IDEAS home Printed from https://ideas.repec.org/a/taf/titdxx/v24y2018i2p198-223.html
   My bibliography  Save this article

The role of perceived e-health literacy in users’ continuance intention to use mobile healthcare applications: an exploratory empirical study in China

Author

Listed:
  • Xi Zhang
  • Xiangda Yan
  • Xiongfei Cao
  • Yongqiang Sun
  • Hui Chen
  • Jinghuai She

Abstract

In recent years, mobile healthcare applications (MHAs) have boomed, providing several new kinds of health services and methods of information transmission. However, MHA vendors face a significant challenge in attracting users to adopt software continuously. Some recent studies recognized users’ perceived e-health literacy (PEHL) as a critical factor in continuance intention, but its influence was still unclear. In this paper, based on the elaboration likelihood model (ELM), we investigated how the users’ PEHL affects their continuance intention when adopting MHAs. We distributed convenience sample questionnaires by Wechat (similar to WhatsApp) in China, where hundreds of MHAs can be downloaded, and 273 valid samples were collected. The result shows that ELM works well in this model, with six of the eight hypotheses supported. The moderating effect of PEHL is largely significant for the peripheral route but not significant for the central route. The most interesting finding is that, with regard to continuance adoption, PEHL has a positive relationship with users’ satisfaction. Possible reasons are discussed, such as there could be a moderator on this relationship. Limitations, future studies and implications for theory, practice and policy are also given.

