Evidence map›Paper›PMID 36109594›Full record

ReviewNPJ digital medicine2022

Identifying major impact factors affecting the continuance intention of mHealth: a systematic review and multi-subgroup meta-analysis.

Tong Wang, Wei Wang, Jun Liang, Mingfu Nuo, Qinglian Wen, Wei Wei, Hongbin Han, Jianbo Lei

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tong WangDepartment of Medical Informatics, School of Public Health, Jilin University, Changchun, Jilin Province, China.ORCID http://orcid.org/0000-0002-4422-6197
Wei WangDepartment of Medical Informatics, School of Public Health, Jilin University, Changchun, Jilin Province, China.
Jun LiangIT Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
Mingfu NuoInstitute of Medical Technology, Health Science Center, Peking University, Beijing, China.
Qinglian WenDepartment of Oncology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.
Wei WeiDepartment of Gastroenterology, Wangjing hospital, Beijing, China.
Hongbin HanInstitute of Medical Technology, Health Science Center, Peking University, Beijing, China. hanhongbin@bjmu.edu.cn.ORCID http://orcid.org/0000-0002-6988-4698
Jianbo LeiInstitute of Medical Technology, Health Science Center, Peking University, Beijing, China. jblei@hsc.pku.edu.cn.ORCID http://orcid.org/0000-0002-1744-0235

Funding

National Natural Science Foundation of China (National Science Foundation of China) 81871455
6 · The paper itself

Abstract

The mobile health (mHealth) industry is an enormous global market; however, the dropout or continuance of mHealth is a major challenge that is affecting its positive outcomes. To date, the results of studies on the impact factors have been inconsistent. Consequently, research on the pooled effects of impact factors on the continuance intention of mHealth is limited. Therefore, this study aims to systematically analyze quantitative studies on the continuance intention of mHealth and explore the pooled effect of each direct and indirect impact factor. Until October 2021, eight literature databases were searched. Fifty-eight peer-reviewed studies on the impact factors and effects on continuance intention of mHealth were included. Out of the 19 direct impact factors of continuance intention, 15 are significant, with attitude (β = 0.450; 95% CI: 0.135, 0.683), satisfaction (β = 0.406; 95% CI: 0.292, 0.509), health empowerment (β = 0.359; 95% CI: 0.204, 0.497), perceived usefulness (β = 0.343; 95% CI: 0.280, 0.403), and perceived quality of health life (β = 0.315, 95% CI: 0.211, 0.412) having the largest pooled effect coefficients on continuance intention. There is high heterogeneity between the studies; thus, we conducted a subgroup analysis to explore the moderating effect of different characteristics on the impact effects. The geographic region, user type, mHealth type, user age, and publication year significantly moderate influential relationships, such as trust and continuance intention. Thus, mHealth developers should develop personalized continuous use promotion strategies based on user characteristics.

Identifiers

PMID36109594
PMCPMC9476418

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.