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Currently submitted to: Journal of Medical Internet Research

Date Submitted: Mar 16, 2020
Open Peer Review Period: Mar 20, 2020 - May 20, 2020
(currently open for review)

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Do doctors care? Validating a tool for the assessment of health information security in Spanish-speaking countries

  • Jorge Andres Delgado-Ron; 
  • Daniel Simancas-Racines; 



Healthcare has increased its use of information technology over the last few years. A trend followed higher usage of Electronic Health Record in low-and-middle-income countries where doctors use non-medical applications and websites for healthcare-related tasks. Information security awareness and practices are essential to reduce the risk of breaches.


To assess the internal reliability of the Spanish translation of three areas of the Human Aspects of Information Security Questionnaire (HAIS-Q), and to assess the knowledge, attitudes, and practices of medical doctors around information security.


This is a cross-sectional descriptive study designed as a questionnaire-based. We used focus areas (Password management, social media use, and mobile devices use) from the Human Aspects of Information Security Questionnaire (HAIS-Q). Medical doctors in Ecuador answered an online survey between December 2017 and January 2018.


A total of 434 health professionals (response rate: 0.65) completed all the questions in our study. Scores were 37.4 (SD 5.9) for Password Management, 35.4 (SD 5.0) for Social Media Use and 35.9 (SD 5.7) for Mobile Devices. Cronbach’s alpha coefficient (α) was 0.78 (95% CI: 0.75, 0.81) for password management, 0.73 (95%CI: 0.69, 0.77) for mobile devices and 0.77 (95% CI: 0.73, 0.78) for Social Media Use.


Our study shows that three components of the Spanish translation of the HAIS-Q questionnaire were internally reliable when applied in medical doctors. Medical doctors with eagerness to receive infosec training scored higher in social media use and mobile device use categories.


Please cite as:

Delgado-Ron JA, Simancas-Racines D

Do doctors care? Validating a tool for the assessment of health information security in Spanish-speaking countries

JMIR Preprints. 16/03/2020:18753

DOI: 10.2196/preprints.18753


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