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Why Older Adults Resist Mobile Health Information Services: A Conceptual Model Based on the
Ying Zhao1, Ziwei Wang1, Fan Ke1
1School of Public Administration, Sichuan University, Chengdu 610065, China.
Healthcare (Basel, Switzerland)
|July 15, 2026
Summary
Older adults resist mobile health information services (MHISs) due to technology barriers and anxiety, but perceived autonomy can reduce this resistance. User-centric design and training are key to improving access for seniors.
Area of Science:
- Gerontology
- Health Informatics
- Human-Computer Interaction
Background:
- Mobile health information services (MHISs) are vital for health delivery and patient well-being.
- Older adults' resistance to MHIS use limits access to these crucial health benefits.
- The technology-personal-environment (TPE) framework guides the study of this resistance.
Purpose of the Study:
- To construct and validate a comprehensive model explaining older adults' resistance to MHIS use.
- To identify key factors contributing to technology anxiety and perceived autonomy in older adults.
- To understand the relationship between these factors and resistance to MHIS adoption.
Main Methods:
- Quantitative analysis of data from 430 Chinese adults aged 65 and above.
- Utilized structural equation modeling to test the proposed TPE-based model.
- Data collected from participants in a free public health check-up program.
Main Results:
- Technology access/usage barriers, declining health, and resistance to change increased technology anxiety.
- Declining health, resistance to change, social power, and institutional effort decreased perceived autonomy.
- Technology anxiety positively correlated with resistance to MHIS use, while perceived autonomy negatively correlated.
Conclusions:
- Technological barriers, individual traits, and environmental factors influence older adults' MHIS resistance.
- Alleviating technology anxiety via user-centric design and training is crucial.
- Fostering perceived autonomy through respect and participation enhances MHIS adoption among seniors.
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