Evaluation Questionnaires – ACTIVAGE Public Evidence Website

UT-AUT questionnaires

1.- Description

Evaluation questionnaire from ACTIVAGE LSP.

1.1 Creators

- Ana Bermudez, Televés, https://www.televes.com/es/
- Empar Soriano, Las Naves, https://www.lasnaves.com
- Ángeles Mata, Tercera Edad Activa, https://www.terceraedadactiva.es
- Stefano Nunziata, https://www.lepida.net
- Reiner Wichert, SAL, https://www.sageliving.de/
- Alexandre Duclos, MADOPA, https://madopa.fr
- Sofia Segkouli, ITI, https://www.iti.gr
- Jeong Weon, Samsung, https://www.samsung.com/
- Laura Green, Leeds city Council, https://www.leeds.gov.uk/phrc
- Kimmo Tarkkanen, http://utu.fi/
- Patricia Abril, LifeSTech UPM, https://www. lst.tfo.upm.es

2.- Content

The unified theory of acceptance and use of technology (UT-AUT) is a technology acceptance model.

The questionnaire is composed by the following constructors: 1) performance expectancy, 2) effort expectancy, 3) social influence, and 4) facilitating conditions. The first three are direct determinants of usage intention and behavior, and the fourth is a direct determinant of user behavior.

2.1 Categorical fields:

Categorical fields included in this dataset are ordinally encoded and represents the degree from 1 to 7 with agreement with the statement indicated in the field (the value 0 is given when no answer was provided):

Effort Expectancy:
EE1: My interaction with the IoT device is clear and understandable
EE2: It is easy for me to become skillful at using the IoT device
EE3: I find the IoT device easy to use
EE4: Learning to operate the IoT device is easy for me

Performance Expectancy:
PE1: I find the IoT device useful for my purposes (daily living/job)
PE2: Using the IoT device enables me to accomplish tasks more quickly
PE3: Using the IoT device increases my productivity
PE4: If I use the IoT device, I will increase my chances of getting a better quality of life

Attitude Towards Using Technology:
AT1: Using the IoT device is a good idea
AT2: The IoT device makes study more interesting
AT3: Working with the IoT device is fun
AT4: I like working/using with the IoT device

Social influence:
SI1: People who influence my behavior think that I should use the IoT device
SI2: People who are important to me think that I should use the IoT device
SI3: Professors in my classes have been helpful in the use of the IoT device
SI4: In general, the doctor/general practitioner has supported the use of the IoT device

Facilitating Conditions:
FC1: I have the resources necessary to use the IoT device
FC2: I have the knowledge necessary to use the IoT device
FC3: The IoT device is not compatible with other systems I use
FC4: A specific person (or group) is available for assistance with the IoT device difficulties

Self Efficacy:
SE1: I can complete a job or task using the IoT device, if there is no one around to tell me what to do as I go
SE2: I can complete a job or task using the IoT device, if I can call someone for help if I get stuck
SE3: I can complete a job or task using the IoT device, if I have a lot of time to complete the job for which the software is provided
SE4: I can complete a job or task using the IoT device, if I have just the built-in help facility for assistance

Anxiety:
AX1: I feel apprehensive about using the IoT device
AX2: It scares me to think that I could lose a lot of information using the IoT device by hitting the wrong key
AX3: I hesitate to use the IoT device for fear of making mistakes I cannot correct
AX4: The IoT device is somewhat intimidating to me

Behavioral intention:
BI1: I intend to use the IoT device in the next semesters
BI2: I predict I would use the IoT device in the next semesters
BI3: I plan to use the IoT device in the next semesters

3.- License

The Restrictive Licence Template (RLT) was developed as a part of the AusGOAL (Australian Government Open Access Licensing framework) for material that may contain personal or other confidential information. It may be used for other reasons, including material to be licensed under some form of limiting or restrictive condition (e.g. permission or ethics required, a time limit on use, or contractual arrangements).

A completed licence agreement and terms should accompany any materials licensed under the Restrictive Licence Template, or may be provided on request by the nominated contact person or author.

In brief, the Restrictive Licence Template includes the following elements and variables:

You are free to:

to acquire the material according to the terms you have agreed to with the supplier
to use and modify the material according to the terms you have agreed to with the supplier
to do other things with the material according to the terms you have agreed to with the supplier

You are required:

to pay any fees that you have agreed to with the supplier
provide any indemnity that you have agreed to with the supplier
to protect confidential information according to the use constraints and protective terms you have agreed to with the supplier
to protect personal information according to the use constraints and protective terms you have agreed to with the supplier
to comply with additional conditions that you have agreed to with the supplier

You are not permitted:

to share, to copy, distribute and transmit this material unless the supplier has expressly agreed that you can do this
to commercialise you may not use this material for commercial purposes unless the supplier has agreed that you can do this
to infringe the copyright owner’s moral rights

4.- Contact Info

To acquire access to this dataset, please contact: Giuseppe Fico; mail: gfico@lst.tfo.upm.es

5.- Metadata
DataCite 4.0

EQ-5D-3L questionnaire

1.- Description

Evaluation questionnaire from ACTIVAGE LSP.

