Elderly and middle-aged intention to use m-health services: an empirical evidence from a developing country

Moudud‐Ul‐Huq, Syed; Swarna, Rebeka Sultana; Sultana, Mahmuda

doi:10.1108/jet-04-2020-0018

Cited by 19 publications

(12 citation statements)

References 44 publications

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“…Besides, in a recent study in the context of Bangladesh as a developing county, Moudud-Ul-Huq, Swarna, and Sultana [ 68 ] used an extended version of UTUAT to find the factors that may significantly affect the elderly’s intention to use mhealth services. Likewise, Alam et al [ 69 ] added self-quarantine and health consciousness to extend UTUAT when studying the factors important for mHealth adoption.…”

Section: Literature Reviewmentioning

confidence: 99%

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

Palas

Sorwar

Hoque

et al. 2022

BMC Med Inform Decis Mak

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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.

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Section: Literature Reviewmentioning

confidence: 99%

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

Palas

Sorwar

Hoque

et al. 2022

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

show abstract

“…Several mHealth adoption studies have been carried out from a variety of perspectives in Bangladesh. For example, Hossain (2016) develops an effective mHealth paradigm from the user’s point of view; Hoque (2016) and Alam, Hu, Kaium, et al (2020) investigate the influential factors of mHealth; Hoque and Sorwar (2017), Kaium et al (2020), and Moudud-Ul-Huq et al (2021) explored the factors influencing mHealth adoption by the elderly. A cross-cultural (Bangladesh and China) study on mHealth investigated the relative importance of several factors influencing the intention and actual use of mHealth (Alam, Hu, Hoque, et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Re-Conceptualizing the Drivers Toward mHealth Adoption in a Least Developing Country: A Qualitative Exploration

2022

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Despite the recent proliferation of mHealth, the present research has not yet re-conceptualized on how mHealth can be used to promote healthcare over time. Researches have indicated that mHealth adoption and acceptance problems must be re-addressed to provide improved healthcare delivery. It is essential to explore the end-user centric factors for the complex implications process of mHealth before implementing it in practice. This research aims to re-conceptualize the contextual predictors of mHealth adoption in a least developing country. In-depth interviews with purposive and convenient sampling techniques were conducted with end-users ( n = 24) and healthcare professionals ( n = 15) in Bangladesh because qualitative research provides opportunities to explore end-user experiences and get detailed information about how they perceive user engagement in technology adoption. This study used grounded theory and thematic analysis to explain the state of mHealth adoption and to establish a theoretical basis for further investigations. Our findings indicate that traditional predictors for mHealth intention to use might not be enough. This study suggested four new predictors: “patients as a decision support unit,” “personal awareness building,” “health information exchange,” and “reward” to re-conceptualize the mHealth adoption. The study tried to clarify mHealth drivers from both end-users’ and healthcare professionals’ perspectives, which offered an alternative avenue that could provide the foundation for accepting mHealth widely.

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“…According to socioeconomic and demographic data, the average life expectancy is 73 years, the global fertility rate is 2.0, and two-thirds of children are enrolled in high school [25]. Bangladesh is among the top 20 nations in the world for the percentage of residents 65 and over, with an overall population of 165 million in 2020 [26]. Family and community caregiving might be expected.…”

Section: Social Safety Net Situation For the Older Populationmentioning

confidence: 99%

Senior Citizen’s Understanding Regarding the Quality of Life and Policy of Bangladesh

Lasker¹,

Mithila

Hossain³

et al. 2023

J.Math.Instr.Soc.Res.Opin.

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Older people are encouraged to participate more in the economic, social, and governmental sectors as part of progressive aging policies worldwide. Very little is known about applying engagement techniques or carrying out strategies in Bangladesh that are important for involving seniors in social engagement. Therefore, this qualitative research was conducted in Dhaka, Bangladesh, among 385 people aged sixty or above to assess their understanding of the quality of life and the gap in government policy. Results showed that between 60 and 65 were more mobile, creative, engaged in productive activity, and had significantly higher decision-making power (p<0.000). Aging greatly enhances dependency (p<0.000). Lower-educated people were significantly dependent on their families (p<0.000). Moreover, elderly income and the cost of treatment were significantly correlated to abuse (p<0.001). Furthermore, 10% of participants reported negative relationships with family members (p<0.031). However, most (61.6%) were unaware of the 2013 Parent's Care Act. Though most participants (73.2%) knew of the government-funded Old Age Allowance, 92.5% received no non-governmental assistance. The research concluded that education and economic condition have a long-term relationship with reducing dependency. In recommendation, Government can increase the retirement age from 59 to 65 years which may increase self of security, respect, and self-esteem and reduce harassment. Parent's Care Act 2013 should implement. Government should include Community Health and Social Service centers for the quality of life of the elderly.

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Elderly and middle-aged intention to use m-health services: an empirical evidence from a developing country

Cited by 19 publications

References 44 publications

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

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

Re-Conceptualizing the Drivers Toward mHealth Adoption in a Least Developing Country: A Qualitative Exploration

Senior Citizen’s Understanding Regarding the Quality of Life and Policy of Bangladesh

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