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Accepted for/Published in: JMIR mHealth and uHealth

Date Submitted: Jun 6, 2020
Date Accepted: Dec 11, 2020
Date Submitted to PubMed: Dec 14, 2020

The final, peer-reviewed published version of this preprint can be found here:

COVID-19–Related Disruptions and Increased mHealth Emergency Use Intention: Experience Sampling Method Study

Zhang Z, Xiao H, Li Z, Zheng J, Zhang L

COVID-19–Related Disruptions and Increased mHealth Emergency Use Intention: Experience Sampling Method Study

JMIR Mhealth Uhealth 2020;8(12):e20642

DOI: 10.2196/20642

PMID: 33315579

PMCID: 7775377

Have COVID-19-Related Disruptions Increased mHealth Emergency Use Intention? An Experience Sampling Method Study

  • Zhenduo Zhang; 
  • Huan Xiao; 
  • Zhigang Li; 
  • Junwei Zheng; 
  • Li Zhang

ABSTRACT

Background:

The COVID-19 pandemic has become a universal public health event, which has raised concerns regarding the health of individuals. It is not known whether individuals have increased their daily mobile health services (mHealth) emergency use as a result of disruptions caused by the COVID-19 pandemic.

Objective:

Drawing from the cognitive activation theory of stress, we investigated the underlying mechanism and boundary condition of the influence of COVID-19-related disruptions on daily mHealth emergency use.

Methods:

To test the proposed model, we used the experience sampling method to acquire 550 cases nested in 110 samples in mainland China. And we employed hierarchical linear modeling analysis to test the effect of COVID-19-related disruptions on mHealth emergency use.

Results:

We found that COVID-19-related disruptions increased mHealth emergency use on a daily basis. COVID-19-induced daily strain mediated this relationship. In addition, the indirect relationship between disruptions and mHealth emergency use intentions through COVID-19 induced strain is contingent upon promotion regulatory focus: this relationship was stronger in those with high promotion regulatory focus.

Conclusions:

Event disruption of COVID-19 pandemic induced mHealth emergency use intention through increased psychological strain. Furthermore, individuals’ promotion regulatory focus amplified this indirect relationship. This research offers insights into mHealth emergency use intentions and the effects of the COVID-19 pandemic.


 Citation

Please cite as:

Zhang Z, Xiao H, Li Z, Zheng J, Zhang L

COVID-19–Related Disruptions and Increased mHealth Emergency Use Intention: Experience Sampling Method Study

JMIR Mhealth Uhealth 2020;8(12):e20642

DOI: 10.2196/20642

PMID: 33315579

PMCID: 7775377

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