Faculty Publications
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Item Women Empowerment Through Social Media: Insights from India(Springer, 2020) Pai, R.R.; Alathur, S.In recent times, social media has been used by people to participate in a particular event and has resulted in the generation of a large amount of data online. These data can be helpful for the decision-maker in promoting and devising necessary policies at the right time. The purpose of this paper is to understand the peoples’ sentiments and emotions about a recent social movement. Based on the result and analysis, the possible inferences have been presented. © Springer Nature Singapore Pte Ltd 2020.Item Mobile health system framework in India(Association for Computing Machinery, 2019) Pai, R.R.; Alathur, S.The healthcare system in India has been progressive with the specific health policies evolved over a period of time. Currently, it is in a phase of incorporating mobile technology into healthcare service delivery (i.e., mobile health) to make it a patient-centric model for managing acute, chronic, and preventive health conditions. This provides authentic interactions between the patient/user and the healthcare professionals for seeking health communication and information during emergencies and disaster conditions. However, there exists a great challenge in integrating mobile health solutions within the existing system and acceptance among the individuals, as the patient data is primarily collected through sensors and while the interventions are connected electronically. With this aim, the present research by using qualitative interviews (among residents and technology entrepreneurs) attempts to propose a provenance framework for the mobile health system in India. It also highlights its strengths and weakness and delineates components identified from qualitative interviews for describing the proposed provenance framework. © 2019 Association for Computing Machinery.Item Determinants of mobile health application awareness and use in India: An empirical analysis(Association for Computing Machinery, 2020) Pai, R.R.; Alathur, S.Purpose-To examine the influence of mobile health in improving health service delivery in India. With this aim, the current research examines the role of individuals' cognitive factors, characteristics of mobile-service, and health-related behaviour from a technology viewpoint towards awareness and use of mobile health applications. Design/methodology/approach-Quantitative approach has been used with data being collected both online and offline through structured questionnaires. The factors for determining variables for awareness and use were prepared based on technology acceptance and health belief literature. A sample size of 528 responses was analysed using structural equation modelling. Findings-Mobile service enabled empowerment and health information orientation were found to have a direct influence on awareness and use. Originality/value-Earlier studies on mobile health relating to India explains its importance in health service delivery and were adequate in explaining individuals' cognitive factors, characteristics of mobile-service, and health-related behaviour from a technology viewpoint on awareness and use. Therefore, the current study attempts to establish relationships between these factors for measuring awareness and use. Drawing on the statistical inferences, the implication has been recommended. © 2020 ACM.Item Assessing awareness and use of mobile phone technology for health and wellness: Insights from India(Elsevier B.V., 2019) Pai, R.R.; Alathur, S.Purpose: The purpose of this study is to determine the awareness and use of mobile phones and applications for health service delivery among technical students, working staff, medical students, and health professionals of India. Design/methodology/approach: A cross-sectional study was conducted with a sample size of 386 students, working staff, and health professionals of engineering and medicine using structured questionnaires and the data were analyzed. Findings: Most of the responses are female (50.25%) of age 18–25 (48.44%). However, respondents have used mobile phones for managing menstrual cycles and chronic/lifestyle diseases. Moreover, the degree of awareness and familiarity about the term “mobile health” was found to be more among technical students and working staff (55.17%) than medical students and health professionals (44.82%). Statistical results also revealed that awareness about the use of mobile phone for health-related components was found to be significant except for health awareness and education, and medication adherence and refilling. Further, about mobile health applications use, there exists a significant association between the study groups for the self-management applications of cancer, cholesterol, heart diseases, and stroke. Conclusion: The study recommends to improve peoples’ awareness and familiarity about the use of mobile phone for managing health and service delivery. This can be achieved with the help of health professionals as most of the people prefer personal visits than through mobile interventions. Moreover, peoples’ socio-demographic factors, perception about the device, and health information also play an important role in using mobile health applications for health service delivery. © 2019 Fellowship of Postgraduate MedicineItem Predicting mobile health technology acceptance by the Indian rural community: A qualitative study(IGI Global, 2019) Pai, R.R.; Alathur, S.To investigate factors that influence mobile health technology and application acceptance for health service delivery in India. The paper identifies a technology acceptance model that can be limited to the Indian rural populations. The data is collected from 60 semi-structured interviews with rural populations, including doctors. Contents of these phases were transcribed, and quotes are presented constituting a proposed technology acceptance model. Findings indicate that people in the rural community have mobile phones and are mainly used to communicate by phone calls their relatives, friends, and family members. The study also revealed that a lack of knowledge, mobile literacy, trust, social influence, individual cognitive factors, and technical infrastructure were found to influence mobile phone use for health activities. Triangulating the findings from the literature and interview, the study has identified a set of interrelated acceptance factors that the authors proposed as mobile health technology acceptance model for the rural community of India. © © 2019, IGI Global.Item Determinants of individuals’ intention to use mobile health: insights from India(Emerald Group Holdings Ltd., 2019) Pai, R.R.; Alathur, S.Purpose: This study aims to examine the determinants of mobile health technology and applications use intention. The factors are delineated from prior literature and theories of individual traits and adoption characteristics, technology acceptance and health belief. Design/methodology/approach: Data from 409 respondents were collected from Indian participants through a questionnaire survey. The construct “use intention” was