Smart technology for healthcare: Exploring the antecedents of adoption intention of healthcare wearable technology

© The Author(s), 2019. Technological advancement and personalized health information has led to an increase in people using and responding to wearable technology in the last decade. These changes are often perceived to be beneficial, providing greater information and insights about health for users, organizations and healthcare and government. However, to date, understanding the antecedents of its adoption is limited. Seeking to address this gap, this cross-sectional study examined what factors influence users’ adoption intention of healthcare wearable technology. We used self-administrated online survey to explore adoption intentions of healthcare wearable devices in 171 adults residing in Hong Kong. We analyzed the data by Partial least squares – structural equation modelling (PLS-SEM). The results reveal that perceived convenience and perceived irreplaceability are key predictors of perceived useful ness, which in turn strengthens users’ adoption intention. Additionally, the results also reveal that health belief is one of the key predictors of adoption intention. This paper contributes to the extant literature by providing understanding of how to strengthen users’ intention to adopt healthcare wearable technology. This includes the strengthening of perceived convenience and perceived irreplaceability to enhance the perceived usefulness, incorporating the extensive communication in the area of healthcare messages, which is useful in strengthening consumers’ adoption intention in healthcare wearable technology

Examining consumers’ adoption of wearable healthcare technology: The role of health attributes

With the advancement of information technology, wearable healthcare technology has emerged as one of the promising technologies to improve the wellbeing of individuals. However, the adoption of wearable healthcare technology has lagged when compared to other well-established durable technology products, such as smartphones and tablets, because of the inadequate knowledge of the antecedents of adoption intention. The aim of this paper is to address an identified gap in the literature by empirically testing a theoretical model for examining the impact of consumers’ health beliefs, health information accuracy, and the privacy protection of wearable healthcare technology on perceived usefulness. Importantly, this study also examines the influences of perceived usefulness, consumer innovativeness, and reference group influence on the adoption intention of wearable healthcare technology. The model seeks to enhance understanding of the influential factors in adopting wearable healthcare technology. Finally, suggestions for future research for the empirical investigation of the model are provided

WILL YOU CARRY THAT WATCH? INVESTIGATING FACTORS THAT AFFECT CONTINUANCE INTENTION OF SMARTWATCHES

The interest in wearable technologies, especially smartwatches rise day by day parallel with technological developments and an increasing need to monitor health. In line with those developments, this study aims to investigate the role of perceived ease of use, perceived usefulness, user satisfaction, healthology in explaining smartwatch continuance intention. In addition, this study investigates the relationships between perceived ease of use, perceived usefulness, healthology and user satisfaction. Questionnaire method was used to gather data from actual smartwatch consumers in Turkey and the data analyzed by utilizing structural equation modeling. Findings demonstrate that the most powerful variable to explain smartwatch continuance intention is perceived usefulness, whereas perceived ease of use contributes to user satisfaction the most. Also, healthology is positively related to both user satisfaction and continuance intention. The results also highlight the importance of continuance intention to increase intention to recommend smartwatches to other people

Acceptance of Wearable Technology: A Meta-Analysis

Knowing what factors drive wearable technology adoption can help companies succeed in the competitive market of wearables. In this study, we conduct a meta-analysis on the relationships of technology acceptance of wearable technology based on the extant corpus (142 effect sizes from 44 samples collected in 11 countries). The results confirm the basic expectation that the core constructs of technology acceptance models as well as reveal that perceived enjoyment and usefulness are the most important to the adoption of wearables. However, more interestingly, a granular analysis of moderating effects shows that cultural factors including uncertainty avoidance, future orientation and humane orientation can significantly moderate the relationships between different determinants and wearable adoption. In addition, compared with other types of smart wearables, the users of smartwatches would place more weight on perceived self-expressiveness. These findings offer insights for future wearables-related research and also have practical implications for designing and developing successful wearable products

Using smartwatches for fitness and health monitoring: The UTAUT2 combined with threat appraisal as moderators

Recent advancements in smartwatch technology have led to several applications in continuous fitness and health monitoring. Considering the benefits of smartwatches, their low level of usage for fitness and health monitoring purposes, and the limited understanding of determinants of their usage, this study advances the body of knowledge by developing an innovative and comprehensive research model that integrates the extended unified theory of acceptance and use of technology (UTAUT2) with perceived vulnerability and perceived severity as moderators. The model was tested using partial least squares (PLS), in a quantitative study with data from 271 respondents from Malaysia. The results showed that performance expectancy, effort expectancy, facilitating conditions and hedonic motivation have positive impacts on behavioural intentions towards using smartwatches for health and fitness monitoring. Perceived vulnerability moderates positively the impacts of effort expectancy. Perceived abstract severity moderates positively the impacts of social influence and negatively the influence of hedonic motivation. The findings provide useful insights for smartwatch technology developers, marketers and managers in developing more effective devices and strategies and consequently promoting smartwatches as health monitoring devices. These outcomes extend the UTAUT2 and provide new insights into drivers of the use of smartwatches for fitness and health monitoring

