Csuka Sára Imola, Horvát Barbara, Csordás Georgina, Lakatos Csilla, Martos Tamás
Institute of Psychology, University of Szeged, Szeged, Hungary.
Schools of PhD Studies, Semmelweis University, Budapest, Hungary.
Front Digit Health. 2025 Apr 15;7:1455261. doi: 10.3389/fdgth.2025.1455261. eCollection 2025.
A growing number of health technology solutions are designed for people with diabetes to ease disease self-management. However, according to some studies, technology can also bring dissatisfaction. According to the Motivation, Engagement, and Thriving in User Experience model, the use of technology is only beneficial if it is linked to the experience of autonomy. The study aimed to investigate the associations between health technology use and technology adoption motivation and associated health behavior of people with type 1 and type 2 diabetes.
A cross-sectional questionnaire study was conducted on a sample of 315 patients with diabetes. The Technology Adoption Propensity Questionnaire was applied to assess general attitudes toward technology, the Autonomy and Competence in Technology Adoption Questionnaire for underlying motives of technology use, and the Summary of Diabetes Self-Care Activities tool for health behavior.
The results showed that technology use was predicted by proficiency (but not optimism) and lower levels of vulnerability and dependence. In addition, technology use predicted health behavior (diet and physical exercise) frequency. After refining the results further, among technology users, only autonomous motivation of technology use predicted health behavior, while controlled motivation had a slightly negative predictive effect on following the diet.
Particular attention should be paid to person-based health-related technology interventions for enhancing proficiency and reducing feelings of vulnerability and dependence on technologies. Ultimately, it is not the adoption of a technology , but the autonomous motivation for adoption that is associated with more favorable health behavior.
越来越多的健康技术解决方案是为糖尿病患者设计的，以方便他们进行疾病自我管理。然而，根据一些研究，技术也可能带来不满。根据用户体验中的动机、参与度和茁壮成长模型，只有当技术使用与自主体验相关联时才有益。本研究旨在调查1型和2型糖尿病患者的健康技术使用与技术采用动机以及相关健康行为之间的关联。
对315名糖尿病患者进行了横断面问卷调查。应用技术采用倾向问卷评估对技术的总体态度，应用技术采用中的自主性和能力问卷评估技术使用的潜在动机，应用糖尿病自我护理活动总结工具评估健康行为。
结果表明，技术使用可由熟练程度（而非乐观态度）以及较低水平的脆弱性和依赖性预测。此外，技术使用可预测健康行为（饮食和体育锻炼）的频率。进一步细化结果后发现，在技术使用者中，只有技术使用的自主动机可预测健康行为，而受控动机对饮食依从性有轻微的负面预测作用。
应特别关注基于个人的健康相关技术干预措施，以提高熟练程度并减少对技术的脆弱感和依赖感。最终，与更有利的健康行为相关的不是技术的采用，而是采用技术的自主动机。