measured using individual traits to mobile services, subjective norm, health consciousness, awareness and perceived usefulness, and the model was tested. Findings: The study found that mobile health technology and the applications awareness and personal innovativeness influence intention to use. Originality/value: Previous studies have often looked at technology adoption and acceptance models separately and are less adequately discussed in the Indian context. The components that determine mobile health technology and the applications’ acceptance by literature and theories of individual traits and adoption characteristics, technology acceptance and health beliefs were also inadequately discussed. The significant contribution of this research also includes policy recommendations for improving mobile health acceptance in India. © 2019, Emerald Publishing Limited.Item Bibliometric Analysis and Methodological Review of Mobile Health Services and Applications in India(Elsevier Ireland Ltd, 2021) Pai, R.R.; Alathur, S.Purpose: The purpose of this research is to analyze the literature published on mobile health (mHealth) in the Indian context. It also reviews the most important research works and presents various methodologies adopted by the researchers in this domain. Design/methodology/approach: The SciVerse SCOPUS database was used for extracting the literature on mobile health. The study used articles published between January 2008 to 28th June 2019. The keyword used is ‘mHealth’ and journal articles with studies or interventions carried out in India were selected for bibliometric analysis and methodological review. Findings: For the keyword search, a total of 7,874 documents have been extracted, of which only 158 have been considered for the analysis. There is an exponential increase in the number of publications from the year 2015 to 2019. The keywords used for representing their articles have been grouped as mobile health devices, gender and age groups, system and software, health and disease condition, management, evidence-based practices (outcome), methods, and importance of the study. The journal PLOS One (87) has the highest number of citations, followed by The Lancet (63). The bibliometric analysis of the literature revealed seven clusters classified as individual's individual's mobile health applications adoption characteristics, need for mobile health and its governance, mobile phone application with the internet of things based framework for healthcare monitoring, mobile health for primary healthcare systems, authentication and security protocol for mobile healthcare, development and experimentation of mobile health application, and development and mobile health for adherence support intervention. Originality/Value: The study contributes in analyzing the bibliometrics and provides a methodological review for the journal articles published on mobile health. Previous articles considered systematic analysis of the bibliometric for mHealth, and mobile technology but less adequately discussed specifically towards Indian context which this study has embraced. © 2020 Elsevier B.V.Item Mobile health intervention and COVID-19 pandemic outbreak: insights from Indian context(Emerald Group Holdings Ltd., 2021) Pai, R.R.; Alathur, S.Purpose: This paper discusses the need for government and healthcare organization to implement mobile phone-based solutions for healthcare during the Coronavirus (Covid-19) pandemic. It also highlights the challenges and/or barriers to the rapid introduction, implementation and management of these and other innovative solutions to health service delivery during the current situation Design/methodology/approach: The data include both qualitative and quantitative, collected from the primary interview-based case study and questionnaire survey. It also uses insights from the general populations, healthcare professionals and health information technology developers to understand the role of a mobile health intervention in the COVID-19 pandemic outbreak. Findings: Healthcare professionals and health information technology developers are confident that the use of mobile health technology and applications has the ability to assist in monitoring and controlling the COVID-19 outbreak. The key advantages of using mobile phone technology are: increased awareness, improved assistance in tracking and testing casualties, improved assistance in seeking and scheduling health information and medical appointments, increased social distancing, improved overall productivity and quality of life. However, data demonstrated that lack of awareness and accessibility or unwillingness to use the technology, complex healthcare needs, application infrastructure, policies and a dearth of training and support are all barriers to successful implementation of this useful tool. Practical implications: This research has the potential to make a significant impact on government and healthcare policy through presenting a coherent argument for the importance of designing and deploying mobile health technology and applications for the general population. Originality/value: prior literature in this domain is inadequate in explaining the importance of mobile phone-based healthcare solutions for health service and during serious disease outbreaks and, in particular, within the Indian context. The findings of this study can be used by government and healthcare organizations to improve health governance during the current global pandemic. © 2020, Emerald Publishing Limited.Item Mobile Health Systems Affordability in India: Perspectives of Stakeholders(Sage Publications India Pvt. Ltd, 2021) Pai, R.R.; Alathur, S.Purpose: The purpose of this study were to identify stakeholder perspective for achieving affordable and cost-effective system outcomes and what describes success associated with mHealth systems in India. This study identifies stakeholder views on (a) fundamental conditions for initiating mobile health (mHealth) systems and (b) desirable outcomes regarding affordable and cost-effectiveness of successful mHealth systems. Design/Methodology/Approach: This qualitative study uses existing models of affordability and used an inductive approach to organise emerging codes as per a priori themes. Data were collected from direct observations and 17 in-depth interviews both online and offline involving stakeholder, namely healthcare professionals, technology entrepreneurs and software developers working on health information and mHealth systems. Findings: Findings illustrated people’s need and unwillingness, lack of application infrastructure, ecosystem development, governmental policies, and training and support as factors influencing successful mHealth systems in India. Originality/Value: Earlier studies were less adequate in explaining mHealth systems affordability and cost-effectiveness from the perspective of stakeholder. The current study attempts to provide fundamental conditions and desirable outcomes that are considered to be valuable for developing mHealth systems. This makes healthcare providers with information of what needs to be considered for developing mHealth systems. © 2021 SAGE Publications.