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To\u00a0clarify the factors contributing to users\u2019 health information adoption and continuous usage intention of the channel, we developed a research model based on media richness theory (MRT) and information system continuance theory (ISCT), which includes four dimensions of media features, two aspects of user perception, users\u2019 health information adoption and continuous usage intention.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>We conducted an online survey and collected data from 335 health short video users. The data were analyzed using the partial least squares structural equation modeling (PLS-SEM) method and fuzzy-set qualitative comparative analysis (fsQCA) method.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>(1) Perceived usefulness is influenced by health content expressiveness, personalized health insights and comprehensive health narratives of the short video system. Perceived credibility is impacted by health system responsiveness, personalized health insights and comprehensive health narratives. (2) FsQCA provides additional insights by identifying three distinct configurations of media features that enhance perceived usefulness and perceived credibility. (3) Perceived usefulness and perceived credibility significantly predict users\u2019 health information adoption behavior and continuous usage intention. (4) Users\u2019 health information adoption behavior further promotes continuous usage intention.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>Our research extends the existing model by integrating MRT into the context of short video platforms and health communication. The findings hold significant practical implications by highlighting the importance of incorporating diverse and engaging content on short video platforms.<\/jats:p><\/jats:sec>","DOI":"10.1108\/imds-06-2024-0569","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T19:27:33Z","timestamp":1742930853000},"page":"1869-1891","source":"Crossref","is-referenced-by-count":12,"title":["Antecedents of health short videos\u2019 information adoption and continuous usage intention: evidence from SEM and fsQCA"],"prefix":"10.1108","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8312-2294","authenticated-orcid":false,"given":"Mengli","family":"Yu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9665-7047","authenticated-orcid":false,"given":"Yichen","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8412-3575","authenticated-orcid":false,"given":"Jiahui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4988-7469","authenticated-orcid":false,"given":"Xiaohui","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"140","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"issue":"1","key":"key2025042207255033500_ref001","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1186\/s12889-021-11043-w","article-title":"Design preferences for global scale: a mixed-methods study of \u2018glocalization\u2019 of an animated, video-based health communication intervention","volume":"21","year":"2021","journal-title":"BMC Public Health"},{"issue":"6","key":"key2025042207255033500_ref002","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/j.ijmedinf.2010.01.006","article-title":"Revisiting the online health information reliability debate in the wake of \u2018web 2.0\u2019: an inter-disciplinary literature and website review","volume":"79","year":"2010","journal-title":"International Journal of Medical Informatics"},{"issue":"1","key":"key2025042207255033500_ref003","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1002\/mar.21585","article-title":"Examining consumers' continuous usage of multichannel retailers' mobile applications","volume":"39","year":"2022","journal-title":"Psychology and Marketing"},{"key":"key2025042207255033500_ref004","doi-asserted-by":"publisher","DOI":"10.1016\/j.jretconser.2021.102756","article-title":"Interactivity, Inspiration, and Perceived Usefulness! 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