{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T16:28:58Z","timestamp":1786811338949,"version":"build-2736575974"},"reference-count":46,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>When physicians are not physically present in patients\u2019 everyday illness management, individuals must continue making health-related decisions after receiving medical prescriptions. In these between-visit contexts, generative artificial intelligence (GenAI) is increasingly used as a supplementary source of health information and guidance. However, the psychological mechanisms driving user engagement and subscription intention in healthcare-oriented GenAI remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Guided by the Theory of Trying, this study examined how digital self-efficacy and health-AI skepticism are associated with attitudestoward success, failure, and the process of trying in health-related GenAI interactions. Survey data from 634 active ChatGPT users who reported using it for health-related queries were analyzed using component-based partial least squares structural equation modeling (PLS-SEM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Attitude toward the process of trying emerged as the strongest predictor of user engagement, followed by attitude toward success. Attitude toward failure did not predict engagement and, contrary to the hypothesized relationship, was positively associated with subscription intention. Health-AI skepticism was negatively associated with attitude toward success and the process of trying while being positively associated with anticipatory concerns about possible failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In post-prescription and between-visit health management contexts, the findings highlight the importance of process-oriented evaluations alongside success-related evaluations in understanding engagement and subscription intention. These results clarify distinct motivational pathways associated with health-related GenAI use and offer implications for the design of supportive and ethically responsible GenAI systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076261478596","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:21:42Z","timestamp":1786645302000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["When doctors are not present: Understanding patients trying generative AI in the post-prescription stage"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2549-4118","authenticated-orcid":false,"given":"Avus C. Y.","family":"Hou","sequence":"first","affiliation":[{"name":"Asia Eastern University of Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/20552076241234628"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/20552076231197334"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chb.2023.108097"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2589-7500(23)00019-5"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.techsoc.2024.102521"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/10447318.2024.2375686"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jretconser.2016.11.009"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559-1816.1998.tb01667.x"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/08870449808407421"},{"key":"e_1_3_6_11_2","unstructured":"Achiam J Adler S Agarwal S et al. Gpt-4 technical report. ArXiv Preprint arXiv:2303.08774 2023."},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijinfomgt.2023.102642"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-018-0058-9"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2020.00027"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/mar.21498"},{"key":"e_1_3_6_16_2","first-page":"472","article-title":"Humanizing GenAI at work: bridging the gap between technological innovation and employee engagement","volume":"40","author":"Manresa A","year":"2025","unstructured":"Manresa A, Sammour A, Mas-Machuca M, et al. Humanizing GenAI at work: bridging the gap between technological innovation and employee engagement. Journal of Managerial Psychology 2025; 40: 472\u2013492. https:\/\/doi.org\/10.1108\/jmp-05-2024-0356","journal-title":"Journal of Managerial Psychology"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1086\/208543"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/mar.10017"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclepro.2023.140200"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spc.2021.03.003"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/001872679204500702"},{"key":"e_1_3_6_22_2","first-page":"247","article-title":"The determinants of the online banking adoption behavior by the theory of trying in developing countries: The case of Pakistani banks","volume":"11","author":"Malik S","year":"2019","unstructured":"Malik S, Nawaz F, Shujahat M, et al. The determinants of the online banking adoption behavior by the theory of trying in developing countries: The case of Pakistani banks. Knowledge Management & E-Learning-an International Journal 2019; 11: 247\u2013261.","journal-title":"Knowledge Management & E-Learning-an International Journal"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/08911762.2023.2261101"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.5860\/ital.v43i3.17246"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.im.2010.01.003"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.telpol.2018.10.005"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chb.2018.03.015"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.elerap.2022.101223"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.compedu.2022.104626"},{"key":"e_1_3_6_31_2","doi-asserted-by":"publisher","DOI":"10.1162\/003355302760193913"},{"key":"e_1_3_6_32_2","doi-asserted-by":"publisher","DOI":"10.1080\/00207594.2012.666553"},{"key":"e_1_3_6_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/2329488419866888"},{"key":"e_1_3_6_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chb.2016.11.050"},{"key":"e_1_3_6_35_2","doi-asserted-by":"publisher","DOI":"10.1108\/03090561011032720"},{"key":"e_1_3_6_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pubrev.2021.102082"},{"key":"e_1_3_6_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajmo.2023.100036"},{"key":"e_1_3_6_38_2","doi-asserted-by":"publisher","DOI":"10.1108\/ITP-06-2017-0198"},{"key":"e_1_3_6_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-05542-8_15-2"},{"key":"e_1_3_6_40_2","doi-asserted-by":"publisher","DOI":"10.1108\/IJCHM-04-2022-0474"},{"key":"e_1_3_6_41_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-80519-7_1"},{"key":"e_1_3_6_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11747-014-0403-8"},{"key":"e_1_3_6_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-80519-7"},{"key":"e_1_3_6_44_2","doi-asserted-by":"publisher","DOI":"10.1108\/IMDS-06-2018-0245"},{"key":"e_1_3_6_45_2","doi-asserted-by":"publisher","DOI":"10.1177\/109019817400200403"},{"key":"e_1_3_6_46_2","unstructured":"Fogg B. How to motivate & persuade users. In: CHI 2003 New Horizons 2003 Lauderdale FL 5\u201310 April 2003. CHI."},{"key":"e_1_3_6_47_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"}],"container-title":["DIGITAL HEALTH"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552076261478596","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20552076261478596","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552076261478596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T16:20:14Z","timestamp":1786810814000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20552076261478596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":46,"alternative-id":["10.1177\/20552076261478596"],"URL":"https:\/\/doi.org\/10.1177\/20552076261478596","relation":{},"ISSN":["2055-2076","2055-2076"],"issn-type":[{"value":"2055-2076","type":"print"},{"value":"2055-2076","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"article-number":"20552076261478596"}}