{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T10:06:30Z","timestamp":1790330790200,"version":"4.1.0"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Herbert Irving Comprehensive Cancer Center (HICCC) of Columbia under the VELOCITY","award":["01_2025"],"award-info":[{"award-number":["01_2025"]}],"id":[{"id":"https:\/\/ror.org\/051kc1939","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We examined the intention of lung cancer patients to use virtual reality (VR) to support shared decision-making and treatment preparedness and identified predictors of this intention using the Unified Theory of Acceptance and Use of Technology (UTAUT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two hundred cancer patients completed a survey. Logistic regression was used to identify the predictors of VR use for decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>89.5% were willing to use VR; willing participants were younger than those who were not willing (60.8\u2009\u00b1\u200915.3 years; P\u2009&amp;lt;\u2009.001). Digital literacy was high in 89%, whereas health literacy was marginal\/limited in 85%. Willingness was associated with greater technology use (P\u2009=\u2009.009). Performance expectancy strongly predicted intention: motivation to engage (Yes OR = 6.93; 95% CI, [4.06, 11.84]) and gaining knowledge (Yes OR = 15.20; 95% CI, [4.39, 52.56]); all P\u2009&amp;lt;\u2009.001. Effort expectancy (ease of navigation) was significant (Easy OR = 7.16; 95% CI, [2.50, 20.49]; P\u2009&amp;lt;\u2009.001), while mental\/physical workload were not (P\u2009=\u2009.312\/.732). Social influence from family\/friends (OR = 3.38; 95% CI, [1.29, 8.84]; P\u2009=\u2009.016) and valuing family involvement (OR = 3.30; 95% CI, [1.32, 8.22]; P\u2009=\u2009.015) predicted intention; clinician encouragement did not (P\u2009=\u2009.283). Facilitating conditions were robust: peers also using VR (OR = 4.23; 95% CI, [1.46, 12.26]; P\u2009=\u2009.010), having assistance (OR = 7.05; 95% CI, [2.54, 19.61]; P\u2009=\u2009.0002), and clear instructions (OR = 20.60; 95% CI, [6.87, 61.75]; P\u2009&amp;lt;\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings indicate high receptivity to VR and highlight actionable levers, including usability, family engagement, assistance, and instructional supports, for implementation in oncology care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jamiaopen\/ooag178","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:47:58Z","timestamp":1786535278000},"source":"Crossref","is-referenced-by-count":0,"title":["Predictors of lung cancer patients\u2019 behavioral intention to use virtual reality for treatment preparedness and shared decision-making: a Unified Theory of Acceptance and Use of Technology-based perception study"],"prefix":"10.1093","volume":"9","author":[{"given":"Safa","family":"Elkefi","sequence":"first","affiliation":[{"name":"School of System Science & Industrial Engineering, Watson College of Engineering, Binghamton University , Binghamton, NY 13850,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven K","family":"Feiner","sequence":"additional","affiliation":[{"name":"Department of Computer Science, Columbia University , New York, NY 10027,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia K","family":"Matthews","sequence":"additional","affiliation":[{"name":"College of Nursing, RUSH University , Chicago, IL 60612,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis M","family":"Rocha","sequence":"additional","affiliation":[{"name":"School of System Science & Industrial Engineering, Watson College of Engineering, Binghamton University , Binghamton, NY 13850,","place":["United States"]},{"name":"Cat\u00f3lica Biomedical Research Center, Universidade Cat\u00f3lica Portuguesa ,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Gershenson-Garcia","sequence":"additional","affiliation":[{"name":"School of System Science & Industrial Engineering, Watson College of Engineering, Binghamton University , Binghamton, NY 13850,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Scheinmann","sequence":"additional","affiliation":[{"name":"School of Nursing, Columbia University , New York, NY 10032,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"2026092505380701700_ooag178-B1","author":"Control CfD","year":"2025"},{"key":"2026092505380701700_ooag178-B2","doi-asserted-by":"crossref","first-page":"107312","DOI":"10.1016\/j.lungcan.2023.107312","article-title":"\u201cThe challenge is the complexity\u201d\u2014a qualitative study about decision-making in advanced lung cancer treatment","volume":"183","author":"Orstad","year":"2023","journal-title":"Lung Cancer"},{"key":"2026092505380701700_ooag178-B3","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1016\/j.pec.2015.06.022","article-title":"Shared decision making: concepts, evidence, and practice","volume":"98","author":"Stiggelbout","year":"2015","journal-title":"Patient Educ Couns"},{"key":"2026092505380701700_ooag178-B4","doi-asserted-by":"crossref","first-page":"e758","DOI":"10.1136\/bmjspcare-2020-002395","article-title":"Chemotherapy decision-making in advanced lung cancer: a prospective qualitative study","volume":"14","author":"Nelson","year":"2020","journal-title":"BMJ Support Palliat Care"},{"key":"2026092505380701700_ooag178-B5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1200\/CCI.17.00148","article-title":"What is the effectiveness of patient decision aids for cancer-related decisions? 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