Exploring the human factors for mindfulness in mHealth service usage: An Elaboration Likelihood Model

Abstract

MHealth service is widely accepted as a good path towards healthcare promotion. However, patients’ low-level usage restricted its effectiveness. This work draws upon the elaboration likelihood model and mindfulness theory to investigate the mindfulness mechanism in mHealth service usage, which highlights: First, both perceived information quality and mindfulness positively affect mHealth service usage. Also, perceived information quality is observed to affect the establishment of mindfulness positively. These findings stress that both perceived information quality and mindfulness are essential for mHealth service usage. Second, peer patient influence and physicians’ recommendations positively affect the establishment of mindfulness. These findings stress that human factors are essential for consumers’ establishment of mindfulness. Third, mindfulness mediates the relationship between human factors and mHealth service usage. This phenomenon indicates that when consumers adopt a mHealth service, both peer patient influence and physicians’ recommendations have a positive impact on mHealth service usage indirectly. Fourth, the effects of both peer patient influence and physicians’ recommendations on mindfulness depend on patients’ perceived eHealth literacy levels. This finding illustrates that while peer patient influence is especially crucial for improving mindfulness in a cohort with a high-level perceived eHealth literacy, physicians’ recommendations are especially crucial for improving mindfulness in a cohort with low-level perceived eHealth literacy.