Table 4 Significance tests and effect sizes (f²).

H	Path	B	t-value	p-values	Sig	BCI LL	BCI UL	F²
H1	Attitude → Intention to use ICD-11	0.283	4.102	< 0.05	Yes	0.168	0.394	0.130
H2	Subjective norm → Intention to use ICD-11	0.401	4.664	< 0.05	Yes	0.261	0.539	0.201
H3	Perceived behavioural control → Intention to use ICD-11	0.160	2.494	0.006	Yes	0.053	0.264	0.040
H4	Perceived usefulness → Attitude	0.037	0.431	0.333	No	− 0.101	0.179	0.001
H5	Perceived ease of use → Attitude	0.155	1.932	0.027	Yes	0.018	0.283	0.018
H6	Compatibility → Attitude	0.368	4.426	< 0.05	Yes	0.222	0.495	0.103
H7	Interpersonal influence → Subjective norm	0.468	5.820	< 0.05	Yes	0.334	0.599	0.244
H8	External influence → Subjective norm	0.174	2.772	0.003	Yes	0.091	0.353	0.054
H9	Self-efficacy → Perceived behavioural control	0.150	2.871	0.002	Yes	0.059	0.230	0.035
H10	Facilitating conditions → Perceived behavioural control	0.613	8.832	< 0.05	Yes	0.461	0.676	0.520
H11	ICD-11 training → Facilitating conditions	0.363	5.504	< 0.05	Yes	0.244	0.461	0.151
H12	Previous ICD coding experience → Intention to use ICD-11	0.161	2.506	0.006	Yes	0.055	0.267	0.062

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