Continued use of mobile apps for health promotion (Preprint)

2021 ◽  
Author(s):  
Beatriz Miranda ◽  
Tiago Oliveira ◽  
Sara Simões Dias
Keyword(s):  
Intrinsic Motivation ◽  
Statistical Significance ◽  
Well Being ◽  
Perceived Usefulness ◽  
Intention To Use ◽  
Continuance Intention ◽  
Moderation Effect ◽  
Health Consciousness ◽  
Use Behavior ◽  
Mhealth Apps

BACKGROUND Mobile health (mhealth) applications (apps) promotion has been increasingly used year after year. They have recently played an important role in preventing an unhealthy society. Mhealth apps have been developed in different health areas, increasingly satisfying user goals. OBJECTIVE This study aimed to explore and understand important factors that contribute to use behavior and the intention to continue using mhealth apps, in combination with the self-determination theory, and produce well-being and consciousness in health. This study extends the findings to continue usage, along with the intrinsic motivation of each consumer that drives well-being. METHODS The proposed model was empirically tested using data from a survey. We obtained 306 valid responses through an online questionnaire created in Qualtrics from participants that use mhealth apps. We applied the partial least squares structural equation modelling (PLS-SEM) technique to test the research model. RESULTS The results show that the drivers of intrinsic motivation with statistical significance were perceived autonomy ((β ) ̂= 0.23; P < .001), perceived relatedness (β ̂ = 0.11; P = 0.049) and perceived competence (β ̂ = 0.50; P < .001). The drivers of perceived usefulness with statistical significance were confirmation (β ̂ = 0.74; P < .001). The precursors of satisfaction that were statistical significance were confirmation (β ̂ = 0.66; P < .001) and perceived usefulness ((β ) ̂= 0.22; P < .001). Use behavior was significantly influenced by intrinsic motivation (β ̂ = 0.58; P < .001) and perceived usefulness (β ̂ = 0.32; P < .001). The drivers of continuance intention to use with statistical significance were intrinsic motivation (β ̂ = 0.12; P = .018), perceived usefulness (β ̂ = 0.14; P = .004), satisfaction (β ̂ = 0.48; P < .001) and use behavior (β ̂ = 0.22; P < .001). Well-being was significantly influenced by use behavior (β ̂ = 0.62; P < .001) and continuance intention to use (β ̂ = 0.19; P = .001). The moderation effect of health consciousness in the relationship between use behavior and well-being (β ̂ = 0.14; P = .006) was statistically significant but the relationship between continuance intention to use and well-being (β ̂ = -0.06; P = .22), was not statistically significant. Therefore, the model explained over 50.8% of the total variance in intrinsic motivation, 54,4% of the variance in perceived usefulness, 69.6% of the variance satisfaction, 62.2% of the variance use behavior, 73.6% of the variance continuance intention to use, and 65.6% of the variance well-being. CONCLUSIONS Our study contributes to the continuance theory of the use of mhealth apps. The model found that intrinsic motivation, satisfaction, perceived usefulness, and user behavior significantly affect continuance intention. Our study demonstrates a significant role in a society that uses mhealth apps and that their use reflects well-being with the moderation effect of health consciousness.

scholarly journals The Impact of Gamification-Induced Users' Feelings on the Continued Use of mHealth Apps: A Structural Equation Model With the Self-Determination Theory Approach (Preprint)

2020 ◽  
Author(s):  
Tong Wang ◽  
Lingye Fan ◽  
Xu Zheng ◽  
Wei Wang ◽  
Jun Liang ◽  
...  
Keyword(s):  
Intrinsic Motivation ◽  
Structural Equation ◽  
Self Determination Theory ◽  
Equation Model ◽  
Perceived Usefulness ◽  
Continuance Intention ◽  
Continued Use ◽  
Intention To Continue ◽  
The Impact ◽  
Mhealth Apps

