Identification of critical quality dimensions for continuance intention in mHealth services: Case study of onecare service

Predicting students' continued intention to use E-learning platform for college English study: the mediating effect of E-satisfaction and habit

Using technology in education facilitates knowledge dissemination expediently while broadening and deepening learning modes and content diversity. As an information technological innovation, E-learning platform is widely used to learn college English. However, few studies have explored the motivations for students' e-satisfaction and continued intention towards using it for college English study. Based on the extended Unified Theory of Acceptance and Use of Technology (UTAUT2), this study identifies the influencing factors for the continued usage intention and tests the mediating role of e-satisfaction and habit. Six hundred and twenty-six usable responses from Guangxi were analyzed with partial least squares structural equation modelling. Results show that performance expectancy, learning value, hedonic motivation and habit positively affects students' continued usage intention, e-satisfaction positively mediates the relationship between the antecedents and continued usage intention, and habit positively mediates the relationship between e-satisfaction and continued usage intention. The research provides guidelines for the successful implementation of e-learning platform for college English study and key references for improvement of students' engagement and satisfaction experience with using e-learning platform for college English study.

A scale to measure the perceived quality of mHealth by elderly patients with hypertension in China

BACKGROUND

The elderly population in China is growing, with hypertension being the most prevalent chronic disease in older adults. Despite the rapid penetration and efficient management effect of mobile health on hypertension healthcare, elderly patients are often less adopted and continue to use mobile health services. Quality perception significantly affects an individual's satisfaction and continued intention to use mobile health services. The evaluation of the significant factors affecting mobile health quality perception by elderly individuals remains largely unexplored. The aim of this study was to develop and validate an evaluation scale to measure the perceived quality of mobile health applications for hypertension and determine the underlying influencing factors.

METHODS

A cross-sectional survey was conducted between November 2018 and October 2019. A quality evaluation scale with three factors and seven indicators was developed based on the Information Systems Success model. Data was analyzed using structural equations modelling (SEM) and one-way analysis of variance (ANOVA). All tests were two-sided and statistically significant at P < 0.05.

RESULTS

The proposed mobile health application quality evaluation scale from the perspective of the elderly was shown to be a hierarchical, multidimensional construct with valid reliability, convergent validity and discriminant validity, which consists of three factors and seven indicators. The SEM results suggested that information quality and service quality had a significant impact on the satisfaction of elderly individual's with mobile health applications for hypertension management. The results also suggest that the elderly individuals had a low evaluation of mobile medical service quality(4.06 ± 0.70), while the score of information quality was the highest, with an average score of 4.36(SD 0.83) out of 5. Male patients were shown to more readily accept mobile health applications, with their perception of system quality being 0.27 higher than female ones (95% CI 0.00 ~ 0.52; P < .05). Patients with 1-5 years hypertension histories assessed the system (95% CI 0.03 ~ 0.63; P < .05), information (95% CI 0.11 ~ 0.65; P < .05), and service quality (95% CI 0.00 ~ 0.47; P < .05) higher than those with hypertension histories > 10 years. Elderly patients who regularly visited primary hospitals assessed the information quality 0.13 higher (95% CI -0.08 ~ 0.34; P < .05) than those visited tertiary hospitals.

CONCLUSIONS

These findings have significant implications for theoretical and practical research on mobile health application quality evaluation, which will be helpful for policymakers and mobile health providers in improving the context and utilisation of mobile health to include elderly users. More mobile health applications attributes, such as timely information and interactive services that meet the characteristics of elderly patients with different mental and health demands need to be considered. Deeply embedding mobile health into primary health services is recommended to help increase the perceived quality of mobile health, and ensure the continuous use.

Understanding Post-Adoption Behavioral Intentions of Mobile Health Service Users: An Empirical Study during COVID-19

This study aims to understand the post-adoption behaviors of mobile health (m-Health) service users during the COVID-19 pandemic. Drawing on the stimulus-organism-response framework, we examined the effects of user personality traits, doctor characteristics, and perceived risks on user continuance intentions and positive word of mouth (WOM) when using m-Health, as mediated by cognitive and emotional trust. The empirical data were collected via an online survey questionnaire from 621 m-Health service users in China and were verified with partial least squares structural equation modeling. The results showed that personal traits and doctor characteristics were positively associated and the perceived risks were negatively associated with both cognitive and emotional trust. Both cognitive and emotional trust significantly influenced users' post-adoption behavioral intentions in terms of continuance intentions and positive WOM, with different magnitudes. This study provides new insights for the promotion of the sustainable development of m-Health businesses after or during the pandemic.

