Dentists’ readiness to accept an electronic oral health surveillance system in Egypt using a modified framework of the unified theory of acceptance and use of technology (UTAUT): a cross-sectional survey

Abstract Background Effective public health surveillance is essential for policymaking and resource allocation. The World Health Organization (WHO) supports the integration of mobile technologies to create mobile Oral (m-Oral) Health surveillance systems to enhance disease monitoring. The effectiven...

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Main Authors: Hams H. Abdelrahman, Maha Hamza, Wafaa Essam, May Adham
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-024-05410-3
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author Hams H. Abdelrahman
Maha Hamza
Wafaa Essam
May Adham
author_facet Hams H. Abdelrahman
Maha Hamza
Wafaa Essam
May Adham
author_sort Hams H. Abdelrahman
collection DOAJ
description Abstract Background Effective public health surveillance is essential for policymaking and resource allocation. The World Health Organization (WHO) supports the integration of mobile technologies to create mobile Oral (m-Oral) Health surveillance systems to enhance disease monitoring. The effectiveness and sustainability of electronic health information initiatives depend on users’ acceptance of new technologies. This research assessed dentists’ acceptance of electronic oral health surveillance systems (EOHSS) and related factors, guided by the Unified Theory of Acceptance and Use of Technology (UTAUT) model. Materials and methods A cross-sectional study included 1470 Egyptian dentists in an online survey from November 2023 to May 2024. The dentists were recruited from the five administrative regions in Egypt using convenience and snowball sampling. Participants responded to a questionnaire that was based on the UTAUT model. Structural equation model (SEM) was used for data analysis. Results 83.4% of dentists intended to use EOHSS. Performance expectancy (PE) (ß = 0.240, 95% CI: 0.182, 0.295), training adequacy (TA) (ß = 0.232, 95% CI: 0.165, 0.291), and effort expectancy (EE) (ß = 0.231, 95% CI: 0.169, 0.289) had the greatest influence on behavioral intention (BI). In contrast, anxiety towards electronic systems (ANX) (ß = -0.140, 95% CI: -0.187, -0.095) had a significant negative effect on BI. Effort Expectancy (EE) had a significantly stronger positive impact on BI of females than males. Moreover, EE had a significantly stronger impact on BI of dentists older than 40 years old than those who were younger than 30 years old. Conclusions Egyptian dentists’ intentions to use the EOHSS were influenced by PE, TA, and EE. However, anxiety related to technology may limit its adoption. EE had a greater positive impact on BI in females and in older dentists.
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spelling doaj-art-3131be2b87494a72be6b4bf03541b02d2025-01-19T12:41:09ZengBMCBMC Oral Health1472-68312025-01-0125111210.1186/s12903-024-05410-3Dentists’ readiness to accept an electronic oral health surveillance system in Egypt using a modified framework of the unified theory of acceptance and use of technology (UTAUT): a cross-sectional surveyHams H. Abdelrahman0Maha Hamza1Wafaa Essam2May Adham3Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria UniversityDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria UniversityDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria UniversityDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria UniversityAbstract Background Effective public health surveillance is essential for policymaking and resource allocation. The World Health Organization (WHO) supports the integration of mobile technologies to create mobile Oral (m-Oral) Health surveillance systems to enhance disease monitoring. The effectiveness and sustainability of electronic health information initiatives depend on users’ acceptance of new technologies. This research assessed dentists’ acceptance of electronic oral health surveillance systems (EOHSS) and related factors, guided by the Unified Theory of Acceptance and Use of Technology (UTAUT) model. Materials and methods A cross-sectional study included 1470 Egyptian dentists in an online survey from November 2023 to May 2024. The dentists were recruited from the five administrative regions in Egypt using convenience and snowball sampling. Participants responded to a questionnaire that was based on the UTAUT model. Structural equation model (SEM) was used for data analysis. Results 83.4% of dentists intended to use EOHSS. Performance expectancy (PE) (ß = 0.240, 95% CI: 0.182, 0.295), training adequacy (TA) (ß = 0.232, 95% CI: 0.165, 0.291), and effort expectancy (EE) (ß = 0.231, 95% CI: 0.169, 0.289) had the greatest influence on behavioral intention (BI). In contrast, anxiety towards electronic systems (ANX) (ß = -0.140, 95% CI: -0.187, -0.095) had a significant negative effect on BI. Effort Expectancy (EE) had a significantly stronger positive impact on BI of females than males. Moreover, EE had a significantly stronger impact on BI of dentists older than 40 years old than those who were younger than 30 years old. Conclusions Egyptian dentists’ intentions to use the EOHSS were influenced by PE, TA, and EE. However, anxiety related to technology may limit its adoption. EE had a greater positive impact on BI in females and in older dentists.https://doi.org/10.1186/s12903-024-05410-3Oral health surveillanceMobile-oral healthE-healthMobile technologyHealth information technologyAcceptance model
spellingShingle Hams H. Abdelrahman
Maha Hamza
Wafaa Essam
May Adham
Dentists’ readiness to accept an electronic oral health surveillance system in Egypt using a modified framework of the unified theory of acceptance and use of technology (UTAUT): a cross-sectional survey
BMC Oral Health
Oral health surveillance
Mobile-oral health
E-health
Mobile technology
Health information technology
Acceptance model
title Dentists’ readiness to accept an electronic oral health surveillance system in Egypt using a modified framework of the unified theory of acceptance and use of technology (UTAUT): a cross-sectional survey
title_full Dentists’ readiness to accept an electronic oral health surveillance system in Egypt using a modified framework of the unified theory of acceptance and use of technology (UTAUT): a cross-sectional survey
title_fullStr Dentists’ readiness to accept an electronic oral health surveillance system in Egypt using a modified framework of the unified theory of acceptance and use of technology (UTAUT): a cross-sectional survey
title_full_unstemmed Dentists’ readiness to accept an electronic oral health surveillance system in Egypt using a modified framework of the unified theory of acceptance and use of technology (UTAUT): a cross-sectional survey
title_short Dentists’ readiness to accept an electronic oral health surveillance system in Egypt using a modified framework of the unified theory of acceptance and use of technology (UTAUT): a cross-sectional survey
title_sort dentists readiness to accept an electronic oral health surveillance system in egypt using a modified framework of the unified theory of acceptance and use of technology utaut a cross sectional survey
topic Oral health surveillance
Mobile-oral health
E-health
Mobile technology
Health information technology
Acceptance model
url https://doi.org/10.1186/s12903-024-05410-3
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