AIS Transactions on Human-Computer Interaction
Abstract
In recent years, smart healthcare systems (SHS) spurred by the Internet of things have revolutionized how people manage their health. Despite their numerous benefits, SHS still face many challenges worldwide, including limited user motivation. This study builds on the valence-instrumentality-expectancy theory to examine the motivational factors influencing the use of SHS, while also considering the moderating role of social support. We conducted two studies— one in the United States and the other in Qatar—to assess how well the proposed model applies across different cultural contexts. Our findings show that the model explains users’ motivations to use SHS and the interdependencies between the valence–instrumentality–expectancy theory and factors like social support, self-efficacy, and trust in the system. Moreover, we highlight the significance and implications of cultural differences in the model. This study is among the first to investigate the motivational factors behind SHS use through cross-cultural samples, offering valuable insights for global SHS providers.
DOI
10.17705/1thci.00235
Recommended Citation
Alshare, K. A.,
Moqbel, M.,
Bartelt, V.,
&
Sewailem, M.
(2025).
Smart Healthcare Systems Use: A Cross-cultural Empirical Study Using Valence–Instrumentality– Expectancy Theory.
AIS Transactions on Human-Computer Interaction, 17(4), 550-580.
https://doi.org/10.17705/1thci.00235
DOI: 10.17705/1thci.00235
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