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Primary Submission Category: Health behaviors
Determinants and Intended Uses of Telehealth among Women: The Role of Self-efficacy, Prior Experience, Acceptability, and Demographic Factors
Authors: Promise Emmanuel,
Presenting Author: Promise Emmanuel*
Despite growing attention to telehealth for improving access to healthcare, willingness to use it remains underexplored in many population contexts that could benefit significantly from its use. Theoretical perspectives on intervention acceptability suggest that individuals’ perceptions of an intervention (e.g., belief about effectiveness), play a key role in shaping behavioral intentions. For telehealth, additional factors such as self-efficacy and prior experience with digital technology further impact adoption. Moreover, demographic factors like age shape how perceptions of telehealth translate into willingness to it. This study examines determinants of willingness to use telehealth among women in Nigeria and explores health concerns respondents are willing to use telehealth for. Utilizing survey data collected from a sample of n = 288 women, the study aims to address three research questions: (1) Does acceptability of telehealth predict willingness to use telehealth services? (2) What role does self-efficacy play in shaping willingness to use telehealth and how does prior telehealth experience influence self-efficacy? (3) How do demographic factors moderate the relationship between telehealth acceptability and willingness to use it? In addition, descriptive analyses examine health concerns for which respondents report they would consider using telehealth. Preliminary analyses reveal high willingness to use telehealth (93.0%), with primary health care being the leading service respondents are willing to use telehealth for. Further analyses show self-efficacy significantly predicts willingness to use telehealth (β = .35, p < .001) and a significant association between prior telehealth experience and willingness to use telehealth X2 (1, N = 271) = 5, p = .03. Findings from this study will inform effective implementation and use of telehealth interventions and offer insights into potential care areas to begin leveraging telehealth use among women in Nigeria.