Exploring the factors that affect user experience in mobile-health applications: A text-mining and machine-learning approach

Recent years have witnessed an increased demand for mobile health (mHealth) platforms owing to the COVID-19 pandemic and preference for doorstep delivery. However, factors impacting user experiences and satisfaction levels across these platforms, using customer reviews, are still largely unexplored in academic research. The empirical framework we proposed in this paper addressed this research gap by analysing unmonitored user comments for some popular mHealth platforms. Using topic-modelling techniques, we identified the impacting factors (predictors) and categorised them into two major dimensions based on strategic adoption and motivational association. Findings from our study suggest that time and money, convenience, responsiveness, and availability emerge as significant predictors for delivering a positive user experience on m-health platforms. Next, we identified substantial moderating effects of review polarity on the predictors related to brand association and hedonic motivation, such as online booking and video consultation. Further, we also identified the top predictors for successful user experience across these platforms. Recommendations from our study will benefit business managers by offering an improved service design leading to higher user satisfaction across these m-health platforms.

Explaining consumers' continuous purchase intention toward subscriber-based knowledge payment platforms: findings from PLS-SEM and fsQCA

Purpose

The purpose of this study is to investigate the influencing mechanism of consumers' continuous purchase intention toward the subscriber-based knowledge payment platforms (SBKPPs).

Design/methodology/approach

This study obtained 226 valid samples through questionnaire surveys and used partial least square structural equation modeling (PLS-SEM) and fuzzy-set qualitative comparative analysis (fsQCA) methods to elucidate the complex causal patterns of consumers' continuous purchase intention toward the SBKPPs.

Findings

The findings revealed that perceived utilitarian value, perceived hedonic value and perceived social value directly affected consumers' continuous purchase intention, while content quality and service quality indirectly affected consumers' continuous purchase intention. In addition, this study also demonstrated that all factors must be combined to play a role, and there exist four configurations resulting in consumers' continuous purchase intention toward the SBKPPs.

Research limitations/implications

The results can help researchers and practitioners better understand the causal patterns of consumers' continuous purchase intention toward the SBKPPs.

Originality/value

This study contributes to the knowledge payment literature by investigating consumers' continuous purchase intention toward the SBKPPs. This study also provides practical enlightenment for the SBKPPs' marketing.

Factors influencing the elderly’s adoption of mHealth: an empirical study using extended UTAUT2 model

Background

Despite the high usage of mobile phones in daily life in developing countries like Bangladesh, the adoption and usage of mHealth services have been significantly low among the elderly population. When searching previous studies, the researchers have found that no studies have empirically investigated whether the quality of life and service quality are significant for mHealth adoption by elderlies in Bangladesh. Hence, this study aimed to extend the Unified Theory of Acceptance and Use of Technology by adding service quality and the quality of life to empirically find the key factors that influence elderlies’ intention to adopt and use mHealth services in Bangladesh.

Methods

A face-to-face structured questionnaire survey method was used to collect data from 493 elderlies (aged 60 years and above) in Bangladesh. The data were analyzed with the Structural Equations Modelling (SEM) and Fuzzy Set Qualitative Comparative Analysis (fsQCA).

Results

SEM results suggested that Social Influence, Hedonic Motivation, Price Value, Habit, and Service Quality had significant impact (p < 0.05) on the elderlies’ behavioral intention to adopt mHealth services. Service Quality, Quality of Life, and elderlies’ Habit were found significant in explaining the Use Behavior of mHealth services. Quality of Life did not show significant (p > 0.05) effect on Behavioral Intention, which is inconsistent with existing literature. In addition, fsQCA findings suggest how the intensity of the influencers may contribute to high versus low m-health behavioral outcomes.

