Evidence map›Paper›PMID 42544133›Full record

ArticleDigital health

Latent profile analysis of implementation outcomes and willingness to use a digital health appointment system among university students in Ghana.

Douglas Aninng Opoku, Eric Kojo Nsa Oduro, Julius Kwabena Karikari, Emmanuel Konadu, Mercy Addae, Nana Akua Abruquah, Elizabeth Oppong-Kyekyeku, Francis Akabo, Godknows Mensah Kunkpe, Phanuel Seli Kwadzo Asense and 2 more

Abstract read
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Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Douglas Aninng OpokuUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID https://orcid.org/0000-0003-2321-387X
Eric Kojo Nsa OduroUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Julius Kwabena KarikariUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID https://orcid.org/0009-0000-1859-2620
Emmanuel KonaduUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Mercy AddaeUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Nana Akua AbruquahUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Elizabeth Oppong-KyekyekuUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Francis AkaboUniversity Information Technology Services, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Godknows Mensah KunkpeUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Phanuel Seli Kwadzo AsenseUniversity Information Technology Services, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Phyllis TawiahUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Nana Kwame Ayisi-BoatengUniversity Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The adoption of digital health technologies has accelerated over the past decade, reflecting increasing institutional commitment to technology-enabled healthcare delivery. Its adoption may be influenced by a range of factors, including user attitudes and infrastructure. This study examined latent profiles of implementation outcomes for Students' Online Health Appointment System (SOHAS) at a public university in Ghana, identified predictors of profile membership, and explored pathways linking attitudes to willingness to use the system. Methods: A cross-sectional study was conducted among students at the Kwame Nkrumah University of Science and Technology in Kumasi, Ghana. Data were collected using a pretested, structured online questionnaire. Latent profile analysis was used to identify implementation outcome profiles using implementation outcome measures (acceptability, appropriateness, and feasibility). Structural equation modelling was fitted to assess the relationship between implementation outcome profiles and willingness to use SOHAS. Results: Four distinct implementation outcome profiles were identified: Enthusiastic Adopters (40.8%), Conditional Supporters (17.2%), Ambivalent Users (30.6%), and Skeptical or Resistant (11.4%). Students who reported poor internet connectivity as a barrier had approximately a 44.0% lower likelihood of belonging to the Ambivalent Users profile (RRR = 0.56, 95% CI: 0.32-0.98). Male students reported a greater willingness to use the SOHAS (Estimate = 0.15, β = 0.18, 95% CI: 0.08-0.23) than females. Poor internet connectivity was positively associated with willingness to use SOHAS (Estimate = 0.12, β = 0.14, 95% CI: 0.03-0.21). Conclusion: The adoption of digital health solutions, such as SOHAS, is multifaceted and is driven by both infrastructural and attitudinal factors. Although students may express willingness to use digital systems, targeted engagement strategies and supportive infrastructure are essential to maximise adoption. This study highlights the need to prioritise integrated, user-centred, and infrastructure-sensitive approaches to digital health implementation to enhance adoption.

Indexed as

digital healthGhanaimplementation outcome profileslatent profile analysisstudents’ online health appointment system

Identifiers

PMID42544133
PMCPMC13428843

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.