Design features of interfaces and acceptance of ePHR among elderly individuals in China: Insights from an expanded UTAUT framework - Summary - MDSpire

Design features of interfaces and acceptance of ePHR among elderly individuals in China: Insights from an expanded UTAUT framework

  • By

  • Sainan Zhang

  • Xuhui Jia

  • Ziyun Zhao

  • Chao Zhou

  • May 9, 2026

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Objective:

To examine the adoption determinants of electronic Personal Health Records (ePHR) among older adults in China, focusing on specific user interface design characteristics and their impact on adoption behavior.

Key Findings:
  • Older adults face barriers to ePHR adoption due to usability challenges and interface design complexities, which may hinder their engagement with digital health tools.
  • The Unified Theory of Acceptance and Use of Technology (UTAUT) framework needs to be extended to include user interface characteristics for older adults, highlighting the importance of usability in technology acceptance.
  • Behavioral intention (BI) plays a mediating role in influencing user engagement with ePHR systems, suggesting that enhancing BI could improve adoption rates.
Interpretation:

User interface design significantly affects older adults' perceptions of ePHR systems, influencing their behavioral intention to adopt these technologies by affecting usability and perceived ease of use.

Limitations:
  • The study focuses on a specific demographic in China, which may limit generalizability to other cultural contexts.
  • The reliance on self-reported data may introduce bias, as participants may overestimate their familiarity with digital tools.
Conclusion:

Improving user experience design for ePHR systems is essential to enhance adoption among older adults, addressing their unique needs and preferences.

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