照料程度对老年人智慧养老产品使用意愿的调节作用  

Mediating effect of level of care on willingness to use smart eldercare products among the elderly

作　　者：黄业凯 万芊芊 陈骜杰 童笔赢 邓敏[1] HUANG Ye-kai;WAN Qian-qian;CHEN Ao-jie;TONG Bi-ying;DENG Min(Nanjing University of Chinese Medicine,Jiangsu Nanjing 210023,China)

机构地区：[1]南京中医药大学,江苏南京210023

出　　处：《江苏预防医学》2024年第4期427-430,共4页Jiangsu Journal of Preventive Medicine

基　　金：江苏省社会科学基金项目“全周期健康视域下江苏中医药健康养老服务体系建构研究”(22GLB012);江苏高校哲学社会科学研究一般项目“积极老龄化背景下中医药健康养老服务共同生产的合作路径研究”(2022SJYB0309);南京中医药大学大学生创新训练计划2022年项目“健康不平等视域下居家老年人智慧养老技术使用意愿的提升策略分析:以江苏省为例”(103152022013)。

摘　　要：目的分析子女的照料程度对老年人智慧养老产品使用意愿的调节作用。方法通过对418名南京市≥60岁老年人进行问卷调查,基于整合型科技接受(UTAUT)模型建立老年人智慧养老产品使用意愿理论模型,模型中引入照料程度这一调节变量,并使用Amos 24.0对建立的结构方程模型进行验证性因子分析、路径分析和多群组调节效应分析,探究老年人智慧养老产品使用意愿理论模型中自变量绩效期望、努力期望、社会影响、感知风险与因变量使用意愿之间的相关关系,考察子女日常照料程度对假设路径的调节作用是否成立。结果理论假设成立,绩效期望(C.R.=4.261,P<0.001)、努力期望(C.R.=2.051,P=0.040)、社会影响(C.R.=2.934,P=0.003)对老年人智慧养老产品的使用意愿有正向影响,而感知风险(C.R.=-2.649,P=0.008)有负向影响;照料程度对感知风险—使用意愿存在调节作用(C.R.=2.597)。结论绩效期望对老年人智慧养老产品使用意愿的影响最大,在其他变量相同的情况下,相较于低照料组,高照料组群体感知风险对其使用意愿的抑制作用更小。Objective To investigate the mediating effect of children′s care levels on the willingness to use smart eldercare product among the elderly.Methods A total of 418 elderly residents at ages of 60 years and older were recruited in Nanjing City for questionnaire surveys,and the theoretical model for the willingness to use smart eldercare products was created using unified theory of acceptance and use of technology(UTAUT)among the elderly.Level of care was included in the model as a moderator,and the established structural equation model was subjected to confirmatory factor analysis,path analysis and multi-group moderation effect analysis with the software Amos 24.0.The associations of independent variables performance expectations,effort expectations,social impact and perceived risk with the dependent variable willingness to use smart eldercare products were examined to investigate the mediating effect of children′s levels of daily care on perceived pathway.Results If the theoretical hypothesis was established,performance expectations(C.R.=4.261,P<0.001),effort expectations(C.R.=2.051,P=0.040)and social impact(C.R.=2.934,P=0.003)posed a positive impact on the willingness to use smart eldercare products among the elderly,and perceived risk posed a negative effect(C.R.=-2.649,P=0.008).In addition,level of care had a mediating role in the interaction between perceived risk and willingness to use smart eldercare products(C.R.=2.597).Conclusions Performance expectations have the largest effect on the willingness to use smart eldercare products among the elderly,and perceived risk shows a less inhibitory effect on the willingness to use smart eldercare products among the elderly with high-level care than those with low-level care.

关 键 词：整合型科技接受模型 智慧养老 日常照料 使用意愿 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]