Understanding cross-cultural adoption of a first aid app
The increased availability of Wi-Fi and Internet coverage, coupled with the widespread use of Smartphones and tablet computers has facilitated the quick and efficient transfer of information through digital media, as well as the structured organisation of information into third-party apps. This paper focuses specifically on the use of a First Aid App in emergency situations, including large-scale critical events. We provide a comparative analysis of user engagement with a first aid app across nine culturally diverse countries. Due to the reported lack of reliable information provided by first aid and emergency apps generally, we analyse how organisational reputation affects user engagement with the app and provide a comparative analysis of user engagement during crises across countries with varying levels of risk. We determine that the key motivations influencing app uptake are largely dependent on users’ risk awareness and the local reputation of the app provider. We illustrate how such apps may contribute valuable insights into user behaviour during critical events across varying contexts of risk that can help fine tune user requirements for health and emergency apps across different risk contexts.
KeywordsFirst aid Mobile applications Red cross Risk Preparedness Cross-cultural adoption
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
There is no funding source.
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- 1.Boulos MN, Brewer AC, Karimkhani C, Buller DB, Dellavalle RP. Mobile medical and health apps: state of the art, concerns, regulatory control and certification. Online journal of public health informatics. 2014;13:5(3).Google Scholar
- 2.Klafft M, Said M, Anson S, Watson H, Hughes A, Lukau E. Challenges in designing and distributing a not for profit first aid app worldwide. Lecture notes in informatics. 2016. http://subs.emis.de/LNI/Proceedings/Proceedings259/1745.pdf.
- 3.Reuter, C., Spielhofer, T., Towards social resilience: a quantitative and qualitative survey on citizens' perception of social media in emergencies in Europe, Technol Forecast Soc Change. 2016. doi:10.1016/j.techfore.2016.07.038.
- 5.Pascal L, Frederic K, Dominic G, Immanuel H, Matthias H, Nico H, Tobias K, André Z. OmniSports: encouraging physical activities in everyday life. In: CHI ‘14 extended abstracts on human factors in computing systems. New York: ACM. Retrieved from; 2014. p. 2413–8. doi:10.1145/2559206.2581344.Google Scholar
- 6.Mohr David C., Enid M, Colleen SS, Kaiser Susan M., Christopher B, Eric CF, Hannah P, & Jenna D. MedLink: A Mobile Intervention to Address Failure Points in the Treatment of Depression in General Medicine. In Proceedings of the 9th International Conference on Pervasive Computing Technologies for Healthcare (pp. 100–107). ICST, Brussels, Belgium, Belgium: ICST (Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering). 2015. Retrieved from http://dl.acm.org/citation.cfm?id=2826165.2826180.
- 8.Susannah F, & Maeve D. Mobile health 2012. Washington, DC: Pew Internet & American Life Project. 2012. Retrieved from http://emr-matrix.org/wp-content/uploads/2012/12/PIP_MobileHealth2012.pdf.
- 10.Hagar C, Kartzinel H. Healthcare information for all by 2015: preliminary findings and future direction. Inf Dev. 2014;32(3):1–8.Google Scholar
- 12.British National Health Service. Interactive tools, smartphone apps and Podcasts. 2016 Retrieved April 13, 2016, from http://www.nhs.uk/tools/pages/toolslibrary.aspx.
- 13.Boulos MNK, Brewer AC, Karimkhani C, Buller DB, Dellavalle RP. Mobile medical and health apps: state of the art, concerns, regulatory control and certification. Online J Public Health Inform. 2014;5(3) Retrieved from http://ojphi.org/ojs/index.php/ojphi/article/view/4814
- 14.Davis F D. .A technology acceptance model for empirically testing new end-user information systems : theory and results (thesis). Massachusetts institute of technology. 1985. Retrieved from http://dspace.mit.edu/handle/1721.1/15192.
- 15.Venkatesh V, Thong JYL, Xu X. Consumer acceptance and use of information technology: extending the unified theory of acceptance and use of technology. MIS Q. 2012;36(1):157–78.Google Scholar
- 18.South, A. Ethnic politics in Burma: states of conflict. Abingdon: Routledge. 2008.Google Scholar
- 19.Martin S. Ethnic groups in Burma: development, democracy and human rights. A report by Anti-Slavery International. 1994. (http://www.ibiblio.org/obl/docs3/Ethnic_Groups_in_Burma-ocr.pdf).
- 20.Institute for Environment and Human Security. World risk report. United Nations University. 2014. https://i.unu.edu/media/ehs.unu.edu/news/4070/11895.pdf.