Conclusions

The findings have significant implications for theory, practice and future research as explained in the paper. The originality of this study is the integration of quality of life and service quality into UTUAT2 to explain the users’ behavioural intention and use behaviour. Overall, the findings may contribute to shaping appropriate policies for designing and implementing mHealth services effectively for elderlies in developing countries.

Understanding the adoption of the mask-supply information platforms during the COVID-19

Since late 2019, coronavirus disease 2019 (COVID-19) has led to a significant increase in the demand for medical resources. To publish data on face mask supplies, the Taiwanese government collaborated with program developers to construct a mask-supply information transitional platform (MITP). To comprehend the adoption of MITP, the study proposes a research model that integrates the health behavior model (HBM) and IS/IT continuance model for examining the factors affecting intention to use an MITP. Survey data collected from 524 respondents indicated that (1) intention to use an MITP is directly influenced by perceived threat of COVID-19 and beliefs toward using the MITP; (2) cues to action directly influence the perceived threat of COVID-19; and (3) perceived ease of use of MITP is a significant determinant of perceived usefulness of MITP. These results provide practical guidelines for health authorities and government to develop health information systems and strategies to control pandemics.

Factors Affecting User Retention of Mobile Mutual Fund Investment Applications: Evidence from Indonesia

Mutual fund is one of the most popular investment programs, especially among small investors. Currently, many mobile-based applications are available, facilitating the buying and selling of mutual funds. This number of choices creates competition between application developers, pressuring them to find ways to maintain user loyalty by increasing user retention rates. However, only a few studies have currently discussed user retention in mutual fund investment applications. Furthermore, previous studies never examined the quality factor of the application but instead focused more on other factors outside the application. This study analyzed the factors influencing user retention on mutual fund investment applications in Indonesia from the application’s quality and usability aspects. This study was based on the expectation-confirmation model (ECM) as the underlying theory. Data were collected using a survey questionnaire resulting in 414 responses, which were then processed and analyzed using the covariance-based structural equation modeling (CB-SEM) technique. The results of this study indicate that three variables can directly affect user retention in mutual fund investment applications: satisfaction, perceived usefulness, and perceived enjoyment. The satisfaction variable had the most significant influence of these three variables. Several factors influenced satisfaction: perceived usefulness, enjoyment, ease of use, trust, confirmation, prompt response, and security.

Identifying major impact factors affecting the continuance intention of mHealth: a systematic review and multi-subgroup meta-analysis

The mobile health (mHealth) industry is an enormous global market; however, the dropout or continuance of mHealth is a major challenge that is affecting its positive outcomes. To date, the results of studies on the impact factors have been inconsistent. Consequently, research on the pooled effects of impact factors on the continuance intention of mHealth is limited. Therefore, this study aims to systematically analyze quantitative studies on the continuance intention of mHealth and explore the pooled effect of each direct and indirect impact factor. Until October 2021, eight literature databases were searched. Fifty-eight peer-reviewed studies on the impact factors and effects on continuance intention of mHealth were included. Out of the 19 direct impact factors of continuance intention, 15 are significant, with attitude (β = 0.450; 95% CI: 0.135, 0.683), satisfaction (β = 0.406; 95% CI: 0.292, 0.509), health empowerment (β = 0.359; 95% CI: 0.204, 0.497), perceived usefulness (β = 0.343; 95% CI: 0.280, 0.403), and perceived quality of health life (β = 0.315, 95% CI: 0.211, 0.412) having the largest pooled effect coefficients on continuance intention. There is high heterogeneity between the studies; thus, we conducted a subgroup analysis to explore the moderating effect of different characteristics on the impact effects. The geographic region, user type, mHealth type, user age, and publication year significantly moderate influential relationships, such as trust and continuance intention. Thus, mHealth developers should develop personalized continuous use promotion strategies based on user characteristics.

The impact of environmental risk and platform trust on satisfaction with health qr code use

In response to the economic and social hazards posed by the COVID-19 global pandemic, many countries have adopted various information technologies to rapidly track and control the spread of the epidemic. Health Quick Response (QR) codes are emergency measures implemented by the Chinese government in the epidemic environment to balance epidemic prevention and control with recovery of economic and social development, and facilitate public mobility across regions and access to various public spaces. The use of health codes by the public is a practical necessity, but the satisfaction of their use is influenced by multiple factors such as environment, technology, and organization. In this paper, we collected data through a questionnaire to analyze the basic situation of public satisfaction with the use of health QR codes in China and its influencing factors. The results show that perceived quality and platform trust directly affect the satisfaction of health code usage, while environmental risk and platform trust indirectly affect the satisfaction of health code usage through the mediating effect of perceived quality.