Suggested Citation

  • Xi Zhang & Xiangda Yan & Xiongfei Cao & Yongqiang Sun & Hui Chen & Jinghuai She, 2018. "The role of perceived e-health literacy in users’ continuance intention to use mobile healthcare applications: an exploratory empirical study in China," Information Technology for Development, Taylor & Francis Journals, vol. 24(2), pages 198-223, April.
    • Handle: RePEc:taf:titdxx:v:24:y:2018:i:2:p:198-223
    DOI: 10.1080/02681102.2017.1283286
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1080/02681102.2017.1283286
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1080/02681102.2017.1283286?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Gajewski, Jean-François & Li, Li, 2015. "Can Internet-based disclosure reduce information asymmetry?," Advances in accounting, Elsevier, vol. 31(1), pages 115-124.
    2. Bo Bernhard Nielsen, 2011. "Trust in strategic alliances: Toward a co-evolutionary research model," Journal of Trust Research, Taylor & Francis Journals, vol. 1(2), pages 159-176, June.
    3. Jean-François Gajewski & Li Li, 2015. "Can Internet-Based Disclosure Reduce Information Asymmetry?," Post-Print halshs-01497381, HAL.
    4. Oliver, Richard L, 1993. "Cognitive, Affective, and Attribute BAses of the Satisfaction Response," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 20(3), pages 418-430, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Henner Gimpel & Tobias Manner-Romberg & Fabian Schmied & Till J. Winkler, 2021. "Understanding the evaluation of mHealth app features based on a cross-country Kano analysis," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(4), pages 765-794, December.
    2. Mengling Yan & Hongying Tan & Luxue Jia & Umair Akram, 2020. "The Antecedents of Poor Doctor-Patient Relationship in Mobile Consultation: A Perspective from Computer-Mediated Communication," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    3. Cheng-Kui Huang & Shin-Horng Chen & Chia-Chen Hu & Ming-Ching Lee, 2022. "Understanding the adoption of the mask-supply information platforms during the COVID-19," Electronic Markets, Springer;IIM University of St. Gallen, vol. 32(4), pages 2405-2427, December.
    4. Kovačić Matija & Mutavdžija Maja & Buntak Krešimir, 2022. "e-Health Application, Implementation and Challenges: A Literature Review," Business Systems Research, Sciendo, vol. 13(1), pages 1-18, June.
    5. Betty Purwandari & Latifatul Khairiyah & Mardiana Purwaningsih & Achmad Nizar Hidayanto & Nur Fitriah Ayuning Budi & Kongkiti Phusavat, 2023. "Why do people donate online? A perspective from dual credibility transfer," International Review on Public and Nonprofit Marketing, Springer;International Association of Public and Non-Profit Marketing, vol. 20(2), pages 393-425, June.
    6. Perez-Aranda, Javier & González Robles, Eva M. & Alarcón Urbistondo, Pilar, 2023. "Understanding antecedents of continuance and revisit intentions: The case of sport apps," Journal of Retailing and Consumer Services, Elsevier, vol. 72(C).
    7. Sakun Boon-itt, 2019. "Quality of health websites and their influence on perceived usefulness, trust and intention to use: an analysis from Thailand," Journal of Innovation and Entrepreneurship, Springer, vol. 8(1), pages 1-18, December.
    8. Leonie Kuen & Fiona Schürmann & Daniel Westmattelmann & Sophie Hartwig & Shay Tzafrir & Gerhard Schewe, 2023. "Trust transfer effects and associated risks in telemedicine adoption," Electronic Markets, Springer;IIM University of St. Gallen, vol. 33(1), pages 1-22, December.
    9. Fuyong Lu & Xintao Wang & Xian Huang, 2023. "Counseling for Health: How Psychological Distance Influences Continuance Intention towards Mobile Medical Consultation," IJERPH, MDPI, vol. 20(3), pages 1-21, January.
    10. Yan, Min & Filieri, Raffaele & Raguseo, Elisabetta & Gorton, Matthew, 2021. "Mobile apps for healthy living: Factors influencing continuance intention for health apps," Technological Forecasting and Social Change, Elsevier, vol. 166(C).
    11. Kim, Ki-Hun & Kim, Kwang-Jae & Lee, Dae-Ho & Kim, Min-Geun, 2019. "Identification of critical quality dimensions for continuance intention in mHealth services: Case study of onecare service," International Journal of Information Management, Elsevier, vol. 46(C), pages 187-197.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Labidi, Manel & Gajewski, Jean François, 2019. "Does increased disclosure of intangible assets enhance liquidity around new equity offerings?," Research in International Business and Finance, Elsevier, vol. 48(C), pages 426-437.
    2. Leonardo Becchetti & Emanuele Bobbio & Federico Prizia & Lorenzo Semplici, 2022. "Going Deeper into the S of ESG: A Relational Approach to the Definition of Social Responsibility," Sustainability, MDPI, vol. 14(15), pages 1-22, August.
    3. Lingpeng Meng & Xiang Yu & Chuanfeng Han & Pihui Liu, 2022. "Does Internet Use Aggravate Public Distrust of Doctors? Evidence from China," Sustainability, MDPI, vol. 14(7), pages 1-18, March.
    4. Malaquias, Rodrigo Fernandes & Zambra, Pablo, 2018. "Disclosure of financial instruments: Practices and challenges of Latin American firms from the mining industry," Research in International Business and Finance, Elsevier, vol. 45(C), pages 158-167.
    5. Cissé, Abdoul Karim & Fontaine, Patrice, 2016. "Why do companies transfer the trading compartment of their common stocks," Research in International Business and Finance, Elsevier, vol. 36(C), pages 624-640.
    6. Un-Kon Lee, 2021. "The Effect of Confirmation of Nation Brand Image in International Tourism Advertisement on Travel Intention of Foreign Tourists: The Case of Korean ITA for Chinese Tourists," SAGE Open, , vol. 11(1), pages 21582440209, January.
    7. Alessia Acampora & Michele Preziosi & Maria Claudia Lucchetti & Roberto Merli, 2022. "The Role of Hotel Environmental Communication and Guests’ Environmental Concern in Determining Guests’ Behavioral Intentions," Sustainability, MDPI, vol. 14(18), pages 1-23, September.
    8. Michele Preziosi & Alessia Acampora & Maria Claudia Lucchetti & Roberto Merli, 2022. "Delighting Hotel Guests with Sustainability: Revamping Importance-Performance Analysis in the Light of the Three-Factor Theory of Customer Satisfaction," Sustainability, MDPI, vol. 14(6), pages 1-20, March.
    9. Jiang, Ying & Liu, Hong & Yang, Qingshan, 2024. "Asymmetric information correlation in financial markets," The North American Journal of Economics and Finance, Elsevier, vol. 71(C).
    10. G. Tomas M. Hult & Forrest V. Morgeson III & Udit Sharma & Claes Fornell, 2022. "Customer satisfaction and international business: A multidisciplinary review and avenues for research," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 53(8), pages 1695-1733, October.
    11. Babin, Barry J. & Griffin, Mitch, 1998. "The nature of satisfaction: An updated examination and analysis," Journal of Business Research, Elsevier, vol. 41(2), pages 127-136, February.
    12. Wenyan Zhou & Oliver Hinz & Alexander Benlian, 2018. "The impact of the package opening process on product returns," Business Research, Springer;German Academic Association for Business Research, vol. 11(2), pages 279-308, September.
    13. LEMOINE, Jean-François & PLICHON, Véronique, 2000. "Le rôle des facteurs situationnels dans l'explication des réactions affectives du consommateur à l'intérieur d'un point de vente. / The Role of Situational Factors in the Understanding of Consumer Aff," LEG - CERMAB / Centre de Recherche en Marketing de Bourgogne - Cahier de recherche 2000-04, LEG - CERMAB, CNRS UMR 5118, Université de Bourgogne.
    14. Houston, Lawrence & Grandey, Alicia A. & Sawyer, Katina, 2018. "Who cares if “service with a smile” is authentic? An expectancy-based model of customer race and differential service reactions," Organizational Behavior and Human Decision Processes, Elsevier, vol. 144(C), pages 85-96.
    15. Oghenere Gabriel Salubi & Ezra Ondari-Okemwa & Fhulu Nekhwevha, 2018. "Utilisation of Library Information Resources among Generation Z Students: Facts and Fiction," Publications, MDPI, vol. 6(2), pages 1-12, April.
    16. Dixon, Darcie & Mikolon, Sven, 2021. "Cents of self: How and when self-signals influence consumer value derived from choices of green products," International Journal of Research in Marketing, Elsevier, vol. 38(2), pages 365-386.
    17. José Manuel Hernández-Mogollón & Helena Alves & Ana María Campón-Cerro & Elide Di-Clemente, 2021. "Integrating transactional and relationship marketing: a new approach to understanding destination loyalty," International Review on Public and Nonprofit Marketing, Springer;International Association of Public and Non-Profit Marketing, vol. 18(1), pages 3-26, March.
    18. Xiaoshan He & Jian Ming Luo, 2020. "Relationship among Travel Motivation, Satisfaction and Revisit Intention of Skiers: A Case Study on the Tourists of Urumqi Silk Road Ski Resort," Administrative Sciences, MDPI, vol. 10(3), pages 1-13, August.
    19. Min Hou & Zuohao Hu, 2013. "Patronage, only for happiness? ¨C An analysis on Coexistence of Multiple Consumption Emotions," Business and Management Research, Business and Management Research, Sciedu Press, vol. 2(1), pages 116-127, March.
    20. Frank Huber & Frederik Meyer & Kai Vollhardt & Tobias Heußler, 2011. "Die Bedeutung von Emotionen für die wahrgenommene Fairness bei Preiserhöhungen," Schmalenbach Journal of Business Research, Springer, vol. 63(4), pages 404-426, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:taf:titdxx:v:24:y:2018:i:2:p:198-223. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Longhurst (email available below). General contact details of provider: http://www.tandfonline.com/titd20 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.