Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Understanding older adults’ acceptance of Chatbots in healthcare delivery

An extended UTAUT model

Bibliographic Data

ID22069179
AuthorsShulan Yu (0000-0003-0368-157X, Nanjing Forestry University, corresponding author), T S Chen (Nanjing Forestry University), Tianyue Chen
Year2024
Volume12
Pages1435329-1435329
Publication date2024-11-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1435329
PMID39628811
OpenAlexW4404510902
LanguageEN
Citations received4
References cited117

Background: Chatbots are increasingly integrated into the lives of older adults to assist with health and wellness tasks. This study aimed to understand the factors that enhance older adults' acceptance of chatbots in healthcare delivery. Methods: This study proposed an extended Unified Theory of Acceptance and Use of Technology model (UTAUT), including aging factors of perceived physical condition, self-actualization needs, and technology anxiety. The model was tested by PLS (Partial Least Squares) with data collected from 428 Chinese citizens aged 60 and above. Results: The results reveal that performance expectancy, effort expectancy, and social influence significantly affected older adults' behavioral intention to use chatbots. The facilitating conditions, self-actualization needs, and perceived physical condition significantly affected the actual use behavior of chatbots by older adults, whereas technology anxiety did not. Furthermore, the influence of effort expectancy and social influence on behavioral intention were moderated by experience. Conclusion: The behavioral intentions of older adults with low experience are more strongly influenced by social influences and effort expectancy. Furthermore, healthcare providers, designers, and policymakers should emphasize the impact of facilitating conditions, self-actualization needs, and perceived physical conditions on chatbot applications among older adults

Health care · Healthcare delivery · AI in Service Interactions · Computer Science · Digital Mental Health Interventions · Medicine · Psychology · Technology Use by Older Adults

  • Balancing automation and control

    Open Access•Darius Hennekeuser, Daryoush Daniel Vaziri et al.•i-com•2026

  • Bridging perception and reality

    Open Access•Zhengzijin Yang, Siyu Zhao•Frontiers in Public Health•2026

  • Research on the Motivations and Cognitive Changes of Older Groups Watching Micro-Short Dramas in the Smart Media Era

    Open Access•YU Qinghua•SAGE Open•2025

  • Influencing factors of usage intention for “Internet + Nursing Service” among older adults

    Yuxia Ma, Qiuxia Qian et al.•Educational Gerontology•2025

  • Advances In Experimental Social Psychology

    Bertram Gawronski•Advances in Experimental Social…•2022

  • Methods and Data Analysis for Cross-Cultural Research

    Open Access•Fons J R Van De Vijver, Kwok Leung et al.•Methods and Data Analysis for…•2021

  • The Use of Online Panel Data in Management Research

    Open Access•Christopher O L H Porter, Ryan Outlaw et al.•Journal of Management•2019

  • Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum

    John W Ayers, Adam Poliak et al.•JAMA Internal Medicine•2023

  • Social Foundations of Thought and Action

    Albert Bandura•The Health Psychology Reader•2002

  • Analyzing older users’ home telehealth services acceptance behavior—applying an Extended UTAUT model

    Open Access•Miha Cimperman, Maja Makovec Brenčič et al.•International Journal of Medical…•2016

  • PLS path modeling

    Open Access•Michel Tenenhaus, Vincenzo Esposito Vinzi et al.•Computational Statistics & Data…•2005

  • Personal Computing

    Ronald L Thompson, Christopher A Higgins et al.•MIS Quarterly•1991

  • Perspective

    Open Access•Chaiwoo Lee, Joseph F Coughlin•Journal of Product Innovation…•2015

  • The World Health Organization (WHO) approach to healthy ageing

    Open Access•Ewa Rudnicka, Paulina Napierała et al.•Maturitas•2020

  • Assessing IT Usage

    Shirley Taylor, Peter Todd•MIS Quarterly•1995

  • A Review of Conceptual Approaches and Empirical Evidence on Probability and Nonprobability Sample Survey Research

    Open Access•Carina Cornesse, Annelies G Blom et al.•Journal of Survey Statistics and…•2020

  • Comparison of the middle-aged and older users’ adoption of mobile health services in China

    Open Access•Zhaohua Deng, Xiuting Mo et al.•International Journal of Medical…•2014

  • Multigroup analysis of more than two groups in PLS-SEM

    Open Access•Jun‐hwa Cheah, Suzanne Amaro et al.•Journal of Business Research•2023

  • A Partial Least Squares Latent Variable Modeling Approach for Measuring Interaction Effects

    Wynne W Chin, Barbara L Marcolin et al.•Information Systems Research•2003

  • Factors predicting the use of technology

    Sara J Czaja, Neil Charne et al.•Psychology and Aging•2006

  • Partial Least Squares Structural Equation Modeling (PLS-SEM) in second language and education research

    Open Access•Joseph F Hair, Joseph Hair et al.•Research Methods in Applied…•2022

  • Should AI-Based, conversational digital assistants employ social- or task-oriented interaction style? A task-competency and reciprocity perspective for older adults

    Open Access•Veena Chattaraman, Wi-Suk Kwon et al.•Computers in Human Behavior•2019

  • Aging and Information Technology Use

    Open Access•Neil Charne, Neil Charness et al.•Current Directions in Psychological…•2009

