Wearable health information systems intermittent discontinuance

Abstract

Purpose -Wearable health information systems (IS) open up a new era for personal health self-management, and bring about disruptive changes to individual lives. However, prior studies on IS post-adoptive behavior primarily focused on either continuance or discontinuance, neglecting the mutual transformation process between IS usage and rejection behavior. This behavior is expressed as intermittent discontinuance in the current study. By revising and extending the expectation-disconfirmation model, the purpose of this paper is to understand the factors affecting information system intermittent discontinuance in the context of wearable eHealth. Design/methodology/approach -This study proposes a revised expectation-disconfirmation model by incorporating four new theoretical constructs, i.e. neutral disconfirmation, attitudinal ambivalence, neutral satisfaction, and intermittent discontinuance. An online survey was used to validate the research model, and 428 wearable health device users were recruited in this study.Findings -Empirical results demonstrate that neutral disconfirmation exerts positive effects on neutral satisfaction and attitudinal ambivalence, both of which further have positive effects on intermittent discontinuance. In addition, attitudinal ambivalence also has a positive and significant effect on neutral satisfaction. Originality/value -This study extends the current understanding on IS post-adoption usage behavior by introducing a new concept, i.e., intermittent discontinuance. In particular, post-adoption usage behavior is viewed as a dynamic process within a changing environment in this study. Some unique features specific to intermittent discontinuance are also identified. In this regard, neutral and conflicting constructs further add new values to IS adoption and diffusion literature. In addition, the integration of eHealth and wearable devices provides a fruitful research context for future research, and this study represents one of the first attempts to empirically explore the intermittent usage problems encountered within this emerging phenomenon.

Knowledge withholding in online knowledge spaces: Social deviance behavior and secondary control perspective

“…As shown in Table , all weight values of subconstructs on their theoretically related second‐order constructs are significant and positive, suggesting that the validity of second‐order formative constructs in this study is acceptable (Petter et al, ). In addition, the construct reliability of second‐order formative construct was assessed by checking the potential multicollinearity problems among the subconstructs (Petter et al, ; Shen, Li, & Sun, ). Table shows that VIF values for all subconstructs range from 1.363 to 1.818, smaller than the threshold of 3 (Diamantopoulos, ).…”

Intermittent Continuance of Smart Health Devices: A Zone-of-Tolerance Perspective

“…Intermittent continuance refers to a dynamic usage process in which information systems are used off and on. Intermittent continuance also can be considered as a usage state falling somewhere in between continuance and discontinuance [12], and it reflects a periodic cycle of "stop-readopt" process [13]. We can take the smart sphygmomanometer for example.…”

“…In line with previous research, we adopted satisfaction as a core variable predicting postadoptive usage behavior, and further divided it into two variables, namely, satisfaction and neutral satisfaction. In particular, satisfaction is defined as an affect with a positive valence obtained from the evaluation of the device, while neutral satisfaction is defined as an affect with a neutral valence (that is, neither favorable nor unfavorable) from the assessment [13]. In this regard, users with satisfaction might express their feelings using positive words, such as "Good" or "I like it", while those with neutral satisfaction might say "Not bad" or "Sort of" to express some fairly neutral feelings.…”

“…In other words, some of the minimum expectations are satisfied, but some of the extra user expectations are not met. As a result, users can tolerate the performance of smart health devices to a certain extent, but they will not develop any remarkable emotion tendency because they are in a state of neither being completely satisfied nor being completely dissatisfied [21], which would lead to neutral satisfaction [13]. On the other side, an extremely high level of performance adequacy implies that the perceived performance is quite good, even beyond users desired expectations.…”

“…For example, Meyer et al [4] have found that the usage pattern of most activity tracker users was intermittent. However, intermittent continuance still has not received sufficient and necessary attention from the academic community, and related research is rather limited [13]. In particular, previous empirical research on the postadoptive usage behaviors of smart health devices mainly focused on continuance or discontinuance intention (e.g., [8][9] [10]) and implicitly assumed that post-adoptive usage behavior was static or unchanging.…”