Too old for technology? Use of wearable healthcare devices by older adults and their willingness to share health data with providers

Wearable healthcare devices offer tremendous promise to effectively track and improve the well-being of older adults. Yet, little is known about the use of wearable devices by older adults. Drawing upon a national survey in US with 1481 older adults, we examine the use of wearable healthcare devices and the key predictors of use viz. sociodemographic factors, health conditions, and technology self-efficacy. We also examine if the predictors are associated with elders’ willingness to share health data from wearable devices with healthcare providers. We find low level of wearable use (17.49%) among US older adults. We find significant positive associations between technology self-efficacy, health conditions, and demographic factors (gender, race, education, and annual household income) and use of wearable devices. Men were less likely (OR = 0.62, 95% CI 0.36–1.04) and Asians were more likely (OR = 2.60, 95% CI 0.89–7.64) to use wearables, as did healthy adults (OR = 1.98, 95% CI 1.37–2.87). Those who electronically communicated with their doctors (OR = 1.86, 95% CI 1.16–2.97), and those who searched online for health information (OR = 1.79, 95% CI 1.03–3.10) were more likely to use wearables. Though 80.15% of wearable users are willing to share health data with providers, those with greater technology self-efficacy and favorable attitudes toward exercise are more willing

Drivers and Challenges of Wearable Devices Use: Content Analysis of Online Users Reviews

With recent advancements in wearable device technologies, there is still a need to investigate drivers and challenges associated with the use of these devices. Following a content analysis approach, this study leverages recent “found large-scale” data to better understand the drivers and challenges that affect the adoption and use of such devices. Analyzing a total of 16,717 online reviews about wearable devices, the findings emphasized the importance of various functionalities (perceived usefulness), appeal, and a number of device design features as the most prominent drivers, while concerns about quality, credibility, and perceived value as potential challenges to wearable adoption and continued use. The findings could inform theoretical models for technology adoption and continued use and can also provide guidance to the design and development of wearable devices

Security risks and user perception towards adopting Wearable Internet of Medical Things

The Wearable Internet of Medical Things (WIoMT) is a collective term for all wearable medical devices connected to the internet to facilitate the collection and sharing of health data such as blood pressure, heart rate, oxygen level, and more. Standard wearable devices include smartwatches and fitness bands. This evolving phenomenon due to the IoT has become prevalent in managing health and poses severe security and privacy risks to personal information. For better implementation, performance, adoption, and secured wearable medical devices, observing users’ perception is crucial. This study examined users’ perspectives of trust in the WIoMT while also exploring the associated security risks. Data analysed from 189 participants indicated a significant variance (R2 = 0.553) on intention to use WIoMT devices, which was determined by the significant predictors (95% Confidence Interval; p < 0.05) perceived usefulness, perceived ease of use, and perceived security and privacy. These were found to have important consequences, with WIoMT users intending to use the devices based on the trust factors of usefulness, easy to use, and security and privacy features. Further outcomes of the study identified how users’ security matters while adopting the WIoMT and provided implications for the healthcare industry to ensure regulated devices that secure confidential data

Health Wearable Tools and Health Promotion

The application of wearable technology for health purposes is a multidisciplinary research topic. To summarize key contributions and simultaneously identify outstanding gaps in research, the input-mechanism-output (I-M-O) framework was applied to synthesize findings from 275 relevant papers in the period 2010–2021. Eighteen distinct cross-disciplinary themes were identified and organized under the I-M-O framework. Studies that covered input factors have largely been technocentric, exploring the design of various health wearables, with less emphasis on usability. While studies on user acceptance and engagement are increasing, there remains room for growth in user- centric aspects such as engagement. While measurement of physiological health indictors has grown more sophisticated due to sensitivity of sensors and the advancements in predictive algorithms, a rapidly growing area of research is that of measuring and tracking mental states and emotional health.Relatively few studies explore theoretically backed explanations of the role of health wearables, with technocentric theories predicting adoption favored. These mainly focused on mechanisms of adoption, while postadoption use and health behavior change were less explored. As a consequence, compared to adoption mechanisms, there is an opportunity to increase our understanding of the continued use of wearables and their effects on sustained health behavior change. While a range of incentives such as social, feedback, financial, and gamification are being tested, it is worth noting that negative attitudes, such as privacy concerns, are being paid much more attention as well. Output factors were studied in both individual and organizational settings, with the former receiving considerably more attention than the latter. The progress of research on health wearables was discussed from an interdisciplinary angle, and the role of social scientists was highlighted for the advancement of research on wearable health