BACKGROUND Continued use of mHealth apps can achieve better effects in health management. Gamification is an important factor in promoting users’ intention to continue using mHealth apps. Past research has rarely explored the factors underlying the continued use of mobile health (mHealth) apps and gamification’s impact mechanism or path on continued use. OBJECTIVE This study aimed to explore the factors influencing mHealth app users’ intention to continue using mHealth apps and the impact mechanism and path of users’ feelings induced by gamification on continued mHealth app use. METHODS First, based on the expectation confirmation model of information system continuance, we built a theoretical model for continued use of mHealth apps based on users’ feelings toward gamification. We used self-determination theory to analyze gamification’s impact on user perceptions and set the resulting feelings (competence, autonomy, and relatedness) as constructs in the model. Second, we used the survey method to validate the research model, and we used partial least squares to analyze the data. RESULTS A total of 2988 responses were collected from mHealth app users, and 307 responses were included in the structural equation model after passing the acceptance criteria. The intrinsic motivation for using mHealth apps is significantly affected by autonomy (β=.312; <i>P</i>&lt;.001), competence (β=.346; <i>P</i>&lt;.001), and relatedness (β=.165; <i>P</i>=.004) induced by gamification. The intrinsic motivation for using mHealth apps has a significant impact on satisfaction (β=.311, <i>P</i>&lt;.001) and continuance intention (β=.142; <i>P</i>=.045); furthermore, satisfaction impacts continuance intention significantly (β=.415; <i>P</i>&lt;.001). Confirmation has a significant impact on perceived usefulness (β=.859; <i>P</i>&lt;.001) and satisfaction (β=.391; <i>P</i>&lt;.001), and perceived usefulness has a significant impact on satisfaction (β=.269; <i>P</i>&lt;.001) and continuance intention (β=.273; <i>P</i>=.001). The mediating effect analysis showed that in the impact path of the intrinsic motivation for using the mHealth apps on continuance intention, satisfaction plays a partial mediating role (β=.129; <i>P</i>&lt;.001), with a variance accounted for of 0.466. CONCLUSIONS This study explored the impact path of users’ feelings induced by gamification on the intention of continued mHealth app use. We confirmed that perceived usefulness, confirmation, and satisfaction in the classical continued use theory for nonmedical information systems positively affect continuance intention. We also found that the path and mechanism of users' feelings regarding autonomy, competence, and relatedness generated during interactions with different gamification elements promote the continued use of mHealth apps.

Factors Influencing Citizens' Intention to Use E-Government Services

2017 ◽  
Vol 13 (1) ◽  
pp. 14-32 ◽  
Author(s):  
Isaac Kofi Mensah ◽  
Mi Jianing ◽  
Dilawar Khan Durrani
Keyword(s):  
Service Quality ◽  
Technology Acceptance ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Intention To Use ◽  
Perceived Ease Of Use ◽  
Korean Students ◽  
Moderation Effect ◽  
Perceived Service Quality ◽  
Government Services

The purpose of this research paper is to investigate the determinates of Korean students in China to use e-government services. A total of 400 structured research questionnaire instruments was designed and administered to potential respondents of which 93.75% responded. The Technology Acceptance Mode (TAM) was used as a theoretical framework for this study. The data gathered was analyzed with SPSS version 20. The results show that all the predictors (Perceived Usefulness, Perceived Ease of Use, Perceived Service Quality, and Citizen Trust) investigated are significant positive determiners of Korean students' intention to adopt and use e-government services. The results further indicated that Citizen Trust positively and significantly moderated the positive relationship between perceived ease of use, perceived service quality and intention to use e-government services but failed to show any positive moderation effect on perceived usefulness and intention to use e-government services. The implications of these findings are further discussed.

scholarly journals FAKTOR PENENTU KUALITAS LAYANAN DAN MINAT UNTUK MELANJUTKAN PENGGUNAAN SISTEM PELAPORAN ONLINE

2017 ◽  
Vol 13 (2) ◽  
pp. 128
Author(s):  
Santirianingrum Soebandhi ◽  
Intan Nur Aini ◽  
Agus Baktiono
Keyword(s):  
Service Quality ◽  
Online Survey ◽  
Reporting System ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Survey Method ◽  
Intention To Use ◽  
Perceived Ease Of Use ◽  
Continuance Intention ◽  
Online Questionnaire

