Comparison of the middle-aged and older users' adoption of mobile health services in China
Comparison of the middle-aged and older users' adoption of mobile health services in China
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DOI：
10.1016/j.ijmedinf.2013.12.002
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发表时间：
2014-03-01
影响因子：
4.9
通讯作者：
Liu, Shan
中科院分区：
文献类型：
--
作者：
Deng, Zhaohua;Mo, Xiuting;Liu, Shan
目的：随着老年人口的不断增加，中国已经进入老龄化社会。移动健康服务是一种健康信息学，为有需要的人提供个性化的健康建议，特别是老年人和中年人。然而，很少有研究考虑在中老年用户中采用移动医疗服务。本文探索了一个基于价值态度行为模型、计划行为理论和四种老龄化特征结构的研究模型，考察了中老年公民对移动健康服务的接受情况。方法：利用中国424名40岁以上居民的调查数据，对假设模型进行了实证检验。结果：(1)感知价值、态度、感知行为控制、对改变的抵抗力可以预测中年群体使用移动卫生服务的意向；(2)感知价值、态度、感知行为控制、技术焦虑、自我实现需求对老年用户的行为意向有正向影响；(3)主观规范和感知身体状况对两组老年人使用移动卫生服务的行为意向没有显著影响。然后讨论了这项研究的理论和实践意义以及贡献。(C)2013爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: Given the increasing number of older people, China has become an aging society. A mobile health service is a type of health informatics that provides personalized healthcare advice to those who require it, especially the older people and the middle-aged. However, few studies consider the adoption of mobile health services with regard to older and middle-aged users. This paper explored a research model based on the value attitude behavior model, theory of planned behavior, and four aging characteristic constructs to investigate how older and middle-aged citizens adopted mobile health services.Method: The hypothesized model was empirically tested using data collected from a survey of 424 residents older than 40 years in China. Structural equation modeling was used to estimate the significance of the path coefficients.Results: The findings revealed that (1) perceived value, attitude, perceived behavior control, and resistance to change can be used to predict intention to use mobile health services for the middle-aged group; (2) perceived value, attitude, perceived behavior control, technology anxiety, and self-actualization need positively affected the behavior intention of older users; and (3) subjective norm and perceived physical condition showed no significant effects on the behavior intention to use mobile health services for the two groups. The theoretical and practical implications and contributions of this study are then discussed. (C) 2013 Elsevier Ireland Ltd. All rights reserved.