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OAMEN, T. E. 2023. Technology Acceptance Model (TAM) for Pharmaceutical Marketing Execu-
tives: Validation and Implications for Human Resource Management. Jurnal Aplikasi Manajemen,
Volume 21, Issue 4, Pages 876-891. Malang: Universitas Brawijaya. DOI: http://dx.doi.org/10.217
Copyright (c) 2023 Jurnal Aplikasi Manajemen 76/ub.jam.2023.021.04.02.
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matics (Onyeachu and Clarke, 2022), health ad- PEOU influenced PU and BIU among pharmaceu-
ministration (Nguyen et al., 2020; AlQudah et al., tical executives who deploy e-detailing devices in
2021), public health (Pertiwi et al., 2022), educa- physician interactions (Kim and Chang, 2022).
tion (Alharbi and Drew, 2014), governance (Suki However, it is relevant to assess the impact of the
and Ramayah, 2010), and technology management PEOU on the performance outcomes of pharma-
(Chuah et al., 2016). ceutical executives. Therefore, it is postulated that
Fishbein and Azjen (1975) asserted that an PEOU would have a direct effect on pharmaceuti-
individual's behavior is influenced by the attitud- cal executives' BIU, PU, and TechIMP.
es, which are consequences of intentions that were Perceived usefulness (PU) implies that the
impacted by the external factors or belief systems. technology use has some form of positive impact,
However, Davis opined that belief systems (exem- relevance, or importance on the performance of
plified by PU and PEOU) influence the intention the individual. PU covers the technology users'
to exhibit certain behaviors (BIU), which invaria- perception of how it positively or negatively af-
bly influences the actual use of a given technologi- fects their job operations and, consequently, per-
cal system or tool. In the more parsimonious TAM formance (Davis, 1989, 1993). Users are more lik-
advanced by Davis, the key elements were PEOU, ely to adopt a technology that has the potential for
PU, BI, and actual system use (Davis et al., 1989). highly positive benefits to their core activities than
Technology-based platforms in pharmaceu- those that only contribute to non-critical aspects of
tical marketing have evolved over the years with their job (Venkatesh, 2000; Davis et al., 2023).
the increased use of e-business platforms in mark- However, the role of PU as a key factor in the
eting (Lerer, 2002; Greene and Kesselheim, 2010) TAM requires investigation in the context of the
and social media in consumer advertising (Liang pharmaceutical marketing industry.
and Mackey, 2011). E-detailing and feedback plat- Behavioral intention (BIU) refers to an in-
forms for drug detailing (Kim and Chang, 2022). dividual's positive or negative inclination or ten-
In the context of pharmaceutical marketing, Kim dency to use and adopt a particular technology.
and Chang (2022) explored the user acceptance of BIU suggests that a satisfied user would most like-
TAM concerning e-detailing technology by medi- ly continue to use, recommend, or have positive
cal representatives (Kim and Chang, 2022). The feelings if they have positive or high levels of PU
study showed that those with the pro-innovative and PEOU about the technology (Davis, 1989,
mindsets were more aligned to adopt this commu- 1993). A study by Kwak and Chang (2016) asses-
nication mode with their clients (Kim and Chang, sing BIU concerning the use of e-detailing devices
2022). Likewise, Jaradat and Smadi (2013) affirm- in marketing activities by pharmaceutical executi-
ed that PEOU had a dominant effect on BIU for ves revealed that PU more significantly influenced
mobile platforms in healthcare provision (Jaradat BIU than PEOU (Kwak and Chang, 2016). In the
and Smadi, 2013). However, no study has been context of this study, the impact of PU and PEOU
done to assess the psychometric characteristics of on BIU among pharmaceutical marketing execu-
the model among pharmaceutical executives in- tives was explored
volved in the marketing of pharmaceutical servi- Perceived Impact of Technology on Perfor-
ces and products. mance (TechIMP) refers to the impact of technol-
ogy on the work domains of pharmaceutical exec-
HYPOTHESIS DEVELOPMENT utives. TechIMP is a critical measure to evaluate
Perceived ease of use (PEOU) refers to the how much impact technology has on enhancing
ease with which an individual uses a particular tec- work performance in pharmaceutical marketing
hnology. As a consequence, any technology used companies. TechIMP can be measured using the
with high PEOU would impact PU. PEOU expres- following indicators: improvement in efficiency
