{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:40Z","timestamp":1777852000616,"version":"3.51.4"},"reference-count":51,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010814","name":"Anhui Provincial Department of Education","doi-asserted-by":"publisher","award":["2022lhpysfjd063"],"award-info":[{"award-number":["2022lhpysfjd063"]}],"id":[{"id":"10.13039\/501100010814","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010814","name":"Anhui Provincial Department of Education","doi-asserted-by":"publisher","award":["2024AH040340"],"award-info":[{"award-number":["2024AH040340"]}],"id":[{"id":"10.13039\/501100010814","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010814","name":"Anhui Provincial Department of Education","doi-asserted-by":"publisher","award":["gxyq2022040"],"award-info":[{"award-number":["gxyq2022040"]}],"id":[{"id":"10.13039\/501100010814","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010816","name":"Anhui Provincial Department of Science and Technology","doi-asserted-by":"publisher","award":["202103a07020004"],"award-info":[{"award-number":["202103a07020004"]}],"id":[{"id":"10.13039\/501100010816","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Background: The efficacy of mHealth apps in managing hypertension has been proven; however, low usage intention remains a significant challenge, warranting an in-depth exploration of the influencing factors. Objectives: This study aimed to examine the factors influencing hypertensive new users\u2019 intention to use mobile health applications through a cross-sectional survey. Methods: Fuzzy-set qualitative comparative analysis (fsQCA) was employed to investigate the combinations of various determinants, including technology acceptance, adoption factors, compliance behavior initiation factors, and time motivation factors for decision making. Results: A total of 100 middle-aged and elderly hypertensive individuals participated in the survey, with 98 responses included in the final statistical analysis. The analysis identified four distinct configurations that contribute to high usage intentions, with solution consistency and coverage values of 0.93 and 0.36, respectively. Conclusion: The findings suggest that intervention strategies should account for the various pathways leading to usage intentions.<\/jats:p>","DOI":"10.1177\/14604582251315600","type":"journal-article","created":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T09:21:42Z","timestamp":1737105702000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pathways to usage intention of mobile health apps among hypertensive patients: A fuzzy-set qualitative comparative analysis"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7961-5395","authenticated-orcid":false,"given":"Ting","family":"Sun","sequence":"first","affiliation":[{"name":"School of Nursing, Bengbu Medical University, Bengbu, China"},{"name":"University of Science and Technology of China, Hefei, China"},{"name":"Hefei Institutes of Physical Sciences, Chinese Academy of Sciences, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6787-9318","authenticated-orcid":false,"given":"Zenghui","family":"Ding","sequence":"additional","affiliation":[{"name":"Hefei Institutes of Physical Sciences, Chinese Academy of Sciences, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0848-4321","authenticated-orcid":false,"given":"Hui","family":"Xie","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University, Bengbu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3263-3817","authenticated-orcid":false,"given":"Xiaoning","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University, Bengbu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2058-6304","authenticated-orcid":false,"given":"Yumeng","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University, Bengbu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7085-1789","authenticated-orcid":false,"given":"Yibin","family":"Li","sequence":"additional","affiliation":[{"name":"School of Computer Science and Technology, Hefei Normal University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0208-1798","authenticated-orcid":false,"given":"Guoli","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University, Bengbu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1880-9599","authenticated-orcid":false,"given":"Xuejie","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University, Bengbu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3312-5025","authenticated-orcid":false,"given":"Yuxin","family":"Xia","sequence":"additional","affiliation":[{"name":"School of Nursing, Bengbu Medical University, Bengbu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6532-049X","authenticated-orcid":false,"given":"Zuchang","family":"Ma","sequence":"additional","affiliation":[{"name":"Hefei Institutes of Physical Sciences, Chinese Academy of Sciences, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,17]]},"reference":[{"key":"bibr1-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01330-1"},{"key":"bibr2-14604582251315600","first-page":"521","volume":"36","author":"The writing committee of the report on cardiovascular health and diseases in China","year":"2021","journal-title":"Chin Circ J"},{"key":"bibr3-14604582251315600","first-page":"24","volume":"24","author":"Writing Group of 2018 Chinese Guidelines for the Management of Hypertension, Chinese Hypertension League, Chinese Society of Cardiology CMDAHC","year":"2019","journal-title":"Chin J Cardiovasc Med"},{"key":"bibr4-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.7886"},{"key":"bibr5-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/29815"},{"key":"bibr6-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1007\/s10916-023-01910-x"},{"key":"bibr7-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/35876"},{"key":"bibr8-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/45079"},{"key":"bibr9-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2020-001225"},{"key":"bibr10-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/15779"},{"key":"bibr11-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/humanfactors.7709"},{"key":"bibr12-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.4924"},{"key":"bibr13-14604582251315600","doi-asserted-by":"publisher","DOI":"10.3390\/pharmacy5020033"},{"key":"bibr14-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/10117"},{"key":"bibr15-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2022.06.004"},{"key":"bibr16-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11623-w"},{"key":"bibr17-14604582251315600","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207639"},{"key":"bibr18-14604582251315600","doi-asserted-by":"publisher","DOI":"10.31083\/j.rcm2204134"},{"key":"bibr19-14604582251315600","first-page":"579","volume":"21","author":"Hu Z","year":"2021","journal-title":"J Nan Jing Med Univ"},{"key":"bibr20-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1016\/j.dss.2007.07.001"},{"key":"bibr21-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2307\/25148783"},{"key":"bibr22-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1016\/s0020-7489(02)00110-4"},{"key":"bibr23-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2012.07.007"},{"key":"bibr24-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2010.521906"},{"key":"bibr25-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3564"},{"key":"bibr26-14604582251315600","unstructured":"Exploring the nature of intertemporal choice-all databases (accessed 18 Aug. 2024),https:\/\/wvpn.ustc.edu.cn\/https\/77726476706e69737468656265737421e7f2439321236b597b068aa9d6562f34899051d9fc85a85327\/wos\/alldb\/full-record\/CSCD:4335537"},{"key":"bibr27-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S175045"},{"key":"bibr28-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-85607-6_24"},{"key":"bibr29-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13033"},{"key":"bibr30-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1017\/s0008423911000709"},{"key":"bibr31-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbusres.2012.12.021"},{"key":"bibr32-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139004244"},{"key":"bibr33-14604582251315600","doi-asserted-by":"publisher","DOI":"10.16439\/j.cnki.1673-7245.2016.06.011"},{"key":"bibr34-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2009.00957.x"},{"key":"bibr35-14604582251315600","volume-title":"Effect of the intervention ducation on self-efficacy and compliance of hypertensive patients in the community. MD","author":"Sun P","year":"2006"},{"key":"bibr36-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1504\/ijmc.2021.113457"},{"key":"bibr37-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2307\/30036540"},{"key":"bibr38-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/18080"},{"key":"bibr39-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1007\/s10209-018-0639-z"},{"key":"bibr40-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.0148"},{"key":"bibr41-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1057\/jibs.2009.36"},{"key":"bibr42-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1177\/1476127018786487"},{"key":"bibr43-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08001-6"},{"key":"bibr44-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/15023"},{"key":"bibr45-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1177\/0266666911414596"},{"key":"bibr46-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2017.0235"},{"key":"bibr47-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/26845"},{"key":"bibr48-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09462-2"},{"key":"bibr49-14604582251315600","doi-asserted-by":"publisher","DOI":"10.2196\/12983"},{"key":"bibr50-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijinfomgt.2017.08.006"},{"key":"bibr51-14604582251315600","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2015.10.003"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604582251315600","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14604582251315600","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604582251315600","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:28:50Z","timestamp":1777501730000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14604582251315600"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1177\/14604582251315600"],"URL":"https:\/\/doi.org\/10.1177\/14604582251315600","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"article-number":"14604582251315600"}}