Abstrak: Faktor Penentu Kualitas Layanan dan Minat untuk Melanjutkan Penggunaan Sistem Pelaporan Online. Penelitian ini bertujuan untuk menganalisis pengaruh perceived usefulness, perceived ease of use, kenyamanan, dan keamanan terhadap kualitas layanan dan minat untuk melanjutkan menggunakan SIPP online di BPJS Ketenagakerjaan. Penelitian ini menggunakan metode survei online kepada 50 perusahaan peserta BPJS Ketenagakerjaan dengan segmentasi Platinum dan Gold. Kuesioner online diisi oleh Kepala Bagian Sumber Daya Manusia. Data dianalisis dengan menggunakan PLS-SEM. Penelitian ini menemukan bahwa kualitas layanan secara signifikan dipengaruhi oleh perceived ease of use dan kenyamanan, sedangkan minat melanjutkan penggunaan SIPP online hanya dipengaruhi oleh perceived usefulness. Kata Kunci: minat melanjutkan penggunaan, kualitas layanan, sistem pelaporan online Abstract: Determinants of Service Quality and Continuance Intention to Use Online Reporting System. This study aims to analyze the effect of perceived usefulness, perceived ease of use, convenience, and security towards service quality and continuance intention to use SIPP online at BPJS Employment. This study uses online survey method to 50 companies participating in BPJS Employment with Platinum and Gold segmentation. The online questionnaire was filled by the head of Human Resources Department. Data were analyzed using PLS-SEM. The results show that service quality was significantly influenced by perceived ease of use and convenience, while continuance intention to use SIPP online was only influenced by perceived usefulness. Keywords: continuance intention, service quality, online reporting system 

Determinants of continuance intention to use mobile self-scanning applications in retail

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Andreia Ferreira ◽  
Graça Miranda Silva ◽  
Álvaro Lopes Dias
Keyword(s):  
Technology Acceptance ◽  
Direct Effect ◽  
Emerging Market ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Equation Modeling ◽  
Intention To Use ◽  
Continuance Intention ◽  
Content Type ◽  
Positive Direct

PurposeRetailers are increasingly using self-service technologies to improve customer experience and reduce costs. The purpose of this study is to identify factors that could explain the level of continuance intention of mobile self-scanning applications in retail. Based on previous theoretical streams, the present study integrates technology readiness (TR) and service quality into the technology acceptance model.Design/methodology/approachUsing data collected through an online survey of 217 users of a mobile self-scanning application of a large supermarket chain operating in Portugal, the study uses partial least squares structural equation modeling to test the proposed hypotheses.FindingsThe results indicate that the continuance usage of the self-scanning apps is directly driven by users' satisfaction and perceived usefulness. Findings also show that TR has a positive and significant impact on ease of use and perceived usefulness. Ease of use has a positive impact on users' satisfaction and perceived usefulness but has no direct effect on the continuance intention to use the application. Perceived quality has a positive direct effect on satisfaction and a positive indirect effect on continuance intention. Finally, need for interaction has a negative effect on TR.Originality/valueThis work contributes to a better understanding of the emerging market for mobile self-scanning applications in retail applications, particularly relevant in a digital transition context.

Abstract 17378: “If My Doctors Had Recommended a Mobile App to Me Back Then, I Wouldn't Have Been in This Situation Today”: Identifying the Barriers and Facilitators to the Utilization of mHealth Apps to Improve Self-Care in Patients With Heart Failure

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Ifeanyi Madujibeya ◽  
Salman Alreshidi ◽  
Adaze Aroh
Keyword(s):  
Heart Failure ◽  
Academic Medical Center ◽  
Self Care ◽  
Mobile App ◽  
Perceived Usefulness ◽  
Intention To Use ◽  
Depth Analysis ◽  
Patients With Heart Failure ◽  
Prior Use ◽  
Mhealth Apps

