Understanding consumer acceptance of healthcare wearable devices: An integrated model of UTAUT and TTF

BACKGROUND Healthcare wearable devices (HWDs) enable continuous monitoring of consumers' health signals and have great potential to improve the efficiency and quality of healthcare. However, factors influencing consumer acceptance of HWDs are not well understood. Moreover, extant studies seem to fail to consider whether an HWD has appropriate functions to fit the requirements of consumers' healthcare activities. OBJECTIVES The objective of this study was to develop and empirically test a model by integrating the Unified Theory of Acceptance and Usage of Technology (UTAUT) and Task-Technology Fit (TTF) models to understand how consumers accept HWDs. METHODS A self-administered questionnaire was designed based on validated measurement scales. Data from 406 valid samples were analyzed using partial least squares structural equation modeling. RESULTS The results indicated that performance expectancy, effort expectancy, facilitating conditions, social influence, and task-technology fit positively affected consumers' behavioral intention to use HWDs, and together accounted for 68.0 % of its variance. Both task and technology characteristics were significant determinants of task-technology fit and exerted impacts on behavioral intention through the mediating roles of task-technology fit and effort expectancy. CONCLUSIONS The key findings showed that consumer acceptance of HWDs was affected by both users' perceptions (i.e., performance expectancy, effort expectancy, social influence and facilitating conditions) and the task-technology fit. The theoretical and practical implications and contributions were provided for future researchers and practitioners to increase consumers' use of HWDs in their healthcare activities.

[1]  Il Im,et al.  An international comparison of technology adoption: Testing the UTAUT model , 2011, Inf. Manag..

[2]  Ritu Agarwal,et al.  Adoption of Electronic Health Records in the Presence of Privacy Concerns: The Elaboration Likelihood Model and Individual Persuasion , 2009, MIS Q..

[3]  Jung-Chi Pai,et al.  The acceptance and use of customer relationship management (CRM) systems: An empirical study of distribution service industry in Taiwan , 2011, Expert Syst. Appl..

[4]  Philippe Ravaud,et al.  Patients’ views of wearable devices and AI in healthcare: findings from the ComPaRe e-cohort , 2019, npj Digital Medicine.

[5]  Peter Trkman,et al.  Analyzing older users' home telehealth services acceptance behavior - applying an Extended UTAUT model , 2016, Int. J. Medical Informatics.

[6]  Tiago Oliveira,et al.  Determinants of end-user acceptance of biometrics: Integrating the "Big 3" of technology acceptance with privacy context , 2013, Decis. Support Syst..

[7]  Michael A. Rupp,et al.  The role of individual differences on perceptions of wearable fitness device trust, usability, and motivational impact. , 2018, Applied ergonomics.

[8]  Kai Zheng,et al.  Development and validation of a survey instrument for assessing prescribers' perception of computerized drug-drug interaction alerts , 2011, J. Am. Medical Informatics Assoc..

[9]  Matthew S. Eastin,et al.  Wearable fitness technology: A structural investigation into acceptance and perceived fitness outcomes , 2016, Comput. Hum. Behav..

[10]  Dale Goodhue,et al.  Understanding user evaluations of information systems , 1995 .

[11]  Yogesh Kumar Dwivedi,et al.  Re-examining the Unified Theory of Acceptance and Use of Technology (UTAUT): Towards a Revised Theoretical Model , 2017, Information Systems Frontiers.

[12]  Taegoo Terry Kim,et al.  Modelling roles of task-technology fit and self-efficacy in hotel employees' usage behaviours of hotel information systems. , 2010 .

[13]  Marko Sarstedt,et al.  Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research , 2014 .

[14]  JungKun Park,et al.  Consumer acceptance of a revolutionary technology-driven product: The role of adoption in the industrial design development , 2015 .

[15]  M. Kazerani,et al.  Acceptance of evidence based medicine (EBM) databases by Iranian medical residents using unified theory of acceptance and use of technology (UTAUT) , 2018, Health Policy and Technology.

[16]  Edwin van Teijlingen,et al.  Guide to the design and application of online questionnaire surveys , 2016, Nepal journal of epidemiology.

[17]  Xingda Qu,et al.  Factors Affecting Consumer Acceptance of an Online Health Information Portal Among Young Internet Users , 2018, Computers, informatics, nursing : CIN.

[18]  Barbara D. Klein,et al.  User evaluations of IS as surrogates for objective performance , 2000, Inf. Manag..

[19]  Fred D. Davis,et al.  User Acceptance of Computer Technology: A Comparison of Two Theoretical Models , 1989 .

[20]  Keng Siau,et al.  Factors Influencing the Adoption of Smart Wearable Devices , 2018, Int. J. Hum. Comput. Interact..

[21]  Sylvain Senecal,et al.  Is more always better? Investigating the task-technology fit theory in an online user context , 2014, Inf. Manag..

[22]  Tao Zhou,et al.  Integrating TTF and UTAUT to explain mobile banking user adoption , 2010, Comput. Hum. Behav..

[23]  I. Ajzen The theory of planned behavior , 1991 .

[24]  Rajiv Kishore,et al.  Within-study measurement invariance of the UTAUT instrument: An assessment with user technology engagement variables , 2015, Inf. Manag..

