TY - JOUR
T1 - Drivers of Mobile Health Acceptance and Use From the Patient Perspective
T2 - Survey Study and Quantitative Model Development
AU - Salgado, Tânia
AU - Tavares, Jorge
AU - Oliveira, Tiago
N1 - Salgado, T., Tavares, J., & Oliveira, T. (2020). Drivers of Mobile Health Acceptance and Use From the Patient Perspective: Survey Study and Quantitative Model Development. JMIR mHealth and uHealth, 8(7), e17588. https://doi.org/10.2196/17588
PY - 2020/7/9
Y1 - 2020/7/9
N2 - BACKGROUND: Mobile health (mHealth) has potential to play a significant role in realizing a reversal of the current paradigm in health care toward a more patient-centric and more collaborative system to improve the outcomes obtained along with the quality and sustainability of health care systems. OBJECTIVE: The aim of this study was to explore and understand individual mHealth acceptance drivers between two groups of users: those with chronic health conditions and those without. METHODS: The extended unified theory of acceptance and usage of technology (UTAUT2) was enhanced with a new health-related framework: behavior intention to recommend and new mediation effects. We applied partial least squares (PLS) causal modeling to test the research model. RESULTS: We obtained 322 valid responses through an online questionnaire. The drivers of behavior intention with statistical significance were performance expectancy (β=.29, P<.001), habit (β=.39, P<.001), and personal empowerment (β=.18, P=.01). The precursors of use behavior were habit (β= .47, P<.001) and personal empowerment (β=.17, P=.01). Behavior intention to recommend was significantly influenced by behavior intention (β=.58, P<.001) and personal empowerment (β=.26, P<.001). The model explained 66% of the total variance in behavior intention, 54% of the variance in use behavior, and 70% of the variance in behavior intention to recommend. CONCLUSIONS: Our study demonstrates a significant role of personal empowerment, as a second-order construct, in the mHealth acceptance context. The presence of a chronic health condition predicates an impact on acceptance of this technology.
AB - BACKGROUND: Mobile health (mHealth) has potential to play a significant role in realizing a reversal of the current paradigm in health care toward a more patient-centric and more collaborative system to improve the outcomes obtained along with the quality and sustainability of health care systems. OBJECTIVE: The aim of this study was to explore and understand individual mHealth acceptance drivers between two groups of users: those with chronic health conditions and those without. METHODS: The extended unified theory of acceptance and usage of technology (UTAUT2) was enhanced with a new health-related framework: behavior intention to recommend and new mediation effects. We applied partial least squares (PLS) causal modeling to test the research model. RESULTS: We obtained 322 valid responses through an online questionnaire. The drivers of behavior intention with statistical significance were performance expectancy (β=.29, P<.001), habit (β=.39, P<.001), and personal empowerment (β=.18, P=.01). The precursors of use behavior were habit (β= .47, P<.001) and personal empowerment (β=.17, P=.01). Behavior intention to recommend was significantly influenced by behavior intention (β=.58, P<.001) and personal empowerment (β=.26, P<.001). The model explained 66% of the total variance in behavior intention, 54% of the variance in use behavior, and 70% of the variance in behavior intention to recommend. CONCLUSIONS: Our study demonstrates a significant role of personal empowerment, as a second-order construct, in the mHealth acceptance context. The presence of a chronic health condition predicates an impact on acceptance of this technology.
KW - digital health
KW - health management
KW - mHealth
KW - patient empowerment
KW - UTAUT2
UR - http://www.scopus.com/inward/record.url?scp=85088156168&partnerID=8YFLogxK
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=Alerting&SrcApp=Alerting&DestApp=WOS_CPL&DestLinkType=FullRecord&UT=WOS:000555904000001
U2 - 10.2196/17588
DO - 10.2196/17588
M3 - Article
C2 - 32673249
AN - SCOPUS:85088156168
VL - 8
SP - e17588
JO - JMIR mHealth and uHealth
JF - JMIR mHealth and uHealth
IS - 7
M1 - e17588
ER -