Constellation, le dépôt institutionnel de l'Université du Québec à Chicoutimi

Résumé

Optimal healthcare provision for the elderly is increasingly possible via real-time health indicators data generated via mHealth care applications. Yet, these apps require continuous utilization, which remains problematic. This research examines gamification, usability, as well as empathetic cooperation and social interaction (ESCI) as enablers whereas inertia, sunk cost, transition cost, perceived risk, and technological anxiety are validated as inhibitors of mHealth care applications continued usage intention. Drawing on self-determination theory (SDT) and the Health IT Usability Evaluation Model (Health- ITUEM), the study also validates engagement as an influencer of continued intention. The sample comprised 643 older adults using mHealth care applications and residing in North Indian states. Structural Equation Modelling (SEM) was applied to assess and validate the hypothesized relationships. The results confirmed that usability strongly impacted engagement, followed by gamification, ESCI). Conversely, perceived risk emerged as the strongest inhibitor, followed by sunk cost, technological anxiety, and transition cost. Interestingly, Inertia had a positive and significant impact on engagement. This research is an initial endeavor to understand enablers and inhibitors of mHealth care apps concerning older adults. The model that emerged from this study would provide valuable insights by validating an all-inclusive model covering various significant issues to generate engagement of the elderly towards mHealth care apps.