Background: Mobile Health applications (mHealth apps) have been demonstrated as an effective strategy for improving self-care abilities in patients with heart failure (HF). However, the uptake of the apps by patients remains low. Little is known about the patient’s perspectives on the factors that influence their uptake of the apps. This study explored HF patients’ perspectives on the barriers and motivators to the uptake and utilization of mHealth apps. Method: Semi-structure interviews and demographic questionnaires were used to gather data from patients with HF (N= 43) recruited from an academic medical center. An in-depth analysis of the interviews was conducted using a deductive thematic approach with the help of qualitative software, Atias.ti version 8. Results: Among the participants ( median age = 62 [35-92] years, mean±SD ejection fraction = 37.3±17, 41.9% female, 70% smartphone owners), 90.7% (n =39) had no prior use of mHealth apps for self-care. The majority of the participants with no prior use of mhealth (79.5%, n = 31), including 64.7% (n= 17) of participants aged 65yrs and above, expressed an intention to use the apps for self-care. All the participants (100%) stated that their healthcare providers (HCP) had never recommended the use of mHealth apps for self-care. Other barriers included lack of knowledge of the apps, the perceived financial cost of mHealth apps or smartphones, concern for privacy, and security of personal information, resistance to the change of previous self-care strategies, and perceived technology incompetence. Motivators to the uptake of mHealth included perceived usefulness of mHealth apps, mHealth apps’ ease of use, and the belief that the use of mHealth apps may alleviate perceived threat to health, and availability of technical support. Conclusion: This study suggests that patients with HF are willing to use mHealth apps to improve their self-care abilities. Thus, the effort to improve patients’ perceptions of mHealth apps’ usefulness and HCP recommendation of the apps are warranted to turn patients' “intention to use” to actual apps usage.

scholarly journals A meta-analysis of the quantitative studies in continuance intention to use an information system

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Frank Bivar Franque ◽  
Tiago Oliveira ◽  
Carlos Tam ◽  
Fernando de Oliveira Santini
Keyword(s):  
Information System ◽  
Meta Analysis ◽  
Empirical Studies ◽  
Theoretical Models ◽  
Temporal Analysis ◽  
Perceived Usefulness ◽  
Intention To Use ◽  
Continuance Intention ◽  
Content Type

PurposeThis study aims to describe, synthesise and clarify the findings of published studies on individual continuance intention to use an information system (IS), considering the fact that the number of studies in the continuance intention context are growing exponentially and cover several different subjects.Design/methodology/approachThe research uses meta- and weight analysis by taking 115 empirical studies from continuance intention to use an IS. The data are presented in different views using significant and non-significant relationships from all the studies. Furthermore, it uses hierarchical linear meta-analysis to analyse potential moderators that can influence continuance intention.FindingsThe results reveal that affective commitment, attitude, satisfaction, hedonic value and flow are the best predictors of continuance intention to use an IS. Sample size, individualism, uncertainty avoidance and long-term orientation moderate the relationship of perceived usefulness on continuance intention. Power distance, masculinity and indulgence moderate relationship satisfaction on continuance intention.Practical implicationsThe results reveal that continuance intention to use an IS has been studied in different countries, with different cultures; therefore, IS providers should have diversified managing strategies, to ensure the satisfaction of users and long-term usage of their IS.Originality/valueThe study provides a systematic overview of the most relevant variables used in the literature, including a temporal analysis of the theoretical models, highlighting the evolution of the constructs and presents a moderation analysis.

scholarly journals Understanding Factors Influencing Elderly Diabetic Patients’ Continuance Intention to Use Digital Health Wearables: Extending the Technology Acceptance Model (TAM)

2020 ◽  
Vol 6 (3) ◽  
pp. 81
Author(s):  
Ashfaq Ahmad ◽  
Tareq Rasul ◽  
Anish Yousaf ◽  
Umer Zaman
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Digital Health ◽  
The Elderly ◽  
Developed Countries ◽  
Perceived Usefulness ◽  
Diabetic Patients ◽  
Intention To Use ◽  
Continuance Intention ◽  
Acceptance Model

