Smartphone use in pharmacy education in Uganda: A cross-sectional pilot study.
DOI:
https://doi.org/10.51168/sjhrafrica.v7i3.2542Keywords:
Technology Acceptance Model, mobile learning, smartphone use, pharmacy education, Uganda, health sciences, pilot studyAbstract
Background
Smartphones are increasingly used in health education. Understanding student acceptance is important for integrating mobile learning into pharmacy training. The Technology Acceptance Model (TAM) provides a framework for examining perceived ease of use, usefulness, attitude, and behavioral intention.
Method
A cross-sectional pilot study was conducted at Fort Portal College of Health Sciences in Uganda. Forty-seven pharmacy students completed a structured TAM-based questionnaire via Google Forms. Data were analyzed using SPSS version 23. Reliability was assessed with Cronbach’s alpha; descriptive statistics summarized perceptions; and Pearson correlations and linear regressions examined relationships among TAM constructs. Bootstrapping with 1,000 resamples generated bias-corrected confidence intervals (BCa CI).
Results
Reliability analysis produced an overall Cronbach’s alpha of .91. Students reported positive perceptions of smartphone use, with mean scores above the midpoint across constructs. TAM variables were positively correlated. Regression analyses showed that perceived ease of use predicted usefulness (β = 0.36), usefulness predicted attitude (β = 0.85), and attitude predicted behavioral intention (β = 0.54). When entered simultaneously, usefulness and attitude did not uniquely predict behavioral intention, likely reflecting construct overlap in this small sample. These findings support the feasibility of applying TAM in larger studies of mobile learning in Ugandan pharmacy education.
Conclusion
TAM was applicable for examining smartphone acceptance in Ugandan pharmacy education. Positive perceptions and reliable measurement suggest feasibility for larger studies.
Recommendations
Future studies should increase the sample size, include multiple cohorts, and apply structural equation modeling to clarify overlapping effects.
References
African Union. (2022). Digital education strategy and implementation plan. African Union Commission, Department of Education, Science, Technology and Innovation. https://www.iicba.unesco.org/sites/default/files/medias/fichiers/2025/10/African%20Union%E2%80%99s%20Digital%20Education%20Strategy.pdf
Alqahtani, A. Y., & Rajkhan, A. A. (2020). E-learning critical success factors during the COVID-19 pandemic: A comprehensive analysis of e-learning managerial perspectives. Education sciences, 10(9), 216. https://doi.org/10.3390/educsci10090216
Al-Rahmi, A. M., Al-Rahmi, W. M., Alturki, U., Aldraiweesh, A., Almutairy, S., & Al-Adwan, A. S. (2022). Acceptance of mobile technologies and M-learning by university students: An empirical investigation in higher education. Education and Information Technologies, 27(6), 7805-7826. https://doi.org/10.1007/s10639-022-10934-8
Bell, M. L., Whitehead, A. L., & Julious, S. A. (2018). Guidance for using pilot studies to inform the design of intervention trials with continuous outcomes. Clinical epidemiology, 153-157. https://doi.org/10.2147/CLEP.S146397
Bryman, A. (2016). Social research methods. Oxford University Press.
Bujang, M. A., Omar, E. D., Foo, D. H. P., & Hon, Y. K. (2024). Sample size determination for conducting a pilot study to assess the reliability of a questionnaire. Restorative dentistry & endodontics, 49(1), e3. https://doi.org/10.5395/rde.2024.49.e3
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage Publications.
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319-340. https://doi.org/10.2307/249008
Dou, G., & Feng, Y. (2025, November). Psychometric validation of the information technology acceptance scale for Chinese high school teachers. In Frontiers in Education (Vol. 10, p. 1678302). Frontiers Media SA. https://doi.org/10.3389/feduc.2025.1678302
Faustino, A., Kaur, G., & Bussey, M. (2024). Instructional technologies of education in East African countries: An overview. Journal of Interdisciplinary Studies in Education, 13(S1), 236-252. https://files.eric.ed.gov/fulltext/EJ1456473.pdf
Hassan, Z. A., Schattner, P., & Mazza, D. (2006). Doing a pilot study: why is it essential?. Malaysian family physician: the official journal of the Academy of Family Physicians of Malaysia, 1(2-3), 70. https://pmc.ncbi.nlm.nih.gov/articles/PMC4453116/pdf/MFP-01-70.pdf
Jime, A. A., Saeed, B. M. A. R., & Gana, I. A. (2024). Students' Attitudes towards the Use of Mobile Learning in Universities of Northeast Nigeria. Journal of Education in Developing Areas, 32(2), 1-14. https://journals.journalsplace.org/index.php/JEDA/article/viewFile/567/480
Kaliisa, R., & Picard, M. (2017). A systematic review on mobile learning in higher education: The African perspective. TOJET: The Turkish Online Journal of Educational Technology, 16(1).
King, W. R., & He, J. (2006). A meta-analysis of the technology acceptance model. Information & management, 43(6), 740-755. https://psycnet.apa.org/doi/10.1016/j.im.2006.05.003
Klímová, B. (2018). Mobile learning in medical education. Journal of Medical Systems, 42(10), 194. https://doi.org/10.1007/s10916-018-1056-9
Lazaro, G. R. D., & Duart, J. M. (2023). Moving learning: A systematic review of mobile learning applications for online higher education. Journal of New Approaches in Educational Research, 12(2), 198-224. https://doi.org/10.7821/naer.2023.7.1287
Lee, J. W. Y., Tan, J. Y., & Bello, F. (2025). Technology acceptance model in medical education: systematic review. JMIR Medical Education, 11(1), e67873. https://doi.org/10.2196/67873
Mejía-Mancilla, J., & Mejía-Trejo, J. (2024). Technology acceptance model for smartphone use in higher education. Scientia et PRAXIS, 4(07), 113-158. https://doi.org/10.55965/setp.4.07.a5
Mtebe, J. & Raisamo, R. (2014). Investigating students’ behavioural intention to adopt and use mobile learning in higher education in East Africa. International Journal of Education and Development using ICT, 10(3). Open Campus, The University of the West Indies, West Indies. Retrieved March 27, 2026, from https://www.learntechlib.org/p/148476/.
