Causal Model of Factors Influencing the Usage Behavior of the Health Application on a Smartphone

Main Article Content

Sucheera Sinsap
Kanokkanda Taichankong
Nathasiri Pongsawalee

Abstract

This article aims to investigate the effects of performance expectations, expectations of effort, social influence, facilitation conditions, resistance to change, and intention to use on the behaviors related to the utilization of health applications on smartphones. The study employed a multi-step random sampling method to gather questionnaire data from a sample of 400 individuals residing in the upper northeastern region, covering the provinces of Loei, Nong Khai, Bueng Kan, Nong Bua Lamphu, and Udon Thani. The subsequent analysis included descriptive statistics, confirmatory factor analysis and path analysis. The model's consistency with empirical data was verified through the path analysis. The relationship between variables is described as follows: 1) The intention to use is directly and positively affected by social influence, facilitation conditions, performance expectations, and expectations of effort. Together, these predictive variables account for 55.00 percent of the variance in the intention to use variable. 2) Usage behavior, is directly and positively affected by the intention to use and indirectly influenced in a positive manner by social influence, facilitation conditions, performance expectations, and expectations of effort. The results of this indirect influence are transmitted through the intention to use, jointly elucidating 76.00 percent of the variance in the usage behavior variables.

Article Details

How to Cite
Sinsap, S., Taichankong, K., & Pongsawalee, N. (2023). Causal Model of Factors Influencing the Usage Behavior of the Health Application on a Smartphone. Executive Journal, 43(2), 83–105. Retrieved from https://so01.tci-thaijo.org/index.php/executivejournal/article/view/265970
Section
Research Articles

References

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211.

Ajzen, I., & Fishbein, M. (1977). Attitude-behavior relations: A theoretical analysis and review of empirical research. Psychological Bulletin, 84(5), 888–918.

Alam, M. Z., Hu, W., & Barua, Z. (2018). Using the UTAUT model to determine factors affecting acceptance and use of mobile Health (mHealth) services in Bangladesh. Journal of Studies in Social Sciences, 17(2), 137-172.

Arfi, W. B., Nasr, I. B., Kondrateva, G., & Hikkerova, L. (2021). The role of trust in intention to use the IoT in eHealth: Application of the modified UTAUT in a consumer context. Technological Forecasting & Social Change, 167, 120688.

Baabdullah, A. M., Alalwan, A. A., Rana, N. P., Kizgin, H., & Patil, P. (2019). Consumer use of mobile banking (M-Banking) in Saudi Arabia: Towards an integrated model. International Journal of Information Management, 44, 38-52.

Becker, D. (2016). Acceptance of mobile mental health treatment applications. Procedia Computer Science, 98, 220–227.

Budi, N. F. A., Adnan, H. R., Firmansyah, F., Hidayanto, A. N., Kurnia, S., & Purwandari, B. (2021). Why do people want to use location-based application for emergency situations? The extension of UTAUT perspectives. Technology in Society, 65, 101480.

Chopdar, P. K. (2022). Adoption of Covid-19 contact tracing app by extending UTAUT theory: Perceived disease threat as moderator. Health Policy and Technology, 11(3), 100651.

Cortina, J. M. (1993). What is coefficient alpha: An examination of theory and applications? Journal of Applied Psychology, 78(1), 98-104.

Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319-340.

Deng, Z., Mo, X., & Liu, S. (2014). Comparison of the middle-aged and older users’ adoption of mobile health services in China. International Journal of Medical Informatics, 83(3), 210–224.

Department of Provincial Administration. (2022). Sathit prachākō̜n thāngkān thabīanrātsadō̜n (Rāi dư̄an) [Civil registration demographic statistics (Monthly)]. Retrieved November 1, 2022, from https://stat.bora.dopa.go.th/stat/statnew/statMONTH/statmonth/#/mainpage

Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50.

Fox, G., Clohessy, T., van der Werff, L., Rosati, P., & Lynn, T. (2021). Exploring the competing influences of privacy concerns and positive beliefs on citizen acceptance of contact tracing mobile applications. Computers in Human Behavior, 121, 106806.

Francis, T., & Hoefel, F. (2018). ‘True Gen’: Generation Z and its implications for companies. Sao Paulo, Brazil: Mckinsey & Company.

Gücin, N. O., & Berk, O. S. (2015). Technology acceptance in health care: An integrative review of predictive factors and intervention programs. Procedia-Social and Behavioral Sciences, 195, 1698–1704.

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2014). Multivariate data analysis (7th ed.). Harlow, United Kingdom: Pearson Education.

Handayani, P. W., Gelshirani, N. B., Azzahro, F., Pinem, A. A., & Hidayanto, A. N. (2020). The influence of argument quality, source credibility, and health consciousness on satisfaction, use intention, and loyalty on mobile health application use. Informatics in Medicine Unlocked, 20, 100429.

Helberger, N., et al. (2021). Conditions for technological solutions in a COVID-19 exit strategy, with particular focus on the legal and societal conditions (Report for ZonMw). Amsterdam: Institute for Information Law, University of Amsterdam.

Hirschheim, R., & Newman, M. (1988). Information systems and user resistance: Theory and practice. The Computer Journal, 31(5), 398–408.