ses the convenience, effort, understanding, and and cost management, enhanced sales output, pro-
flexibility of using a particular technology (Davis, fitability, time savings, reduced paperwork, and
1989; Davis et al., 1989). In TAM, positive PEOU enhanced communication with clients and collea-
influences BIU and PU (Venkatesh, 2000; Alharbi gues (Shabaninejad et al., 2014). Other key perfor-
and Drew, 2014). Some studies have shown that mance indicators include enhanced financial acco-
Recommendations to Practices
Source: Author's computation (2023)
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Table 2. Measurement Invariance based on Gender, Type of Company, and Work Role
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As shown in Table 4, the exploratory factor 0.064 (acceptable if ≤0.1), average full collineari-
analysis of the measurement items or indicators ty variance inflation factor (AFCVIF) = 2.365 (ac-
revealed that all indicators had loadings above the ceptable if ≤5, ideally ≤3.3). The coefficient of de-
benchmark of 0.3 (Blunch, 2016). Hence, the data termination (R2) for each of the endogenous varia-
fully represents the constructs and is useful for fur- bles exceeded the limit of 10% raised by Falk and
ther analysis. Miller (1992) for endogenous constructs, with
26.1% for PU, 61.2% for BIU, and 58.2% for
Model Fit and Quality Measures TechIMP, respectively. Therefore, the explanato-
The measurement model had acceptable ry or exogenous variables largely explain the en-
model fit characteristics: standardized root mean dogenous or dependent variables or constructs.
squared residual (SRMR) = 0.082 (cutoff = 0.1), Hence, hypothesis H1 is satisfied, meaning that
standardized mean absolute residual (SMAR) = the model fits the data and represents a worldview.
Table 5 shows the confirmatory factor anal- separability of each construct from the other were
ysis results with factor loadings of the indicators examined using Fornell and Larcker and Hetero-
and constructs above the recommended value of trait Monotrait criteria (Henseler et al., 2015). For
0.5 (Hair et al., 2010). The multicollinearity of the the Fornell and Larcker criterion, the square root
constructs was not present, as the full collinearity of the AVEs of the constructs (in bold along the
variance inflation factor (FCVIF) was below 3.3. diagonal) is higher than the intercorrelations be-
Thus, the constructs are not unduly correlated with tween the constructs. In HTMT, the study constru-
each other. Convergent validity measures of the cts PU, PEOU, BIU, and TechIMP had values less
model, such as CR and AVE, were satisfactory, than the strict benchmark value of 0.85 (Henseler
with values above cutoffs of 0.7 and 0.5, respecti- et al., 2015). Therefore, based on the model achi-
vely (Henseler et al., 2015). eving construct validity measures (convergent and
As shown in Table 6, the distinctness and discriminant), hypothesis H2 was supported.
PU
(R)6i
R2=0.26
β=0.45
(P<0.01)
β=0.46
(P<0.01)
β=0.51 BIU β=0.24 TechIMP
(P<0.01) (R)5i (R)9i
(P<0.01)
β=0.44
R2=0.61 R2=0.58
(P<0.01)
β=0.18
(P<0.01)
PEOU
(R)6i
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As depicted in Figure 2, the structural mod- fect sizes. Table 8 showed the outcome of media-
el's coefficient of determination (R2: R-squared) tion analysis with significant mediation effects of
was 26%, 61%, and 58% for PU, BIU, and the PU and BIU at p<0.01. A statistically significant
main dependent variable-TechIMP respectively. serial moderation effect of PU and BIU was found
These values are within the baseline of ≥0.25 to in the relationship between PEOU and TechImp at
≥0.75 (below 25% is weak, greater than 50% is p<0.05. Therefore, the hypotheses (H9, H10, H11,
moderate, and above 75% is strong), according to and H12) were generally supported. However, the
Hair et al. (2021); hence, the model has high pre- mediating effect is partial (partial mediation) be-
dictability or explanatory power of the independ- cause the direct effects of PEOU and PU on the
ent variables (amount of variance in the dependent main dependent variable (TechIMP) were positive
variable explained by the independent variables). and significant, as shown in the path analysis (Ta-
Table 7 showed the results of path analysis ble 7). Hence, the mediating variable provided a
with positive and significant relationships existing critical contribution to explaining how the inde-
in all the hypothesized paths (H3, H4, H5, H6, H7, pendent variable exerts its effects on the depend-
and H8) at p<0.001 and with small to moderate ef- ent variable (Moqbel et al., 2020).
