THE ROLE OF PERCEIVED E-HEALTH LITERACY IN USERS’ CONTINUANCE INTENTION TO USE MOBILE HEALTHCARE APPLICATIONS

Nowadays, the booming of Mobile Healthcare Applications (MHAs) provides several new kinds of health services and methods of information transmission. However, it is a salient challenge for MHA vendors to attract users to adopt software continuously. Though users’ perceived e-health literacy is recognized as a critical factor in some recent studies, its influence was still not clear. This paper has investigated how the users’ perceived e-health literacy (PEHL) affects their continuance intention when adopting mobile healthcare applications based on elaboration likelihood model (ELM). We distributed questionnaires by Wechat (similar to Whatsapp) in China, where hundreds of MHAs can be downloaded, and 273 valid samples were collected. Result shows that ELM works well in this model with 6 of the 8 hypotheses are supported. The moderate effect of PEHL is largely significant on peripheral route but not significant on central route. The most interesting finding is that the relationship between PEHL and users’ satisfaction in continuance adoption is positive. Possible reasons are discussed such as, there could exist a moderator on this relationship. Limitations, future researches and implications for theory and practice are also given. The paper should include an abstract. The abstract should be understandable by the general reader outside the context of the study. The abstract should be formatted like this paragraph, and may be up to 200 words in length

THE ANTECEDENTS AND CONSEQUENCES OF E-HEALTH LITERACY IN THE PHARMACEUTICAL INDUSTRY: AN AGENDA FOR FUTURE RESEARCH

As a promising area in healthcare research, electronic health (e-health) has received more research attention recently. The purpose of this paper is to develop and validate a proposed conceptual framework for digital health literacy. This conceptual framework is planned as a guide for future studies to use and validated as a foundation for quantitative studies to investigate the e-Health Literacy as perceived by citizens in Asia amid the outback of the world’s high-risk pandemic crisis such as Coronavirus (Covid19). This conceptual analysis applied Technology Acceptance Model as a basis to develop the antecedents of a healthy lifestyle among the citizens of Asian countries. This conceptual paper proposed that Information quality, system quality, and service quality will affect the citizens’ perceived ease of use and their perceived usefulness, which can affect their intention to use e-health and consequently results in a healthy lifestyle among the citizens. This conceptual paper submitted research hypotheses that will be a basis for future researches in Asia and if the framework is validated, recommendations will be offered to various stakeholders on how to improve a healthy lifestyle in Asia. Specifically, the proposed conceptual framework if validated will help policymakers to offer positive policies and procedures for the improvement of thriving healthcare industries in Asia

What They Gain Depends on What They Do: An Exploratory Empirical Research on Effective Use of Mobile Healthcare Applications

Mobile healthcare application receives widespread attention, although it has advanced technology and user-friendly design, when users don’t use it effectively, it seems worthless. Research mainly focus on technology improvement. But how to improve user behavior to match the technology is another essential factor for facilitating effective use from managerial perspective. We introduced the task technology fit theory to explain the mechanism when user using the applications. We added perceived e-health literacy as moderator variable, considering the user characteristic and medical environment. The data was collected from student samples of two schools (medical and non-medical related universities), totally 178 valid samples. Our research indicates adaptation and learning behavior have significantly positive impact on the efficiency use and effectiveness use. The perceived e-health literacy only has significant moderator effect on learning behavior. Our study provides practical implications for both software providers and users to achieve effective use of mobile healthcare applications

Evaluating the Determinants of Young Runners' Continuance Intentions toward Wearable Devices

Running has gained popularity as a fitness activity in China, with a growing number of young runners utilizing wearable devices to monitor their running routines and engage in quantified self-practices. The continuous evolution of wearable devices in terms of products and services has expanded the choices available to young runners. Therefore, there is a need to analyze the factors influencing the continuance intention of young runners, providing insights into how to promote the sustained growth of these products or services in the market. This study is grounded in the Technology Acceptance Model and the Theory of Planned Behavior, with an extension incorporating the quantified self to explore the impact of users' continuance intentions to use wearable devices. A survey was conducted among 468 young runners who already used wearable devices, and the data collected were analyzed using PLS-SEM. The results indicate that perceived usefulness and attitudes from the Technology Acceptance Model positively influence intentions for continued use. Additionally, subjective norms according to the Theory of Planned Behavior positively influence continuance use intentions. However, perceived behavioral control does not have a significant effect on continuance use intentions. Conversely, the Quantified-Self positively influences continuance use intentions and partially mediates the relationship between perceived usefulness and continuance use intentions. This research has several theoretical implications for the Theory of Planned Behavior, the Technology Acceptance Model, and the Quantified-Self research construct. Moreover, this study has practical implications for practitioners concerning the adoption and acceptance of wearable devices by young people. This approach enables practitioners to target and implement precise strategies to meet the current demands of the young runner market. Doi: 10.28991/HIJ-2023-04-04-02 Full Text: PD

