Willingness and influencing factors of adults receiving Hemodialysis to use mobile healthcare apps: a cross-sectional study

Abstract Purpose Grounded on the Technology Acceptance Model and integrating theories of perceived risk and trust, this study explores the willingness of adults receiving hemodialysis to use mobile healthcare application services as well as its influencing factors. Individuals and methods Using conv...

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Main Authors: Jun Xu, Suping Guo, Xintao Yu, Xiaojing Ji
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Nephrology
Subjects:
Online Access:https://doi.org/10.1186/s12882-025-04228-7
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author Jun Xu
Suping Guo
Xintao Yu
Xiaojing Ji
author_facet Jun Xu
Suping Guo
Xintao Yu
Xiaojing Ji
author_sort Jun Xu
collection DOAJ
description Abstract Purpose Grounded on the Technology Acceptance Model and integrating theories of perceived risk and trust, this study explores the willingness of adults receiving hemodialysis to use mobile healthcare application services as well as its influencing factors. Individuals and methods Using convenience sampling, 313 adults receiving hemodialysis treated in a comprehensive hospital in Yangzhou City were selected as survey participants from January to March 2024. The study utilized a general information questionnaire and a specific questionnaire assessing the willingness of individuals on hemodialysis to use mobile healthcare application services. A structural equation model was constructed to analyze the influencing factors. Results The scores for each dimension assessing the willingness of adults receiving hemodialysis to use mobile healthcare application services questionnaire were as follows: Perceived Risk (3.31 ± 1.20), Perceived Trust (3.63 ± 0.85), Social Influence (3.84 ± 0.86), Perceived Ease of Use (3.57 ± 0.96), Perceived Usefulness (3.69 ± 0.84), Individual Innovativeness (4.02 ± 0.97), and Willingness to Use (3.85 ± 0.92). Structural equation model analysis indicated that Perceived Ease of Use, Perceived Usefulness, and Individual Innovativeness have a positive impact on the Willingness to Use, with effect values of 0.25, 0.38, and 0.21, respectively. There differences were statistically significant (all P < 0.05). Conclusion The willingness level of adults receiving hemodialysis to use mobile healthcare application services is above average. Key factors influencing the willingness of individuals on hemodialysis to use these services are Perceived Ease of Use, Perceived Usefulness, and Individual Innovativeness. Clinical trial number ChiCTR2400087782.
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spelling doaj-art-c4759b05b06342c28b028b573eeec4512025-08-20T03:37:28ZengBMCBMC Nephrology1471-23692025-07-0126111010.1186/s12882-025-04228-7Willingness and influencing factors of adults receiving Hemodialysis to use mobile healthcare apps: a cross-sectional studyJun Xu0Suping Guo1Xintao Yu2Xiaojing Ji3Blood Purification Center, Northern Jiangsu People’s HospitalBlood Purification Center, Northern Jiangsu People’s HospitalBlood Purification Center, Northern Jiangsu People’s HospitalBlood Purification Center, Northern Jiangsu People’s HospitalAbstract Purpose Grounded on the Technology Acceptance Model and integrating theories of perceived risk and trust, this study explores the willingness of adults receiving hemodialysis to use mobile healthcare application services as well as its influencing factors. Individuals and methods Using convenience sampling, 313 adults receiving hemodialysis treated in a comprehensive hospital in Yangzhou City were selected as survey participants from January to March 2024. The study utilized a general information questionnaire and a specific questionnaire assessing the willingness of individuals on hemodialysis to use mobile healthcare application services. A structural equation model was constructed to analyze the influencing factors. Results The scores for each dimension assessing the willingness of adults receiving hemodialysis to use mobile healthcare application services questionnaire were as follows: Perceived Risk (3.31 ± 1.20), Perceived Trust (3.63 ± 0.85), Social Influence (3.84 ± 0.86), Perceived Ease of Use (3.57 ± 0.96), Perceived Usefulness (3.69 ± 0.84), Individual Innovativeness (4.02 ± 0.97), and Willingness to Use (3.85 ± 0.92). Structural equation model analysis indicated that Perceived Ease of Use, Perceived Usefulness, and Individual Innovativeness have a positive impact on the Willingness to Use, with effect values of 0.25, 0.38, and 0.21, respectively. There differences were statistically significant (all P < 0.05). Conclusion The willingness level of adults receiving hemodialysis to use mobile healthcare application services is above average. Key factors influencing the willingness of individuals on hemodialysis to use these services are Perceived Ease of Use, Perceived Usefulness, and Individual Innovativeness. Clinical trial number ChiCTR2400087782.https://doi.org/10.1186/s12882-025-04228-7Mobile healthcare appsTechnology acceptance modelHemodialysisWillingness and factor
spellingShingle Jun Xu
Suping Guo
Xintao Yu
Xiaojing Ji
Willingness and influencing factors of adults receiving Hemodialysis to use mobile healthcare apps: a cross-sectional study
BMC Nephrology
Mobile healthcare apps
Technology acceptance model
Hemodialysis
Willingness and factor
title Willingness and influencing factors of adults receiving Hemodialysis to use mobile healthcare apps: a cross-sectional study
title_full Willingness and influencing factors of adults receiving Hemodialysis to use mobile healthcare apps: a cross-sectional study
title_fullStr Willingness and influencing factors of adults receiving Hemodialysis to use mobile healthcare apps: a cross-sectional study
title_full_unstemmed Willingness and influencing factors of adults receiving Hemodialysis to use mobile healthcare apps: a cross-sectional study
title_short Willingness and influencing factors of adults receiving Hemodialysis to use mobile healthcare apps: a cross-sectional study
title_sort willingness and influencing factors of adults receiving hemodialysis to use mobile healthcare apps a cross sectional study
topic Mobile healthcare apps
Technology acceptance model
Hemodialysis
Willingness and factor
url https://doi.org/10.1186/s12882-025-04228-7
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AT xintaoyu willingnessandinfluencingfactorsofadultsreceivinghemodialysistousemobilehealthcareappsacrosssectionalstudy
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