Path coefficient (β) t-value p-value Cohen's (ƒ2) Hypothesis (H) Inference
PU-> BIU 0.462 8.353 0.001 0.317 H3: supported moderate effect
PU -> TechIMP 0.451 8.157 0.001 0.320 H4: supported moderate effect
PEOU -> PU 0.514 9.375 0.001 0.264 H5: supported moderate effect
PEOU -> BIU 0.440 7.927 0.001 0.297 H6: supported moderate effect
PEOU -> TechIMP 0.178 3.068 0.001 0.102 H7: supported small effect
BIU -> TechIMP 0.240 4.190 0.001 0.161 H8: supported moderate effect
Source: Author's computation (2023)
Table 9 shows the comparative difference 8. The significant mediation effects imply that the
in perception based on gender; males had stronger usefulness and intention to use technology are crit-
effects in the relationships between PU and BIU ical links that enable pharmaceutical executives to
and the direct relationship between BIU and Tech- translate their PEOU to actual performance. The-
IMP. Conversely, females had stronger effects on refore, hypotheses H9, H10, H11, and H12 were
the relationships between PEOU and BIU. As well supported respectively. Therefore, pharmaceutical
as PEOU and TechIMP. It is worthy of note that executives are more likely to have enhanced per-
prior multigroup analysis using company type and formance due to technology use when their sense
work role revealed no statistically significant dif- of PU and BIU is strengthened or increased. It af-
ference between groups. firms that appropriate management measures that
increase awareness of the usefulness of any adopt-
DISCUSSION ed technology, enhanced usage flexibility, and en-
The study addressed the validation of TAM hanced willingness to adopt technology should be
in the context of TechIMP among pharmaceutical encouraged.
executives. The article expands existing literature The study explored the differences using
by providing more insight into the influence of the multigroup analysis based on gender, company
technology acceptance on performance. It is relev- type, and work role, as shown in Table 9, to test
ant because of the need to maximize technology to hypotheses (H13) due to potential demographic
the fullest in marketing pharmaceutical products differences inherent in the study population. Prior
and services at the lowest possible cost to pharma- analysis showed equivalence or parity in path co-
ceutical marketing companies. efficient (statistically non-significance) in compa-
ny type and work role. It implies that they do not
Hypotheses Testing constitute any difference among pharmaceutical
In line with the study's main objective, the executives. In the same vein, it means that executi-
measurement and structural models showed ac- ves in indigenous or multinational companies and
ceptable psychometric attributes (as shown in Ta- those in the field or management cadre do not seem
bles 4, 5, and 6), which validate the adapted model to differ in perception in terms of technology ac-
(TAM) for use in assessing technology use and ac- ceptance. Based on the multigroup analysis, gen-
ceptance among pharmaceutical executives. Hen- der differences exist in pharmaceutical executives'
ce, hypotheses 1 and 2 (H1, H2) were supported. perception of technology acceptance, thereby sup-
From a practical perspective, the study provided porting the hypothesis (H13). Hence, the stronger
additional insights into the comparative relevance influence of PU on BIU in males compared to fe-
of PEOU and PU on TechIMP. As shown by the males implies that male counterparts tend to be
results in Table 7, PEOU had more influence on more task-oriented in using electronic-based tech-
BIU than PU. It implies that the more user-friend- nology than females. This outcome is similar to
ly, flexible, and adaptable an introduced technolo- the findings of Okazaki and Santos (2012), who
gy intervention is, the more impact or positive in- did a comparative analysis of technology accept-
fluence it has on the intention of the person to use ance between male and female faculty members
it, and invariably impacts performance. In order (Okazaki and Santos, 2012). Also, this finding
words, it exerts a significant effect on the desire to aligns with outcomes of studies by Ong and Lai
perform or exhibit a specific behavior. This find- (2006) and Goswami and Dutta (2016) that show-
ing is corroborated by Kwak and Chang (2016), ed a higher proclivity of males to adopt technology
who asserted that enhanced PEOU and PU have a that supports performing tasks effectively compa-
positive impact on BIU among pharmaceutical re- red to females (Ong and Lai, 2006; Goswami and
presentatives. Thus, empirical evidence from the Dutta, 2016). However, Islam et al. (2011) high-
structural model supported hypotheses 3 to 8 (H3 lighted that females experience operational challe-
to H8). nges with e-learning technology compared to mal-
The study empirically tested the mediating es in a learning institution in Malaysia. Therefore,
role of PU and BIU in explaining the relationship in this study, gender differences in the technology
between PEOU and TechIMP, as shown in Table user acceptance have been shown to exist among
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pharmaceutical executives, as established in the addressed using training and development among
literature concerning team collaboration (Shen et pharmaceutical executives. Thereby triggering the
al., 2010). desired behaviors from field executives.