Mtenzi, F. J. (2016). A new educational mobile device platform for social inclusion in Tanzania. International Journal of ICT Research in Africa and the Middle East (IJICTRAME), 5(2), 49-58. doi: 10.4018/JICTRAME.2016070105
Munabi, S., Aguti, J., and Nabushawo, H. (2020). Using the TAM Model to Predict Undergraduate Distance Learners' Behavioural Intention to Use the Makerere University Learning Management System. Open Access Library Journal, 7, 1-12. https://doi.org/10.4236/oalib.1106699
Nguyen, H., Stehr, E. M., Eisenreich, H., & An, T. (2018). Using Google Forms to inform teaching practices. In Proceedings of the Interdisciplinary STEM Teaching and Learning Conference (2017-2019) (Vol. 2, No. 1, pp. 74-79). https://doi.org/10.20429/stem.2018.020110
Nunnally, J.C. (1978). An Overview of Psychological Measurement. In: Wolman, B.B. (eds) Clinical Diagnosis of Mental Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-2490-4_4
Pimmer, C., Linxen, S., Gröhbiel, U., Jha, A. K., & Burg, G. (2013). Mobile learning in resource-constrained environments: a case study of medical education. Medical teacher, 35(5), e1157-e1165. https://doi.org/10.3109/0142159x.2012.733454
Qazi, A., Qazi, J., Naseer, K., Hasan, N., Hardaker, G., & Bao, D. (2024). M-Learning in education during COVID-19: A systematic review of sentiment, challenges, and opportunities. Heliyon, 10(12), e32638. https://doi.org/10.1016/j.heliyon.2024.e32638
Sabbar, S. D., Kadir, A. R., Nohong, M., Mannan, A., Taha Alkanan, O. M., & Anter, S. A. (2025). Adoption of Mobile Learning: Education’s Use of App-Based Learning Management Systems & Ethical Implementation. International Journal of Interactive Mobile Technologies, 19(18). DOI: 10.3991/ijim.v19i18.57611
Suhail, N. A. (2017). Assessing Mobile Learning Readiness in Kampala University, Uganda. International Journal of Computer Applications, 170(2), 30-34.
Suliman, M. A., Zhang, W., Suluman, R. A., & Sleiman, K. A. A. (2025). Medical students’ acceptance of mobile learning: Integrating the TAM model with perceived reusability. Education and Information Technologies, 30(3), 3621-3644. https://doi.org/10.1007/s10639-024-12917-3
Tairab, A., Huang, R., & PERRIS, K. (2017, December). Mobile learning in higher education in Sudan. In the International Conference on Computers in Education. https://library.apsce.net/index.php/ICCE/article/view/2219/2095
Tibshirani, R. J., & Efron, B. (1993). An introduction to the bootstrap. Monographs on statistics and applied probability, 57(1), 1-436.
Uganda National Council for Science and Technology. (2025). National guidelines for research involving humans as research participants. https://uncst.go.ug/files/downloads/NATIONAL%20GUIDELINES%20FOR%20RESEARCH%20INVOLVING%20HUMANS%20AS%20RESEARCH%20PARTICIPANTS%202025.pdf
UNESCO. (2021). The digital learning turn in Africa: The role of local ecosystems (ED/GEC/2021/03). United Nations Educational, Scientific, and Cultural Organization. https://unesdoc.unesco.org/ark:/48223/pf0000377725
United Nations. (2025). Empowering Africa through education technology: The Africa EdTech 2030 Vision. https://africarenewal.un.org/sites/default/files/documents/africaedtech2030visionandplandraft-1.pdf
Wu, X., Zhan, F., Zhang, X., & Wang, T. (2025). Innovation and entrepreneurship education for medical students: a global bibliometric analysis (2000–2024). Medical Education Online, 30(1), 2515385. https://doi.org/10.1080/10872981.2025.2515385
Xue, L., Rashid, A. M., & Ouyang, S. (2024). The unified theory of acceptance and use of technology (UTAUT) in higher education: A systematic review. Sage Open, 14(1), 21582440241229570. https://doi.org/10.1177/21582440241229570
Yang, H. J., Lee, J. H., & Lee, W. (2025). Factors influencing health care technology acceptance in older adults based on the technology acceptance model and the unified theory of acceptance and use of technology: meta-analysis. Journal of Medical Internet Research, 27, e65269. https://doi.org/10.2196/65269
Yaqin, A. M. ‘Ainul, Muqoffi, A. K., Rizalmi, S. R., Pratikno, F. A., & Efranto, R. Y. (2025). Hybrid learning in post-pandemic higher education systems: an analysis using SEM and DNN. Cogent Education, 12(1). https://doi.org/10.1080/2331186X.2025.2458930
Zhang, X., Lo, P., So, S., Chiu, D. K., Leung, T. N., Ho, K. K., & Stark, A. (2021). Medical students’ attitudes and perceptions towards the effectiveness of mobile learning: A comparative information-need perspective. Journal of Librarianship and Information Science, 53(1), 116-129. https://doi.org/10.1177/0961000620925547
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