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However, regardless of the positive developments in smart health applications and e-health research, there are two important gaps, (1) the role of gamification variables in the continued use of eHealth applications has not been adequately assessed, and (2) the extent to which people\u2019s perception of the continued use of e-health applications is encouraged through habit. Customers and companies can derive considerable value from exploring E-Health applications\u2019 health self-management services. Accordingly, estimating such services\u2019 ongoing adoption by customers is aimed for in this research, with habits, intrinsic and extrinsic variables incorporated into a study model which is then tested. This paper examined perceived autonomy, perceived competence, perceived relatedness has positively related to enjoyment and habit. Reward has positively related to perceived autonomy and continued to use. Enjoyment and Habit have positively associated with the decision to continue to use in e-Health Apps. 269 individuals who have used Chinese e-health applications comprised the data collection sample, being reached via an online questionnaire. Data analysis was undertaken using Partial Least Squares Structural Equation Modelling (PLS-SEM). It was found that the ongoing adoption of e-health self-management services was perpetuated to a greater extent by intrinsic variables; in terms of strategizing for companies\u2019 e-services, the results can inform this process.<\/jats:p>","DOI":"10.1177\/14604582231152801","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T07:48:44Z","timestamp":1673941724000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["What are the impetuses Behind E-health applications\u2019 self-management services\u2019 ongoing adoption by health community participants?"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3764-0349","authenticated-orcid":false,"given":"Jin","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Management, Lincoln International Business School, University of Lincoln, 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