Posyandu Application for Monitoring Children Under-Five: A 3-Year Data Quality Map in Indonesia

Posyandu is an Indonesian mother-child health, community-based healthcare. The provision of the Posyandu data quality map is crucial for analyzing results but is limited. This research aimed to (a) demonstrate data quality analysis on its completeness, accuracy, and consistency and (b) map the data quality in Indonesia for evaluation and improvement. An observational study was conducted using the Posyandu application. We observed data in Indonesia from 2019 to 2021. Data completeness was identified using children’s visits/year. Data accuracy was analyzed using WHO anthropometry z-score and implausible z-score values analyzing the outliers. Cronbach’s α of variables was used to know data consistency. STATA 15.1 SE and QGIS 3.10 was used to analyze and map the quality. Data completeness and accuracy in three years show a good start for the pilot project area, continued with declines in pandemic time, while some other areas demonstrated a small start, then slightly increased. The overall consistency decreased through the study period. A good report on data completeness can occur initially in a pilot project area, followed by others. Data accuracy and consistency can decrease during the pandemic. The app can be promising when synchronized with the government health information system.

Factors Affecting Customer Intention to Adopt a Mobile Chronic Disease Management Service

The Mobile Chronic Disease Management Service (MCDMS) is an emerging medical service for chronic disease prevention and treatment, but limited attention has been paid to the factors that affect users’ intention to adopt the service. Based on the unified theory of acceptance and use of technology 2 and the protection motivation theory, the authors built an MCDMS adoption model. The authors also verified the differentiating age effect on the service adoption intention from experiential distance perspective of the construal level theory. Empirical results showed that the young group focused more on the impact of effort expectancy, whereas the elderly group focused more on performance expectancy, imitating others, and perceived severity. Furthermore, the young group, however, focused more on the impact of perceived vulnerability, and offline medical habits showed no significant influence on either group’s intention to adopt, which were not consistent with the original hypotheses. The findings can aid MCDMS providers in selecting marketing strategies targeted toward different age groups.

The Impact of Data Vulnerability in Online Health Communities: An Institutional Assurance Perspective

In the last few years, online health communities (OHCs) have experienced rapid development due to advances in technology and the COVID-19 pandemic. However, the sensitive nature of medical information has also raised concerns from users about their privacy and reduced their intention to use OHCs. Considering the critical role of data privacy, this study explored the effect of data vulnerability on OHC users. Using online survey data collected from 438 OHC users in China, we found that data vulnerability significantly reduced psychological comfort, while the latter enhanced continuance intention. We also found that psychological comfort negatively mediated the impact of data vulnerability on continuance intention. Institutional assurance approaches, namely privacy policy, privacy protection technology, industry self-regulation, and government legislation, were also found to mitigate the negative impact of data vulnerability on psychological comfort. This study not only contributes to the data privacy, psychological comfort, and institutional assurance literature but also offers suggestions for OHC stakeholders.

Users' intention to continue using mHealth services: A DEMATEL approach during the COVID-19 pandemic

The coronavirus disease 2019 (COVID-19) has changed the way we use and perceive online services. This study examined the influence of service quality factors during COVID-19 on individuals' intention to continue use mHealth services. A decision-making trial and evaluation laboratory (DEMATEL) approach was used to identify and analyse the relationships between service quality and individuals' intention to continue use mHealth during the COVID-19 pandemic. Individuals' direct, indirect, and interdependent behaviours in relation to service quality and continues use of mHealth were studied. A total of 126 respondents were involved in this study. The results identified several associations between service quality factors and individuals' continuous use of mHealth. The most important factor found to influence users' decision to continuously use mHealth was assurance, followed by hedonic benefits, efficiency, reliability, and content quality. The relevant cause-and-effect relationships were identified and the direction for quality improvement was discussed. The outcomes from this study can support healthcare policy makers to swiftly and widely respond to COVID-19 challenges. The findings provide fundamental insights for healthcare organisations to promote continuous use of mHealth among people by prioritising service improvements.