  • Using PLS Path Modeling for Assessing Hierarchical Construct Models

    Martin Wetzels, Odekerken-Schröder Odekerken-Schröder et al.•MIS Quarterly•2009

  • Revisiting Sample Size and Number of Parameter Estimates

    Dennis L Jackson•Structural Equation Modeling: A…•2003

  • PLS-Sem

    Joe F Hair, Christian M Ringle et al.•Journal of Marketing Theory and…•2011

  • The theory of planned behavior

    Open Access•Icek Ajzen•Organizational Behavior and Human…•1991

  • User Acceptance of Information Technology

    Viswanath Venkatesh, Venkatesh Venkatesh et al.•MIS Quarterly•2003

  • Consumer Acceptance and Use of Information Technology

    Viswanath Venkatesh, Venkatesh Venkatesh et al.•MIS Quarterly•2012

  • Partial least squares structural equation modeling (PLS-SEM)

    Open Access•Joe F Hair Jr, Joe F Hair et al.•European Business Review•2014

  • Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology

    Fred D Davis•MIS Quarterly•1989

  • Structural Equation Models with Unobservable Variables and Measurement Error

    Open Access•Claes Fornell, David F Larcker•Journal of Marketing Research•1981

  • Voice-Activated Virtual Home Assistant Use and Social Isolation and Loneliness Among Older Adults

    Open Access•Cynthia F Corbett, Pamela J Wright et al.•Frontiers in Public Health•2021

  • Research on elderly users' intentions to accept wearable devices based on the improved UTAUT model

    Open Access•Junxun Chen, Tao Wang et al.•Frontiers in Public Health•2023

  • A study on community older people’s willingness to use smart home—an extended technology acceptance model with intergenerational relationships

    Open Access•Wenjing Wei, Xiaodong Gong et al.•Frontiers in Public Health•2023

  • Investigating older adults users’ willingness to adopt wearable devices by integrating the technology acceptance model (UTAUT2) and the Technology Readiness Index theory

    Open Access•Chengzhen Wu, Gyoo Gun Lim•Frontiers in Public Health•2024

  • A systematic review of research on speech-recognition chatbots for language learning

    Jaeho Jeon, Seongyong Lee et al.•Interactive Learning Environments•2024

  • Exploring older adults’ perception and use of smart speaker-based voice assistants

    Open Access•Sunyoung Kim, Abhishek Choudhury•Computers in Human Behavior•2021

  • Older adults’ technology anxiety as a barrier to digital inclusion

    Ha-Neul Kim, Paul P Freddolino et al.•Educational Gerontology•2023

  • Understanding students’ adoption of the ChatGPT chatbot in higher education

    Open Access•Athanasios Polyportis, Nikolaos Pahos•Behaviour and Information…•2025

  • The role of meta-UTAUT factors, perceived anthropomorphism, perceived intelligence, and social self-efficacy in chatbot-based services

    Open Access•Janarthanan Balakrishnan, Salma S Abed et al.•Technological Forecasting and…•2022

  • Predicting antecedents of wearable healthcare technology acceptance by elderly

    Open Access•Md Shamim Talukder, Golam Sorwar et al.•Technological Forecasting and…•2020

  • The role of trust in intention to use the IoT in eHealth

    Open Access•Wissal Ben Arfi, Imed Ben Nasr et al.•Technological Forecasting and…•2021

  • Factors affecting performance expectancy and intentions to use ChatGPT

    Open Access•Mark Anthony Camilleri•Technological Forecasting and…•2024

  • Mobile health technology adoption across generations

    Open Access•Grace Fox, Robert Connolly et al.•Information Systems Journal•2018

  • Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work

    Open Access•Charles S Hall, Edward Fottrell et al.•Global Health Action•2014

  • Are Older Adults Special in Adopting Public eHealth Service Initiatives? The Modified Model of UTAUT

    Open Access•Chiung-Chih Lu, Tung-Fei Tsai-Lin•SAGE Open•2024

  • Assessing Older Adults’ Intentions to Use a Smartphone

    Open Access•Cheng‐Chia Yang, Cheng-Lun Li et al.•International Journal of…•2022

  • The burden of non communicable diseases in developing countries

    Open Access•Abdesslam Boutayeb, Saber Boutayeb•International Journal for Equity…•2005

  • Chatbots for future docs

    Open Access•Julia-Astrid Moldt, Teresa Festl‐Wietek et al.•Medical Education Online•2023

  • Older people's intention to use medical apps during the Covid-19 pandemic in China

    Open Access•Yin Ma, Muyuan Luo•Ageing and Society•2024

  • Belief, Attitude, Intention and Behavior

    R J Hill, Martin Fishbein et al.•Contemporary Sociology A Journal…•1977

  • Self-Actualizing People in the 21st Century

    Open Access•Scott Barry Kaufman•Journal of Humanistic Psychology•2018

  • The moderator–mediator variable distinction in social psychological research

    Reuben M Baron, D A Kenny•Journal of Personality and Social…•1986

  • ChatGPT adoption and anxiety

    Open Access•Tribikram Budhathoki, Araz Zirar et al.•Studies in Higher Education•2024

  • Unified Theory of Acceptance and Use of Technology (UTAUT) Model

    Open Access•Isaac Kofi Mensah, M K Khan•SAGE Open•2024

  • The Theory of Reasoned Action

    Blair H Sheppard, Jon Hartwick et al.•Journal of Consumer Research•1988

Unique citing works4
Citations per year4
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae