To Adopt or Not to Adopt - That is the Question

The area of adoption and diffusion has had a strong pro-innovation bias (Brancheau and Wetherbe 1990; Parthasarathy and Bhattacherjee 1998; Ram 1987; Venkatesh and Brown 2001). This bias has resulted in somewhat of a neglect of the area of non-adoption. Existing theories including TAM (Davis 1989) and the innovation diffusion theory (Rogers 1983) provide critical insights into technology usage. However, the factors that facilitate technology adoption are not necessarily the same as those affecting non-adoption. This paper examines the non-adoption phenomenon and presents the case that the category of non-adopts refers to a complex subset of individuals. Characterizing resistance as either active or passive provides a framework for further analysis into the non-adoption phenomenon. Ultimately, the issue of non-adoption is just as critical as that of adoption

IT Strategy and Economic Sustainability: Formulating a 21st Century Paradigm

The resource-based view (RBV) has been widely adopted as the theoretical code for harnessing the strategic contributions of information technology (IT). However, mere ownership of resources, as prescribed by this body of theory, is no guarantee of competitiveness. Furthermore, RBV does not convey the wider concerns of social and environmental sustainability that many leading corporations now accept as pressing responsibilities of the 21st Century. We propose a relevant extension to the RBV as a strategic paradigm. It begins with the argument that the tenets of sustainability translate commercially into a customercentric strategy of lean production. In this context, the Value Chain concept could be an important mediator for ensuring the most profitable IT investments, while promoting green economic practices. We tested our model using a sample of third party logistics firms, with supportive results

An Exploratory Analysis of E-Government Development in the Caribbean

Digital divide is, despite all efforts in research and practice, a matter of fact in most societies. In search for specific strategies to promote digital inclusion, one has to ask for what are the specific reasons and factors behind the problem. Here, the field of E-Government features several particular characteristics, including high privacy and security demands or high complexity of administrative processes, which might hinder the societal inclusiveness of such electronic public service delivery. Addressing the question of what could be possible explanations for a lack of inclusiveness in E-Government, we develop an E-Government-inclusion-gap-model and conduct a quantitative analysis of statistical data on E-Government usage in Germany, taking into account specific social digital divide groups, such as senior citizens, people with low education or people without employment. Here, we contrast E-Government usage with E-Commerce and internet usage. Specific inclusion gaps in E-Government and their underlying issues are analysed and specific recommendations given

Survival of the Fittest: Online Accountability in Complex Organizational Populations

Online accountability is increasingly becoming a critical issue in contemporary debates over creating more open and transparent organizations. Broadly defined, online accountability refers to the extent that an organization discloses financial and performance data on the organization’s Website, and the level of stakeholder interaction supported by the organization’s Website. Online accountability is positively correlated with outcome metrics such as organizational success, increased charitable contributions, and enhanced public trust. However, our understanding of the determinants of online accountability is limited. Informed by organizational ecology theory, this research-in-progress seeks to enhance our understanding of this key issue by developing and testing a model of the determinants of online accountability. Our preliminary analysis of secondary data on a regional population of 653 organizations in the Northeast United States revealed that only 12.09% of the organizations have implemented online accountability. We argue that organizations that fail to implement online accountability measures can negatively impact their chances of survival in complex and uncertain environments

Familiarity with Big Data, Privacy Concerns, and Self-disclosure Accuracy in Social Networking Websites: An APCO Model

Social networking websites have not only become the most prevalent communication tools in today’s digital age but also one of the top big data sources. Big data advocates promote the promising benefits of big data applications to both users and practitioners. However, public polls show evidence of heightened privacy concerns among Internet and social media users. We review the privacy literature based on protection motivation theory and the theory of planned behavior to develop an APCO model that incorporates novel factors that reflect users’ familiarity with big data. Our results, which we obtained from using a cross-sectional survey design and structural equation modeling (SEM) techniques, support most of our proposed hypotheses. Specifically, we found that that awareness of big data had a negative impact on and awareness of big data implications had a positive impact on privacy concerns. In turn, privacy concerns impacted self-disclosure concerns positively and self-disclosure accuracy negatively. We also considered other antecedents of privacy concerns and tested other alternative models to examine the mediating role of privacy concerns, to control for demographic variables, and to investigate different roles of the trust construct. Finally, we discuss the results of our findings and the theoretical and practical implications

