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How to improve older adults’ trust and intentions to use virtual health agents: an extended technology acceptance model

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Listed:
  • Guanhua Hou

    (Guangzhou University
    Ningbo University)

  • Xinran Li

    (Ningbo University)

  • Huiwen Wang

    (Guangzhou University)

Abstract

Previous studies have examined the influence of usability, ease of use, and usefulness on enhancing older adults’ intentions to use virtual agents. However, they have overlooked the impact of doctor-patient relationships. To explore how to improve older adults’ trust and usage intentions, this study expanded Technology Acceptance Model with perceived medical narrativity, medical presence, subjective norms. Data from 230 older adults were collected through online and offline surveys. Structural equation modeling results revealed that perceived ease of use is influenced by subjective norms and perceived medical narrativity. Subjective norms influenced older adults’ medical presence, but perceived medical narrativity did not have the same effect. Medical presence is positively related to older adults’ trust, thus influencing their usage intentions. Perceived usefulness directly influences intention to use, while perceived ease of use influences intention through the mediation of trust and perceived usefulness. This study combines doctor-patient relationships factors with technology perception factors, contributing to the exploration of how social factors can be integrated into technology use.

Suggested Citation

  • Guanhua Hou & Xinran Li & Huiwen Wang, 2024. "How to improve older adults’ trust and intentions to use virtual health agents: an extended technology acceptance model," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-11, December.
    • Handle: RePEc:pal:palcom:v:11:y:2024:i:1:d:10.1057_s41599-024-04232-6
    DOI: 10.1057/s41599-024-04232-6
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    1. Gefen, David & Straub, Detmar W., 2004. "Consumer trust in B2C e-Commerce and the importance of social presence: experiments in e-Products and e-Services," Omega, Elsevier, vol. 32(6), pages 407-424, December.
    2. Petrocchi, S. & Iannello, P. & Lecciso, F. & Levante, A. & Antonietti, A. & Schulz, P.J., 2019. "Interpersonal trust in doctor-patient relation: Evidence from dyadic analysis and association with quality of dyadic communication," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    3. Ha, Sejin & Stoel, Leslie, 2009. "Consumer e-shopping acceptance: Antecedents in a technology acceptance model," Journal of Business Research, Elsevier, vol. 62(5), pages 565-571, May.
    4. Duenas, Nelson & Mangen, Claudine, 2023. "Trust in international cooperation: Emotional and cognitive trust complement each other over time," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 92(C).
    5. Fred D. Davis & Richard P. Bagozzi & Paul R. Warshaw, 1989. "User Acceptance of Computer Technology: A Comparison of Two Theoretical Models," Management Science, INFORMS, vol. 35(8), pages 982-1003, August.
    6. Aliya Tastemirova & Johannes Schneider & Leona Chandra Kruse & Simon Heinzle & Jan vom Brocke, 2022. "Microexpressions in digital humans: perceived affect, sincerity, and trustworthiness," Electronic Markets, Springer;IIM University of St. Gallen, vol. 32(3), pages 1603-1620, September.
    7. Seo Young Kim & Bernd H. Schmitt & Nadia M. Thalmann, 2019. "Eliza in the uncanny valley: anthropomorphizing consumer robots increases their perceived warmth but decreases liking," Marketing Letters, Springer, vol. 30(1), pages 1-12, March.
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