{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:41Z","timestamp":1792787741976,"version":"4.5.0"},"reference-count":69,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Eurostars-2 Programme","award":["10824"],"award-info":[{"award-number":["10824"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gamification within eHealth services can increase eHealth adoption. However, little is known about factors affecting adoption of gamified eHealth among older adults. In this study, we sought to explain the (continued) use of a gamified eHealth service among older adults (55+).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants used a gamified eHealth service, focusing on falls prevention, for 4\u00a0weeks and completed a post-test questionnaire based on the Technology Acceptance Model. We used Partial Least Squares Structural Equation Modeling to analyse our data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy-two older adults participated with a mean age of 65.1\u00a0years (SD = 7.0). Our results show that first, perceived ease of use affected use of the service (use duration: \u03b2 = 0.303, R\n                      <jats:sup>2<\/jats:sup>\n                      = 0.130, and use frequency: \u03b2 = 0.304, R\n                      <jats:sup>2<\/jats:sup>\n                      = 0.107). Second, perceived usefulness affected the intention to continue using the service (\u03b2 = 0.754, R\n                      <jats:sup>2<\/jats:sup>\n                      = 0.640). Third, use of the service did not predict the intention to continue using it. Furthermore, enjoyment affected perceived usefulness (\u03b2 = 0.783, R\n                      <jats:sup>2<\/jats:sup>\n                      = 0.563) and aesthetics affected perceived ease of use (\u03b2 = 0.634, R\n                      <jats:sup>2<\/jats:sup>\n                      = 0.652).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study refutes the expected relation between use and intention to continue use a gamified eHealth service. Additionally, we learned that using theoretical approaches focusing on technology acceptance, are not suitable for explaining (continued) use of gamified eHealth services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14604582221106008","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T12:45:05Z","timestamp":1654173905000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Game not over: Explaining older adults\u2019 use and intention to continue using a gamified eHealth service"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0070-5521","authenticated-orcid":false,"given":"Marian ZM","family":"Hurmuz","sequence":"first","affiliation":[{"name":"eHealth Department, Roessingh Research and Development, Enschede, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie M","family":"Jansen-Kosterink","sequence":"additional","affiliation":[{"name":"eHealth Department, Roessingh Research and Development, Enschede, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermie J","family":"Hermens","sequence":"additional","affiliation":[{"name":"Biomedical Signal and Systems Group, University of Twente, Enschede, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lex","family":"van Velsen","sequence":"additional","affiliation":[{"name":"Biomedical Signal and Systems Group, University of Twente, Enschede, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"bibr1-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2017.05.011"},{"key":"bibr2-14604582221106008","doi-asserted-by":"publisher","DOI":"10.3390\/su9050772"},{"key":"bibr3-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2019.100286"},{"key":"bibr4-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1145\/2181037.2181040"},{"key":"bibr5-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0237220"},{"key":"bibr6-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3510"},{"key":"bibr7-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2196\/26779"},{"key":"bibr8-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1186\/1476-3591-1-4"},{"key":"bibr9-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0198112"},{"key":"bibr10-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2196\/ijmr.4447"},{"key":"bibr11-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2147\/shtt.s59498"},{"key":"bibr12-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1177\/1460458214534092"},{"key":"bibr13-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1177\/1460458218799458"},{"key":"bibr14-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1007\/s10462-020-09809-6"},{"key":"bibr15-14604582221106008","doi-asserted-by":"publisher","DOI":"10.3390\/info12020091"},{"key":"bibr16-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2015.10.008"},{"key":"bibr17-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16753"},{"key":"bibr18-14604582221106008","doi-asserted-by":"publisher","DOI":"10.3390\/info10020058"},{"key":"bibr19-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-07854-0_54"},{"key":"bibr20-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1109\/CogInfoCom.2013.6719229"},{"key":"bibr21-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-44672-1_8"},{"key":"bibr22-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijinfomgt.2015.04.006"},{"key":"bibr23-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.chb.2015.04.018"},{"key":"bibr24-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2196\/humanfactors.3696"},{"key":"bibr25-14604582221106008","volume-title":"A