU | 0.116 | 54.5 |
| A | 0.055 | 25.7 |
| IU | 0.059 | 27.7 |
| AU | 0.067 | 31.4 |
Pearson’s R Correlation.
| Latent | U | PV | PS | PEU | PU | A | IU | AU |
|---|---|---|---|---|---|---|---|---|
|
| 0.392 | |||||||
|
| 0.370 | 0.414 | ||||||
|
| 0.398 | 0.267 | 0.282 | |||||
|
| 0.348 | 0.243 | 0.315 | 0.866 | ||||
|
| 0.392 | 0.223 | 0.274 | 0.809 | 0.890 | |||
|
| 0.207 | 0.181 | 0.223 | 0.780 | 0.828 | 0.881 | ||
|
| 0.144 | 0.246 | 0.273 | 0.787 | 0.831 | 0.873 | 0.898 | |
|
| 0.779 | 0.715 | 0.739 | 0.716 | 0.715 | 0.244 | 0.217 | 0.308 |