Wearable IoT health sensing beyond functional utility: Identity-expressive and hedonic determinants of user acceptance in intimate physiological monitoring devices — A sequential FA–ANP mixed-methods investigation with digital health policy implications - Summary - MDSpire

Wearable IoT health sensing beyond functional utility: Identity-expressive and hedonic determinants of user acceptance in intimate physiological monitoring devices — A sequential FA–ANP mixed-methods investigation with digital health policy implications

  • By

  • Ai-Chieh Chang

  • Jiin-Chyuan Mark Lai

  • Shu-Hui Peng

  • Chun-Ming Shih

  • Ming Yuan Hsieh

  • July 1, 2026

  • 0 min

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Objective:

To identify and prioritize the sensing material design characteristics that govern anticipated user acceptance of IMSU-enabled intimate physiological health monitoring devices and to determine the contribution of behavioral, hedonic, and identity-expressive acceptance pathways to overall adoption orientation.

Approach:
  • Research Framework: The study integrates three theoretical frameworks: TAM for functional adoption mechanisms, UTAUT2 for hedonic motivation, and HDTB for user response dimensions.
  • Methodology: A sequential FA–ANP mixed-methods design is employed to evaluate user acceptance.
Key Findings:
  • User acceptability is a critical driver of wearable health technology adoption.
  • Hedonic motivation is particularly relevant for intimate health monitoring devices.
  • Existing frameworks (TAM and UTAUT2) require domain-specific extensions for intimate health contexts to enhance their applicability.
Interpretation:

The study highlights the need for user-centered design evidence and regulatory benchmarks in the development of intimate health monitoring devices.

Limitations:
  • The existing literature lacks empirical accounts of how specific design characteristics shape acceptance outcomes.
  • There is a tripartite deficit affecting patients, clinicians, and policymakers due to insufficient user-centered design evidence.
Conclusion:

The research aims to fill the knowledge gap regarding user acceptance of wearable health technologies, particularly in intimate health monitoring contexts.

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