{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T05:25:14Z","timestamp":1784870714343,"version":"3.55.0"},"reference-count":72,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background\u2003Personal health records (PHRs) can facilitate patient-centered communication through the secure messaging feature. As health care organizations in the Kingdom of Saudi Arabia implement PHRs and begin to implement the secure messaging feature, studies are needed to evaluate health care providers' acceptance.<\/jats:p><jats:p>Objective\u2003The aim of this study was to identify predictors of health care providers' behavioral intention to support the addition of a secure messaging feature in PHRs using an adapted model of the Unified Theory of Acceptance and Use of Technology as the theoretical framework.<\/jats:p><jats:p>Methods\u2003Using a cross-sectional survey design, data on acceptance of secure messaging features in PHRs were collected from health care providers working at the Ministry of National Guard Health Affairs between April and May 2021. The proposed model was tested using partial least squares structural equation modeling in SmartPLS.<\/jats:p><jats:p>Results\u2003There were 224 participants: female (66.5%), 40 to 49 years of age (39.9%), nurses (45.1%), and those working more than 10 years in the organization (68.8%). Behavioral intention to support the addition of a secure messaging feature was significantly influenced by performance expectancy (\u03b2\u2009=\u20090.21, p\u2009=\u20090.01) and attitude (\u03b2\u2009=\u20090.50, p\u2009&lt;\u20090.01), while other predicting factors, such as effort expectancy, social influence, and facilitating condition, did not significantly affect the intention. Furthermore, age, years of experience, and professional role did not moderate the relationships.<\/jats:p><jats:p>Conclusion\u2003Health care professionals will support introducing a secure messaging feature in the PHRs if they serve the intended purpose. Considering attitude also plays a significant role in acceptance, it is necessary to arrange for training and support, so that caregivers, health care providers, and the patients become familiar with the benefits and expected outcomes of using the feature.<\/jats:p>","DOI":"10.1055\/s-0041-1742217","type":"journal-article","created":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:09:19Z","timestamp":1644451759000},"page":"148-160","source":"Crossref","is-referenced-by-count":9,"title":["Predicting Health Care Providers' Acceptance of a Personal Health Record Secure Messaging Feature"],"prefix":"10.1055","volume":"13","author":[{"given":"Consuela C.","family":"Yousef","sequence":"additional","affiliation":[{"name":"Pharmaceutical Care Department, Ministry of National Guard-Health Affairs, Dammam, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"},{"name":"King Saud bin Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa M.","family":"Salgado","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Farooq","sequence":"additional","affiliation":[{"name":"Department of Computing, University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisha","family":"Burnett","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory Sciences, Cytopathology Practice Program, University of Tennessee Health Science Center, Memphis, Tennessee, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura E.","family":"McClelland","sequence":"additional","affiliation":[{"name":"Department of Health Administration, Virginia Commonwealth University, 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