Evidence map›Paper›PMID 42443865›Full record

ArticleBMC medical informatics and decision making2026

Toward tailored implementation of an artificial intelligence-based healthy dietary chatbot: differences in technology acceptance pathways by health consciousness and user characteristics.

Chiu-Liang Liu, Chien-Ta Ho, Tzu-Chi Wu

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Article in BMC medical informatics and decision making, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Chiu-Liang LiuGraduate Institute of Technology Management, National Chung-Hsing University, Taichung, Taiwan.
Chien-Ta HoGraduate Institute of Technology Management, National Chung-Hsing University, Taichung, Taiwan.
Tzu-Chi WuDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan. j10062008@hotmail.com.ORCID http://orcid.org/0000-0002-6631-1632

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) health chatbots are increasingly used for health education and health promotion, yet the mechanisms underlying their adoption and the heterogeneity across user groups remain insufficiently understood.

methodsDrawing on the Technology Acceptance Model (TAM), this study examined behavioral intention to use an artificial intelligence-based healthy dietary chatbot, incorporating interactivity and entertainment as key system features, and testing whether health consciousness and sociodemographic subgroups moderate technology acceptance pathways. An anonymous questionnaire survey was conducted after participants interacted with a LINE-based AI dietary chatbot. Structural equation modeling and subgroup analysis were applied to evaluate TAM relationships, moderation by health consciousness, and boundary conditions across demographic groups.

resultsPerceived ease of use and perceived usefulness significantly predicted behavioral intention. Interactivity was primarily associated with intention indirectly through perceived ease of use and perceived usefulness, whereas entertainment showed a stronger direct association with intention. Health consciousness moderated the interactivity-usefulness and entertainment-intention relationships. Multi-group analyses further indicated pathway heterogeneity: interaction-related effects were stronger among younger, female, and more highly educated users, whereas older users placed greater weight on enjoyment and ease of use, and males exhibited a stronger usefulness-intention link.

conclusionsOverall, the findings support the applicability of TAM to artificial intelligence-based health chatbot adoption and suggest the coexistence of cognitive, interactivity-driven and affective, entertainment-driven acceptance routes. The moderating roles of health consciousness and user characteristics underscore the importance of segment-specific design and dissemination strategies to enhance adoption.

Indexed as

Artificial IntelligenceDiet, HealthyHealth PromotionAdolescentAdultAgedDigital HealthFemaleHumansIntentionMaleMiddle AgedSurveys and QuestionnairesYoung AdultArtificial IntelligenceChatbotHealth consciousnessTechnology acceptance model

Identifiers

PMID42443865
PMCPMC13643990

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.