ArticleJournal of medical Internet research2021
Determinants of Fitness App Usage and Moderating Impacts of Education-, Motivation-, and Gamification-Related App Features on Physical Activity Intentions: Cross-sectional Survey Study.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Drivers of Continued Fitness Short Video Usage: An Integrated Model of Technology Acceptance and Health Beliefs.Behavioral sciences (Basel, Switzerland) · 2026Article
- Exploring physical activity, perceived barriers, and social media influence in Turkish physiotherapy students.Scientific reports · 2026Article
- A mobile exercise management application based on exercise preferences in older adults with mild cognitive impairment: a development and usability study.BMC geriatrics · 2026Article
- Exploring Common and Novel Actualized Affordances of Fitbit: Mixed Methods Study.JMIR human factors · 2026Article
- Predictors of long-term resistance exercise adherence: evidence from a large cohort of mobile app users of various experience levels.Frontiers in sports and active living · 2026Article
- Effects of After-School Basketball Program on Physical Fitness and Cardiometabolic Health in Prepubertal Boys.Sports (Basel, Switzerland) · 2025Article
- Motivational influence of virtual reality in physical therapy for children with cerebral palsy: a systematic review protocol.BMJ open · 2025Article
- Survival analysis for predicting fitness app user churn.mHealth · 2025Article
- Psychological and technological predictors of the physical activity intention-behavior gap: an explainable machine learning analysis.Frontiers in psychology · 2025Article
- Research on the influencing factors of users' continuance intentions of wearable medical devices-a perspective integrating the UTAUT model and gamification elements.Frontiers in public health · 2025Article
- Bridging UTAUT and HBM: determinants of wearable device adoption among chronic disease patients.Frontiers in public health · 2025Article
- Intention to use personal health records and associated factors among healthcare providers in southwest Oromia region referral hospitals, Ethiopia: using the modified unified theory of acceptance and use technology 2 model.Frontiers in digital health · 2025Article
- Human Factors in AI-Driven Digital Solutions for Increasing Physical Activity: Scoping Review.JMIR human factors · 2024Article
- Health professionals' acceptance of mobile-based clinical guideline application in a resource-limited setting: using a modified UTAUT model.BMC medical education · 2024Article
- Lessons and Untapped Potential of Smartphone-Based Physical Activity Interventions for Mental Health: Narrative Review.JMIR mHealth and uHealth · 2024Review
- Understanding the factors of wearable devices among the patients with thyroid cancer: A modified UTAUT2 model.PloS one · 2024Article
- Intention to use personal health record system and its predictors among chronic patients enrolled at public hospitals in Bahir Dar city, northwest Ethiopia: using modified UTAUT2 model.Frontiers in medicine · 2024Article
- The Effects of Adopting Mobile Health and Fitness Apps on Hospital Visits: Quasi-Experimental Study.Journal of medical Internet research · 2023Article
- Improving Predictability and Effectiveness in Preventive Digital Health Interventions: Scoping Review.Interactive journal of medical research · 2023Article
- A Tailored Gender-Sensitive mHealth Weight Loss Intervention (I-GENDO): Development and Process Evaluation.JMIR formative research · 2022Article
Corrections and comments
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Authors and funding
2 authors.
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Abstract
backgroundSmartphone fitness apps are considered promising tools for promoting physical activity and health. However, it is unclear which user-perceived factors and app features encourage users to download apps with the intention of being physically active.
objectiveBuilding on the second version of the Unified Theory of Acceptance and Use of Technology, this study aims to examine the association of the seven determinants of the second version of the Unified Theory of Acceptance and Use of Technology with the app usage intentions of the individuals and their behavioral intentions of being physically active as well as the moderating effects of different smartphone fitness app features (ie, education, motivation, and gamification related) and individual differences (ie, age, gender, and experience) on these intentions.
methodsData from 839 US residents who reported having used at least one smartphone fitness app were collected via a web-based survey. A confirmatory factor analysis was performed, and path modeling was used to test the hypotheses and explore the influence of moderators on structural relationships.
resultsThe determinants explain 76% of the variance in the behavioral intention to use fitness apps. Habit (β=.42; P<.001), performance expectancy (β=.36; P<.001), facilitating conditions (β=.15; P<.001), price value (β=.13; P<.001), and effort expectancy (β=.09; P=.04) were positively related to behavioral intention to use fitness apps, whereas social influence and hedonic motivation were nonsignificant predictors. Behavioral intentions to use fitness apps were positively related to intentions of being physically active (β=.12; P<.001; R
conclusionsThis study identifies the drivers of the use of fitness apps. Smartphone app features should be designed to increase the likelihood of app usage, and hence physical activity, by supporting users in achieving their goals and facilitating habit formation. Target group-specific preferences for education-, motivation-, and gamification-related app features, as well as age and gender differences, should be considered. Performance expectancy had a high predictive power for intended usage for male (vs female) users who appreciated motivation-related features. Thus, apps targeting these user groups should focus on goal achievement-related features (eg, goal setting and monitoring). Future research could examine the mechanisms of these moderation effects and their long-term influence on physical activity.
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