Pandemics like COVID-19 disrupt conventional healthcare services, pushing toward smart and connected health solutions including mobile healthcare applications. However, the dynamics of disruptive events influencing smart health service adoption are not well-understood. By incorporating the concept of event disruption into cognitive appraisal theory, this paper develops a research model on how individuals’ event appraisals (event disruption and event threat) interact with coping appraisals (response efficacy and self-efficacy) of smart and connected health services in driving their future usage of smart and connected health services as a coping method. We tested the model using a mixed-methods approach with quantitative and qualitative data. First, we conducted an online survey to collect quantitative data from individuals with experience in using smart and connected health services. The results showed that the moderating effect of the cognitive appraisals of an external event stimulated the usage of smart and connected health services. We then collected archival qualitative data via multiple social media platforms during the COVID-19 pandemic to cross-validate the results of the quantitative study. Implications for theory and practice are discussed.

中文翻译：

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使用智能和互联的卫生服务应对流行病：事件和应对评估的相互作用

像 COVID-19 这样的流行病扰乱了传统的医疗保健服务，推动了智能和互联健康解决方案的发展，包括移动医疗保健应用程序。然而，影响智能医疗服务采用的破坏性事件的动态尚不清楚。通过将事件干扰的概念纳入认知评估理论，本文开发了一个研究模型，研究个体的事件评估（事件干扰和事件威胁）如何与智能互联医疗服务的应对评估（反应效能和自我效能）相互作用。推动他们未来使用智能互联健康服务作为应对方法。我们使用定量和定性数据的混合方法测试了该模型。首先，我们进行了一项在线调查，从具有使用智能互联健康服务经验的个人那里收集定量数据。结果表明，外部事件认知评估的调节作用刺激了智能互联健康服务的使用。然后，我们在 COVID-19 大流行期间通过多个社交媒体平台收集了档案定性数据，以交叉验证定量研究的结果。讨论了理论和实践的意义。