School of Nursing, Nanjing Medical University, Nanjing 211166, China.
Geriatric Hospital of Nanjing Medical University, Nanjing 210009, China.
Int J Environ Res Public Health. 2023 Feb 13;20(4):3247. doi: 10.3390/ijerph20043247.
Wearable health devices (WHDs) have become increasingly advantageous in long-term health monitoring and patient management. However, most people have not yet benefited from such innovative technologies, and the willingness to accept WHDs and their influencing factors are still unclear. Based on two behavioral theories: the theory of planned behavior (TPB) and the diffusion of innovation (DOI), this study aims to explore the influencing factors of willingness to use WHDs in community residents from the perspective of both internal and external factors. A convenience sample of 407 community residents were recruited from three randomly selected Community Health Service Centers (CHSCs) in Nanjing, China, and were investigated with a self-developed questionnaires. The mean score of willingness to use WHDs was 17.00 (range 5-25). In the dimensions of TPB, perceived behavioral control (β = 1.979, < 0.001) was the strongest influencing factor. Subjective norms (β = 1.457, < 0.001) and attitudes (β = 0.651, = 0.016) were also positively associated with willingness. In innovation characteristics of DOI, compatibility (β = 0.889, < 0.001) and observability (β = 0.576, = 0.003) had positive association with the willingness to wear a WHD. This study supports the applicability of the two behavioral theories to interpret the willingness to use WHDs in Chinese community residents. Compared with the innovative features of WHDs, individual cognitive factors were more critical predictors of willingness to use.
可穿戴健康设备 (WHDs) 在长期健康监测和患者管理方面变得越来越有利。然而，大多数人尚未从这些创新技术中受益，人们对 WHDs 的接受意愿及其影响因素仍不清楚。本研究基于两种行为理论：计划行为理论 (TPB) 和创新扩散理论 (DOI)，旨在从内部和外部因素两个方面探讨社区居民使用 WHD 的意愿的影响因素。本研究从中国南京市三个随机选定的社区卫生服务中心 (CHSCs) 中招募了 407 名社区居民进行了方便抽样调查，并使用自行设计的问卷进行了调查。使用 WHD 的意愿平均得分为 17.00（范围 5-25）。在 TPB 的维度中，感知行为控制（β=1.979，<0.001）是最强的影响因素。主观规范（β=1.457，<0.001）和态度（β=0.651，=0.016）也与意愿呈正相关。在 DOI 的创新特征方面，兼容性（β=0.889，<0.001）和可观察性（β=0.576，=0.003）与佩戴 WHD 的意愿呈正相关。本研究支持将这两种行为理论应用于解释中国社区居民使用 WHD 的意愿。与 WHD 的创新特征相比，个体认知因素是更关键的意愿预测因素。
