Author:
Xu Lin,Li Pengfei,Hou Xiaorong,Yu Hongfan,Tang Tingting,Liu Ting,Xiang Shoushu,Wu Xiaoqian,Huang Cheng
Abstract
Abstract
Background
Although middle-aged and elderly users are the main group targeted by health maintenance-oriented WeChat official accounts (HM-WOAs), few studies have explored the relationship of these accounts and their users. Exploring the factors that influence the continuous adoption of WOAs is helpful to strengthen the health education of middle-aged and elderly individuals.
Objective
We developed a new theoretical model and explored the factors that influence middle-aged and elderly individuals' continuous usage intention for HM-WOA. Performance expectancy mediated the effects of the model in explaining continuous usage intention and introduced health literacy into the model.
Methods
We established a hybrid theoretical model on the basis of the unified theory of acceptance and use of technology 2 model (UTAUT2), the health belief model (BHM), protection motivation theory (PMT), and health literacy. We collected valid responses from 396 middle-aged and elderly users aged ≥ 45 years in China. To verify our hypotheses, we analyzed the data using structural equation modeling.
Results
Performance expectancy (β = 0.383, P < 0.001), hedonic motivation (β = 0.502, P < 0.001), social influence (β = 0.134, P = 0.049), and threat appraisal (β = 0.136, P < 0.001) positively influenced middle-aged and elderly users' continuous usage intention. Perceived health threat (β = − 0.065, P = 0.053) did not have a significant effect on continuous usage intention. Both threat appraisal (β = 0.579, P < 0.001) and health literacy (β = 0.579, P < 0.001) positively affected performance expectancy. Threat appraisal indirectly affected continuous usage intention through performance expectancy mediation.
Conclusions
Our new theoretical model is useful for understanding middle-aged and elderly users' continuous usage intention for HM-WOA. Performance expectancy plays a mediation role between threat appraisal and continuous usage intention, and health literacy positively affects performance expectancy.
Funder
the National Social Science Foundation of China
Publisher
Springer Science and Business Media LLC
Subject
Health Informatics,Health Policy,Computer Science Applications
Reference70 articles.
1. Huang C, Zhu YB, Liu ZJ. Approaches for developing a system model for health evaluation based on body constitutions of traditional Chinese medicine and order parameters. Zhong Xi Yi Jie He Xue Bao. 2012;10(4):375–9.
2. Palsdottir A. Opportunistic discovery of information by elderly Icelanders and their relatives. Inf Res. 2011;16(3):485.
3. Yang JWXY. A brief analysis of the causes of the WeChat rumor aoudience aging. Res Transm Competence. 2019I;09(3):98.
4. Zhang W, Deng Z, Evans R, Xiang F, Ye Q, Zeng R. Social media landscape of the tertiary referral hospitals in China: observational descriptive study. J Med Internet Res. 2018;20(8):e249.
5. Sun M, Yang L, Chen W, Luo H, Zheng K, Zhang Y, Lian T, Yang Y, Ni J. Current status of official WeChat accounts for public health education. J Public Health (Oxf). 2020. https://doi.org/10.1093/pubmed/fdz163.
Cited by
15 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献