Exploring behavioral factors and emotional mechanisms underlying older adult users' adoption of smart health services: evidence from PLS-SEM and fsQCA.
IF 3.4 3区 医学Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
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引用次数: 0
Abstract
Introduction: In a population aging society, home-based older adult care as the primary model have experienced a robust growth in demand for smart health services (SHS), reflecting an active response to evolving older adult care needs. However, older adult users' adoption rates are constrained by the interplay of technological and emotional factors, with the underlying mechanisms remain unclear.
Methods: To address this concern, this study integrates the Technology Acceptance Model (TAM) and Emotional Durable Design (EDD) theory to uncover the behavioral factors and emotional driving mechanisms behind older adult users' adoption of SHS. A total of 244 valid questionnaires from older adult users were collected. Partial Least Squares Structural Equation Modeling (PLS-SEM) was employed to analyze the net effects of variables, combined with fuzzy-set Qualitative Comparative Analysis (fsQCA) to identify configurational paths.
Results and discussion: The results show that perceived ease of use, perceived usefulness, and perceived emotion directly and positively influence behavioral intention. Mental interaction, self-actualization, and dynamic adaptation in emotional durable design exert indirect effects on behavioral intention through internalization processes. fsQCA identified 7 configurational paths leading to high behavioral intention, confirming the combined effects of "technology-emotion" factors, with no single factor constituting a necessary condition. This study contributes to expanding the emotional explanatory dimension of TAM, providing a theoretical foundation and practical guidelines for the human-centered design and promotion of SHS.
期刊介绍：
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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