User acceptance and continuance intention of the BeSt age mHealth application for physical activity promotion and fall prevention in nursing homes - Summary - MDSpire

User acceptance and continuance intention of the BeSt age mHealth application for physical activity promotion and fall prevention in nursing homes

  • By

  • Jonathan Diener

  • Jelena Krafft

  • Kerem Doğan

  • Iris Ten Klooster

  • Janina Krell-Roesch

  • Lisette van Gemert-Pijnen

  • Alexander Woll

  • Kathrin Wunsch

  • June 23, 2026

  • 0 min

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Objective:

To examine the acceptance of the BeSt Age App, a mobile application for fall prevention in nursing homes, and analyze how perceived usefulness and usability influence users' intention to continue using the app.

Approach:
    Key Findings:
    • Residents showed moderate cognitive impairment and low digital competence.
    • Employees rated usability positively (87.1 ± 15 points) and reported high continuance intention (4.03 ± 1.22 on a scale of 1-5).
    • Employee adherence was 85.6%, while resident adherence was 75.1%.
    • Perceived usefulness (β = 0.39, p = 0.020) and usability (β = 0.46, p = 0.047) significantly predicted continuance intention.
    Interpretation:

    Nursing home employees evaluated the BeSt Age App positively, particularly regarding usability, which, along with perceived usefulness, predicted their intention to continue using the app.

    Limitations:
    • The study primarily focused on employee perspectives, which may overlook resident experiences.
    • The digital divide between employees and residents may impact the implementation of technology.
    Conclusion:

    The study suggests examining longer-term adoption patterns and the relationship between sustained app usage and clinical outcomes in nursing home settings.

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