School of Business and Technology Management, College of Business, Korea Advanced Institute of Science and Technology (KAIST), 291 Daehak-ro, Yuseong-gu, Daejeon 34141, Republic of Korea.
Int J Med Inform. 2023 Sep;177:105161. doi: 10.1016/j.ijmedinf.2023.105161. Epub 2023 Jul 27.
Although mobile healthcare (mHealth) applications have proliferated and offer new opportunities for personal health management, many users exhibit discontinuance behavior. Various factors in mHealth applications can strongly impact users' continuance behavior, but it is not yet fully understood how they interact with each other to yield maximized effects. This study highlights the importance of identifying the antecedents and moderators of continuance intention to broaden the demographic reach of mHealth applications and thus contribute to maintaining a sustainable healthcare system.
This research explores three dimensions of perceived values (hedonic, utilitarian, and social) in mHealth platforms that lead to user satisfaction and, ultimately, continuance intention. It further investigates the moderating effects of personal traits defined by regulatory focus on the relationship between perceived value and user satisfaction.
Data was collected from 259 respondents with experience using the Samsung Health application. The research tests the proposed model and hypotheses by implementing PLS-SEM and multi-group analyses.
Each dimension of perceived values positively influences user satisfaction, with hedonic and utilitarian values exhibiting stronger relationships. Regarding moderating effects, promotion (versus prevention) focus has a stronger enhancing effect on the positive relationship between utilitarian value and user satisfaction. In contrast, prevention (versus promotion) focus more strongly enhances the positive relationship between hedonic value and user satisfaction. Regulatory focus does not yield a significant moderating effect on the relationship between social value and user satisfaction. User satisfaction exerts a strong positive influence on continuance intention in mHealth environments.
The moderating effect of individuals' regulatory focus has been identified. Combined effects of antecedents and moderators on user satisfaction influence their continuance intention in mHealth ecologies. Considering individual users' characteristics may guide mHealth application developers to design personalized platforms and establish enforced marketing strategies.
尽管移动医疗（mHealth）应用已经大量涌现并为个人健康管理带来了新的机遇，但许多用户仍表现出间断使用的行为。mHealth 应用中的各种因素可以强烈影响用户的持续使用行为，但目前尚不完全清楚它们如何相互作用以产生最大化的效果。本研究强调了识别持续意向的前因和调节因素的重要性，以拓宽 mHealth 应用的受众范围，从而有助于维持可持续的医疗体系。
本研究探讨了 mHealth 平台中感知价值的三个维度（享乐、实用和社交），这些维度会导致用户满意度，并最终导致持续意向。本研究还进一步调查了个人特质（由监管焦点定义）对感知价值与用户满意度之间关系的调节作用。
数据来自 259 名使用三星健康应用程序经验的受访者。本研究通过实施 PLS-SEM 和多组分析来检验所提出的模型和假设。
感知价值的每个维度都对用户满意度产生积极影响，其中享乐和实用价值的关系更为密切。关于调节作用，促进（相对于预防）焦点对实用价值和用户满意度之间的积极关系具有更强的增强作用。相比之下，预防（相对于促进）焦点更强烈地增强了享乐价值和用户满意度之间的积极关系。监管焦点对社会价值和用户满意度之间的关系没有产生显著的调节作用。用户满意度在 mHealth 环境中对持续意向产生强烈的积极影响。
已经确定了个体监管焦点的调节作用。在 mHealth 生态系统中，前因和调节因素的综合作用会影响用户的满意度和持续意向。考虑个体用户的特征可能有助于 mHealth 应用程序开发者设计个性化平台并制定强制性营销策略。
