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From resistance to acceptance: developing health task measures to boost mHealth adoption among older adults: mixed-methods approach and innovation resistance
Internet Research ( IF 5.9 ) Pub Date : 2024-08-29 , DOI: 10.1108/intr-02-2024-0327
Wilson K.S. Leung , Sally P.M. Law , Man Lai Cheung , Man Kit Chang , Chung-Yin Lai , Na Liu

Purpose

There are two main objectives in this study. First, we aim to develop a set of constructs for health task management support (HTMS) features to evaluate which health-related tasks are supported by mobile health application (mHealth app) functions. Second, drawing on innovation resistance theory (IRT), we examine the impacts of the newly developed HTMS dimensions on perceived usefulness, alongside other barrier factors contributing to technology anxiety.

Design/methodology/approach

Using a mixed-method research design, this research seeks to develop new measurement scales that reflect how mHealth apps support older adults’ health-related needs based on interviews. Subsequently, data were collected from older adults and exploratory factor analysis was used to confirm the validity of the new scales. Partial least squares structural equation modeling (PLS-SEM) was used to analyze survey data from 602 older adults.

Findings

The PLS-SEM results indicated that medical management task support, dietary task support, and exercise task support were positively associated with perceived usefulness, while perceived complexity and dispositional resistance to change were identified as antecedents of technology anxiety. Perceived usefulness and technology anxiety were found to positively and negatively influence adoption intention, respectively.

Originality/value

This study enriches the information systems literature by developing a multidimensional construct that delineates how older adults’ health-related needs can be supported by features of mHealth apps. Drawing on IRT, we complement the existing literature on resistance to innovation by systematically examining the impact of five types of barriers on technology anxiety.



中文翻译:


从抵制到接受:制定健康任务措施以促进老年人采用移动医疗:混合方法和创新抵制


 目的


这项研究有两个主要目标。首先,我们的目标是开发一套健康任务管理支持 (HTMS) 功能的构造,以评估移动健康应用程序 (mHealth 应用程序) 功能支持哪些健康相关任务。其次,利用创新阻力理论(IRT),我们研究了新开发的 HTMS 维度对感知有用性的影响,以及导致技术焦虑的其他障碍因素。


设计/方法论/途径


本研究采用混合方法研究设计,旨在开发新的测量量表,以反映移动医疗应用程序如何根据访谈支持老年人的健康相关需求。随后,从老年人那里收集数据,并使用探索性因素分析来确认新量表的有效性。使用偏最小二乘结构方程模型 (PLS-SEM) 分析了 602 名老年人的调查数据。

 发现


PLS-SEM 结果表明,医疗管理任务支持、饮食任务支持和运动任务支持与感知有用性正相关,而感知复杂性和对变化的性格抵制被认为是技术焦虑的前因。研究发现,感知有用性和技术焦虑分别对采用意愿产生积极和消极影响。

 原创性/价值


这项研究通过开发一个多维结构来丰富信息系统文献,该结构描述了移动医疗应用程序的功能如何支持老年人的健康相关需求。借鉴 IRT,我们通过系统地研究五种障碍对技术焦虑的影响来补充有关创新阻力的现有文献。

更新日期:2024-08-27
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