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This study aimed to explore the factors influencing usage intention (UI) for “Internet + Nursing Service” among older adults based on the extended Unified Theory of Acceptance and Use of Technology (UTAUT) model. From March 2024 to February 2025, 542 older adults who met the inclusion and exclusion criteria in 6 communities in Lanzhou were selected as participants. SPSS 26.0 software was used for statistical analysis. AMOS 22.0 software was used to construct and revise the model, fit test, path analysis, and hypothesis verification. A total of 526 questionnaires were collected. Performance expectancy, effort expectancy, facilitating conditions and individual innovativeness had positive effects on the UI of older adults for “Internet + Nursing Service”, and perceived risk and resistance to change had negative effects on the UI of older adults for “Internet + Nursing Service”. Among these factors, facilitating conditions positively affected older adults’ performance expectancy and effort expectancy. Individual innovativeness positively affected older adults’ effort expectancy and negatively affected older adults’ perceived risk. Technology anxiety positively affected older adults’ resistance to change. The UI of older adults for “Internet + Nursing Service” is affected by performance expectancy, effort expectancy, facilitating conditions, individual innovativeness, perceived risk, resistance to change and technology anxiety. The results of the study expand the applicable areas and study objects of the UTAUT model to some extent. In addition, it can provide reference and suggestions for the promotion and innovation path of “Internet + Nursing Service” in Gansu Province.
Ma et al. (Fri,) studied this question.