Culture in the design of mHealth UI:An effort to increase acceptance among culturally specific groups

Purpose: Designers of mobile applications have long understood the importance of users’ preferences in making the user experience easier, convenient and therefore valuable. The cultural aspects of groups of users are among the key features of users’ design preferences, because each group’s preferences depend on various features that are culturally compatible. The process of integrating culture into the design of a system has always been an important ingredient for effective and interactive human computer interface. This study aims to investigate the design of a mobile health (mHealth) application user interface (UI) based on Arabic culture. It was argued that integrating certain cultural values of specific groups of users into the design of UI would increase their acceptance of the technology. Design/methodology/approach: A total of 135 users responded to an online survey about their acceptance of a culturally designed mHealth. Findings: The findings showed that culturally based language, colours, layout and images had a significant relationship with users’ behavioural intention to use the culturally based mHealth UI. Research limitations/implications: First, the sample and the data collected of this study were restricted to Arab users and Arab culture; therefore, the results cannot be generalized to other cultures and users. Second, the adapted unified theory of acceptance and use of technology model was used in this study instead of the new version, which may expose new perceptions. Third, the cultural aspects of UI design in this study were limited to the images, colours, language and layout. Practical implications: It encourages UI designers to implement the relevant cultural aspects while developing mobile applications. Originality/value: Embedding Arab cultural aspects in designing UI for mobile applications to satisfy Arab users and enhance their acceptance toward using mobile applications, which will reflect positively on their lives.</p

Toward Platform-Economy Continuity: Do Descriptive Norms and Perceived Product Attributes Matter to Youths who Use Ride-Hailing Apps?

Abstract. This study investigates how descriptive norms and perceived product attributes (utilitarian and hedonic benefits) influence the intention of young consumers to continue to adopt ride-hailing apps. We developed a conceptual model drawing upon the socio-technical theory by involving 333 Indonesian users of ride-hailing apps and estimating the model using the statistical tool of PLS-SEM-based software. The findings showed that social aspects (descriptive norms) and technical aspects (utilitarian and hedonic benefits) significantly influence young consumers to adopt ride-hailing apps. Intriguingly, a positive perception of the apps’ benefits is instrumental for encouraging young consumers to continue to adopt ride-hailing apps when descriptive norms appear, when peers in their social circle widely adopt similar apps. This study highlights the unique behavior of young consumers in adopting ride-hailing apps by accentuating the role of descriptive norms and perceived product attributes from the perspective of socio-technical theory. This study provides practical recommendations for digital platform providers, particularly TNCs (Transportation Network Companies), which offer ride-hailing services to address the young consumer segment with a community-based marketing approach to maintain their continued adoption.   Keywords: Continuation intention, platform economy, digital platform, ride-hailing services, socio-technical theory, young consumer

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

Franque, F. B., Oliveira, T., Tam, C., & Santini, F. D. O. (2021). A meta-analysis of the quantitative studies in continuance intention to use an information system. Internet Research, 31(1), 1-36. https://doi.org/10.1108/INTR-03-2019-0103Purpose: This 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/approach: The 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. Findings: The 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 implications: The 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/value: The 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.authorsversionpublishe

Effect of emotions and personalisation on cancer website reuse intentions

The effect of emotions and personalisation on continuance use intentions in online health services is underexplored. Accordingly, we propose a research model for examining the impact of emotion- and personalisation-based factors on cancer website reuse intentions. We conducted a study using a real-world NGO cancer-support website, which was evaluated by 98 participants via an online questionnaire. Model relations were estimated using the PLS-SEM method. Our findings indicated that pre-use emotions did not significantly influence perceived personalisation. However, satisfaction with personalisation, and perceived usefulness mediated by satisfaction, increased reuse intentions. In addition, post-use positive emotions potentially influenced reuse intentions. Our paper, therefore, illustrates the applicability of theory regarding continuance use intentions to cancer-support websites and highlights the importance of personalisation for these purposes