Abstract
In the present study, we investigate influencing factors on the acceptance of mHealth smartphone apps, using an extended UTAUT model. Nā=ā165 participants evaluated use intention, performance expectancy (PE), effort expectancy (EE), social influence (SI), facilitating conditions (FC), as well as privacy concerns for a fitness app (lifestyle context) and a diabetes app (medical context). Structural equation modeling is used to assess the relevance of influences on adoption intention in these contexts. Results show that acceptance factors indeed differ strongly between lifestyle and medical contexts. For the latter, only PE and SI determine intention to use, although privacy concerns are higher than in the lifestyle context. In contrast, intention to use the fitness app is predicted by PE, SI, FA, and privacy concerns. The extended UTAUT model showed very good predictive relevance for use intention in both contexts. These findings reveal that technology acceptance needs to be examined depending on context.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Whiting, D.R., Guariguata, L., Weil, C., Shaw, J.: IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diab. Res. Clin. Pract. 94, 311ā321 (2011)
Statistisches Bundesamt: Statistisches Jahrbuch 2017. Statistisches Bundesamt (Destatis), Wiesbaden (2017)
Cowan, L.T., Van Wagenen, S.A., Brown, B.A., Hedin, R.J., Seino-Stephan, Y., Hall, P.C., West, J.H.: Apps of steel: are exercise apps providing consumers with realistic expectations?: a content analysis of exercise apps for presence of behavior change theory. Health Educ. Behav. 40, 133ā139 (2013)
Sieverdes, J.C., Treiber, F., Jenkins, C.: Improving diabetes management with mobile health technology. Am. J. Med. Sci. 345, 289ā295 (2013)
Wang, Y., Xue, H., Huang, Y., Huang, L., Zhang, D.: A systematic review of application and effectiveness of mHealth interventions for obesity and diabetes treatment and self-management. Adv. Nutr. Int. Rev. J. 8, 449ā462 (2017)
IMS Health: Distribution of disease specific apps available worldwide in 2013 and 2015, by category https://www.statista.com/statistics/623981/healthcare-apps-worldwide-by-disease-category/
Shaw, J.E., Sicree, R.A., Zimmet, P.Z.: Global estimates of the prevalence of diabetes for 2010 and 2030. Diab. Res. Clin. Pract. 87, 4ā14 (2010)
Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B.B., Ginsburg, A.S.: Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. J. Med. Internet Res. 17, e52 (2015)
Krug, S., Jordan, S., Mensink, G.B.M., MĆ¼ters, S., Finger, J., Lampert, T.: Physical activity results of the german health interview and examination survey for adults (DEGS1). Bundesgesundheitsblatt - Gesundheitsforsch. - Gesundheitsschutz 56, 765ā771 (2013)
World Health Organization: Global Recommendations on Physical Activity for Health. WHO Press, Geneva, Switzerland (2010)
Rasche, P., Wille, M., Brƶhl, C., Theis, S., SchƤfer, K., Knobe, M., Mertens, A., Medic, R.: Prevalence of health app use among older adults in Germany: national survey. JMIR mHealth uHealth 6, e26 (2018)
Li, H., Wu, J., Gao, Y., Shi, Y.: Examining individualsā adoption of healthcare wearable devices: an empirical study from privacy calculus perspective. Int. J. Med. Inform. 88, 8ā17 (2016)
Baruh, L., Secinti, E., Cemalcilar, Z.: Online privacy concerns and privacy management: a meta-analytical review. J. Commun. 67, 26ā53 (2017)
Davis, F.D.: Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 13, 319ā340 (1989)
Davis, F., Bagozzi, R., Warshaw, P.: User acceptance of computer technology: a comparison of two theoretical models. Manag. Sci. 35, 982 (1989)
King, W.R., He, J.: A meta-analysis of the technology acceptance model. Inf. Manag. 43, 740ā755 (2006)
Klein, R.: Internet-based patient-physician electronic communication applications: patient acceptance and trust. e-Serv. J. 5, 27ā52 (2007)
Venkatesh, V., Morris, M.G., Davis, G.B., Davis, F.D.: User acceptance of information technology: toward a unified view. MIS Q. 27, 425ā478 (2003)
Sun, Y., Wang, N., Guo, X., Peng, Z.: Understanding the acceptance of mobile health services: a comparison and integration of alternative models. J. Electron. Commer. Res. 14, 183ā200 (2013)
Williams, M.D., Rana, N.P., Dwivedi, Y.K.: The unified theory of acceptance and use of technology (UTAUT): a literature review (2015)
Attuquayefio, S., Addo, H.: Review of studies with UTAUT as conceptual framework. Eur. Sci. J. 10, 1857ā7881 (2014)
Hoque, R., Sorwar, G.: Understanding factors influencing the adoption of mHealth by the elderly: an extension of the UTAUT model. Int. J. Med. Inform. 101, 75ā84 (2017)
Yuan, S., Ma, W., Kanthawala, S., Peng, W.: Keep using my health apps: discover usersā perception of health and fitness apps with the UTAUT2 model. Telemed. e-Health 21, 735ā741 (2015)
