School of Management, Hangzhou Dianzi University, Hangzhou 310038, China.
School of Management Science and Engineering, Chongqing Technology and Business University, Chongqing 400067, China.
Int J Environ Res Public Health. 2020 Sep 12;17(18):6658. doi: 10.3390/ijerph17186658.
Aging has increased the burden of social medical care. Mobile health (mHealth) services provide an effective way to alleviate this pressure. However, the actual usage of mHealth services for elderly users is still very low. The extant studies mainly focused on elderly users' mHealth adoption behavior, but resistance behavior has not been sufficiently explored by previous research. A present study tried to remedy this research gap by examining the effect of overload factors on the mHealth application resistance behavior based on the stimulus-organism-response (SOR) framework. The results indicated that information overload and system feature overload of an mHealth application increased the fatigue and technostress of the elderly user, which further increased their resistance behavior. Meanwhile, we integrated the intergeneration support with the SOR model to identify the buffer factor of the elderly user's resistance behavior. The results showed that intergenerational support not only directly decrease the elderly user's mHealth application resistance behavior, but also moderates (weaken) the effects of fatigue and technostress on resistance behavior. The present study also provided several valuable theoretical and practical implications.
老龄化增加了社会医疗保健的负担。移动健康 (mHealth) 服务提供了一种缓解这种压力的有效方式。然而，老年人实际使用 mHealth 服务的比例仍然非常低。现有研究主要集中在老年人对 mHealth 的采用行为上，但之前的研究并没有充分探索他们对 mHealth 的抵制行为。本研究试图通过基于刺激-机体-反应 (SOR) 框架，检查过载因素对 mHealth 应用抵制行为的影响，来弥补这一研究空白。研究结果表明，mHealth 应用的信息过载和系统功能过载增加了老年用户的疲劳感和技术压力，进而增加了他们的抵制行为。同时，我们将代际支持纳入 SOR 模型，以确定老年用户抵制行为的缓冲因素。研究结果表明，代际支持不仅可以直接降低老年用户对 mHealth 应用的抵制行为，还可以调节（减弱）疲劳感和技术压力对抵制行为的影响。本研究还提供了一些有价值的理论和实践意义。
