To adopt or not to adopt mobile health applications? A study among Generation X mobile phone users in a developing country

Abstract

PurposeThis study utilizes the extended technology acceptance model (E-TAM) to explore the key factors influencing the behavioral intention of Generation X (Gen X) users in Malaysia to adopt mobile health applications (MHAs).Design/methodology/approachA total of 252 responses were gathered from the Malaysian Gen X population through an online survey using a non-probability purposive sampling technique. Data were analyzed using SmartPLS software to validate the proposed framework and provide a logical foundation for achieving the study’s objectives.FindingsThe results reveal that perceived system quality (PSQ), perceived mobile experience (PXS), perceived ease of use (PEOU), perceived playfulness (PPF), perceived usefulness (PU) and attitude are all positively associated with behavioral intention to use MHAs.Originality/valueThis research extends the TAM by introducing novel constructs – PSQ, PXS and PPF – forming the E-TAM framework to analyze MHA adoption, a perspective not previously explored in the Malaysian context. From a practical standpoint, this study provides actionable insights to enhance the adoption of MHAs among Malaysia’s pivotal Gen X population. The findings aim to guide the development of engaging and user-friendly mHealth applications to improve self-care capabilities and increase user satisfaction.