[25]  Ke Chen,et al.  Personal and other factors affecting acceptance of smartphone technology by older Chinese adults. , 2016, Applied ergonomics.

[26]  Gary Wills,et al.  Research investigations on the use or non-use of hearing aids in the smart cities , 2020, Technological Forecasting and Social Change.

[27]  Hsing Kenneth Cheng,et al.  An empirical study of mobile commerce in insurance industry: Task-technology fit and individual differences , 2007, Decis. Support Syst..

[28]  Fred D. Davis Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology , 1989, MIS Q..

[29]  Patricia Flatley Brennan,et al.  Factors affecting home care patients' acceptance of a web-based interactive self-management technology , 2011, J. Am. Medical Informatics Assoc..

[30]  Botjan umak,et al.  The acceptance and use of interactive whiteboards among teachers , 2016 .

[31]  Xitong Guo,et al.  UNDERSTANDING THE ACCEPTANCE OF MOBILE HEALTH SERVICES: A COMPARISON AND INTEGRATION OF ALTERNATIVE MODELS , 2013 .

[32]  Liang-Hong Wu,et al.  Exploring consumers' intention to accept smartwatch , 1970, Comput. Hum. Behav..

[33]  Zhaohua Deng,et al.  Comparison of the middle-aged and older users' adoption of mobile health services in China , 2014, Int. J. Medical Informatics.

[34]  Sahar Afshan,et al.  Acceptance of mobile banking framework in Pakistan , 2016, Telematics Informatics.

[35]  Tingru Zhang,et al.  Key characteristics in designing massive open online courses (MOOCs) for user acceptance: an application of the extended technology acceptance model , 2019, Interact. Learn. Environ..

[36]  João Paulo Silva Cunha,et al.  Wearable Health Devices—Vital Sign Monitoring, Systems and Technologies , 2018, Sensors.

[37]  K. Shiferaw,et al.  Modeling predictors of acceptance and use of electronic medical record system in a resource limited setting: Using modified UTAUT model , 2019, Informatics in Medicine Unlocked.

[38]  Jaehee Cho,et al.  The impact of post-adoption beliefs on the continued use of health apps , 2016, Int. J. Medical Informatics.

[39]  Yiwen Gao,et al.  International Journal of Medical Informatics , 2016 .

[40]  Victor I. Chang,et al.  An Empirical Research on the Investment Strategy of Stock Market based on Deep Reinforcement Learning model , 2019, COMPLEXIS.

[41]  Marjan Hericko,et al.  A meta-analysis of e-learning technology acceptance: The role of user types and e-learning technology types , 2011, Comput. Hum. Behav..

[42]  Mian Yan,et al.  Integrating usability and social cognitive theories with the technology acceptance model to understand young users’ acceptance of a health information portal , 2020, Health Informatics J..

[43]  A. Chan,et al.  Predictors of gerontechnology acceptance by older Hong Kong Chinese , 2014 .

[44]  L. Piwek,et al.  The Rise of Consumer Health Wearables: Promises and Barriers , 2016, PLoS medicine.

[45]  Michel Rousseau,et al.  Electronic health record acceptance by physicians: Testing an integrated theoretical model , 2014, J. Biomed. Informatics.

[46]  C. Fornell,et al.  Evaluating structural equation models with unobservable variables and measurement error. , 1981 .

[47]  Pi-Jung Hsieh,et al.  Healthcare professionals' use of health clouds: Integrating technology acceptance and status quo bias perspectives , 2015, Int. J. Medical Informatics.

[48]  Richard T. Watson,et al.  Task-technology fit for mobile locatable information systems , 2008, Decis. Support Syst..

[49]  Tiago Oliveira,et al.  International Journal of Information Management , 2014 .

[50]  Mohammad Nurunnabi,et al.  User Perception of Mobile Banking Adoption: An Integrated Ttf-utaut Model , 2017 .

[51]  Mher Beglaryan,et al.  Development of a tripolar model of technology acceptance: Hospital-based physicians' perspective on EHR , 2017, Int. J. Medical Informatics.

[52]  Tung-Ching Lin,et al.  Understanding knowledge management system usage antecedents: An integration of social cognitive theory and task technology fit , 2008, Inf. Manag..

[53]  Xingda Qu,et al.  Predicting Factors of Consumer Acceptance of Health Information Technologies , 2016 .

[54]  Beomjin Choi,et al.  Domain-specific innovativeness and new product adoption: A case of wearable devices , 2017, Telematics Informatics.

[55]  Dale Goodhue,et al.  Task-Technology Fit and Individual Performance , 1995, MIS Q..

[56]  Wei Zhang,et al.  The roles of initial trust and perceived risk in public’s acceptance of automated vehicles , 2019, Transportation Research Part C: Emerging Technologies.

[57]  Xingda Qu,et al.  A systematic review and meta-analysis of user acceptance of consumer-oriented health information technologies , 2020, Comput. Hum. Behav..

[58]  Yiwen Gao,et al.  An empirical study of wearable technology acceptance in healthcare , 2015, Ind. Manag. Data Syst..

