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PurposePrior researches on the adoption of mobile health services (MHS) concentrate on the subjective cognitive appraisals resulting in technology adoption, while ignoring how to shape those cognitive appraisals by the objective message design strategies which are easier to operate in practice. Based on protection motivation theory (PMT), the current research aims to explore the antecedents of cognitive appraisals by focusing on message design strategies of fear appeal and coping appeal.Design/methodology/approachA two-stage scenario-based survey of 204 participants was conducted to collect data. The authors chose SPSS and covariance-based structural equation modeling (CB-SEM) approach with the software LISREL 8.8 to test our model.FindingsThe results show that the relationship between fear appeal and fear arousal is inverted U-shaped such that the degree of fear arousal is the greatest when the fear appeal is at a moderate level. Perceived usefulness for the message with negative framing is higher than that with positive framing. Furthermore, fear appeal and coping appeal have a significant interaction on the adoption of MHS at different stages.Research limitations/implicationsThe sample data of this study come from a special health service of a special group in China, which limits the universality of our research results for other groups or health care services. Therefore, future researchers can validate the model in other research scenarios and sample populations.Originality/valueThis study shows how fear appeal and coping appeal work together to influence individuals' adoption intention. The authors' findings expand the theoretical depth of PMT and fear theory, enriching the theoretical connotation of framing effect in mobile health technology adoption context, which add new insights to design more persuasive messages through fear appeal and coping appeal for researchers and MHS providers in mobile health communication or propaganda.

PurposeThis paper aims to provide systemic understanding with regard to the adoption of computer mediated communication (CMC) technology and its impact on technostress levels.Design/methodology/approachBased on the theoretical lens rooted in the psychology literature and emerging problems observed through engagement with organizations in their field research, the authors propose a conceptual model that articulates technology characteristics in telemedicine communication. The model defines both the antecedents and outcomes of technostress, emphasizing investigation of the underlying mechanisms of the overall process in regard to fit between users and adopted technologies.FindingsIn order to understand the impact of technostress on telemedicine users, it is necessary to investigate the "black box" of how technology influences stressors. According to the theoretical lens of person‐environment (P‐E) theory, stress occurs when there is a misfit between individuals' characteristics and environmental settings. Congruent with the premises of the theory, the fit in the authors' model is conceptualized in two dimensions: complementary fit and supplementary fit. Communication and information support is crucial to meet the ability‐demand fit; social presence and social support are important to assist in the match between an individual's supply and social norm. Personal innovativeness of IT has a moderating effect on the relationship between technostressors and strain.Practical implicationsThe proposed model identifies the antecedents of technostressors in regard to the use of telemedicine technologies, and provides the means to examine the process systematically. It could be useful for administrators to constitute organizational strategy to alleviate stress levels, thus improving work performance and quality of working life.Originality/valueThe authors adapt the person‐technology model (P‐T model) to the CMC featured telemedicine context and further extend the model to reveal both antecedents of technostress and the moderators that affect the ultimate stressful syndrome. Instead of treating the misfit indirectly by its consequence, the present study not only emphasizes revealing the mechanism by investigating the misfit process but it also brings additional understanding to the technostress domain.

PurposeMobile health (mHealth) services are considered an important means of relieving the problems of the aging population. The efficiency of mHealth services can be enhanced by engaging more elderly users and guaranteeing their continued use. However, limited attention has been directed toward investigating elderly users' continuance intention regarding mHealth services. The purpose of this paper is to explain elderly users' continuance intention by investigating the contingent role of technology anxiety and health anxiety on affective trust and cognitive trust.Design/methodology/approachSurvey data were collected from 232 elderly users to verify the research model and hypotheses based on structural equation modeling (SEM).FindingsThis study revealed that both affective and cognitive trust enhance elderly users' continuance intention regarding their use of mHealth services. Health anxiety strengthens the effect of cognitive trust but weakens the effect of affective trust with regard to continuance intention. Furthermore, technology anxiety strengthens the effect of affective trust but not the effect of cognitive trust with regard to continuance intention.Originality/valueThis study is one of the first to examine elderly users' continuance intention regarding mHealth services use from the perspective of affective and cognitive trust, thus enriching the extant literature on the use of mHealth services. Additionally, this study sheds light on the contingent effects of technology anxiety and health anxiety on affective and cognitive trust, which have been neglected by previous research.