User Experience and Extended Technology Acceptance Model in Commercial Health Care App Usage Among Patients With...

Area of Science:

• Digital Health
• Health Informatics
• Cancer Survivorship Care

Background:

• Digital health is crucial for proactive healthcare, aiding cancer survivor management and survival rates.
• Barriers like age disparities and app retention challenges necessitate understanding patient factors in digital health adoption.
• Assessing patient abilities and health status is vital for successful digital intervention implementation.

Purpose of the Study:

• Investigate app adherence and user experience in cancer survivors using commercial health apps.
• Employ an extended technology acceptance model (TAM) to analyze adoption factors.
• Identify key determinants influencing sustained engagement with digital health tools.

Main Methods:

• Surveyed 264 cancer survivors from May to August 2022.
• Collected app usage data from commercial app providers.
• Utilized TAM-based survey questions to assess user perceptions and behaviors.

Main Results:

• Categorized survivors into short (n=77), medium (n=101), and long (n=86) use groups based on app engagement.
• Found significant differences in perceived usefulness, interface satisfaction, equity, and utility across usage groups.
• Perceived ease-of-use positively impacted perceived usefulness, which, along with attitude, influenced behavioral intention and actual usage.

Conclusions:

• Positive user experience is critical for effective digital health tool utilization by cancer survivors.
• Clinician recommendations significantly enhance the adoption and sustained use of digital health interventions.
• Digital health tools play a vital role in the evolving landscape of cancer care and patient management.