Furthermore, the path from PEOU to BIU Therefore, management teams must focus
showed higher importance to female executives on adapting technology more to suit employees'
compared to males. It suggests that females have usability rather than solely focusing on achieving
more favorable perceptions of the likely ease or organizational objectives. Hence, educational and
user-friendliness of technology applications, in- interactive sessions should be applied to improve
fluencing their intention to apply technology. This their understanding of technology and competen-
is corroborated by empirical research findings by cy in using technology. In the same vein, PEOU
Amin et al. (2015), who asserted that females have can be enhanced more when employees use more
a higher tendency to use technology based on the user-friendly devices that do not impede their sen-
ease with which a given technology can be applied se of creativity, discretion, and performance. Sim-
(PEOU) compared to men (Amin et al., 2015). ulation exercises and the role-play demonstrations
should be included in training sessions. Therefore,
IMPLICATIONS factors influencing positive behavioral inclination
The study findings show that performance towards adopting new and existing technology are
management has clear links with user acceptance advocated.
and use of technology in the pursuance of organi- The study's outcomes add significantly to
zational objectives or goals. The study's findings the existing literature on TAM by validating its
can be extended to include marketing personnel use or application among pharmaceutical market-
from the other sectors where performance mana- ing executives in the context of impact on perfor-
gement is a critical outcome measure, as seen in mance. The adapted TAM supports its use to pre-
financial institutions and sales organizations. dict user adoption and performance of marketing
The sales and marketing organizations must executives. Furthermore, the study's findings can
perform needs assessments of their operations and be extended to the larger scope of sales and mar-
employees to identify the technology need areas keting organizations where technology use is fast
requiring training and development. It would str- evolving and in cases where technology adoption
engthen the mechanism or linking of intention to among employees is still nascent.
adopt and use any technology. In the same vein, Studies validating and comparing the model
management can influence positive organization- between regions and countries are suggested. It
friendly perceptions and invariably elicit desired would enable the extrapolation of findings to a
behaviors from employees when educational pro- more extensive audience. A longitudinal study de-
grams and workshops on the benefits of using the sign would enable the comparison of instruments
technology are routinely promoted. over periods. Furthermore, the study focussed on
Therefore, performance management link- technology applications without a specific focus
ed to employees' technology should be an impor- on a particular tool. Hence, further research is req-
tant agenda for strategic managers, particularly in uired to assess the impact of specific technologies
developing the countries. This approach should be on the performance among pharmaceutical execu-
adopted as a matter of policy, including capacity tives.
development initiatives to explore the relevance
and usefulness of technology. Furthermore, PU CONCLUSIONS
and BIU form an essential linkage between how The study revealed that the adapted TAM
employees PEOU and their eventual performance has adequate psychometric properties with suffici-
at work within pharmaceutical marketing. ent construct validity as a measurement tool that
management teams can use to assess readiness to
RECOMMENDATIONS use technology and evaluate its impact on perfor-
Also, human resource managers should reg- mance. The structural model provided evidence of
ularly liaise with operational and strategic manag- user acceptance with significant path coefficients.
ers to identify key behavioral gaps that should be The tool showed adequate measurement invarian-
ce across work roles, company type, and gender. and EQS. Sage Publications: Thousand
However, only gender differences in significant Oaks, CA, USA.
paths in the model were evident. The study adds to Chuah, S. H. W., Rauschnabel, P. A., Krey, N.,
the literature by extending TAM to include Tech- Nguyen, B., Ramayah, T., and Lade, S.
IMP. Managers should focus on enhancing positi- 2016. Wearable Technologies: The Role of
ve user perception and acceptance by engaging in Usefulness and Visibility in Smartwatch
simulated training before introducing new or ad- Adoption. Computers in Human Behavior,
vanced technology, ensuring adaptability and flex- 65, pp. 276-284.
ibility of technology use. The study concludes that Davis, F. D., Bagozzi, R. P., and Warshaw, P. R.
strategic and human resource managers should pro- 1989. User Acceptance of Computer Tech-
vide training and work environments that enable nology: A Comparison of Two Theoretical
technology acceptance and usage with due consid- Models. Management Science, 35(8), pp.
eration for gender differences. 982–1003.
Davis, F. D., Granic, A., and Marangunic, N.
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