Behavioral Interpretation of Willingness to Use Wearable Health Devices in Community Residents: A Cross-Sectional Study

Jiaxin Chen, Ting Li, Hua You (), Jingyu Wang, Xueqing Peng and Baoyi Chen
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Jiaxin Chen: School of Nursing, Nanjing Medical University, Nanjing 211166, China
Ting Li: Geriatric Hospital of Nanjing Medical University, Nanjing 210009, China
Hua You: School of Public Health, Nanjing Medical University, Nanjing 211166, China
Jingyu Wang: School of Public Health, Nanjing Medical University, Nanjing 211166, China
Xueqing Peng: Chengdu Center for Disease Control and Prevention, Chengdu 610041, China
Baoyi Chen: MaiGaoQiao Community Health Service Center, Nanjing 210028, China

IJERPH, 2023, vol. 20, issue 4, 1-11

Abstract: Wearable health devices (WHDs) have become increasingly advantageous in long-term health monitoring and patient management. However, most people have not yet benefited from such innovative technologies, and the willingness to accept WHDs and their influencing factors are still unclear. Based on two behavioral theories: the theory of planned behavior (TPB) and the diffusion of innovation (DOI), this study aims to explore the influencing factors of willingness to use WHDs in community residents from the perspective of both internal and external factors. A convenience sample of 407 community residents were recruited from three randomly selected Community Health Service Centers (CHSCs) in Nanjing, China, and were investigated with a self-developed questionnaires. The mean score of willingness to use WHDs was 17.00 (range 5–25). In the dimensions of TPB, perceived behavioral control (β = 1.979, p < 0.001) was the strongest influencing factor. Subjective norms (β = 1.457, p < 0.001) and attitudes (β = 0.651, p = 0.016) were also positively associated with willingness. In innovation characteristics of DOI, compatibility (β = 0.889, p < 0.001) and observability (β = 0.576, p = 0.003) had positive association with the willingness to wear a WHD. This study supports the applicability of the two behavioral theories to interpret the willingness to use WHDs in Chinese community residents. Compared with the innovative features of WHDs, individual cognitive factors were more critical predictors of willingness to use.

Keywords: wearable health devices (WHDs); theory of planned behavior (TPB); diffusion of innovation theory (DOI); willingness to use; community residents (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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