A mixed-method approach to assess users' intention to use mobile health (mHealth) using PLS-SEM and fsQCA

Purpose

Despite the enormous potential of mobile health (mHealth), identifying the asymmetric relationship among the predictors towards intention to use (ITU) of mHealth tends to remain unresolved. This study aims to investigate the predictors and their asymmetric effects on ITU of mHealth through patients and healthcare professionals.

Design/methodology/approach

An integrated information systems (IS) model with four additional constructs has been developed to analyze symmetric and asymmetric effects on ITU of mHealth. An exploratory survey on 452 mHealth users with prior experience was conducted to evaluate the model using a mixed-method approach including partial least squares-based structural equation modeling (PLS-SEM) and fuzzy-set qualitative comparative analysis (fsQCA) technique.

Findings

The findings show that facilitating conditions, personal awareness building, perceived enjoyment, effort expectancy and perceived usefulness have predictive power for ITU of mHealth. In contrast, fsQCA reveals four more alternative solutions, including the main drivers explored by PLS-SEM. The results indicate that various conditions that were not crucial in PLS-SEM analysis are shown to be sufficient conditions in fsQCA.

Research limitations/implications

This study contributes to theory by integrating self-actualization factors (i.e. personal awareness building, patients as decision support unit) into the IS model. And practically, this study makes an essential contribution to users' ITU of mHealth, enabling relevant stakeholders to build strategies to implement mHealth successfully.

Originality/value

While mHealth has revolutionized healthcare and the prior literature only showed linear relationships, this empirical study revealed asymmetrical relationships among the determinants of ITU of mHealth. Thus, this study extends to the growing body of literature on the use of mHealth technology in the least developing nation.

Comparison on effect mechanism of continuance usage between entertainment and knowledge apps: a qualitative analysis of online reviews

Purpose

Continuance usage of mobile applications (apps) has attracted much attention from scholars and enterprises, while the extant research mainly focuses on continuance intention. The inner effect mechanism of the characteristics of apps is still unclear. Under the tenet of continuance usage behaviour, through analysis of characteristics derived from online reviews, this paper aims to establish an effective model and discloses the commonalities and differences between two mainstream apps, which are entertainment and knowledge apps.

Design/methodology/approach

The authors collected reviews of TikTok and Zhihu, which are typical representatives of entertainment and knowledge apps, respectively, from 2018 to 2020. They then derive effect factors and establish the effect model using grounded theory. A deep comparison is then conducted. They analysed the similarities and differences in the general effect model, internal effect mechanism and detailed characteristics of the two types of apps.

Findings

Entertainment app and knowledge apps share the same general effect mechanism; that is, the effect chain of characteristics to perceived value then finally to continuance usage behaviour. However, obvious differences also exist in detailed and specific effects between the two apps.

Originality/value

The present research is among the first to have a deep analysis of the comparison of entertainment apps and knowledge apps under the context of continuance usage behaviour. The findings contribute to understanding continuance usage behaviours. Suggestions are proposed on how to promote apps, which may benefit app managers.

Kuwaiti hospital patients' continuance intention to use telemedical systems in the wake of the COVID19 pandemic

The objective of this study is to investigate factors influencing patients' continuance intention to use telemedicine after the COVID-19 pandemic in the medical sector of Kuwait. To reach this purpose, the updated Delone and Maclean (2003) model was utilized to investigate the aforementioned factors. As such, this research applied quantitative research methods with a sample of 290 participants from patients in Dar Al Shifa Hospital, a private hospital in Kuwait which utilizes telemedical services called 'Sehaty online'. The corresponding data was analyzed using SmartPLS. The findings of this study revealed that information quality and system quality have a positive and significant influence on patient's satisfaction, whereas service quality has an insignificant influence on patient's satisfaction. Also, patients' continuance intention to use telemedicine is found to be significantly impacted by their satisfaction. Furthermore, several limitations of the study, related future research, and recommendations have been discussed.

M-shopping service quality dimensions and their effects on customer trust and loyalty: an empirical study

Purpose

The present study seeks to identify the salient mobile shopping (m-shopping) service quality dimensions as perceived by mobile shoppers (m-shoppers) and examines the linkages between the derived m-shopping service quality dimensions, customer trust and customer loyalty.

Design/methodology/approach

The research instrument is developed based upon the mostly validated measures of prior studies. A pretest of the questionnaire is conducted to assess the content validity of the measurement scales. An online survey is used to collect the required data. We employ structural equation modeling (SEM) to analyze data collected from 286 m-shoppers.

Findings

We identify five key m-shopping service quality dimensions: responsiveness, personalization, ease of use, aesthetics and perceived risk based on an extensive review of relevant literature. The SEM results show that all the five m-shopping service quality dimensions significantly impact, directly and/or indirectly, customer loyalty. Moreover, the results show that trust plays a partial mediating role in the effects of responsiveness and personalization on loyalty; a full mediating role in the effects of aesthetics and perceived risk on loyalty and no mediating role in the effect of ease of use on loyalty.

Practical implications

Mobile retailers (m-retailers) can use the quality measurement tool developed in this study to detect service quality weaknesses and strengths. Based on their quality assessment, m-retailers can effectively allocate corporate resources to the important service quality attributes uncovered by this study, thereby improving their overall service quality performance and in turn expanding their loyal customer base.

Originality/value

Prior studies have demonstrated that service quality and customer trust play a pivotal role in enhancing customer loyalty in both offline and online settings. Unfortunately, no research has empirically examined the relationships between service quality dimensions, trust and loyalty in the context of m-shopping. Therefore, a major contribution of this study is to address this research gap and add knowledge to the limited body of post-adoption m-shopping research.

Integrating an information systems success model with perceived privacy, perceived security, and trust: the moderating role of Facebook addiction

Purpose

The purpose of this study is to investigate the influence of perceived security, perceived privacy, and satisfaction on Facebook user continuance intention. In addition, the serial multiple mediating effects of trust and satisfaction on the relationship between continuance intention and Facebook determinants are explored. This study also investigates the moderating role of Facebook addiction on the relationship between satisfaction and continuance intention.

Design/methodology/approach

To achieve the study aims, an online survey was conducted among university undergraduate students. Data were collected from 450 voluntary participants. The statistical analysis was performed using SPSS and PROCESS macro models.

Findings

The study results confirm that perceived privacy and satisfaction have significant impacts on Facebook continuance intention. The path analysis results confirm the full mediating roles of trust and satisfaction in the relationship between perceived security and continuance intention. Furthermore, the moderating role of Facebook addiction on the relationship between satisfaction and continuance intention is confirmed.

Practical implications

The results of this study offer insights to Facebook managers and policymakers regarding the treatment of and intervention in Facebook continuance intention. The results disclose the critical role of users' satisfaction and perceived privacy in influencing Facebook users' continuance intention for Facebook managers and policymakers. This confirms that Facebook managers and policymakers must maintain user privacy to increase the level of user satisfaction and continuance intention. Furthermore, they must ensure that the requisite security mechanisms are in place to increase user trust and satisfaction that influence users' continuance intention.

Originality/value

This research integrated perceived privacy, perceived security, and trust with an Information System (IS) success model. This is the first study to investigate the serial mediating effects of trust and satisfaction on the determinants of Facebook continuance intention. The moderating effects of Facebook addiction on the relationship between satisfaction and continuance intention are also examined. The study results make important contributions to Facebook continuance intention research and advance scholarship into aspects of undergraduate students' continuance intention in the context of Facebook.

Evaluating the Impact of Information System Quality on Continuance Intention Toward Cloud Financial Information System

Cloud financial accounting informatization is a product of the combination of accounting work and information technology, a current demand for financial information management in the new era, and a necessary means for enterprises to enhance their core competitiveness. Therefore, this study is based on DeLone and McLean's information system success model, and through theoretical interpretation and derivation, we integrate satisfaction and trust in relationship quality to measure the impact of users' intention to continue using the cloud financial accounting system. A sample of 289 faculty and finance staff with experience in using cloud financial accounting systems was used to test the hypotheses using Partial Least Squares (PLS). The results of the study showed that (1) user participation had a significant positive impact on satisfaction with the system quality, information quality, and service quality of the cloud financial accounting system; (2) the system quality and service quality of the cloud financial accounting system had a significant positive effect on user trust; and (3) the quality of the cloud financial accounting system had a mediating effect on intention to continue using the system through satisfaction and trust. Since there is a lack of research on the antecedents and outcomes of user linkage to cloud financial accounting systems in the literature, especially the empirical results on the mediation relationship from the perspective of relationship quality. Therefore, this study can fill above mentioned research gap and provide specific recommendations for sustainable management practice.

Exploring the determinants of students' academic performance at university level: The mediating role of internet usage continuance intention

This study investigates the impact of integrating essential factors on academic performance in university students' context. The proposed model examines the influence of continuance intention, satisfaction, information value, and Internet addiction on academic performance. Additionally, it investigates the mediating role of continuance intention on the relationship of satisfaction and information value on academic performance among university students. A survey questionnaire method was adopted to collect data from university students in Jordan. Data was collected from 476 voluntary participants, and the analysis was conducted using SPSS and AMOS. The analysis results show that continuance intention, satisfaction, information value have a significant positive influence on academic performance. Besides, the results show that satisfaction and information value positively and significantly influence continuance intention. While continuance intention full mediation the relationship between satisfaction and academic performance, it partial mediation the relationship between information value and academic performance. This study is the first to examine the integrating of continuance intention, satisfaction, information value, and Internet addiction on students' academic performance. Furthermore, this study is also distinguished from other studies by investigating the mediating role of continuance intention gap.

Consumers' continuance intention to use fitness and health apps: an integration of the expectation–confirmation model and investment model

Purpose

This study aimed to explore consumers' continuance intention to use a fitness and health app by applying two theoretical models: the expectation–confirmation model (ECM) and the investment model (IM).

Design/methodology/approach

An online survey was administered to consumers who are currently using fitness and health apps (N = 342). Structural equation modeling (SEM) was conducted using Amos 22.0 software to examine the hypothesized relationships in the research model.

Findings

Results revealed that users' continuance intention was significantly predicted by the two models. Within the ECM, the positive and significant relationships among variables were found. Moreover, users' satisfaction and investment size had positive impacts on their commitment, which, in turn, positively affected the intention. Also, confirmation of expectations had a positive impact on investment size.

Originality/value

The integrated model helps better understand fitness and health app users' decision-making process from the perspective of relationship commitment and suggests practical implications for health and fitness app providers.

Factors influencing internet usage for health purposes

Purpose

The objective of this paper is to analyse the simultaneous effect of intention, attitude, knowledge, injunctive norm, descriptive norm, facility access, perceived Internet health information, hedonic motivation, utilitarian motivation, and perceived threat of non-communicable diseases (NCD) on Internet usage for health purposes.

Design/methodology/approach

The empirical data were collected through a survey. The respondents of the survey are 369 Jakarta residents. Multiple regression analysis was conducted.

Findings

Internet usage for health purposes is significantly affected by intention, knowledge, descriptive norm, and the perceived threat of NCD. Internet usage for health purposes is not influenced by attitude, facility access, perceived Internet health information, hedonic and utilitarian motivation.

Research limitations/implications

This research was conducted only in Jakarta. It also employed a purposive sampling technique. Future research should be conducted in other locations and used a probability sampling technique.

Practical implications

To improve the level of Internet usage for health purposes, it is essential to increase the public’s intention to use the Internet for health purposes, their knowledge on Internet usage for health purposes, and their awareness of the dangers of NCD. It is also important to persuade the community influential leaders/persons to use the Internet for health purposes.

Originality/value

This study is the first to develop and test an Internet usage for health purposes model that involves intention, attitude, knowledge, injunctive norm, descriptive norm, facility access, perceived Internet health information, hedonic motivation, utilitarian motivation, and perceived threat of NCD.

Understanding continuance usage intention of mHealth in a developing country

Purpose

This study aims to understand the factors affecting the continuance usage intention (CUI) of mHealth among the rural elderly.

Design/methodology/approach

An integrated model was proposed with the constructs derived from multiple models such as the unified theory of acceptance and use of technology, information system success model and expectation confirmation model. Data were collected from 400 participants who had prior experiences with mHealth services in Bangladesh. The research model was tested using the partial least squares method based upon structural equation modelling.

