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Information-Motivation-Behavioral Skills Model Supplemented With the Moderated-Mediation Path: A Framework for
Zhi-Guang Li1, Jin-Jin Ge2, Chi Zhang3
1The First Affiliated Hospital with Nanjing Medical University, China.
American Journal of Health Promotion : AJHP
|June 29, 2023
Summary
This study investigated factors influencing patients' use of online medical services (OMS). Motivation and behavioral skills, particularly through intention, significantly predicted OMS utilization, with gender moderating effects.
Area of Science:
- Behavioral science
- Health informatics
- Digital health
Background:
- Online medical services (OMS) offer convenient healthcare access.
- Understanding patient adoption barriers is crucial for effective digital health strategies.
- The information-motivation-behavioral skills model provides a framework for studying health behavior.
Purpose of the Study:
- To explore internal determinants of patients' utilization of online medical services (OMS).
- To examine the influence of information, motivation, and behavioral skills on OMS use.
- To test the information-motivation-behavioral skills model in the context of OMS adoption.
Main Methods:
- Cross-sectional study involving 470 outpatients in Jiangsu Province, China.
- Self-administered questionnaire assessing demographic characteristics, OMS utilization factors, intention, and behavior.
- Structural equation modeling to analyze relationships between model components and OMS utilization.
Main Results:
- Information and motivation positively influenced OMS utilization behavior via behavioral skills and intention (P < .001).
- Motivation and behavioral skills positively impacted OMS utilization behavior through intention (P < .01).
- Motivation was the strongest predictor of OMS utilization; gender moderated the behavior.
Conclusions:
- Interventions promoting OMS use should target information, motivation, and behavioral skills.
- Tailoring interventions considering gender differences is recommended for enhanced effectiveness.
- The findings support the applicability of the information-motivation-behavioral skills model to OMS adoption.
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