摘 要：Introduction The sustainable development of mobile health (mHealth) services relies on the continuous use by users. Most studies consider users' intention to continue using mHealth services as a static measure rather than one that changes dynamically over time, often neglecting the impact of individual differences, such as the presence of chronic disease, on usage patterns.Methods Drawing on the expectation-confirmation model, this study investigates the dynamic nature of the intention to continue using mHealth services, with a particular focus on the role of chronic disease. Conducting a longitudinal study with three rounds of online survey, we analyzed data collected from 236 completed respondents using a latent growth model.Results The results indicate that users' intention to continue using mHealth services is not static and tends to decrease over time. Expectation accelerates the descent, while confirmation mitigates it. Furthermore, expectation shows a stronger impact on users without chronic disease compared to those with chronic conditions.Discussion This study advances the understanding of the continuous use of mHealth services by incorporating time-based dynamics and the influence of chronic disease. This study also extends the traditional expectation-confirmation model into a dynamic framework.
关键词:mHealth services；continuous use；latent growth model；expectation-confirmation model；chronic disease
【本文第一作者为四川大学公共管理学院特聘副研究员。】
