Investigating the Adoption of Mobile Health Services by Elderly Users: Trust Transfer Model and Survey Study
Investigating the Adoption of Mobile Health Services by Elderly Users: Trust Transfer Model and Survey Study
复制标题
老年用户移动健康服务采用情况调查：信任转移模型与调查研究
DOI：
10.2196/12269
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发表时间：
2019-01-08
影响因子：
5
通讯作者：
Zhao, Xinli
中科院分区：
文献类型：
--
作者：
Meng, Fanbo;Guo, Xitong;Zhao, Xinli
背景资料：虽然老年用户是移动的健康服务领域的主要用户群体，但与他们使用传统健康服务相比，他们对此类服务的采用率相对较低。提高老年人使用移动医疗服务的比例有利于促进老年人的老龄化进程。目的：本研究旨在通过信任转移模型考察老年人使用移动医疗服务意愿的影响因素，以了解老年人在生理状况下降和缺乏医院支持的情况下使用移动医疗服务的意愿。为了验证我们的研究模型和假设，在中国进行了一项包括395名60岁及以上用户的调查。研究结果表明：（1）对移动健康服务的信任正向影响移动健康服务的使用意愿;（2）对离线健康服务的信任正向影响移动健康服务的信任;（3）生理状况的下降强化了离线健康服务信任对移动健康服务信任的影响。（4）医院的支持弱化了移动健康服务信任对使用意愿的影响;（5）移动健康服务信任在离线健康服务信任与移动健康服务使用意愿之间起部分中介作用。的自变量和主持人共同解释了48.3%的方差在使用intentionofmHealth services.Conclusions：我们的结论是，信任转移理论是有用的，在解释发展的初始信任mHealth服务。此外，生理状况下降和医院的支持是调查老年用户采用移动医疗服务的重要因素。
Background: Although elderly users comprise a major user group in the field of mobile health (mHealth) services, their adoption rate of such services is relatively low compared with their use of traditional health services. Increasing the adoption rate of mHealth services among elderly users is beneficial to the aging process.Objective: This study aimed to examine the determinants of mHealth service use intentions using a trust transfer model among elderly users facing declining physiological conditions and lacking support from hospitals.Methods: A survey comprising 395 users aged 60 years and above was conducted in China to validate our research model and hypotheses.Results: The results reveal that (1) trust in mHealth services positively influences use intentions, (2) trust in offline health services positively influences trust in mHealth services, (3) declining physiological conditions strengthen the effects of trust in offline health services regarding trust in mHealth services, (4) support from hospitals weakens the effects of trust in mHealth services on use intentions, and (5) the relationship between trust in offline health services and intention to use mHealth services is partially mediated by trust in mHealth services. The independent variables and moderators collectively explain a 48.3% variance in the use intention of mHealth services.Conclusions: We conclude that the trust transfer theory is useful in explaining the development of initial trust in mHealth services. In addition, declining physiological conditions and support from hospitals are important factors for investigating the adoption of mHealth services among elderly users.