Changes in activity limitations and predictors of functional outcome of patients with spinal cord injury following in-patient rehabilitation

The purpose of this study was to investigate the changes in the activity limitations of patients following in-patient rehabilitation and the factors influencing functional ability as measured by the Spinal Cord Independence Measure III (SCIM III). A longitudinal study design was utilised to study the change in functional abilities of patients with spinal cord injury between admission and discharge. A convenient sampling strategy was employed, in which every consecutive patient admitted to the rehabilitation centre within a three month period was eligible for the study. Demographic-, medical, and process of rehabilitation data were collected and collated from the patients' medical records using a data gathering sheet that was validated and tested for reliability. Functional abilities were measured by the SCIM III. Seventy-six patients met the inclusion criteria, consisting of 58 paraplegics and 18 tetraplegics. The mean age of this cohort was 34.14 years. A significant difference (p<0.001) in functional ability was detected for the total sample, with only12.5% of patients independent in walking ability and 28.12% in stair management. Four (4) factors were found to be predictors of functional outcomes on bivariate analysis, but when considered together in a multiple regression model, only functional status on admission remained correlated to functional outcomes. Conclusion and implication for practice: Significant improvement in functional abilities of persons with spinal cord injury following in-patient rehabilitation was observed. However, mobility and stair-management limitations were the most prevalent at discharge. Lastly, a lower functional status should be better targeted to optimise functional ability in the future. Future research should be directed towards illuminating whether personal factors or rehabilitation inefficiencies are responsible for the limitations observed at discharge.Department of HE and Training approved lis

Prevalence of secondary health conditions and mental status in persons with long-term spinal cord injury in South Africa: Comparison between public and private healthcare sectors

Background: Spinal cord injuries typically result in a range of negative health outcomes and health states, which impacts overall functioning, health and well-being. It remains important to establish the prevalence (burden) of health outcomes to help with the development of optimal treatment strategies. Objectives: To determine the prevalence and treatment rates of secondary health conditions (SHCs) and mental health states in persons with long-term spinal cord injury (SCI) receiving public compared with private healthcare services in South Africa. METHODS: A cross-sectional survey included 200 community-dwelling persons with long-term SCI, 60% with paraplegia, 53% with complete injuries and 156 from the public and 44 from private healthcare sectors. The following modules of the International Spinal Cord Injury (InSCI) community survey were used: (i) demographic and injury characteristics; (ii) SHCs and treatment rates; and (iii) vitality and emotional well-being. All statistical analyses were stratified according to healthcare secto

Characteristics of HIV-1 Discordant Couples Enrolled in a Trial of HSV-2 Suppression to Reduce HIV-1 Transmission: The Partners Study

Background: The Partners HSV-2/HIV-1 Transmission Study (Partners Study) is a phase III, placebo-controlled trial of daily acyclovir for genital herpes (HSV-2) suppression among HIV-1/HSV-2 co-infected persons to reduce HIV-1 transmission to their HIV-1 susceptible partners, which requires recruitment of HIV-1 serodiscordant heterosexual couples. We describe the baseline characteristics of this cohort. Methods: HIV-1 serodiscordant heterosexual couples, in which the HIV-1 infected partner was HSV-2 seropositive, had a CD4 count ≥250 cells/mcL and was not on antiretroviral therapy, were enrolled at 14 sites in East and Southern Africa. Demographic, behavioral, clinical and laboratory characteristics were assessed. Results: Of the 3408 HIV-1 serodiscordant couples enrolled, 67% of the HIV-1 infected partners were women. Couples had cohabitated for a median of 5 years (range 2–9) with 28% reporting unprotected sex in the month prior to enrollment. Among HIV-1 susceptible participants, 86% of women and 59% of men were HSV-2 seropositive. Other laboratory-diagnosed sexually transmitted infections were uncommon (500 relative to <350, respectively, p<0.001). Conclusions: The Partners Study successfully enrolled a cohort of 3408 heterosexual HIV-1 serodiscordant couples in Africa at high risk for HIV-1 transmission. Follow-up of this cohort will evaluate the efficacy of acyclovir for HSV-2 suppression in preventing HIV-1 transmission and provide insights into biological and behavioral factors determining heterosexual HIV-1 transmission. Trial Registration ClinicalTrials.gov NCT0019451