Mobile health (mHealth) is an important service that has remarkable effects on the development of the health care system. Health-related cognitive factors, such as perceived susceptibility (PSU), perceived severity (PSE), and health consciousness (HC), are associated with health-related technology adoption behavior. However, the underlying mechanisms of these associations have not been studied sufficiently. Attitude toward technology is a key construct in health psychology because it has a central role in motivating and changing behavior. Individuals’ attitude toward a particular behavior is expected to have a strong association with the behavior. This study aimed to examine how attitude toward mHealth plays a mediating role in the relationship between health-related cognitive factors (i.e., PSU, PSE, HC) and behavioral intention (BI) to adopt mHealth. A convenient sample of 374 Malaysian adults composed of 229 females and 149 males was recruited. These respondents completed a survey that measured PSU, PSE, HC, attitude toward mHealth, and BI to adopt mHealth. PSU and HC were significantly associated with BI to use mHealth, whereas PSE had no significant relationship with BI to use mHealth. Attitude toward mHealth mediated the relationship between two health-related cognitive factors (i.e., PSU and HC) and BI to adopt mHealth. The mediation results suggest that although BI to use mHealth is driven by health-related factors, it is facilitated by positive feelings toward health technology. Implications and recommendations for future research are presented.

Bahasa Abstract

Mobil Health (mHealth) adalah salah satu layanan yang paling menonjol dengan dampak luar biasa terhadap perkembangan sistem perawatan kesehatan. Faktor kognitif terkait kesehatan seperti persepsi kerentanan (PSU), persepsi keparahan (PSE) dan kesadaran kesehatan (HC) ditemukan berhubungan dengan perilaku penggunaan teknologi terkait kesehatan. Namun, mekanisme dasar hubungan ini tidak banyak dikaji. Sikap terhadap teknologi adalah konstruk kunci dalam psikologi kesehatan karena peran utamanya dalam memotivasi dan mengubah perilaku. Sikap individu terhadap perilaku tertentu diharapkan menunjukkan hubungan yang kuat dengan perilaku tersebut. Oleh karena itu, studi ini bertujuan untuk mengkaji peran mediasi sikap terhadap mHealth dalam hubungan antara faktor kognitif terkait kesehatan (yaitu PSU, PSE, HC) dan niat tingkah laku (BI) untuk menggunakan mHealth. Sampel sebanyak 374 orang dewasa Malaysia terdiri dari 229 perempuan dan 149 lelaki telah dikumpulkan melalui teknik convenient sampling. Responden melengkapi survei yang mengukur PSU, PSE, HC, sikap terhadap mHealth, dan BI penggunaan mHealth. PSU dan HC berhubungan secara signifikan dengan BI penggunaan mHealth sedangkan PSE tidak berhubungan signifikan. Sikap terhadap mHealth memediasi hubungan antara dua faktor kognitif terkait kesehatan (yaitu PSU dan HC) dengan BI penggunaan mHealth. Hasil efek mediasi menunjukkan bahwa meskipun niat perilaku untuk menggunakan mHealth adalah proses yang didorong oleh faktor-faktor terkait kesehatan, hubungan ini juga didukung oleh perasaan positif terhadap teknologi kesehatan. Artikel ini diakhiri dengan implikasi dan rekomendasi untuk penelitian masa depan.


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