Mobile Technology Adoption in Healthcare-A Behavioral Understanding of Chronic Patients' Perspective

Background: In an era of unprecedented technology adoption in healthcare, it is imperative to understand and predict factors influencing users' perspective. This study employs a risk-integrated technology acceptance model aiming to identify the determinants of the intention to use mobile health applications among patients with chronic diseases in Romania. Methods: A face-to-face survey method was used to collect research data from 207 subjects, and the partial least squares structural equation modeling approach was employed for data analysis. Results: The behavioral intention to use mobile health applications (INT) was influenced positively by the perceived ease of use (PEOU, f² = 0.358, β = 0.500, p < 0.001) and perceived usefulness (PU, f² = 0.271, β = 0.678, p < 0.001). Another core predictor, with a negative effect on the intention to use, was the user's perceived risk of using the technology (RISK, f² = 0.239, β = -0.321, p < 0.001), in turn influenced by the perceived degree of cyber-insecurity (CYBER, f² = 0.492, β = 0.639, p < 0.001). Digital self-efficacy (DSE) was identified as an external determinant with strong positive influence on PEOU (f² = 0.486, β = 0.610, p < 0.001). The model shows strong performance, reflected in a high Tenenhaus goodness-of-fit index (0.770) and solid explanatory power for the outcome variable (adjusted R² = 0.718). Conclusions: This study validates an extended risk-integrated technology acceptance model, offering robust insights into the determinants of mobile health application adoption among chronic patients in Romania. The findings provide actionable guidance for designing targeted interventions and healthcare policies to enhance technology adoption in this population.