Perceived Ease of Use, Perceived Enjoyment, and Continuance Intention as Predictors of Medical Students' Well-being in Hybrid Learning: An Extended TAM Approach

QIUMEI WANG¹Hui Zhan²Yu Liang¹Lin Ai^1*Peilong Li^1*

• ¹Youjiang Medical University for Nationalities, Baise, China
• ²Patton College of Education, Ohio University, Athens, United States

Introduction: While hybrid learning has transformed educational environments by enhancing student engagement and learning outcomes, challenges related to medical students' well-being have emerged, especially with the application of the TAM. Methods: To explore how technology-related factors, such as perceived ease of use, perceived enjoyment, and continuance intention, impact medical students' well-being, a set of questionnaires was distributed to 337 randomly chosen undergraduate students from three medical universities in Guangxi, China. Results: PLS-SEM results indicated that the ease of use and perceived enjoyment of hybrid learning systems had a significant, direct, and positive impact on students' well-being. Their impact was also mediated by students' intentions to continue utilizing the system in the learning process. Discussion: Both perceived ease of use and enjoyment significantly influenced students' continuance intention, which in turn positively affected their well-being. Perceived ease of use significantly affects student well-being much more than enjoyment, emphasizing the importance of user-friendly interfaces over purely enjoyable features in hybrid learning platforms for medical students. By positioning well-being as a central outcome, this study extends the explanatory power of the TAM beyond acceptance and satisfaction, offering theoretical insights and practical guidance for designing hybrid learning systems that support both academic achievement and psychological health.