1.1 Creators

- Ana Bermudez, Televés, https://www.televes.com/es/
- Empar Soriano, Las Naves, https://www.lasnaves.com
- Ángeles Mata, Tercera Edad Activa, https://www.terceraedadactiva.es
- Stefano Nunziata, https://www.lepida.net
- Reiner Wichert, SAL, https://www.sageliving.de/
- Alexandre Duclos, MADOPA, https://madopa.fr
- Sofia Segkouli, ITI, https://www.iti.gr
- Jeong Weon, Samsung, https://www.samsung.com/
- Laura Green, Leeds city Council, https://www.leeds.gov.uk/phrc
- Kimmo Tarkkanen, http://utu.fi/
- Patricia Abril, LifeSTech UPM, https://www. lst.tfo.upm.es

2.- Content

The EQ-5D-3L is a standard questionnaire of QoL self-assessment provided by euroqol.org.

The EQ-5D-3L descriptive system comprises the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions.

2.1 Categorical fields:

Categorical fields included in this dataset are ordinally encoded and represents the degree from 1 to 3 representing no problems, some problems and extreme problems ( answers are detailed in the form: value, meaning):

Mobility:
0, N/A
1, No problems in walking about?
2, Some problems in walking about?
3, Are you confined to bed?

Self Care:
0, N/A
1, No problems with performing your usual activities?
2, Some problems with performing your usual activities?
3, Are you unable to perform your usual activities?

Usual Activities:
0, N/A
1, No problems with performing your usual activities?
2, Some problems with performing your usual activities?
3, Are you unable to perform your usual activities?

Pain / Discomfort:
0, N/A
1, No pain or discomfort?
2, Moderate pain or discomfort?
3, Extreme pain or discomfort?

Anxiety/Depression:
0, N/A
1, Not anxious or depressed?
2, Moderately anxious or depressed?
3, Extremely anxious or depressed?

3.- License

A completed licence agreement and terms should accompany any materials licensed under the Restrictive Licence Template, or may be provided on request by the nominated contact person or author.

In brief, the Restrictive Licence Template includes the following elements and variables:

You are free to:

to acquire the material according to the terms you have agreed to with the supplier
to use and modify the material according to the terms you have agreed to with the supplier
to do other things with the material according to the terms you have agreed to with the supplier

You are required:

to pay any fees that you have agreed to with the supplier
provide any indemnity that you have agreed to with the supplier
to protect confidential information according to the use constraints and protective terms you have agreed to with the supplier
to protect personal information according to the use constraints and protective terms you have agreed to with the supplier
to comply with additional conditions that you have agreed to with the supplier

You are not permitted:

to share, to copy, distribute and transmit this material unless the supplier has expressly agreed that you can do this
to commercialise you may not use this material for commercial purposes unless the supplier has agreed that you can do this
to infringe the copyright owner’s moral rights

4.- Contact Info

To acquire access to this dataset, please contact: Giuseppe Fico; mail: gfico@lst.tfo.upm.es

5.- Metadata
DataCite 4.0

UCLA Loneliness scale questionnaire

1.- Description

Evaluation questionnaire from ACTIVAGE LSP.

1.1 Creators

- Ana Bermudez, Televés, https://www.televes.com/es/
- Empar Soriano, Las Naves, https://www.lasnaves.com
- Ángeles Mata, Tercera Edad Activa, https://www.terceraedadactiva.es
- Stefano Nunziata, https://www.lepida.net
- Reiner Wichert, SAL, https://www.sageliving.de/
- Alexandre Duclos, MADOPA, https://madopa.fr
- Sofia Segkouli, ITI, https://www.iti.gr
- Jeong Weon, Samsung, https://www.samsung.com/
- Laura Green, Leeds city Council, https://www.leeds.gov.uk/phrc
- Kimmo Tarkkanen, http://utu.fi/
- Patricia Abril, LifeSTech UPM, https://www. lst.tfo.upm.es

2.- Content

Developed by psychologist Daniel Russell (1996), the UCLA Loneliness Scale (Version 3) is a 20-item measure that assesses how often a person feels disconnected from others.
Indicate how often each of the statements below is descriptive of you.
4 indicates “I often feel this way”
3 indicates “I sometimes feel this way”
2 indicates “I rarely feel this way”
1 indicates “I never feel this way”

2.1 Categorical fields:

Categorical fields included in this dataset are ordinally encoded and represents the degree from 1 to 4 representing previously provide answers (value 9 is given when no answer is provided)