Westin, A.F.: Privacy and Freedom. Am. Sociol. Rev. 33, 173 (1967)
Burgoon, J.: Privacy and communication. Ann. Int. Commun. Assoc. 6, 206ā249 (1982)
Koops, B., Newell, B.C., Timan, T., Skorvanek, I., Chokrevski, T., Galic, M.: A typology of privacy. Univ. Pennsylvanica J. Int. Law. 38, 1ā93 (2017)
European Commission: Special Eurobarometer 431 - Data Protection, Cologne (2015)
Mothersbaugh, D.L., Foxx, W.K., Beatty, S.E., Wang, S.: Disclosure antecedents in an online service context: the role of sensitivity of information. J. Serv. Res. 15, 76ā98 (2012)
Anderson, C.L., Agarwal, R.: The digitization of healthcare: boundary risks, emotion, and consumer willingness to disclose personal health information. Inf. Syst. Res. 22, 469ā490 (2011)
Rohm, A.J., Milne, G.R.: Just what the doctor ordered: the role of information sensitivity and trust in reducing medical information privacy concern. J. Bus. Res. 57, 1000ā1011 (2004)
Xu, H., Dinev, T., Smith, J., Hart, P.: Information privacy concerns: linking individual perceptions with institutional privacy assurances. J. Assoc. Inf. Syst. 12, 798ā824 (2011)
Bansal, G., Zahedi, F.M., Gefen, D.: Do context and personality matter? Trust and privacy concerns in disclosing private information online. Inf. Manag. 53, 1ā12 (2016)
Huckvale, K., Prieto, J.T., Tilney, M., Benghozi, P.-J., Car, J.: Unaddressed privacy risks in accredited health and wellness apps: a cross-sectional systematic assessment. BMC Med. 13, 214 (2015)
Or, C.K.L., Karsh, B.T.: A systematic review of patient acceptance of consumer health information technology. J. Am. Med. Informat. Assoc. 16, 550ā560 (2009)
Lidynia, C., Brauner, P., Ziefle, M.: A step in the right direction ā understanding privacy concerns and perceived sensitivity of fitness trackers. In: AHFE 2017: Advances in Human Factors in Wearable Technologies and Game Design, pp. 42ā53 (2018)
Boontarig, W., Chutimaskul, W., Chongsuphajaisiddhi, V., Papasratorn, B.: Factors influencing the Thai elderly intention to use smartphone for e-Health services. In: 2012 IEEE Symposium on Humanities, Science and Engineering Research, SHUSER 2012, pp. 479ā483 (2012)
Parker, S.J., Jessel, S., Richardson, J.E., Reid, M.C.: Older adults are mobile too! Identifying the barriers and facilitators to older adultsā use of mHealth for pain management. BMC Geriatr. 13, 43 (2013)
Guo, X., Sun, Y., Yan, Z., Wang, N.: Privacy-personalization paradox in adoption of mobile health service: the mediating role of trust. In: Proceedings PACIS 2012 Paper 27 (2012)
Ringle, C., Wende, S., Becker, J.-M.: SmartPLS 3. Bƶnningstedt, SmartPLS (2015)
Hair Jr., J.F., Hult, G., Ringle, C., Sarstedt, M.: A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). Sage Publications (2011)
Ziefle, M., Wilkowska, W.: Technology acceptability for medical assistance. In: 4th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth) (2010)
Kokolakis, S.: Privacy attitudes and privacy behaviour: a review of current research on the privacy paradox phenomenon. Comput. Secur. 2011, 1ā29 (2015)
Dinev, T., Hart, P.: An extended privacy calculus model for e-commerce transactions. Inf. Syst. Res. 17, 61ā80 (2006)
Fittkau & MaaĆ Consulting: Share of Smartphone Users that Used Fitness APS in Germany in May 2015, by Age Group https://www.statista.com/statistics/452454/fitness-app-usage-among-smartphone-users-in-germany-by-age/
Guariguata, L., Whiting, D.R., Hambleton, I., Beagley, J., Linnenkamp, U., Shaw, J.E.: Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res. Clin. Pract. 103, 137ā149 (2014)
Czaja, S.J., Charness, N., Fisk, A.D., Hertzog, C., Nair, S.N., Rogers, W.A., Sharit, J.: Factors predicting the use of technology: findings from the center for research and education on aging and technology enhancement (CREATE). Psyhol Aging. 21, 333ā352 (2006)
Acknowledgements
The authors thank all participants for sharing their thoughts and opinions and Niklas Kunstleben for research support. This research was funded by the German Ministry of Education and Research (BMBF) under the project MyneData (KIS1DSD045).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
Ā© 2019 Springer International Publishing AG, part of Springer Nature
About this paper
Cite this paper
Schomakers, EM., Lidynia, C., Ziefle, M. (2019). Exploring the Acceptance of mHealth Applications - Do Acceptance Patterns Vary Depending on Context?. In: Ahram, T. (eds) Advances in Human Factors in Wearable Technologies and Game Design. AHFE 2018. Advances in Intelligent Systems and Computing, vol 795. Springer, Cham. https://doi.org/10.1007/978-3-319-94619-1_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-94619-1_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-94618-4
Online ISBN: 978-3-319-94619-1
eBook Packages: EngineeringEngineering (R0)