Karen Sowon
ABSTRACT
Trust has significant implications in explaining technology utilisation. It influences both the initial acceptance and continued use (defined as the continuum of use). However, there is dearth of literature examining how trust influences mHealth continued use and what mHealth users trust. This paper explores how trust shapes the continuum of use of maternal mHealth, thus determining their adoption and continued use. The study employed the Expectation Disconfirmation Theory and a case study approach. We collected data using interviews, focus group discussions and observations from 32 purposively sampled participants. Our results suggest that the risks and uncertainties of the maternal healthcare-seeking context play a critical role in how trust shapes mHealth continuum of use. Our findings underscore the need to mHealth designers and implementers to consider different factors that will facilitate the development of trust at the different phases of the continuum to ensure continued use.
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