Yin Zheng, Yan Jiayu, Fang Shengyu, Wang Dongbo, Han Demin
School of Public Health, Capital Medical University, Beijing, China.
Department of General Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Ann Transl Med. 2022 Jun;10(11):629. doi: 10.21037/atm-21-5510.
The acceptance of wearable intelligent medical devices and the factors influencing behavioral intention to use them have been scarcely studied. This study aimed to increase the current understanding of wearable intelligent medical devices and investigate the factors influencing their acceptance.
Integrating the unified theory of acceptance and use of technology and the theory of perceived risk, and based on the features of wearable intelligent medical devices, we proposed a modified unified theory of acceptance and use of technology model to identify factors influencing the acceptance of these devices. Using data collected from 2,192 respondents in China from an online survey, we used structural equation modeling to test the measurement and structural models.
The findings suggested that facilitating conditions (path coefficient =0.942, P<0.001) were critical to the use of wearable intelligent medical devices. Behavioral intention significantly mediated the effects of perceived risk, perceived cost, health expectation, perceived ease of use, and social influence on user behavior (path coefficient =0.210, P<0.001). Health expectation (path coefficient =0.860, P<0.001), perceived ease of use (path coefficient =0.289, P<0.001), and social influence (path coefficient =0.153, P<0.001) were found to play essential roles in predicting behavioral intention. Perceived cost (path coefficient =0.034, P<0.05) and perceived risk (path coefficient =-0.031, P<0.05) had no significant effect on behavioral intention. People with underlying diseases had lower health expectations and perceived costs.
The modified unified theory of acceptance and use of technology model in our research is a reliable model to evaluate the user acceptance of wearable intelligent medical devices.
可穿戴智能医疗设备的接受度以及影响其使用行为意向的因素鲜有研究。本研究旨在加深对可穿戴智能医疗设备的当前理解,并调查影响其接受度的因素。
整合技术接受与使用统一理论和感知风险理论,并基于可穿戴智能医疗设备的特点,我们提出了一个修正的技术接受与使用统一理论模型,以识别影响这些设备接受度的因素。利用从中国2192名受访者的在线调查中收集的数据,我们使用结构方程模型来检验测量模型和结构模型。
研究结果表明,便利条件(路径系数=0.942,P<0.001)对可穿戴智能医疗设备的使用至关重要。行为意向显著中介了感知风险、感知成本、健康期望、感知易用性和社会影响对用户行为的影响(路径系数=0.210,P<0.001)。发现健康期望(路径系数=0.860,P<0.