Elderly diabetic patients in developed countries have been widely using digital health wearables for many years to manage their diabetes-related health data accurately. To encourage the increased adoption of digital health wearables among elderly diabetic patients in a developing country, Bangladesh, this study investigated the factors that influenced the existing elderly users’ continuance intention to use this technology. The Technology Acceptance Model (TAM) has been used here as a theoretical basis. A model using structural equation modelling was developed for the elderly diabetic patients’ continuance intention to use digital health wearables. Survey-based data were collected in Bangladesh from 223 diabetic patients aged sixty years and older. This study found that all six constructs, namely, perceived usefulness (β = 0.183), perceived ease of use (β = 0.165), perceived irreplaceability (β = 0.138), perceived credibility (β = 0.165), compatibility (β = 0.285) and social influence (β = 0.226) had a positive influence on elderly diabetic patients’ continuance intention to use digital health wearables. Along with the theoretical contributions, the findings of this study can be used by developers of digital health wearables, manufacturers, marketers and health practitioners in developing better strategies to increase the elderly diabetic patients’ continuance intention to use this technology.

scholarly journals Study of How Experience Involvement Affects Users’ Continuance Intention to Use Mobile Reading

2014 ◽  
Vol 2 (6) ◽  
pp. 532-542 ◽  
Author(s):  
Qi Wang ◽  
Xiaoli Zhou ◽  
Xiaohang Zhang
Keyword(s):  
Image Enhancement ◽  
Rapid Development ◽  
Subjective Norm ◽  
Subjective Norms ◽  
Mobile Internet ◽  
Perceived Usefulness ◽  
Smart Phones ◽  
Intention To Use ◽  
Continuance Intention ◽  
The Relationship

AbstractWith the rapid development of mobile internet and the continuous replacement of new smart phones, the advancement of we-media age, and advent of the era of 4G, reading revolution has opened. This paper is to study which factors affect users’ continuance intention. We discussed the relationship between experience involvement, subjective norms, and the dimensions of perceived value as well as users’ continuance intention. The results show that the model which this paper put forward could effectively explain the hypothesizes, and this paper mainly draws the following conclusions: subjective norm significantly affect experience involvement; on one hand, experience involvement significantly and directly affect users’ continuance intention, and on the other hand, indirectly affect users’ continuance intention by significantly affect the users’ perceived usefulness, perceived pleasure and perceived cost; experience involvement can’t significantly affect users’ perceived image enhancement. We suggest the mobile reading providers pay more attention to the free experience process, increasing its convenience, enriching its content and rationalizing its cost. And they should also optimize the mobile reading to improve users’ perceived image enhancement. Mobile reading providers should let users more involved to achieve value co-creation.

scholarly journals Investigating the factors driving adult learners' continuous intention to use M-learning application: a fuzzy-set analysis

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Md Nahin Hossain ◽  
Md. Shamim Talukder ◽  
Abul Khayer ◽  
Yukun Bao
Keyword(s):  
Adult Learners ◽  
Fuzzy Set ◽  
Methodological Approach ◽  
Need Satisfaction ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Intention To Use ◽  
Perceived Ease Of Use ◽  
Continuance Intention ◽  
Content Type

PurposeIn the era of m-learning environments, multiple factors have been considered to explain adult learners' continuance usage intention, but largely without considering the role of specific configurations of variables and how they may affect learners' intention. The purpose of this study is to show how cognitive need, subjective norms, perceived usefulness, satisfaction, confirmation, attitude and perceived ease of use combine to predict learners' frequent use intentions.Design/methodology/approachIt is empirically validated through configurational analysis, using fuzzy-set qualitative comparative analysis (fsQCA) on 211 adult learners with experience in using Mobile learning applications (MLA).FindingsThe findings show learners' satisfaction of MLA usage combined with the cognitive need and attitude were found to be core conditions reinforcing learners' continuance intention.Research limitations/implicationsThis study was conducted in the context of adult learners MLA whereby the motivations for continued usage and the nature of technological innovation could differ. In this regard, findings from this study may not be generalizable to other technological contexts.Practical implicationsIn the planning and development of learning apps, software developers should pay attention to practical functions and extend key features that are frequently required for solving a problem using the new skill. On the marketing side, MLA companies should emphasize the full functionality of their apps to cater efficiently to the different needs and expectations of the learners.Originality/valueThis study contributes by extending existing knowledge on how cognitive need, satisfaction and attitude combine to increase or mitigate continuance intention to use toward the development of new configurational theories. This study fills the gap in the literature by introducing adult learners' continuance intention to use MLA and introducing through a methodological approach of fsQCA in adult learners' context.

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