technology acceptance model for empirically testing new end-user information systems: Theory and results","author":"Davis FD","year":"1986"},{"key":"bibr26-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1287\/mnsc.35.8.982"},{"key":"bibr27-14604582221106008","doi-asserted-by":"publisher","DOI":"10.3990\/1.9789036547994"},{"key":"bibr28-14604582221106008","volume-title":"OTAGO exercise programme: to prevent falls in older adults","author":"Campbell AJ"},{"key":"bibr29-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq102"},{"key":"bibr30-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2015.08.002"},{"key":"bibr31-14604582221106008","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2017.00208"},{"key":"bibr32-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1109\/HICSS.2014.377"},{"key":"bibr33-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-84882-963-3_4"},{"key":"bibr34-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2015.01.526"},{"key":"bibr35-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1515\/COMMUN-2014-0005"},{"key":"bibr36-14604582221106008","doi-asserted-by":"publisher","DOI":"10.5220\/0004792302130219"},{"key":"bibr37-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-60149-2_45"},{"key":"bibr38-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1007\/S40869-020-00103-7"},{"key":"bibr39-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1186\/S11556-016-0165-Z"},{"key":"bibr40-14604582221106008","doi-asserted-by":"publisher","DOI":"10.4108\/sg.1.4.e3"},{"key":"bibr41-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2307\/25148660"},{"key":"bibr42-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijhcs.2003.09.002"},{"key":"bibr43-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2501\/jar-43-2-207-216"},{"key":"bibr44-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1080\/10919392.2015.990782"},{"key":"bibr45-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2307\/249008"},{"key":"bibr46-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2307\/30036519"},{"key":"bibr47-14604582221106008","volume-title":"SmartPLS 3","author":"Ringle CM","year":"2015"},{"key":"bibr48-14604582221106008","volume-title":"A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM)","author":"Hair JF","year":"2014","edition":"2"},{"key":"bibr49-14604582221106008","unstructured":"Benitez-Amado J, Henseler J, Castillo A. Development and update of guidelines to perform and report partial least squares modeling in information system research. In: PACIS Proceedings, 86, 2017, https:\/\/ris.utwente.nl\/ws\/portalfiles\/portal\/16785402\/Development_and_Update_of_Guidelines_to_Perform_and_Report_Partia.pdf"},{"key":"bibr50-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2019.0052"},{"key":"bibr51-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2013.833580"},{"key":"bibr52-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2196\/12053"},{"key":"bibr53-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9418"},{"key":"bibr54-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2010.10.017"},{"key":"bibr55-14604582221106008","doi-asserted-by":"publisher","DOI":"10.4236\/jssm.2020.131001"},{"key":"bibr56-14604582221106008","doi-asserted-by":"publisher","DOI":"10.4108\/eai.20-5-2019.2283510"},{"key":"bibr57-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1145\/3308561.3353794"},{"key":"bibr58-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/J.CHB.2010.03.029"},{"key":"bibr59-14604582221106008","volume-title":"Playful Aging: Digital Games for Older Adults","author":"Kaufman D","year":"2020"},{"key":"bibr60-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2018.1442380"},{"key":"bibr61-14604582221106008","doi-asserted-by":"publisher","DOI":"10.5220\/0009806402690280"},{"key":"bibr62-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2017.02.002"},{"key":"bibr63-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2015.1015025"},{"key":"bibr64-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-016-0289-0"},{"key":"bibr65-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1177\/1460458215598638"},{"issue":"4","key":"bibr66-14604582221106008","first-page":"244","volume":"8","author":"Bagozzi RP","year":"2008","journal-title":"J Assoc Inf Syst"},{"key":"bibr67-14604582221106008","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103315"},{"key":"bibr68-14604582221106008","first-page":"3","volume-title":"Handbook of self-determination research","author":"Deci EL","year":"2004"},{"key":"bibr69-14604582221106008","doi-asserted-by":"publisher","DOI":"10.2196\/11759"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604582221106008","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14604582221106008","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604582221106008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:28:03Z","timestamp":1777501683000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14604582221106008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":69,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1177\/14604582221106008"],"URL":"https:\/\/doi.org\/10.1177\/14604582221106008","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]},"article-number":"14604582221106008"}}