Purpose

Mobile health (mHealth) services are considered an important means of relieving the problems of the aging population. The efficiency of mHealth services can be enhanced by engaging more elderly users and guaranteeing their continued use. However, limited attention has been directed toward investigating elderly users' continuance intention regarding mHealth services. The purpose of this paper is to explain elderly users' continuance intention by investigating the contingent role of technology anxiety and health anxiety on affective trust and cognitive trust.

Design/methodology/approach

Survey data were collected from 232 elderly users to verify the research model and hypotheses based on structural equation modeling (SEM).

Findings

This study revealed that both affective and cognitive trust enhance elderly users' continuance intention regarding their use of mHealth services. Health anxiety strengthens the effect of cognitive trust but weakens the effect of affective trust with regard to continuance intention. Furthermore, technology anxiety strengthens the effect of affective trust but not the effect of cognitive trust with regard to continuance intention.

Originality/value

This study is one of the first to examine elderly users' continuance intention regarding mHealth services use from the perspective of affective and cognitive trust, thus enriching the extant literature on the use of mHealth services. Additionally, this study sheds light on the contingent effects of technology anxiety and health anxiety on affective and cognitive trust, which have been neglected by previous research.

中文翻译：

---

信任和老年用户对移动健康服务的持续意愿：健康和技术焦虑的偶然作用

目的

移动医疗（mHealth）服务被认为是缓解人口老龄化问题的重要手段。通过吸引更多的老年用户并保证他们的持续使用，可以提高移动医疗服务的效率。然而，对调查老年用户对 mHealth 服务的持续意愿的关注有限。本文的目的是通过调查技术焦虑和健康焦虑对情感信任和认知信任的偶然作用来解释老年用户的持续意图。

设计/方法/方法

从 232 名老年用户中收集调查数据，以验证基于结构方程模型 (SEM) 的研究模型和假设。

发现

本研究表明，情感信任和认知信任都增强了老年用户使用 mHealth 服务的持续意愿。健康焦虑增强了认知信任的作用，但削弱了情感信任对持续意向的作用。此外，技术焦虑增强了情感信任的效果，但不增强认知信任对持续意图的影响。

原创性/价值

本研究是最早从情感和认知信任的角度考察老年用户对 mHealth 服务使用的持续意愿的研究之一，从而丰富了现有的 mHealth 服务使用文献。此外，这项研究揭示了技术焦虑和健康焦虑对情感和认知信任的偶然影响，这些影响被先前的研究忽视了。