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基于互联网的医疗服务使用与城市老年人的福乐体验:同伴支持和技术接受模型。

Internet-Based Medical Service Use and Eudaimonic Well-Being of Urban Older Adults: A Peer Support and Technology Acceptance Model.

机构信息

College of Communication and Art Design, University of Shanghai for Science and Technology, Shanghai 200093, China.

School of Medicine, Tongji University, Shanghai 200092, China.

出版信息

Int J Environ Res Public Health. 2021 Nov 17;18(22):12062. doi: 10.3390/ijerph182212062.

Abstract

Currently, internet services are developing rapidly, and the relationship between specific types of internet services and the well-being of older adults is still unclear. This study took a total of 353 urban older adults aged 60 years and above as research objects to explore the impact of the use behavior toward internet-based medical services (IBMS) on their well-being through an online questionnaire. This study integrated well-being theory and peer support theory, constructed an extended structural equation model of technology acceptance based on the technology acceptance model (TAM), and analyzed the variable path relationship. The results confirm the proposed model: older adults improved their eudaimonic well-being through using IBMS; perceived usefulness significantly affected the older adults' attitudes towards IBMS; perceived ease of use significantly affected the use of IBMS through mediation; peer support significantly affected older adults' attitudes, willingness, actual use, and well-being in the process. This study proposes that facilitating IBMS use for older adults in the development and design of internet technology programs should be considered in order to provide them with benefits. Moreover, paying attention to peer support among older adults plays an important role in the acceptance of new technologies and improving their well-being. The "peer support" of this study expanded and contributed to the research on the impact on older adults' well-being and the construction of a technology acceptance model. The peer support in this study extended the influence factor of eudaimonic well-being and contributed to the further development of the TAM.

摘要

目前,互联网服务发展迅速,特定类型的互联网服务与老年人福祉之间的关系尚不清楚。本研究共选取 353 名 60 岁及以上的城市老年人作为研究对象,通过在线问卷探讨了基于互联网的医疗服务(IBMS)的使用行为对其幸福感的影响。本研究整合了幸福感理论和同伴支持理论,在技术接受模型(TAM)的基础上构建了基于技术接受模型(TAM)的扩展结构方程模型,并分析了变量路径关系。研究结果证实了所提出的模型:老年人通过使用 IBMS 提高了他们的幸福;感知有用性显著影响老年人对 IBMS 的态度;感知易用性通过中介显著影响 IBMS 的使用;同伴支持在老年人的态度、意愿、实际使用和幸福感过程中显著影响。本研究提出,在互联网技术方案的开发和设计中,应考虑促进老年人对 IBMS 的使用,以便为他们提供益处。此外,关注老年人之间的同伴支持在新技术的接受和提高他们的幸福感方面起着重要作用。本研究中的“同伴支持”扩展并丰富了关于影响老年人幸福感的研究,并构建了技术接受模型。本研究中的同伴支持扩展了幸福感的影响因素,并促进了 TAM 的进一步发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2857/8618015/e347bf2ff4cd/ijerph-18-12062-g001.jpg

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