eHealth Research Institute, School of Management, Harbin Institute of Technology, Harbin, China.
Logistics and Maritime Studies, Faculty of Business, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).
JMIR Mhealth Uhealth. 2019 Jan 8;7(1):e12269. doi: 10.2196/12269.
Although elderly users comprise a major user group in the field of mobile health (mHealth) services, their adoption rate of such services is relatively low compared with their use of traditional health services. Increasing the adoption rate of mHealth services among elderly users is beneficial to the aging process.
This study aimed to examine the determinants of mHealth service use intentions using a trust transfer model among elderly users facing declining physiological conditions and lacking support from hospitals.
A survey comprising 395 users aged 60 years and above was conducted in China to validate our research model and hypotheses.
The results reveal that (1) trust in mHealth services positively influences use intentions, (2) trust in offline health services positively influences trust in mHealth services, (3) declining physiological conditions strengthen the effects of trust in offline health services regarding trust in mHealth services, (4) support from hospitals weakens the effects of trust in mHealth services on use intentions, and (5) the relationship between trust in offline health services and intention to use mHealth services is partially mediated by trust in mHealth services. The independent variables and moderators collectively explain a 48.3% variance in the use intention of mHealth services.
We conclude that the trust transfer theory is useful in explaining the development of initial trust in mHealth services. In addition, declining physiological conditions and support from hospitals are important factors for investigating the adoption of mHealth services among elderly users.
尽管老年人是移动医疗 (mHealth) 服务领域的主要用户群体，但与传统医疗服务相比，他们对这些服务的采用率相对较低。提高老年人对 mHealth 服务的采用率有利于老龄化进程。
本研究旨在通过信任传递模型，考察在生理状况下降且缺乏医院支持的情况下，老年用户对 mHealth 服务使用意愿的决定因素。
在中国进行了一项包含 395 名 60 岁及以上用户的调查，以验证我们的研究模型和假设。
结果表明：(1) 对 mHealth 服务的信任正向影响使用意愿；(2) 对线下医疗服务的信任正向影响对 mHealth 服务的信任；(3) 生理状况下降增强了线下医疗服务对 mHealth 服务的信任的影响；(4) 医院支持减弱了对 mHealth 服务的信任对使用意愿的影响；(5) 对线下医疗服务的信任与使用 mHealth 服务的意愿之间的关系部分由对 mHealth 服务的信任来介导。自变量和调节变量共同解释了 mHealth 服务使用意愿的 48.3%变化。
我们得出结论，信任传递理论在解释 mHealth 服务初始信任的发展方面是有用的。此外，生理状况下降和医院支持是研究老年人采用 mHealth 服务的重要因素。
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