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The longitudinal relationships between Internet adaptability and usage behavior on AI-driven healthcare platforms

A cross-lagged panel network analysis

Bibliographic Data

ID21282937
AuthorsLi Zhao (0009-0004-7836-6878, Capital University of Economics and Business), Feixue Sui (Shandong Agricultural University, corresponding author)
Year2026
Volume264
Pages106361
Publication date2026-04-01
Open AccessYes
TypeARTICLE
VenueActa Psychologica (JOURNAL)
Journal identifiersISSN: 0001-6918 • E-ISSN: 1873-6297
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.actpsy.2026.106361
PMID41655348
OpenAlexW7128294835
LanguageEN
References cited61

Internet adaptability on artificial intelligence (AI) healthcare platforms is a key factor influencing users' continued usage and the effectiveness of platform outcomes. It has emerged as a major challenge in the era of digital healthcare transformation. However, it remains unclear to what extent users' Internet adaptability and platform usage behaviors interact, predict each other, and sustain a dynamic pattern of co-evolution. Therefore, this study employed cross-lagged panel network (CLPN) analysis with a multi-wave longitudinal design to uncover the network structure and dynamic interaction mechanisms underlying the co-occurrence of users' network adaptability and usage behaviors on AI-driven healthcare platforms. The results show that (1) In the cross-sectional network, there was a relatively dispersed structure during the early stage. As user experience accumulated, the network became increasingly centralized around a few core pathways, with self-efficacy and disease prevention emerging as key nodes. (2) According to the CLPN analysis, network adaptability factors (such as information protection, learning ability, and self-control) significantly promoted later usage behavior on AI-driven healthcare platforms (particularly self-diagnosis and disease prevention), forming a causal chain from adaptation to usage. (3) There are gender differences in the predictive effects of various dimensions of Internet adaptability on platform usage behaviors. Female users tend to adopt a socially oriented and holistic approach to health information processing, whereas male users are more inclined towards a tool-oriented and functional usage pattern. Interpreting user behavior evolution in intelligent healthcare environments, this research provides theoretical insights for the personalized design and precision service of AI-driven healthcare platforms

Adaptability · Adaptation (eye) · Health care · Healthcare service · Key (lock) · Service (business) · The Internet · Digital Mental Health Interventions · Technology Adoption and User Behaviour · Technology Use by Older Adults

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