Findings

The findings indicated that system quality, performance expectancy, facilitating conditions and social influence were significant to the degree of confirmation and ultimately affect satisfaction and CUI. Surprisingly, service quality and information quality were insignificant.

Research limitations/implications

This study has added in the field of knowledge by contributing some new thoughts and interpretations of continuance usage modelling for mHealth services. The findings may become beneficial for the government agencies, policymakers, mHealth systems developers and service providers.

Originality/value

As limited research was found on CUI of mHealth in the integrated view of rural elderly’s value, this research contributes to the extant literature by categorizing key factors that might support to proliferate the continuance usage of this service. Moreover, the contextualization of the related variables and integration of the existing model is theoretically original. Furthermore, because of a generic approach, the findings could be easily modified to assist other developing countries in the planning and up-take of mHealth.

How to improve users' intentions to continued usage of shared bicycles: A mixed method approach

Sharing the use of a bicycle in China has changed people’s daily travel modes. Existing studies mainly explored the factors affecting individuals’ initial intentions to start using a shared bicycle, but few looked at the likelihood that a user would continue using one. Based on a post-acceptance model of information system (IS) continuance, this investigation proposed a research model to investigate factors influencing riders’ intentions to continued usage of shared bikes. Analysis involved structural equation modeling (SEM) and fuzzy-set qualitative comparative analysis (fsQCA) on data from 376 shared bicycle riders. The results from SEM showed that perceived usefulness, service quality, riders’ habits, overall satisfaction and the nature of the weather were the most important factors positively influencing users’ intentions to continue bike sharing. The results from fsQCA showed that six combinations of these variables were sufficient to explain continued usage. The conclusions of this study can be useful for operators to improve shared bicycle services.

What Motivates Chinese Young Adults to Use mHealth?

mHealth is one of China’s national strategies that brings affordable, accessible, and convenient health care to its entire population, may they be in cities or rural areas. Although Chinese young adults are among the first to adopt mHealth, the factors influencing Chinese young adults to use mHealth are yet to be studied both empirically and in depth. This study explores the mechanism that determines Chinese young adults’ intention to use mHealth, based on an extended Technology Acceptance Model (TAM). The extended TAM was tested using responses from 486 Chinese young adults. The results showed that perceived usefulness strongly and significantly influenced people’s intention to use mHealth. Additionally, communication effectiveness, health consciousness, and perceived ease of use were found as significant factors influencing people’s intention to use mHealth through perceived usefulness. Distrust was not found to significantly influence people’s intention to use mHealth.

A(n) (a)symmetric perspective towards task-technology-performance fit in mobile app industry

Purpose

The purpose of this paper is to examine (a)symmetric features of task-technology-performance characteristics that are most relevant to fit, satisfaction and continuance intention of using apps in mobile banking transactions.

Design/methodology/approach

Exploratory factor analysis was used with maximum likelihood extraction and Varimax rotation on a separate sample of 183 mobile banking apps users prior to the main data collection. The theoretical model was tested applying a factor-based structural equation modelling approach to a sample of 250 experienced mobile banking apps users.

Findings

The study unveiled that the task and performance characteristics are more relevant compared to technology characteristics when doing transactions via apps. In addition, the findings uncovered that user satisfaction and continuous intention to use apps stem from the degree of fit in online transactions. The findings of moderation analysis highlighted that users in the lower income group are more concerned about the performance characteristics of banking apps, and there are no differences across age and gender groups. Surprisingly, technology characteristic has a nonlinear nature and this study shows potential boundary conditions of technology characteristics in degree of fit, user satisfaction and continuance intention to use apps.

Practical implications

Findings from the conditional probabilistic queries reveal that with 83.3 per cent of probability, user satisfaction is high when using apps for banking transactions, if the levels of fit, task, performance and technology characteristics are high. Furthermore, with 72 per cent of probability, continuance intention to use apps is high, if the levels of performance and task characteristics are high.

Originality/value

Contributing to task-technology fit theory, this study shows that performance characteristics need to be aligned with task and technology characteristics in order to have better fit when using apps for online banking transactions.