Hoque, R., & Sorwar, G. (2017). Understanding factors influencing the adoption of mHealth by the elderly: An extension of the UTAUT model. International Journal of Medical Informatics, 101, 75-84.

Kelloway, E. K. (2015). Using Mplus for structural equation modeling; A researcher’s guide. California: Sage.

Kijsanayotin, B., Pannarunothai, S., & Speedie, S. M. (2009). Factors influencing health information technology adoption in Thailand’s community health centers: Applying the UTAUT model. International Journal of Medical Informatics, 78(6), 404-416.

Kim, J. O., & Mueller, C. W. (1978). Factor analysis: Statistical methods and practical issues. Beverly Hills, CA: Sage.

Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford Press.

Lallmahomed, M. Z., Lallmahomed, N., & Lallmahomed, G. M. (2017). Factors influencing the adoption of E-Government services in Mauritius. Telematics and Informatics, 34(4), 57–72.

Lian, J.- W., & Yen, D. C. (2014). Online shopping drivers and barriers for older adults: Age and gender differences. Computers in Human Behavior, 37, 133-143.

Marsh, H. W., Hau, K.-T., Balla, J. R., & Grayson, D. (1998). Is more ever too much? The number of indicators per factor in confirmatory factor analysis. Multivariate Behavioral Research, 33(2), 181-220.

National Statistical Office. (2023). Kānsamrūat kānmī kānchai thēknōlōyī sārasonthēt læ kānsư̄sān nai khrūarư̄an phō̜.sō̜. sō̜ngphanhārō̜ihoksiphā ( trai māt 4) [The 2022 household survey on the use of information and communication technology (quarter 4)]. Bangkok: Ministry of Digital Economy and Society.

Nikou, S., Agahari, W., Keijzer-Broers, W., & de Reuver, M. (2020). Digital healthcare technology adoption by elderly people: A capability approach model. Telematics and Informatics, 53, 101315. https://doi.org/10.1016/j.tele.2019.101315

Nuq, P. A., & Aubert, B. (2013). Towards a better understanding of the intention to use eHealth services by medical professionals: The case of developing countries. International Journal of Healthcare Management, 6(4), 217-236.

Pasunon, P. (2015). Khwām thīangtrong khō̜ng bǣpsō̜pthām samrap ngānwičhai thāng sangkhommasāt [Validity of questionnaire for social science research]. Journal of Social Sciences Srinakharinwirot University, 18(18), 375-396.

Pitiphat, S. (2022). Rǣng čhūngčhai thī song phon tō̜ khwām tangčhai ʻasi nakhā samư̄an nai kēm ʻō̜ nalai khō̜ng phūbō̜riphōk čhē nœ̄ rē chan sī [Motivation factors affecting virtual goods purchase intention in online games of generation Z consumer]. Journal of Economics and Management Strategy, 9(1), 180-197.

Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.

Schumacker, R. E., & Lomax, R. G. (2010). A beginner’s guide to structural equation modeling (3rd ed.). New Jersey: Lawrence Erlbaum.

Strategy and Planning Division of the Permanent Secretary Ministry of Public Health. (2021). Rāingān sathānaphāp kānchai Health Application khō̜ng krasūang sāthāranasuk phư̄a kānsư̄sān dān sukphāp [Report on the status of using the application of the Ministry of Public Health for health communication]. Nonthaburi: Office of the Permanent Secretary, Ministry of Public Health.

Tabachnick, B. G., & Fidell, L. S. (2019). Using multivariate statistics (7th ed.). Boston: Pearson.

Talukder, M. S., Sorwar, G., Bao, Y., Ahmed, J. U., & Palash, M. A. S. (2020). Predicting antecedents of wearable healthcare technology acceptance by elderly: A combined SEM-Neural Network approach. Technological Forecasting & Social Change, 150, 119793.

Turner, P., Turner, S., & van der Walle, G. (2007). How older people account for their experiences with interactive technology. Behaviour & Information Technology, 26(4), 287–296.

van der Waal, N. E., et al. (2022). Predictors of contact tracing app adoption: Integrating the UTAUT, HBM and contextual factors. Technology in Society, 71, 102101.

Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003). User acceptance of information technology: Toward a unified view. MIS Quarterly, 27(3), 425–478.

Venkatesh, V., Thong, J. Y. L., & Xu, X. (2012). Consumer acceptance and use of information technology: Extending the unified theory of acceptance and use of technology. MIS Quarterly, 36(1), 157-178.

World Health Organization. (2017). MHealth: Use of appropriate digital technologies for public health. Retrieved October 9, 2022, from https://apps.who.int/iris/bitstream/handle/10665/274134/B142_20-en.pdf?sequence=1&isAllowed=y

Xue, L., et al. (2012). An exploratory study of ageing women’s perception on access to health informatics via a mobile phone-based intervention. International Journal of Medical Informatics, 81(9), 637-648.

Yamin, M. A. Y., & Alyoubi, B. A. (2020). Adoption of telemedicine applications among Saudi citizens during COVID-19 pandemic: An alternative health delivery system. Journal of Infection and Public Health, 13(12), 1845–1855.