Luo Jiacheng, Zhang Kewei, Huang Qianghong, Jiang Shan, Pan Younghwan
Department of Smart Experience Design, Graduate School of Techno Design, Kookmin University, Seoul 02707, Republic of Korea.
College of Literature and Arts Communication, Tongling University, Tongling 244061, China.
Behav Sci (Basel). 2024 Dec 28;15(1):19. doi: 10.3390/bs15010019.
With the acceleration of the aging process in China, chronic diseases have become one of the main health threats for older adults, creating significant pressure on society and the healthcare system. As information technology and artificial intelligence advance rapidly, smart health services have become readily accessible. However, utilization rates among the older adults, especially those with chronic illnesses, remain low, preventing them from fully benefiting from these advanced technologies. The value of mobile health (mHealth) services can only be realized through sustained use. Therefore, this study empirically investigates the continuous use intention of mHealth services from the perspective of older adults with chronic illnesses, integrating the Technology Acceptance Model (TAM) and Value-Based Adoption Model (VAM). A total of 372 questionnaires were collected from various cities in China, and data were analyzed using SPSS 24.0 and Partial Least Squares Structural Equation Modeling (PLS-SEM). Results indicate that perceived ease of use ( = 0.155, = 0.004; = 0.116, = 0.027) and perceived usefulness ( = 0.175, = 0.001; = 0.151, = 0.004) have a significant positive impact on attitude and perceived value. Perceived enjoyment significantly influences attitude ( = 0.147, = 0.010), while perceived risk ( = -0.189, < 0.001; = -0.281, < 0.001) and perceived cost ( = -0.155, = 0.003; = -0.130, = 0.022) have a significant negative impact on attitude and perceived value. Both attitude ( = 0.357, < 0.001) and perceived value ( = 0.314, < 0.001) positively impact continuous intention. In total, only one of the twelve hypotheses was not supported. This study not only provides strong evidence for the effectiveness of the integrated TAM and VAM model in the mHealth field but also offers theoretical insights and practical recommendations for product optimization and promotion to mHealth service providers and designers.
随着中国老龄化进程的加速，慢性病已成为老年人主要的健康威胁之一，给社会和医疗体系带来了巨大压力。随着信息技术和人工智能的迅速发展，智能健康服务已触手可及。然而，老年人尤其是慢性病患者对其利用率仍然较低，无法充分受益于这些先进技术。移动健康（mHealth）服务的价值只有通过持续使用才能实现。因此，本研究从患有慢性病的老年人的角度，结合技术接受模型（TAM）和基于价值的采用模型（VAM），对mHealth服务的持续使用意愿进行实证研究。共收集了来自中国不同城市的372份问卷，并使用SPSS 24.0和偏最小二乘结构方程模型（PLS-SEM）对数据进行分析。结果表明，感知易用性（β = 0.155，p = 0.004；β = 0.116，p = 0.027）和感知有用性（β = 0.175，p = 0.001；β = 0.151，p = 0.004）对态度和感知价值有显著的正向影响。感知娱乐性对态度有显著影响（β = 0.147，p = 0.010），而感知风险（β = -0.189，p < 0.001；β = -0.281，p < 0.001）和感知成本（β = -0.155，p = 0.003；β = -0.130，p = 0.022）对态度和感知价值有显著的负向影响。态度（β = 0.357，p < 0.001）和感知价值（β = 0.314，p < 0.001）都对持续意愿有正向影响。总共12个假设中只有一个未得到支持。本研究不仅为整合后的TAM和VAM模型在mHealth领域的有效性提供了有力证据，还为mHealth服务提供商和设计者进行产品优化和推广提供了理论见解和实践建议。
