ORIGINAL RESEARCH article

Front. Public Health

Sec. Digital Public Health

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1602230

Research on the Influencing Factors of Users' Continuance In-tentions of Wearable Medical Devices-A Perspective Inte-grating the UTAUT Model and Gamification Elements

Provisionally accepted
YULIN  TIANYULIN TIAN1ZOUMIN  LIZOUMIN LI1DONG  LIUDONG LIU2*Sangbum  SonSangbum Son3
  • 1Shandong Xiehe University, Jinan, China
  • 2Shandong Women's University, Jinan, Shandong, China
  • 3Yeungnam University, Gyeongsan, North Gyeongsang, Republic of Korea

The final, formatted version of the article will be published soon.

With the global aging population and the increasing prevalence of chronic diseases, the application of wearable medical devices in health management has garnered widespread attention. However, despite the significant advantages of these devices in health monitoring and disease prevention, many users discontinue their use within a short period, posing challenges to their long-term adoption. This study develops a re-search framework by combining the Unified Theory of Acceptance and Use of Technology (UTAUT) model with gamification components to methodically examine the critical factors influencing users' sustained intention to use wearable medical devices(WMD). A survey method was employed, collecting 362 valid responses, and applied structural equation modeling (SEM) for empirical analysis. Results demonstrate that performance expectancy, effort expectancy, social influence, and gamification elements all exert a significant pos-itive effect on users' continued usage intention. The results contribute to the theoretical foundation for improving the design and market promotion of WMD and offer actionable recommendations for developers and policymakers to boost user adoption.

Keywords: Wearable medical devices, Gamification, UTAUT model, users' continuous usage intention, Structural Equation Modeling

Received: 29 Mar 2025; Accepted: 24 Jun 2025.

Copyright: © 2025 TIAN, LI, LIU and Son. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: DONG LIU, Shandong Women's University, Jinan, Shandong, China

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