ArticleJournal of pharmaceutical policy and practice2026
Impact of technological acceptance on application-based engagement among type 2 diabetes patients: local insights and implications for developing countries.
Article in Journal of pharmaceutical policy and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Acceptability and sustained engagement of mobile health (mHealth) applications in resource-limited settings for chronic disease management are suboptimal. Research on mHealth applications overlooks contextual factors affecting the translation of their acceptance to long-term usage. Methods: This study examined contextual factors using questionnaire developed by Technological Acceptance Models (TAM) and Expectation Confirmation Theory (ECT), to study the influence of technology acceptance (TA) on Sustained App-based Engagement and Use (ABEU) among Type 2 Diabetes Mellitus (T2DM) patients. Data were collected through purposive sampling from 397 T2DM patients across public and private hospitals in four provinces of Pakistan. Exploratory factor analysis, confirmatory factor analysis, and structural equation modelling validated hypothesised relationships. Results: Model depicted a strong, positive effect of TA on ABEU ( Conclusion: TA significantly impacted ABEU through contextual, cultural and infrastructural factors in mHealth adoption, underscoring the need for actionable insights to improve mHealth adoption and retention.
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