Understanding older adults’ continuance intention toward wearable health technologies: an empowerment perspective

Yanping Zhang, Yiming Ma and Changyong Liang

Behaviour and Information Technology, 2025, vol. 44, issue 6, 1277-1294

Abstract: Although wearable health technologies (WHTs) hold tremendous potential as an effective means for health management among older adults, their continued use of WHTs remains a big challenge. Drawing on the fit-viability model and empowerment theory, this study proposes a paradigm of empowerment enablers – empowerment outcomes – behaviour intention to explore the mechanism of older adults’ continuance intention toward WHTs from an empowerment perspective. We collected 381 valid survey responses from older adults in China who have experience with WHTs. The results show that continuance intention is positively influenced by four dimensions of empowerment: autonomy, competence, involvement, and impact on health. Task-technology fit has a positive and significant influence on autonomy and competence, and elderly-oriented fit positively and significantly influences involvement and impact on health positively. While intergenerational support is associated with competence, involvement, and impact on health. This study contributes to expanding knowledge on the continuous use of WHTs among older adults from a new perspective. It also provides effective strategies for practitioners to enhance the retention of older adults using WHTs.

Date: 2025
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DOI: 10.1080/0144929X.2024.2350674

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