[59]  S. S. Man,et al.  Health monitoring through wearable technologies for older adults: Smart wearables acceptance model. , 2019, Applied ergonomics.

[60]  Marko Sarstedt,et al.  PLS-SEM: Indeed a Silver Bullet , 2011 .

[61]  Munkee Choi,et al.  User acceptance of wearable devices: An extended perspective of perceived value , 2016, Telematics Informatics.

[62]  Marko Sarstedt,et al.  An assessment of the use of partial least squares structural equation modeling in marketing research , 2012 .

[63]  Pascale Carayon,et al.  Handbook of human factors and ergonomics in health care and patient safety , 2006 .

[64]  Zhimin Zhou,et al.  Factors affecting reposting behaviour using a mobile phone-based user-generated-content online community application among Chinese young adults , 2018, Behav. Inf. Technol..

[65]  Karen L. Courtney,et al.  Brief Review: Defining Obtrusiveness in Home Telehealth Technologies: A Conceptual Framework , 2006, J. Am. Medical Informatics Assoc..

[66]  Mark Ginsburg,et al.  Exploring the black box of task-technology fit , 2009, CACM.

[67]  Ke Chen,et al.  Gerontechnology acceptance by elderly Hong Kong Chinese: a senior technology acceptance model (STAM) , 2014, Ergonomics.

[68]  Blanca Hernández Ortega,et al.  The role of social motivations in e-learning: How do they affect usage and success of ICT interactive tools? , 2011, Comput. Hum. Behav..

[69]  Gordon B. Davis,et al.  User Acceptance of Information Technology: Toward a Unified View , 2003, MIS Q..

[70]  Yu-Chen Chen,et al.  Why People Blog? An Empirical Investigations of the Task Technology Fit Model , 2007, PACIS.

[71]  Louis Leung,et al.  E-health/m-health adoption and lifestyle improvements: Exploring the roles of technology readiness, the expectation-confirmation model, and health-related information activities , 2019, Telecommunications Policy.

[72]  Viswanath Venkatesh,et al.  Consumer Acceptance and Use of Information Technology: Extending the Unified Theory of Acceptance and Use of Technology , 2012, MIS Q..

[73]  Mary E. Morton,et al.  A framework for predicting EHR adoption attitudes: a physician survey. , 2009, Perspectives in health information management.

[74]  H. Lewy Wearable technologies - future challenges for implementation in healthcare services. , 2015, Healthcare technology letters.

[75]  Veera Bhatiasevi,et al.  Why do people use fitness tracking devices in Thailand? An integrated model approach , 2019, Technology in Society.

[76]  Jaehun Joo,et al.  Consumer adaptation and infusion of wearable devices for healthcare , 2017, Comput. Hum. Behav..

[77]  Adriana Zait,et al.  Methods For Testing Discriminant Validity , 2011 .

[78]  Dong Wen,et al.  Consumers' perceived attitudes to wearable devices in health monitoring in China: A survey study , 2017, Comput. Methods Programs Biomed..

[79]  Richard Bloss Wearable sensors bring new benefits to continuous medical monitoring, real time physical activity assessment, baby monitoring and industrial applications , 2015 .

[80]  Mohammad Hossein Jarrahi,et al.  Wearable activity trackers, accuracy, adoption, acceptance and health impact: A systematic literature review , 2019, J. Biomed. Informatics.

[81]  Jean-Yves Fourniols,et al.  Smart wearable systems: Current status and future challenges , 2012, Artif. Intell. Medicine.

[82]  Xiaohui Chen,et al.  Continuance intention to use MOOCs: Integrating the technology acceptance model (TAM) and task technology fit (TTF) model , 2017, Comput. Hum. Behav..

[83]  Richard J. Holden,et al.  The Technology Acceptance Model: Its past and its future in health care , 2010, J. Biomed. Informatics.

[84]  Diane M. Strong,et al.  Extending the technology acceptance model with task-technology fit constructs , 1999, Inf. Manag..

[85]  James C. Anderson,et al.  STRUCTURAL EQUATION MODELING IN PRACTICE: A REVIEW AND RECOMMENDED TWO-STEP APPROACH , 1988 .

[86]  S. Chauhan,et al.  Determinants of acceptance of ERP software training in business schools: Empirical investigation using UTAUT model , 2016 .

[87]  Mian Yan,et al.  A 12-week pilot study of acceptance of a computer-based chronic disease self-monitoring system among patients with type 2 diabetes mellitus and/or hypertension , 2019, Health Informatics J..

[88]  J. Hair Multivariate data analysis , 1972 .

[89]  Shion Guha,et al.  Self-monitoring practices, attitudes, and needs of individuals with bipolar disorder: implications for the design of technologies to manage mental health , 2016, J. Am. Medical Informatics Assoc..

[90]  Harry Bouwman,et al.  An assessment of advanced mobile services acceptance: Contributions from TAM and diffusion theory models , 2008, Inf. Manag..

[91]  Princely Ifinedo,et al.  Applying uses and gratifications theory and social influence processes to understand students' pervasive adoption of social networking sites: Perspectives from the Americas , 2016, Int. J. Inf. Manag..