The Analysis of Factors Influencing the Intention to Use of Military Telemental Health Services Among Psychiatric Outpatients at Military Hospital

Abstract

Purpose:

This study analyzed the intention to use military telemental health services and its influencing factors, based on an integrated theoretical framework combining the Unified Theory of Acceptance and Use of Technology and the Health Belief Model.

Methods:

A questionnaire-based cross-sectional design was employed. Data were collected through an online survey conducted over a 4-week period from July 9 to August 8, 2025.

Results:

The mean intention-to-use score, measured on a 7-point Likert scale, was 4.57 (±1.24), indicating a relatively positive level. Intention to use was significantly higher among established patients than new patients. In the multiple regression analysis, social influence and number of visits were identified as statistically significant factors associated with intention to use.

Conclusions:

External factors, such as social influence and prior medical experience, were more strongly associated with intention to use than with individual perceptions of service utilization. These results indicate the need for organizations to foster positive awareness of telemental health services. Furthermore, it is essential to address potential barriers related to resources, information, and security in advance. This study will serve as a foundation for system development and for future research on intention to use military telemental health.