Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Dec 23, 2019
Date Accepted: Mar 30, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Drivers of Mobile Health Acceptance and Use: A Patient Perspective
ABSTRACT
Background:
Mobile health has the potential to play a significant role on the actual reversal of paradigm in healthcare, toward a more patient-centric and more collaborative in order to improve the outcomes obtained and the quality and sustainability of health systems.
Objective:
Explore and understand individual m-health acceptance drivers between two groups of users, one of them with a chronic health condition.
Methods:
Extended unified theory of acceptance and usage of technology (UTAUT2) was extended with a new health-related framework, behaviour intention to recommend and new mediation effects. We applied the partial least squares (PLS) causal modelling to test the research model. We obtained 322 valid responses through an online questionnaire
Results:
The drivers of behaviour intention with statistical significance are performance expectancy (PE betatotal= .29; P < .001), habit (HT betatotal= .39; P < .001), and personal empowerment (PEM betatotal= .18; P=0,01). The precursors of use behaviour are habit (betatotal= .47; P < .001), and personal empowerment (betatotal= .17; P=.01). Behaviour intention to recommend (BIR) is significantly influenced by behaviour intention (betatotal= .58; P < .001) and PEM (betatotal= .26; P < .001). The model explained 66% of the variance in behaviour intention, 55% of the variance in use behaviour and 70% of behaviour intention to recommend.
Conclusions:
Our study demonstrated the significant role of personal empowerment, as a second-order construct, on m-health acceptance context. The presence of a chronic health condition showed to impact the acceptance of this technology.
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