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Determinants of the Mobile Health Continuance Intention of Elders with Chronic Diseases: An Integrated Framework of ECM-ISC and UTAUT

Author

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  • Xiu-Fu Tian

    (College of Business, Jiaxing University, Jiaxing 314001, China)

  • Run-Ze Wu

    (College of Economics, Jiaxing University, Jiaxing 314001, China)

Abstract

With the deepening of population aging in China, chronic diseases are a major public health concern that threatens the life and health of nationals. Mobile health or mHealth can effectively monitor chronic diseases, which holds vital significance to the alleviation of social pressure caused by aging. To patients with chronic diseases, mHealth cannot give full play to its value, only when it is used in the long term. However, there is not yet research exploring mHealth continuance intention from the perspective of elders with chronic diseases. So, this research represents the first attempt to empirically analyze mHealth continuance intention from the perspective of elders with chronic diseases. The purpose of this research is to make up the research gap of the mHealth field and to put forward theoretical and practical implications based on research results. To obtain research data, a questionnaire was conducted. A total of 926 copies were collected online and 527 copies were collected offline. The structural equation model (SEM) was used for data analysis. Research results suggest that confirmation can significantly influence satisfaction, performance expectancy and effort expectancy. Meanwhile, confirmation and performance expectancy can significantly influence satisfaction. Additionally, effort expectancy, performance expectancy, social influence and facilitating conditions can directly and significantly influence continuance intention. Among them, performance expectancy can directly influence continuance intention in the most significant way. This research provides solid evidence for the validity of the integrated model of ECM-ISC and UTAUT in the mHealth field, which can be a theoretical basis for mHealth operators’ product R&D.

Suggested Citation

  • Xiu-Fu Tian & Run-Ze Wu, 2022. "Determinants of the Mobile Health Continuance Intention of Elders with Chronic Diseases: An Integrated Framework of ECM-ISC and UTAUT," IJERPH, MDPI, vol. 19(16), pages 1-19, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:9980-:d:887086
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    2. Xuelian Hai & Jia Zhang & Yumeng Zhang & Jay Pan, 2024. "Chinese physicians’ perceptions and willingness to use telemedicine during the COVID-19 pandemic," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-10, December.
    3. Zatul Fahany Harun & Nur Shahrulliza Muhammad & Zuhal Hussein & Amily Fikri & Azreen Joanna Abdul, 2024. "Factors influencing patients’ intention to use the Health Clinic Online Appointment System app," Information Management and Business Review, AMH International, vol. 16(2), pages 53-62.
    4. Yanmei Jiang & Antonio K. W. Lau, 2023. "Understanding Post-Adoption Behavioral Intentions of Mobile Health Service Users: An Empirical Study during COVID-19," IJERPH, MDPI, vol. 20(5), pages 1-21, February.
    5. Mehreen Azam & Salman Bin Naeem & Maged N. Kamel Boulos & Anthony Faiola, 2023. "Modelling the Predictors of Mobile Health (mHealth) Adoption among Healthcare Professionals in Low-Resource Environments," IJERPH, MDPI, vol. 20(23), pages 1-17, November.

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