Labels corresponding to following statements:
“Q1”, I am unhappy doing so many things alone
“Q2”, I have nobody to talk to
“Q3”, I cannot tolerate being so alone
“Q4”, I lack companionship
“Q5”, I feel as if nobody really understands me
“Q6”, I find myself waiting for people to call or write
“Q7”, There is no one I can turn to
“Q8”, I am no longer close to anyone
“Q9”, My interests and ideas are not shared by those around me
“Q10”, I feel left out
“Q11”, I feel completely alone
“Q12”, I am unable to reach out and communicate with those around me
“Q13”, My social relationships are superficial
“Q14”, I feel starved for company
“Q15”, No one really knows me well
“Q16”, I feel isolated from others
“Q17”, I am unhappy being so withdrawn
“Q18”, It is difficult for me to make friends
“Q19”, I feel shut out and excluded by others
“Q20”, People are around me but not with me

3.- License

A completed licence agreement and terms should accompany any materials licensed under the Restrictive Licence Template, or may be provided on request by the nominated contact person or author.

In brief, the Restrictive Licence Template includes the following elements and variables:

You are free to:

to acquire the material according to the terms you have agreed to with the supplier
to use and modify the material according to the terms you have agreed to with the supplier
to do other things with the material according to the terms you have agreed to with the supplier

You are required:

to pay any fees that you have agreed to with the supplier
provide any indemnity that you have agreed to with the supplier
to protect confidential information according to the use constraints and protective terms you have agreed to with the supplier
to protect personal information according to the use constraints and protective terms you have agreed to with the supplier
to comply with additional conditions that you have agreed to with the supplier

You are not permitted:

to share, to copy, distribute and transmit this material unless the supplier has expressly agreed that you can do this
to commercialise you may not use this material for commercial purposes unless the supplier has agreed that you can do this
to infringe the copyright owner’s moral rights

4.- Contact Info

To acquire access to this dataset, please contact: Giuseppe Fico; mail: gfico@lst.tfo.upm.es

5.- Metadata
DataCite 4.0

Self Perception Questionnaire (SPQ)

Evaluation questionnaire from ACTIVAGE LSP.

1.1 Creators

- Ana Bermudez, Televés, https://www.televes.com/es/
- Empar Soriano, Las Naves, https://www.lasnaves.com
- Angeles Mata, Tercera Edad Activa, https://www.terceraedadactiva.es
- Stefano Nunziata, https://www.lepida.net
- Reiner Wichert, SAL, https://www.sageliving.de/
- Alexandre Duclos, MADOPA, https://madopa.fr
- Sofia Segkouli, ITI, https://www.iti.gr
- Jeong Weon, Samsung, https://www.samsung.com/
- Laura Green, Leeds city Council, https://www.leeds.gov.uk/phrc
- Kimmo Tarkkanen, http://utu.fi/
- Patricia Abril, LifeSTech UPM, https://www. lst.tfo.upm.es

2.- Content

Self Perception Questionnaire evaluates the overall self perception of the participants on four instruments: 1)quality of life 2) physical activity 3) social life and 4) IoT solution provided.

2.1 Categorical fields:

Categorical fields included in this dataset are ordinally encoded and represents the degree from values:
0 Extreme problems/very negative
to
10 Very good/no problems/very positive
Questions are labeled for each category.

Quality of life:
“Q1”, How would you rate your quality of life?
“Q2”, How would you rate the impact of the IoT solution on your Quality of Life?

Physical activity:
“Q3”, How would you rate your Physical Activity?
“Q4”, How would you rate the impact of the IoT solution on your Physical activity?

Social Life:
“Q5”, How would you rate your social life?
“Q6”, According to you, how could that solution impact your social life?

Internet of Things:
“Q7”, Daily usage per patients/end-user of the IoT solution
“Q8”, Acceptance and satisfaction of the IoT solution

3.- License

A completed licence agreement and terms should accompany any materials licensed under the Restrictive Licence Template, or may be provided on request by the nominated contact person or author.

In brief, the Restrictive Licence Template includes the following elements and variables:

You are free to:

to acquire the material according to the terms you have agreed to with the supplier
to use and modify the material according to the terms you have agreed to with the supplier
to do other things with the material according to the terms you have agreed to with the supplier

You are required:

to pay any fees that you have agreed to with the supplier
provide any indemnity that you have agreed to with the supplier
to protect confidential information according to the use constraints and protective terms you have agreed to with the supplier
to protect personal information according to the use constraints and protective terms you have agreed to with the supplier
to comply with additional conditions that you have agreed to with the supplier

You are not permitted:

to share, to copy, distribute and transmit this material unless the supplier has expressly agreed that you can do this
to commercialise you may not use this material for commercial purposes unless the supplier has agreed that you can do this
to infringe the copyright owner’s moral rights

4.- Contact Info

To acquire access to this dataset, please contact: Giuseppe Fico; mail: gfico@lst.tfo.upm.es

5.- Metadata
DataCite 4.0